The Oklahoma State Department of Health (OSDH), HIV/STD Service (Service), works throughout the state to address STD prevention and control. Through this project, Oklahoma will work to improve the quality, completeness, and use of STD surveillance and prevention program data to monitor epidemiological trends, and develop new or enhance existing strategies for prevention programs that aim to achieve national prevention goals, as well as utilize a high impact prevention approach. The Service is fully integrated with HIV, STD, and viral hepatitis prevention and surveillance activities as well as directing and executing the Ryan White Care programs. Our surveillance and prevention programs operate in coordination with each other. Service personnel work with community partners in affected communities across Oklahoma in an effort to prevent new infections of CT, GC, syphilis and HIV by reducing undiagnosed infections and ensuring proper treatment is provided. The Service is currently staffed with personnel that have the necessary competencies and technical expertise required to provide the operational and foundational activities for STD prevention and surveillance programs and services along with the capacity to respond to emerging threats, such as antimicrobial resistance and disease outbreaks.