Outbreak of Primary and Secondary Syphilis--Guilford County, North Carolina, 1996-1997

Article Abstract:

Outbreaks of syphilis continue to occur in some communities despite an overall decline in the incidence of syphilis in the US. In 1996 and 1997, 153 cases of syphilis were reported each year in Guilford County, NC, a 147% increase from the 62 cases reported in 1994. This translates to 40.5 cases per 100,000 people, although the same figure statewide was only 10.9 cases per 100,000 people. Investigation revealed that drug use and exchange of money or drugs for sex were major factors, along with missed opportunities for syphilis screening. Jails and emergency departments are good places to screen people for syphilis.

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Impact of Closure of a Sexually Transmitted Disease Clinic on Public Health Surveillance of Sexually Transmitted Diseases--Washington, D.C., 1995

Article Abstract:

Before closing any health care facility, county health departments should determine whether the patients served can go to another facility and whether that facility can handle an increased patient load. In April 1995, a public sexually transmitted disease (STD) clinic in the northwest (NW) ward of Washington, DC closed, leaving one STD clinic in the southeast (SE) ward to serve the entire city. Following the closure, the number of reported cases of syphilis in the NW ward decreased 57%, whereas the number of reported cases among persons residing in the SE ward increased 10%.

Washington, DC, Management, Ambulatory care facilities, Washington, D.C., Clinics

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Trends in Emergency Medicaid expenditures for recent and undocumented immigrants

Article Abstract:

The analysis of the data related to the Emergency Medicaid program in North Carolina is used to describe the sociodemographic characteristics of the population-served, expenditures including the trends over time, and distribution of principal diagnoses by cost and by frequency of hospitalization. The results have shown that childbirth and complications of pregnancy accounted for the majority of Emergency Medicaid spending for undocumented immigrants in North Carolina.

United States, Forecasts, trends, outlooks, Financial management, Analysis, Medical economics, Finance, Forecasts and trends, Market trend/market analysis, Illegal immigrants, Company financing, Entitlement spending

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