Transcript Document

BUREAU OF COMMUNICABLE DISEASES
Director, Janice P. Kopelman
Division of HIV/AIDS
Director, Joseph M. Pease
Division of Tuberculosis and Sexually
Transmitted Diseases
Director, Wes Ruhrig
Division of Immunizations
Director, Alice Gray
Mission
Reduce the incidence and prevalence of
communicable diseases in the Commonwealth
Provide a wide range of intervention strategies that
incorporate government and community
partnerships
COMMON COMPONENTS FOR THREE
DIVISIONS
•Disease Tracking and Monitoring
•Prevention
•Clinical Care
•Program Data
•Outreach, Education and Training
•Evaluation
SUPPORT AND RESOURCES
Diagnostic and Treatment Services – Free or Low Cost
Support Staff
•Bureau of Community Health Systems – Local Services
•Bureau of Information Technology - Computer Programs and
Services
•Bureau of Epidemiology - Medical Consultation
•Bureau of Health Statistics and Research - Data Analysis and
Registry Develop
•Bureau of Administrative and Financial Services - Biological
stockroom
SUPPORT AND RESOURCES
Contracts
•County and Municipal Health Departments
•Professional Organizations
•Community Based Organizations
(cont’)
Division of HIV/AIDS
•Estimated 30,000 AIDS Cases in Pennsylvania
•Estimated 120,000 HIV Infected Individuals in
Pennsylvania
HIV/AIDS Services:
Free and Confidential Testing and Counseling For
Persons and Partners
•HIV Clinics
•County Prisons
•STD Clinics
•County and Municipal Health
Departments
•TB Clinics
•Drug Treatment
Facilities
•District Offices and State Health
Centers
•Colleges/Universities
HIV/AIDS Services: (cont’)
Viral Load Testing
•Determines Individual’s Response To Therapy
•Predicts Progression of AIDS
Care and Supportive Services
•Seven Regional Coalitions
–Medical Care
–Case Management for Persons and
Their Families
–Housing
HIV/AIDS Services: (cont’)
Targeted Populations
•Persons With No or Limited Resources
•Substance Abusers
•Minority and High Risk
Training and Education
•Factline 1-800-662-6080: Public Information
•Program Office: 717-783-0572
•Pamphlets, Brochures, Information Sheets
•Websites: www.state.pa.us/php/HIV/default.htm
www.stophiv.com
HIV/AIDS Accomplishments
•HIV Became a Reportable Condition in 2002
–Provide a better sense for provision of resources
•Housing Assistance for 1500 Individuals 2003
•Counseling and Testing For Approximately 75,000 Substance
Abusers at 500+ Sites
•Training For Approximately 100 Individual Counseling and
Testing Providers
•HIV Testing With OraSure (Oral Fluid Testing) for
Approximately 15,000 Persons
HIV/AIDS Accomplishments (cont’)
•OraQuick Piloted in Three Sites
–New Rapid Test
–Results Within An Hour
–Plans to increase # of sites
•Comprehensive AIDS Plan
–Outlines Prevention and Care For Providers
•Statewide Network of Young Adult Roundtable
–Assist With Planning and Needs Assessment
–Meet Frequently in Their Region (6)
HIV/AIDS Accomplishments (cont’)
•Emerging Health Care Needs Communities Initiative – Pittsburgh
Region
–Housing and Treatment Services
•Congressional Black Caucus Initiative
•Provides AIDS Treatment for Minority Persons
•Housing and Outreach
•Through Faith Based Populations - Pittsburgh
•Technical Assistance Minority and Rural Providers
–Capacity Building
–Educational Interventions
Division of Tuberculosis (TB)/Sexually
Transmitted Diseases (STD)
TB
•353 Active TB Cases – 2002
•Approximately 1000 TB Suspects
•Approximately 10 Contacts for Every Active TB Case
•Approximately 2000 Persons Test Positive for TB
–Requires Full Services Until Disease Ruled
Out
TB Services
•Examination, Diagnosis and Treatment
–Active Cases
–Contacts
–Latent TB Infection Cases
•Hospital Care (if needed) for Persons Without
Financial Resources
•Laboratory Work
•X-ray Work
•House Visits To Supervise Treatment
TB Services (cont’)
•Education and Outreach
–Pamphlets
–Brochures
–Website: www.health.state.pa.us/PHP/TB/tb
TB Accomplishments
•Reduction In Number of Cases Statewide
•Provider Control Manual for Rapid
Response to TB Outbreak
Division of Tuberculosis (TB)/Sexually
Transmitted Diseases (STD) (cont’)
STD
•Focuses on Syphilis, Chlamydia, Gonorrhea
•108 Cases of Syphilis – 2002
•31,952 Cases of Chlamydia – 2002
•13,396 Cases of Gonorrhea – 2002
STD Trends
•Chlamydia Numbers Increasing in 15 – 24 Year Olds
•Syphilis Numbers Increasing in 30 Years and Older
•Gonorrhea Numbers Decreased but Majority of cases
in 15 – 24 Year Olds
STD Services
•Free and Confidential Testing and Counseling
–District and State Health Centers
–County and Municipal Health Departments
–28 Contractors With Approximately 90 Provider Sites
•Pap Testing for Females
•HIV Testing and Counseling
•Chlamydia Infertility Project
–For Women Under 30
–At Annual Pelvic Exam
•Hepatitis B Immunization
STD Services (cont’)
•Sex Partner Notification and Counseling
•Laboratory Work
•Training and Education
–Pamphlets, Brochures, Media (PSAs), Information
Sheets
–Website: www.health.state.pa.us/php/std
STD Accomplishments
•Amplified Chlamydia and Gonorrhea Screening
–Urine Based
–More Sensitive and Specified
•Enhanced Disease Reporting Technology
–National Electronic Disease Surveillance System (NEDSS)
›National Leader
›Real Time Information Regarding Morbidity
›Real Time Access to Laboratory Reports
›Morbidity Analysis Capability
STD Accomplishments (cont’)
•Syphilis Disease Outbreak Control
–Ongoing since October 2001
–Over 300 Individuals Screened
–Increased Community Awareness
–Increased Provider Education
STD Accomplishments (cont’)
•Media Campaign Targeted to College Campuses
–Soon to Include High Schools
–National Recognition
•Legislative Changes For Syphilis Testing
–Pregnant Women In High Incidence Areas
–Mothers Delivering Still Born
Division of Immunizations
Goal To Eliminate and/or Reduce Vaccine Preventable
Diseases
2003 Cases
Measles
Mumps
Rubella
Pertussis
Tetanus
Diphtheria
HepatitisB
9
2
0
246
0
1
217
Division of Immunizations (cont’)
Goal To Eliminate and/or Reduce Vaccine
Preventable Diseases (cont’)
2003 Cases
Haemophilus Influenzae
Type B (HIB)
Varicella
12 (107 non typed or
unknown)
Reportable 2005
Streptococcus Pneumoniae
Compete Reporting
Pending
Immunization Services
•Provision, Distribution, Tracking and Monitoring Vaccines
–1,000,000 Doses Annually
–Approximately 1800 Public and Private Providers
›1600 Vaccines For Children Private Providers
•Local Outreach and Clinical
–District Immunization Staff
–County Municipal Health Departments
–Others – State Health Improvement Plan Partners
Immunization Services (cont’)
•Coordination of Disease Outbreaks
–Monitor Incidence of Vaccine Preventable Diseases
•Regulations for School and Child Care Immunizations
–School Based Catch Up
•Immunization Registry (Statewide Immunization Information
System)
Immunization Services (cont’)
•Perinatal Hepatitis B Prevention and Screening Program
–Vaccine and Laboratory Work for Children and
Other Contacts
•Hepatitis A and B Vaccines For Special Populations
–STD Clinics
–HIV Testing and Screening Sites
–Drug and Alcohol Treatment Centers
–Birthing Hospitals
Immunization Services (cont’)
•Coalition Building
–18 Immunization Coalitions Across the
Commonwealth
–Statewide Immunization Coalition in Process
•Smallpox Planning
–Track and Monitor Vaccine
–Training
–Record Keeping and Reporting to the CDC
Immunization Services (cont’)
•Numerous Outreach Activities
–Annual Pennsylvania Immunization Conference
–Brochures, Fact Sheets, Posters
–Contract with the PA American Academy of Pediatrics
›Private Providers
–Contract with Electronic Data Systems (EDS)
›Private Providers
–National Infant Immunization Week
–National Adult Immunization Week
–National Child Health Month
Immunization Services (cont’)
•Quality Assurance and Vaccine Safety
–Enhance Emphasis
•WIC Immunization Screening and Referral
•Pockets Of Need
•Surveys
–Long Term Care Facilities
–Acute Care Facilities
–Colleges and Universities
Immunization Accomplishments
•Measles, Mumps, Rubella, Pertussis, Tetanus,
Diphtheria
– 1993 – 496
– 2003 – 256
•CDC National Immunization Survey Coverage Rate
(4 Doses of DPT; 3 Doses of Polio; 1 Dose of MMR)
– 1995 – 78%
– 2003 – 83.5%
Coverage Rate Assessments in Departments’ Clinics
– 1995 – 65.1%
– 2004 – 84%
Immunization Accomplishments (cont’)
•Influenza Response Plan
–Annex B in Department’s Emergency Response Plan
•Statewide Immunization Information System (SIIS)
–Implemented in State Health Centers and 6 C/M
Health Dept.
–Moving Into Federally Qualified Health Centers
–Moving Into Private Provider Sector
•First Statewide Child Care Immunization Coverage Reporting
Immunization Accomplishments (cont’)
•Statewide Influenza Sentinel Surveillance
•Statewide Varicella Sentinel Surveillance
•Influenza Outreach to Minority/Disparity Populations
–19 State Health Improvement Plan Partners
–Area Agency On Aging
•Enhanced Vaccine Quality Assurance and Vaccine
Safety Activities
Thank
You