Sexually Transmitted Disease
Comprehensive STD Prevention System (CSPS)
- What is CSPS?
The Comprehensive STD
Prevention Systems (CSPS) is a grant intended to achieve the mission of the
Division of Public Health, STD section; reducing morbidity associated with
sexually transmitted diseases in the state of Georgia, thereby preventing STDs
and their complications. The activities implemented in carrying out these
program components support the achievement of many STD-related
Healthy People 2020
objectives, specifically, (1) reduction of adolescents and
young adults with
Chlamydia trachomatis infection, (2)
Gonorrhea, and (3) elimination of sustained
domestic transmission of
primary and secondary syphilis. The results
will be achieved by directing coordinated, comprehensive statewide STD
prevention, screening, and treatment services through surveillance of sexually
transmitted diseases and planning, training, monitoring, and evaluation of
services in both the public and private sectors. CSPS is guided through
surveillance data and supported by CDC Program Operations Guidelines for
Medical and Laboratory Services
- Grant Goals
- Community and Individual Behavior Change Interventions
- Awareness and behavior Change Strategies
- Networks with behavior change intervention experts
- Access to care collaboration
- Clinical Services and Standard of Care
- Screening and Counseling
- State Lab Results and Adherence
- Laboratory Reporting Requirements
Leadership and Program Management
- Notification, Medical attention, and Referrals
- Risk Reduction Plans
- Identification of At-Risk Communities
- STD/HIV Partner Service Coordination
Surveillance and Data Management
- National and Local Guidelines
- Strategies and Operational Planning
- Community Partner Involvement
Training and Professional Development
- Data and Information Systems
- Detection of Changes and At-Risk Populations and Feedback
STD Outbreak Response Plan
- Training Needs Assessment
- Development and Utilization of Training Resources
- Professional Development
- Training of External Partners (Non-Public Health Professionals)
- Technical Assistance
STD-Related Infertility Prevention Project (IPP)
- What is IPP?
- Infertility prevention focuses on reducing the prevalence of Chlamydia and
Gonorrhea infections in Georgia. Through education, screening, and treatment
the goal is to promote statewide awareness of and access to Chlamydia and Gonorrhea
education and reduce associated complications such as pelvic inflammatory disease,
chronic pelvic pain, infertility, ectopic pregnancy (pregnancy outside the uterus,
usually in the fallopian tube) in females, and epididymitis in males.
- Target Population
- In health departments and other family planning clinics, primary care settings,
and teen and STD clinics:
- Screen all females ages 29 and under receiving routine pelvic exams
for Chlamydia Trachomatis (CT) and Gonorrhea (GC)
- Test females of all ages with clinical signs and symptoms of CT and/or
- Test all patients who have a new sex partner or multiple sex partners
in the past 60 days
- Screen all males who present for any STD services for Chlamydia and
- Treat all males and females who test positive for Chlamydia and Gonorrhea
- Provide partner notification/treatment services for persons who test
positive for CT and/or GC
- Chlamydia is the most commonly reported bacterial STD.
- Georgia has the seventh highest rate for Chlamydial infections
in the United States.
- 75% of women infected with CT do not have symptoms.
- 50% of men infected with CT do not have symptoms.
- The damage from pelvic inflammatory diseases (PID) can lead to
chronic pelvic pain, infertility, and ectopic pregnancy.
- Women with CT are up to 5 times more likely to be infected with
HIV if exposed.
- In pregnant women, CT can cause pre-mature birth as well as
respiratory problems in the newborn.
Georgia Syphilis Elimination Effort (SEE)
Strengthen Community Involvement and Organizational Partnerships
Identify non-governmental, community based, health and non-health agencies
and institutions, and members of the faith community to participate in the
development of a Syphilis Elimination Plan.
Convene local Syphilis elimination coalitions comprised of representatives
from affected communities and key organizations.
Sponsor Syphilis elimination workshops to provide health education, communication
materials, lectures and program information to institutions and individuals.
Improved Biomedical and Behavioral Intervention
- What is SEE?
- In 1998, the reported rate of infectious Syphilis in the United States was at the lowest point ever recorded. To take advantage of this unique opportunity, in October 1999, the Centers for Disease Control and Prevention (CDC) launched a national initiative to eliminate Syphilis from the United States. The 1998 STD Surveillance Report from CDC listed 28 counties that accounted for over 50% of the total infectious Syphilis cases in the United States. Georgia ranked in the top ten in the nation in new infectious syphilis cases. In response to
the National Syphilis Elimination Plan, Georgia's Syphilis Elimination Effort was established in 1998 to develop strategies to ensure the successful reduction of syphilis with in the state. Currently, Georgia is in the process of revamping this project.
- Project Goals
- Develop and implement a state level SEE
- Enhance Surveillance and Outbreak Response
- Complete an evaluation of the current Syphilis surveillance
systems utilized in the high morbidity areas of Fulton,
DeKalb Counties, other metro areas and districts.
- Implement recommendations to enhance the Surveillance systems
and increase the timeliness, accuracy and completeness of reporting.g.
- Assess local social, behavioral and institutional factors related
to the persistence of Syphilis within the high morbidity areas
of Fulton, DeKalb Counties, other metro areas and health
districts of Georgia.
- Establish Outbreak Response Teams.s.
- Conduct a community needs assessment to identify behavioral prevention
and intervention needs of individuals at high risk of contracting
Syphilis, assess the availability and accessibility of services
offered by providers, document available resources, and identify
communication and service delivery gaps and barriers for interventions.
- Develop, design, implement and evaluate a Health Communications Plan,
which sets up and coordinates the steps to use health communication
- Georgiahas the third highest rate for primary and secondary
syphilis infection in the United States.
- The primary and secondary syphilis rates have steadily increased
over the past five years.
- Atlanta-Sandy Springs-Marietta, GA Metropolitian area ranked
fifth in the county for reported cases of primary and secondary
- The South accounted for 44.1% of P&S syphilis cases in 2011 and
45.5% in 2010.
- Syphilis cases are concentrated in a small number of geographic
areas in the US.
- Untreated early syphilis in pregnant women results in perinatal
death in up to 40% of cases, and if acquired during the 4 years
preceding pregnancy, may lead to infection of the fetus in over 70%
of cases. The congenital syphilis rate for African American infants
is 56 times higher than that for white infants.
Gonorrhea Isolate Surveillance Project (GISP)
- What is GISP?
- GISP was established in 1986 as a collaborative project between selected sexually
transmitted diseases (STD) clinics, five regional laboratories (including the
Georgia Public Health Laboratory
in Decatur, Georgia), and the Centers for Disease Control and Prevention
(CDC). The mission of GISP is to monitor trends in antimicrobial susceptibilities
of strains of N. gonorrhoeae in the United States in order to establish a rational
basis for the selection of gonococcal therapies.
- Target Population
- N. gonorrhoeae isolates are collected from the first 25 men with urethral
gonorrhea attending STD clinics each month in approximately 28 cities in the United
- Georgia has the sixth highest rate for gonorrheal infection in
the United States.
- In 2011, a total of 321,849 cases of gonorrhea were reported in
the United States, yielding a rate of 104.2 cases per 100,000
population. The rate increased 4.0% since 2010;however, the rate
decreased 11.7% overall during 2007–2011.
- In women, gonorrhea is a common cause of pelvic inflammatory
disease (PID) and about one million women each year in the United
States develop PID.