Alan Katz, MD, MPH1, Alan Komeya, MPH2, Juval Tomas, RN, MSN, MPH2, A. Christian Whelen, PhD3, Robert Kirkcaldy, MD, MPH4, Olusegun Soge, PhD5, Glenn Wasserman, MD, MPH6, Norman O'Connor, MA3, Pamela O'Brien, BS3, Douglas Sato, BA3, Eloisa Maningas, BSMT3, Gail Kunimoto, BS3 and John Papp, PhD7, 1Department of Public Health Sciences, University of Hawaii, Honolulu, HI, 2Diamond Head STD Clinic, Hawaii Department of Health, Honolulu, HI, 3State Laboratories Division, Hawaii Department of Health, Pearl City, HI, 4Surveillance and Special Studies Team, Surveillance and Data Management Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, 5Global Health STI Laboratory, University of Washington, Seattle, WA, 6Communicable Disease and Public Health Nursing Division, Hawaii Department of Health, Honolulu, HI, 7Laboratory Reference and Research Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA