Project Abstract Summary
During 2013 – 2015, the rate of reported cases of primary and secondary syphilis increased in Puerto Rico, however, the rate of reported cases decreased during 2016-2017. In 2016 and 2017 only 445 and 410 cases of primary and secondary syphilis were reported, respectively. The rate of reported cases of early latent syphilis also decreased in 2016 and 2017. The reported cases and incidence rate of gonorrhea increased during 2013 – 2016. The incidence rate of chlamydia and gonorrhea decreased in 2017. An increase in reported cases of congenital syphilis was observed after 2014.
The proposed project has the purpose to prevent and control three major STDs: chlamydia, gonorrhea and syphilis in Puerto Rico providing prevention education, screening, testing, diagnosis, and treatment. Priority populations for this project include pregnant women, reproductive age women, young adults and adolescents and, men who have sex with men. The expected long-term outcomes, per strategy area, is resumed as follow: (1) Conduct surveillance: Increased effectiveness, efficiency, and impact of STD prevention; (2) Conduct disease investigation a and intervention: Reduced STD transmission and related adverse health outcomes and Reduced STD-related HIV transmission; (3) Promote CDC-recommended screening, diagnosis, and treatment: Reduced STD transmission and related adverse health outcomes, Reduced risk of gonorrhea antibiotic resistance, and Reduced STD-related HIV transmission; (4) Promote STD prevention and policy: Reduced STD transmission and related adverse health outcomes; and (5) Analyze and use data for program improvement: Increased effectiveness, efficiency, and impact of STD prevention.
The STD surveillance system is responsible for verifying the diagnosis and treatment of all reportable STDs from public and private physicians, health care providers, hospitals, and laboratories as required by administrative order of Secretary of Health. The Surveillance system follows the CDC recommended STD treatment guidelines. The STD prevention is comprised of Disease Intervention Specialists who identify, locate, and interview clients who have been exposed to an STD, or are at risk of being exposed, and refer them for testing and treatment as needed, and other staff who will complement the STD prevention efforts promoting the CDC recommended STD treatment guidelines in the jurisdiction and implementing activities targeting to vulnerable populations at-risk for STDs.