Sexually Transmitted Diseases  >  Surveillance & Statistics  >  Indian Health Surveillance Report, STDs 2004

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Preface

Indian Health Surveillance Report—Sexually Transmitted Diseases 2004 presents statistics and trends for sexually transmitted diseases (STDs) among American Indians and Alaska Natives (AI/AN) in the United States (U.S.).

This inaugural report represents a unique collaboration and partnership between the Centers for Disease Control and Prevention (CDC) and the Indian Health Service (IHS). Most of the AI/AN-specific data provided in this report are the result of a new surveillance methodology, whereby existing nationally notifiable STD data reported to CDC were analyzed using standard IHS populations and methods.

Indian Health Surveillance Report—Sexually Transmitted Diseases 2004 consists of two main parts. The National STD Profile (1984-2004) contains text and figures that provide an overview of STD morbidity among AI/AN in the U.S. The IHS Area STD Profiles (1998-2004) present STD rates and trends for the 12 IHS administrative areas.

It is our hope that the surveillance methodology used in this report will serve as a model and framework for analyzing AI/AN-specific data for other nationally notifiable diseases (e.g. hepatitis, tuberculosis) and for other priority health conditions (e.g. diabetes, mental health). Such reports are essential for increasing the accessibility and quality of AI/AN health data and play an important role in monitoring disease trends, identifying high-risk subgroups, and guiding interventions and resources.

Any comments and suggestions that might improve the usefulness of future publications are appreciated and can be sent to the IHS Division of Program Statistics at IHSStatsHelp@ihs.gov.

Acknowledgements

Publication of this report would not have been possible without the contributions of the state health departments and the STD control programs which provided surveillance data to CDC.

This report was prepared and supported by the following agency divisions:

Centers for Disease Control and Prevention
 Coordinating Center for Infectious Diseases
  National Center for HIV, STD, and TB Prevention
   Division of STD Prevention (DSTD)
    Epidemiology and Surveillance Branch
     Program and Training Branch (proposed)
      Statistics and Data Management Branch

Indian Health Service
 Office of Public Health Support
  Division of Epidemiology and Disease Prevention (DEDP)
   Division of Program Statistics (DPS)

Technical and editorial review was provided by Stu Berman (DSTD), Lily Blasini-Alcivar (DSTD), Lori de Ravello (CDC assignee to DEDP), Melinda Flock (DSTD), Kirk Greenway (DPS), Sam Groseclose (DSTD), Rose Horsley (DSTD), Jo Ann Pappalardo (DPS), Tom Peterman (DSTD), Priscilla Sandoval (DPS), Laura Shelby (DSTD), Scott Tulloch (CDC assignee to DEDP), and Hillard Weinstock (DSTD).

Special thanks to Michelle Johnson (Arizona Department of Health Services), Tim Lane (Utah Department of Health), and Sarah Valway (New Mexico Department of Health) who assisted in reviewing select primary and secondary syphilis (P&S) cases.

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