Community-embedded disease intervention specialist program for syphilis partner notification in a clinic serving men who have sex with men.
OBJECTIVE
We evaluated the effectiveness of a Community-Embedded Disease Intervention Specialist (CEDIS) in providing partner notification (PN) for primary syphilis cases in a high STD morbidity, community-based clinic serving men who have sex with men in Los Angeles.


METHODS
The CEDIS was trained by the same standards as the local health department Disease Investigator Specialists but was employed by and stationed at the clinic where the primary cases were diagnosed. We compared the CEDIS on specific PN outcomes before and after placement of the CEDIS and among countywide men who have sex with men primary syphilis cases, excluding the cases from the CEDIS clinic.


RESULTS
In 2009-2010 after placement of the CEDIS, 100% (87) of primary cases assigned were interviewed; 28% (26) on the same day as their clinic visit and 64% (59) within 7 days. In 2006-2007 before placement of the CEDIS, 67% (43) of primary cases assigned were interviewed; only 2% (1) were interviewed within 7 days. In 2009-2010 countywide, 9% (21) of 252 primary cases assigned were interviewed on the same day as their clinic visit; 18% (45) within 7 days. After placement of the CEDIS, 15% (21) of 140 partners elicited were identified with early syphilis and brought to treatment compared with 0% of 13 partners elicited before placement of the CEDIS, and 15% (25) of 171 partners elicited countywide.


CONCLUSIONS
The CEDIS program fosters key elements to a successful PN program, such as prompt interviewing of newly diagnosed cases and community trust.
Los Angeles County Division of HIV/STD Programs, Los Angeles County Department of Public Health, Los Angeles, CA, USA. ellenrudy1@gmail.com
Ellen T
ET
Rudy
Getahun
G
Aynalem
John
J
Cross
Frank
F
Ramirez
Robert K
RK
Bolan
Peter R
PR
Kerndt
D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000458:organization & administration*; D003219:Confidentiality; D016358:Contact Tracing; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D012017:Referral and Consultation; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D013587:Syphilis / Q000175:diagnosis / Q000453:epidemiology*; D055815:Young Adult