Matthew Golden, MD, MPH, Center for AIDS and STD, University of Washington, Seattle, WA, Roxanne Kerani, PhD, HIV/STD Control Program, Public Health - Seattle and King County, Seattle, WA, Mark Stenger, MA, Infectious Disease & Reproductive Health, Assessment Unit, Washington State Department of Health, Olympia, WA, James Hughes, PhD, Biostatistics, University of Washington, Seattle, WA, Mark Aubin, BA, STD Services Section, Washington State Department of Health, Olympia, WA, David Fine, PhD, Cardea Services, Seattle, WA and King Holmes, MD, PhD, Global Health, University of Washington, Seattle, WA