Community Embedded Disease Intervention Specialist (CEDIS): The Los Angeles Experience Ellen T. Rudy, PhD, Ellen T. Rudy, PhD, 1 1 Johnny Johnny Cross, Cross, 2 Frank Ramirez, Frank Ramirez, 1 , , Robert K. Bolan,MD, Robert K. Bolan,MD, 2 2 Peter R. Peter R. Kerndt, MD, MPH Kerndt, MD, MPH 1 1 1 Los Angeles County Dept. of Public Health Los Angeles County Dept. of Public Health Sexually Transmitted Disease Program (STDP) Sexually Transmitted Disease Program (STDP) and the and the 2 2 LA Gay & Lesbian Center (LAGLC) LA Gay & Lesbian Center (LAGLC)
11
Embed
Community Embedded Disease Intervention Specialist (CEDIS): The Los Angeles Experience
Community Embedded Disease Intervention Specialist (CEDIS): The Los Angeles Experience. Ellen T. Rudy, PhD, 1 Johnny Cross, 2 Frank Ramirez, 1 , Robert K. Bolan,MD, 2 Peter R. Kerndt, MD, MPH 1 - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Community Embedded Disease Intervention
Specialist (CEDIS): The Los Angeles Experience
Ellen T. Rudy, PhD,Ellen T. Rudy, PhD,11 Johnny Cross, Johnny Cross,22 Frank Ramirez,Frank Ramirez,11, Robert K. Bolan,MD,, Robert K. Bolan,MD,22 Peter R. Kerndt, MD, MPHPeter R. Kerndt, MD, MPH11
11Los Angeles County Dept. of Public Health Sexually Los Angeles County Dept. of Public Health Sexually Transmitted Disease Program (STDP) and the Transmitted Disease Program (STDP) and the 2 2 LA Gay & LA Gay & Lesbian Center (LAGLC) Lesbian Center (LAGLC)
P&S SYPHILIS IN LAC
54
164
97
320
249
502
0
100
200
300
400
500
600
Ix within 7days
Ix within14 days
Ix within30 days
Jan-Dec '07
Jan-Dec '09
EPIDEMIOLOGY OF SYPHILIS IN LAC
• In 2008 62% (914 out of 1481) of Early Syphilis cases in LAC among MSM
• 14% of ES cases dx out of LAGLC– 55% of these cases also HIV co-infected
SUMMARY OF BENEFITS OF SUMMARY OF BENEFITS OF CEDIS PROGRAMCEDIS PROGRAM
• Notification is by an employee of the Notification is by an employee of the trusted CBOtrusted CBO
• Reduced the time to interview of index Reduced the time to interview of index case and lost to follow-upcase and lost to follow-up
• Significant number of partners are being Significant number of partners are being treated for syphilis treated for syphilis – interrupting the chain of transmissioninterrupting the chain of transmission
• Reduced burden of cases at STDP
BENEFITS SEEN FROM CEDIS PROGRAM
• 25 fold improvement in time to interview within 7 days and 4-fold decrease in lost to follow-up
• 50% increase in the partners index and 4-fold improvement in partners preventatively treated index
• Reduced burden of cases at STDP
CHANGING SOCIAL NORMS
Thanks…Thanks…
• To the diligent staff at LAGLCTo the diligent staff at LAGLC
• To our collaborators at LAC STD ProgramTo our collaborators at LAC STD ProgramContact Information:Contact Information:Johnny CrossJohnny Cross