Adolescent Sexually Transmitted
Infections, including HIV/AIDS and
Hepatitis
Caroline A. Williams, MD, Director
Division of STI, HIV and Hepatitis
Tamarack, Beckley, WV
April 30, 2009
West Virginia Division of Surveillance and Disease Control
1
West Virginia Division of Surveillance and Disease Control
2
Today’s Topics
• Reportable Sexually Transmitted
Infections for WV
• Sexually Transmitted Infections Data in
West Virginia
• Resources/Referral
West Virginia Division of Surveillance and Disease Control
3
* Significant difference
Reportable Sexually Transmitted
Infections for WV
(as per laboratory AND provider)
•
•
•
•
•
•
AIDS - viral
Chlamydia - bacterial
Gonorrhea - bacterial
Hepatitis - viral
HIV - viral
Syphilis - bacterial
West Virginia Division of Surveillance and Disease Control
6
Chlamydia
•
•
•
•
Ranked #1 infection in WV
Sexually transmitted – oral, genital, anal
Bacterial
Tests = nucleic acid (urine) or culture
(swab)
• Curable, but re-infection can occur
• Drug of choice (DOC) one time dose
increases compliance
West Virginia Division of Surveillance and Disease Control
7
Gonorrhea
•
•
•
•
•
Ranked #2 infection in WV
Sexually transmitted – oral, genital, anal
Bacterial
Tests = nucleic acid (urine) or culture (swab)
Curable, but re-infection can occur and is
known to be resistant to conventional
treatment
• Drug of choice (DOC) one time dose
increases compliance
West Virginia Division of Surveillance and Disease Control
8
Syphilis
• Sexually transmitted – direct contact with
syphilitic lesion
• Bacterial
• Tests = blood, CSF ; confirmatory test
required for staging and treatment
• Curable, but re-infection can occur
• Drug of choice (DOC) one time dose
increases compliance
• Stages – primary , secondary, early, latent
West Virginia Division of Surveillance and Disease Control
9
Complications of Sexually
Transmitted Infections
•
•
•
•
Pelvic Inflammatory Disease (PID)
Infertility
Neoplastic
Neurological, orthopedic, auditory,
ophthalmological, pulmonary
• AIDS
• Death
West Virginia Division of Surveillance and Disease Control
10
Chlamydia, Gonorrhea, and
Syphilis Data
• State level trends – gender, age group,
and race/ethnicity
• County data for 2007
• County data for Jan. – Sept. 2007
compared to Jan. – Sept. 2008
West Virginia Division of Surveillance and Disease Control
11
Chlamydia Cases in West Virginia
By Gender, 2003 - 2007
3,500
3,000
Cases
2,500
2,000
1,500
2,443
2,145
2,278
2,189
675
677
696
749
2004
2005
2006
2007
2,093
1,000
500
471
0
2003
Male
Female
West Virginia Division of Surveillance and Disease Control
12
Chlamydia Cases in West Virginia
By Age Group, 2003 - 2007
3,500
280
3,000
Cases
2,500
185
341
239
225
415
449
1,197
1,220
1,167
1,072
1,053
1,019
40
32
34
33
38
2003
2004
2005
2006
2007
170
297
2,000
1,500
1,000
1,139
934
456
1,308
1,115
500
0
<15/Unk
15-19
20-24
West Virginia Division of Surveillance and Disease Control
25-29
30+
13
Chlamydia Cases in West Virginia
By Race/Ethnicity, 2003 - 2007
3,500
3,000
Cases
2,500
2,000
400
377
500
527
369
375
554
550
617
464
1,500
1,000
1,734
1,924
2,033
1,963
2,049
2003
2004
2005
2006
2007
500
0
White, NH
Black, NH
West Virginia Division of Surveillance and Disease Control
Other/Unk
14
Chlamydia Cases per 100,000 Population
By Race/Ethnicity, West Virginia, 2003 – 2007
1,000.0
900.0
800.0
700.0
Rate
600.0
500.0
400.0
300.0
200.0
100.0
0.0
2003
White, NH
2004
Black, NH
2005
Hispanic
2006
Asian/PI
West Virginia Division of Surveillance and Disease Control
AI/AN
2007
All Race/Eth
15
Chlamydia Cases in West Virginia
By Report Source, 2003 – 2007
100%
90%
80%
Percent
70%
51.1%
45.8%
48.9%
54.2%
2003
2004
53.4%
53.4%
56.6%
46.6%
46.6%
43.4%
2005
2006
2007
60%
50%
40%
30%
20%
10%
0%
OLS
Private Providers/Labs
West Virginia Division of Surveillance and Disease Control
16
Chlamydia Cases and Rates per 100,000 Population
West Virginia, 2007
COUNTY
BARBOUR
BERKELEY
BOONE
BRAXTON
BROOKE
CABELL
CALHOUN
CLAY
DODDRIDGE
FAYETTE
GILMER
GRANT
GREENBRIER
HAMPSHIRE
HANCOCK
HARDY
HARRISON
JACKSON
JEFFERSON
KANAWHA
LEWIS
LINCOLN
LOGAN
MARION
MARSHALL
MASON
McDOWELL
MERCER
MINERAL
2007 CASES
20
204
38
9
25
348
5
9
9
95
9
8
47
31
13
15
103
20
128
677
8
22
60
100
42
19
40
138
27
2007 RATE
126.7
209.2
148.9
60.8
103.6
370.6
67.7
87.8
120.7
203.8
129.2
67.1
134.9
137.9
42.1
111.8
149.8
70.3
253.8
351.8
46.7
98.4
165.7
176.3
123.9
73.8
167.5
225.2
100.3
COUNTY
MINGO
MONONGALIA
MONROE
MORGAN
NICHOLAS
OHIO
PENDLETON
PLEASANTS
POCAHONTAS
PRESTON
PUTNAM
RALEIGH
RANDOLPH
RITCHIE
ROANE
SUMMERS
TAYLOR
TUCKER
TYLER
UPSHUR
WAYNE
WEBSTER
WETZEL
WIRT
WOOD
WYOMING
2007 CASES
35
201
12
16
29
44
7
4
8
39
67
125
37
5
13
7
14
3
6
31
32
5
5
4
147
19
2007 RATE
129.2
237.2
88.8
97.9
109.7
98.5
91.2
54.9
91.4
128.4
121.9
157.6
130.0
47.0
83.4
51.7
85.9
43.8
64.8
130.9
76.8
51.6
30.0
66.9
169.8
78.4
WEST VIRGINIA*
U.S.^
3,193
175.6
347.8
* 9 West Virginia cases are of unknown county.
^ U.S. rate is based on 2006 cases and is the most recent national rate available.
West Virginia Division of Surveillance and Disease Control
17
Chlamydia Cases
in West Virginia, 2007
HANCOCK
BROOKE
State Total = 3,193
OHIO
MARSHALL
WOOD
WIRT
JACKSON
MASON
UPSHUR
HAMPSHIRE
TUCKER
GRANT
PENDLETON
WEBSTER
CASES
POCAHONTAS
NICHOLAS
LINCOLN
3-9
BOONE
MINGO
JEFFERSON
HARDY
RANDOLPH
BRAXTON
KANAWHA
WAYNE
LEWIS
CALHOUN GILMER
CLAY
CABELL
HARRISON
MINERAL
TAYLOR
BARBOUR
ROANE
PUTNAM
PRESTON
DODDRIDGE
RITCHIE
BERKELEY
MARION
TYLER
PLEASANTS
MORGAN
MONONGALIA
WETZEL
LOGAN
FAYETTE
GREENBRIER
23 - 47
RALEIGH
WYOMING
McDOWELL
10 - 22
SUMMERS
MONROE
48 - 677
MERCER
West Virginia Division of Surveillance and Disease Control
18
CABELL
KANAWHA
Chlamydia Rates
in West Virginia
per 100,000
Population
U.S.
JEFFERSON
MONONGALIA
MERCER
BERKELEY
FAYETTE
MARION
WEST VIRGINIA
WOOD
McDOWELL
LOGAN
RALEIGH
HARRISON
BOONE
HAMPSHIRE
By County, 2007
GREENBRIER
UPSHUR
RANDOLPH
GILMER
MINGO
PRESTON
BARBOUR
MARSHALL
PUTNAM
DODDRIDGE
HARDY
NICHOLAS
Please refer to your
handouts for a
readable version of
this chart.
BROOKE
MINERAL
OHIO
LINCOLN
MORGAN
POCAHONTAS
PENDLETON
MONROE
CLAY
TAYLOR
ROANE
WYOMING
WAYNE
MASON
JACKSON
CALHOUN
GRANT
WIRT
TYLER
BRAXTON
PLEASANTS
SUMMERS
WEBSTER
RITCHIE
LEWIS
TUCKER
HANCOCK
WETZEL
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
400.0
19
Chlamydia Cases in West Virginia
Jan. – Sept. 2007 and Jan. – Sept. 2008
COUNTY
BARBOUR
BERKELEY
BOONE
BRAXTON
BROOKE
CABELL
CALHOUN
CLAY
DODDRIDGE
FAYETTE
GILMER
GRANT
GREENBRIER
HAMPSHIRE
HANCOCK
HARDY
HARRISON
JACKSON
JEFFERSON
KANAWHA
LEWIS
LINCOLN
LOGAN
MARION
MARSHALL
MASON
McDOWELL
MERCER
JAN. - SEPT.
2007 CASES
12
156
23
9
20
262
4
4
8
73
8
5
42
22
12
12
77
16
89
524
8
14
49
69
35
14
29
95
JAN. - SEPT.
2008 CASES
8
171
21
4
23
228
1
19
9
85
16
9
44
15
4
13
87
28
86
416
18
12
40
72
28
20
22
108
COUNTY
MINERAL
MINGO
MONONGALIA
MONROE
MORGAN
NICHOLAS
OHIO
PENDLETON
PLEASANTS
POCAHONTAS
PRESTON
PUTNAM
RALEIGH
RANDOLPH
RITCHIE
ROANE
SUMMERS
TAYLOR
TUCKER
TYLER
UPSHUR
WAYNE
WEBSTER
WETZEL
WIRT
WOOD
WYOMING
WEST VIRGINIA*
JAN. - SEPT.
2007 CASES
24
27
145
7
12
21
39
4
4
7
28
55
92
36
5
12
7
10
3
3
28
22
3
3
4
115
16
2,430
JAN. - SEPT.
2008 CASES
17
25
188
8
5
23
47
4
6
8
27
45
102
29
7
8
11
6
2
9
15
33
8
12
2
108
14
2,378
* 7 cases in 2007 are of unknown county, and 2 cases in 2008 are of unknown county.
West Virginia Division of Surveillance and Disease Control
20
Gonorrhea Cases in West Virginia
Cases
By Gender, 2003 - 2007
1,000
900
800
700
600
500
400
300
200
100
0
472
451
370
2003
479
505
462
429
2006
2007
428
420
345
2004
2005
Male
Female
West Virginia Division of Surveillance and Disease Control
21
Gonorrhea Cases in West Virginia
Cases
By Age Group, 2003 - 2007
1,000
900
800
700
600
500
400
300
200
100
0
104
101
68
74
154
160
311
173
97
80
142
119
88
83
187
186
303
320
212
215
146
336
276
215
167
11
10
7
9
11
2003
2004
2005
2006
2007
<15/Unk
15-19
20-24
25-29
West Virginia Division of Surveillance and Disease Control
30-34
35+
22
Gonorrhea Cases in West Virginia
Cases
By Race/Ethnicity, 2003 - 2007
1,000
900
800
700
600
103
500
400
300
200
100
0
366
110
138
398
344
122
86
322
355
2003
286
449
401
433
452
2004
2005
2006
2007
White, NH
Black, NH
West Virginia Division of Surveillance and Disease Control
Other/Unk
23
Gonorrhea Cases per 100,000 Population
By Race/Ethnicity, West Virginia, 2003 – 2007
700.0
600.0
500.0
Rate
400.0
300.0
200.0
100.0
0.0
2003
White, NH
2004
Black, NH
2005
Hispanic
2006
Asian/PI
West Virginia Division of Surveillance and Disease Control
AI/AN
2007
All Race/Eth
24
Gonorrhea Cases in West Virginia
By Report Source, 2003 – 2007
100%
90%
80%
Percent
70%
55.2%
52.7%
57.2%
54.9%
56.0%
44.8%
47.3%
42.8%
45.1%
44.0%
2003
2004
2005
2006
2007
60%
50%
40%
30%
20%
10%
0%
OLS
Private Providers/Labs
West Virginia Division of Surveillance and Disease Control
25
Gonorrhea Cases and Rates per 100,000 Population
West Virginia, 2007
COUNTY
BARBOUR
BERKELEY
BOONE
BRAXTON
BROOKE
CABELL
CALHOUN
CLAY
DODDRIDGE
FAYETTE
GILMER
GRANT
GREENBRIER
HAMPSHIRE
HANCOCK
HARDY
HARRISON
JACKSON
JEFFERSON
KANAWHA
LEWIS
LINCOLN
LOGAN
MARION
MARSHALL
MASON
McDOWELL
MERCER
MINERAL
2007 CASES
3
51
1
0
1
237
0
0
1
51
5
0
3
5
2
2
41
0
15
258
1
9
22
21
5
4
8
40
2
2007 RATE
19.0
52.3
3.9
0.0
4.1
252.4
0.0
0.0
13.4
109.4
71.8
0.0
8.6
22.2
6.5
14.9
59.6
0.0
29.7
134.1
5.8
40.3
60.7
37.0
14.8
15.5
33.5
65.3
7.4
COUNTY
MINGO
MONONGALIA
MONROE
MORGAN
NICHOLAS
OHIO
PENDLETON
PLEASANTS
POCAHONTAS
PRESTON
PUTNAM
RALEIGH
RANDOLPH
RITCHIE
ROANE
SUMMERS
TAYLOR
TUCKER
TYLER
UPSHUR
WAYNE
WEBSTER
WETZEL
WIRT
WOOD
WYOMING
2007 CASES
4
21
1
1
5
7
0
0
0
1
13
69
1
0
0
1
3
0
2
0
8
1
1
0
5
1
WEST VIRGINIA*
U.S.^
934
2007 RATE
14.8
24.8
7.4
6.1
18.9
15.7
0.0
0.0
0.0
3.3
23.6
87.0
3.5
0.0
0.0
7.4
18.4
0.0
21.6
0.0
19.2
10.3
6.0
0.0
5.8
4.1
51.4
120.9
* 1 West Virginia case is of unknown county.
^ U.S. rate is based on 2006 cases and is the most recent national rate available.
West Virginia Division of Surveillance and Disease Control
26
Gonorrhea Cases
in West Virginia, 2007
HANCOCK
BROOKE
State Total = 934
OHIO
MARSHALL
WOOD
WIRT
JACKSON
MASON
UPSHUR
HAMPSHIRE
TUCKER
GRANT
JEFFERSON
HARDY
RANDOLPH
BRAXTON
KANAWHA
WAYNE
LEWIS
CALHOUN GILMER
PENDLETON
WEBSTER
CLAY
CABELL
HARRISON
MINERAL
TAYLOR
BARBOUR
ROANE
PUTNAM
PRESTON
DODDRIDGE
RITCHIE
CASES
POCAHONTAS
NICHOLAS
LINCOLN
0
BOONE
MINGO
BERKELEY
MARION
TYLER
PLEASANTS
MORGAN
MONONGALIA
WETZEL
LOGAN
FAYETTE
GREENBRIER
RALEIGH
WYOMING
McDOWELL
SUMMERS
1-2
3-8
MONROE
MERCER
West Virginia Division of Surveillance and Disease Control
9 - 258
27
CABELL
KANAWHA
U.S.
Gonorrhea Rates
in West Virginia
per 100,000
Population
FAYETTE
RALEIGH
GILMER
MERCER
LOGAN
HARRISON
BERKELEY
WEST VIRGINIA
LINCOLN
MARION
McDOWELL
JEFFERSON
MONONGALIA
PUTNAM
HAMPSHIRE
By County, 2007
TYLER
WAYNE
BARBOUR
NICHOLAS
TAYLOR
OHIO
MASON
HARDY
MARSHALL
MINGO
DODDRIDGE
WEBSTER
Please refer to your
handouts for a
readable version of
this chart.
GREENBRIER
MINERAL
MONROE
SUMMERS
HANCOCK
MORGAN
WETZEL
LEWIS
WOOD
BROOKE
WYOMING
BOONE
RANDOLPH
PRESTON
BRAXTON
CALHOUN
CLAY
GRANT
JACKSON
PENDLETON
PLEASANTS
POCAHONTAS
RITCHIE
ROANE
TUCKER
UPSHUR
WIRT
0.0
25.0
50.0
75.0
100.0
125.0
150.0
175.0
200.0
225.0
250.0
275.0
28
Gonorrhea Cases in West Virginia
Jan. – Sept. 2007 and Jan. – Sept. 2008
COUNTY
BARBOUR
BERKELEY
BOONE
BRAXTON
BROOKE
CABELL
CALHOUN
CLAY
DODDRIDGE
FAYETTE
GILMER
GRANT
GREENBRIER
HAMPSHIRE
HANCOCK
HARDY
HARRISON
JACKSON
JEFFERSON
KANAWHA
LEWIS
LINCOLN
LOGAN
MARION
MARSHALL
MASON
McDOWELL
MERCER
JAN. - SEPT.
2007 CASES
3
38
0
0
1
195
0
0
0
44
4
0
2
4
1
2
36
0
12
200
1
7
12
19
4
2
8
29
JAN. - SEPT.
2008 CASES
0
57
0
0
7
121
0
0
0
13
0
1
9
0
3
0
14
2
12
138
4
5
8
11
2
4
3
22
COUNTY
MINERAL
MINGO
MONONGALIA
MONROE
MORGAN
NICHOLAS
OHIO
PENDLETON
PLEASANTS
POCAHONTAS
PRESTON
PUTNAM
RALEIGH
RANDOLPH
RITCHIE
ROANE
SUMMERS
TAYLOR
TUCKER
TYLER
UPSHUR
WAYNE
WEBSTER
WETZEL
WIRT
WOOD
WYOMING
WEST VIRGINIA*
JAN. - SEPT.
2007 CASES
2
1
17
1
1
4
6
0
0
0
1
10
56
1
0
0
1
2
0
2
0
6
0
0
0
3
1
739
JAN. - SEPT.
2008 CASES
3
4
13
3
2
1
11
1
0
0
0
4
48
3
0
0
8
0
0
1
5
1
1
0
1
21
1
569
* 1 case in 2008 is of unknown county.
West Virginia Division of Surveillance and Disease Control
29
Early Syphilis Cases in West Virginia
By Gender, 2003 - 2007
18
16
4
14
3
Cases
12
10
8
6
4
5
13
4
12
1
7
5
5
2
0
2003
2004
2005
Male
2006
2007
Female
West Virginia Division of Surveillance and Disease Control
30
Early Syphilis Cases in West Virginia
By Age Group, 2003 - 2007
18
16
14
8
Cases
12
8
10
8
6
1
7
1
5
1
1
1
1
2
4
2
1
7
1
5
3
2
1
3
2003
2004
2005
0
15-19
20-24
2006
25-29
West Virginia Division of Surveillance and Disease Control
30-34
2007
35+
31
Early Syphilis Cases in West Virginia
By Race/Ethnicity, 2003 - 2007
18
2
16
1
14
3
Cases
12
1
2
10
8
1
6
4
8
15
9
11
1
5
2
0
2003
2004
White, NH
2005
2006
Black, NH
West Virginia Division of Surveillance and Disease Control
2007
Other/Unk
32
Early Syphilis Cases in West Virginia
By Report Source, 2003 – 2007
100%
90%
80%
Percent
70%
41.7%
55.6%
64.7%
60%
80.0%
83.3%
50%
40%
30%
20%
58.3%
44.4%
35.3%
10%
20.0%
16.7%
0%
2003
2004
OLS
2005
2006
2007
Private Providers/Labs
West Virginia Division of Surveillance and Disease Control
33
Occurrence of Early Syphilis Cases
in West Virginia, 2003 – 2007
HANCOCK
BROOKE
Five Year Total =
59 Cases
OHIO
MARSHALL
WOOD
WIRT
ROANE
PUTNAM
UPSHUR
TUCKER
GRANT
JEFFERSON
HARDY
PENDLETON
WEBSTER
POCAHONTAS
NICHOLAS
LINCOLN
Primary & Secondary (P&S) Syphilis
BOONE
MINGO
HAMPSHIRE
RANDOLPH
BRAXTON
KANAWHA
WAYNE
LEWIS
CLAY
CABELL
HARRISON
MINERAL
TAYLOR
BARBOUR
CALHOUN GILMER
JACKSON
MASON
PRESTON
DODDRIDGE
RITCHIE
BERKELEY
MARION
TYLER
PLEASANTS
MORGAN
MONONGALIA
WETZEL
LOGAN
FAYETTE
GREENBRIER
Both P&S and EL Syphilis
RALEIGH
WYOMING
McDOWELL
Early Latent (EL) Syphilis
SUMMERS
MONROE
MERCER
West Virginia Division of Surveillance and Disease Control
34
Early Syphilis Cases in West Virginia
Jan. – Sept. 2007 and Jan. – Sept. 2008
COUNTY
BARBOUR
BERKELEY
BOONE
BRAXTON
BROOKE
CABELL
CALHOUN
CLAY
DODDRIDGE
FAYETTE
GILMER
GRANT
GREENBRIER
HAMPSHIRE
HANCOCK
HARDY
HARRISON
JACKSON
JEFFERSON
KANAWHA
LEWIS
LINCOLN
LOGAN
MARION
MARSHALL
MASON
McDOWELL
MERCER
JAN. - SEPT.
2007 CASES
JAN. - SEPT.
2008 CASES
1
2
1
1
2
1
COUNTY
MINERAL
MINGO
MONONGALIA
MONROE
MORGAN
NICHOLAS
OHIO
PENDLETON
PLEASANTS
POCAHONTAS
PRESTON
PUTNAM
RALEIGH
RANDOLPH
RITCHIE
ROANE
SUMMERS
TAYLOR
TUCKER
TYLER
UPSHUR
WAYNE
WEBSTER
WETZEL
WIRT
WOOD
WYOMING
WEST VIRGINIA*
JAN. - SEPT.
2007 CASES
JAN. - SEPT.
2008 CASES
1
1
3
2
3
1
1
1
14
7
* Cases from the third quarter 2008 outbreak in Wheeling have not yet been added to the database.
West Virginia Division of Surveillance and Disease Control
35
Syphilis Outbreak and Case Management
in Region VI (Wheeling)
• Early spring 2008 – 3 (one congenital)
• Mid-late summer 2008 - 5
• Fall 2008 - 3
West Virginia Division of Surveillance and Disease Control
36
Hepatitis Data
• National vs State data comparison
• State level trends – gender, age group,
and race/ethnicity
West Virginia Division of Surveillance and Disease Control
37
Acute Hepatitis B Incidence Rate
2005 & 2006
• National Incidence Rate
• WV Incidence Rate
2005 2006
2.0
1.6
3.8
4.1
WV ranks # 2 in acute hepatitis B
infections
National Acute Hepatitis B Case Rates
2006
•Source: MMWR; Mar 21, 2008, Vol. 57; No. SS-2
Incidence of Acute Hepatitis B Case
Rates of Surrounding States Compared
to US, 2006
•Source: MMWR; Mar 21, 2008, Vol. 57; No. SS-2
WV Acute Hepatitis B Cases
2003 - 2007
•N=322
WV Acute Hepatitis B Cases by Age,
2003 – 2007
• N=322
WV Acute Hepatitis B Cases by Race,
2003 – 2007
•1 – 0%
•46 – 14%
•1 – 0%
•4 – 1%
•270 – 85%
WV Acute Hepatitis B Cases by Gender
2003 – 2007
•N=322
Acute Hepatitis B Risk Factors, WV
and US, 2001 - 2005
West Virginia
2001 – 2005, N = 135
•*Other: hemodialysis and blood transfusion
•Source: WV HIV/AIDS/STD Hepatitis B database
United States
2001 – 2005
*
Other: Household contact, institutionalization,
hemodialysis, blood transfusion, occupational exposure
•** MSM – men who have sex with men
•Source: Sentinel Counties Study of Viral Hepatitis,
CDC
Multiple risk factors may be reported for a single case
HIV/AIDS Data
West Virginia Division of Surveillance and Disease Control
46
HIV Infection Cases by Age Group
West Virginia, 2003-2007
Proportion of HIV/AIDS Cases among Adolescents (13 to 19)
and Young Adults (20-24) by Race, WV, 2003-2007
Adolescents (13-19 years)
Young Adults (20-24 years)
Proportion of HIV/AIDS Cases among Adolescents (13 to 19) and
Young Adults (20-24) by Gender, WV, 2003-2007
Adolescents (13-19 years)
Young Adults (20-24 years)
Proportion of HIV/AIDS Cases among Adolescents (13 to 19)
and Young Adults (20-24) by Transmission Risk, WV, 2003-2007
Adolescents (13-19 years)
Young Adults (20-24 years)
The West Virginia Division of
STI, HIV and Hepatitis Services
The West Virginia Division of STI, HIV and
Hepatitis will competently and
compassionately provide surveillance,
intervention, testing, education and care to
prevent and control the spread of disease
for the people of our state.
West Virginia Division of Surveillance and Disease Control
53
The West Virginia Division of
STI, HIV and Hepatitis Services
•
•
•
•
•
Surveillance
Intervention
Testing
Education
Care
West Virginia Division of Surveillance and Disease Control
54
Educational Resources
• Centers for Disease Control
www.cdc.gov
BV (bacterial vaginosis), Chlamydia,
Gonorrhea, Herpes (genital), HPV (Human
Papiloma Virus), PID (pelvic inflammatory disease),
Syphilis, Trichomoniasis, HIV/AIDS, and Hepatitis
• Division STI, HIV and Hepatitis
www.wvhiv.org
West Virginia Division of Surveillance and Disease Control
55
Disease Intervention Specialist (DIS)
•
interview patients infected with STIs
•
perform investigative activities to locate and
refer persons who are suspected of having a
STI for examination and/or treatment.
•
provide technical assistance to providers re:
STIs, prevention, diagnosis, and treatment
•
provide education
•
perform rapid HIV testing
•
confidentiality must be maintained
West Virginia Division of Surveillance and Disease Control
56
Referral for Clinical Services
• County Health Departments
• Primary Healthcare Physicians/providers
• Clinics/Hospitals
West Virginia Division of Surveillance and Disease Control
57
Questions?
Division of STI, HIV and Hepatitis Contacts
Caroline Williams, MD, Division Director
Susan Hall, MA, Assistant Director
Kenneth Gould, Field Operations Supervisor
(304) 558-2195
State STD Hotline (800) 642-8244
West Virginia Division of Surveillance and Disease Control
58
Hot Line Numbers
National STD Hotline:
800-227-8922
National AIDS Hotline:
800-342-2437
State STD/AIDS Hotline:
800-642-8244
Herpes Hotline:
919-361-8488
HPV Hotline
919-361-4848
WV STD/AIDS Hotline:
800-642-8244