STD Prevention Program Overview
During the 2022 National STD Awareness Week, the CDC released the 2020 STD Surveillance report, showing that STDs are continuing to increase at an alarming rate in our country. Below, you will find a glance of Indiana's own STD Surveillance Spotlight, along with a link to download the PDF here.
The mission of the STD Prevention Program is to intervene in the spread of sexually transmitted diseases (STDs) and reduce the complications of these diseases. The program provides technical and financial assistance to local STD programs for surveillance, case detection through screening, ensuring treatment of known cases, case follow-up, and education. Efforts are coordinated among health care providers to screen for syphilis, gonorrhea, and chlamydia. Other important aspects of this program include education and prevention counseling for persons impacted by STDs.
The STD Prevention Program seeks to engage community groups, partner agencies, and other stakeholders to decrease the disparity of STDs among vulnerable communities and populations. This includes improving health inequalities that exist among people with STDs, including categorial inequalities defined by the WHO as “demographically, economically, geographically, and socially disadvantaged.”
- Many STDs are asymptomatic, meaning you can't tell you if have one without being tested. It's important to get tested regularly if you're sexually active.
- Latex condoms used the right way every time will greatly reduce your risk of getting an STD.
- If diagnosed with an STD, it's important to take all medication exactly as prescribed. You and any partners should wait 7 days after treatment before having sex again to avoid reinfection.
- Some STDs, like chlamydia and gonorrhea, can cause irreversible damage to the reproductive system if not treated.
Looking for a clinic near you? Check out our STD Clinics Map of agencies that partner with the IDOH STD Chlamydia/Gonorrhea (CT/GC) Prevention Program. Enter your zip code to find a testing facility close to you. A list of those CT/GC clinics can be found here. Additional agencies that do not participate in the CT/GC Prevention Program but provide STD services can be found here.
For more information about STDs, how they are spread, and who is at risk, check out the Educational Resources tab.
Your role in interrupting the chain of transmission for sexually transmitted diseases is vital to the health of Hoosiers. Many communities rely on urgent care or emergency room care for screening and treatment of STDs, and the Indiana Department of Health (IDOH) STD Prevention Program would like to provide your agency with the tools and materials to ensure exceptional sexual healthcare to Hoosiers in accordance with CDC’s recommendations. Your efforts in STD prevention and attention to detail are assisting clients with getting access to critical care in order to lower the disease burden among Indiana communities. Below are links to five resources for healthcare providers when managing the sexual healthcare of your patient:
- A Provider's Guide to Managing STDs
- Information for talking with Teens
- Additional Resources for Providers
- Role of Disease Intervention Specialists (DIS)
- STD/HIV Partner Services
Expedited Partner Therapy for Health Care Professionals in Indiana
Expedited Partner Therapy, or EPT, is the practice of treating sexual partners of patients diagnosed with an STD (specifically chlamydia and/or gonorrhea) without an intervening medical evaluation. This practice helps prevent re-infection of patients and is considered an effective partner management strategy. Prescribing treatment to partners is a protected activity under the Indiana Administrative Code. See the resources below for more information.
National and Statewide Increase in Syphilis Cases
Once on a trajectory for elimination in the United States, the rate of syphilis infection has been increasing every year since 2001. National rates of primary and secondary (P&S) stages of syphilis-- the most infectious stages-- have increased almost every year, increasing 11.2% during 2018–2019. Rates increased among both males and females, in all regions of the United States, and among all racial/Hispanic ethnicity groups. Indiana is at a record-high rate of P&S syphilis cases, surpassing the 1999-2000 outbreak with 7.6 cases per 100,000 in 2020* (see figure below). Congenital syphilis cases have also increased at the state and national levels, which is a major public health concern.
Please use the documents at the links provided below for guidance on managing syphilis diagnosed in your patients.
In Indiana, cases of chlamydia, gonorrhea, and syphilis are required to be reported to the health department in your area within 72 hours of diagnosis; healthcare providers should not report cases of herpes or trichomoniasis. Cases can be reported via the Indiana Confidential Sexually Transmitted Disease (STD) Report State Form 56459 by fax, or online via the REDCap Survey links below. Diseases should be reported separately in the appropriate survey (e.g., Gonorrhea cases should be reported in the Gonorrhea survey and NOT in the Chlamydia or Syphilis survey). Fax numbers for each STD district (where your local health department or affiliated community-based agencies are located) are included on the STD DIS Contact Map (link below).
|Online Reporting of STDS|
The Centers for Disease Control and Prevention (CDC) provides guidelines for recommended courses of treatment for STDs. On July 23, 2021, the CDC released the newest treatment guidelines (2021). The links below include the most recently updated guidelines in a wall chart and a pocket guide, including the changes to the treatment of Neisseria gonorrhoeae infections in December 2020. The second link provides more details about the changes to the gonorrhea treatment guidelines.
To view 2020 STD morbidity information in Indiana, use the link below to view the dashboard. The dashboard is interactive and allows you to filter by STD district, counties, and demographics information (Race, Age Groups, and Sex).
To view data trends for STDs in Indiana from 2021, use the links below to view the dashboard maps. National averages were taken from the CDC's 2020 STD Surveillance Report. Indiana data were taken from the state's NEDSS-based Surveillance System (NBS). 2021 data are preliminary until final data closeout.
Use the fact sheets provided here to learn more about STDs, how they are spread, and who is at risk. All resources are shown in English and Spanish. Resources in other languages are available on the CDC's website.
|Disease||English Version||Spanish Version|
|Chlamydia||English PDF||Spanish PDF|
|Gonorrhea||English PDF||Spanish PDF|
|Pelvic Inflammatory Disease (PID)||English PDF||Spanish PDF|
|Syphilis||English PDF||Spanish PDF|
|Congenital Syphilis||English PDF||Spanish PDF|
|Human Immunodeficiency Virus (HIV)||English PDF||Spanish PDF|
|Hepatitis B||English PDF||Spanish PDF|
|Hepatitis C||English PDF||Spanish PDF|
|Human Papillomavirus (HPV)||English PDF||Spanish PDF|
|STD Risk and Oral Sex||English link||Spanish link|
|Genital Herpes||English PDF||Spanish PDF|
|Trichomoniasis||English PDF||Spanish PDF|
|Bacterial Vaginosis||English PDF||Spanish PDF|
|STDs and HIV||English PDF||Spanish PDF|
|Gay, Bisexual, and Other Men who have Sex with Men (MSM)||English PDF||Spanish PDF|