From the University of Washington.
Public Health - Seattle & King County.
Sex Transm Dis. 2024 Jul 1;51(7):445-451. doi: 10.1097/OLQ.0000000000001960. Epub 2024 Feb 23.
SARS-CoV-2 pandemic mitigation efforts resulted in reallocation of public health personnel, likely impacting provision of timely sexually transmitted infection partner services (PS). We describe PS outcomes before and during the pandemic in King County, WA.
We examined PS outcomes for syphilis and gonorrhea cases diagnosed in 2019 and 3 periods in 2020 (pre-lockdown: January 1, 2020-March 23, 2020; lockdown: March 24, 2020-June 5, 2020; post-lockdown: June 6, 2020-December 31, 2020). We described changes over time in 3 PS outcomes: cases initiated, interviewed, and with named sex partners. We calculated adjusted prevalence ratios (aPRs) with Poisson regression comparing these outcomes in the 2020 periods with 2019.
Reported gonorrhea (4611 vs. 4179) and syphilis (665 vs. 586) cases declined from 2019 to 2020. In 2019, 60.7% of cases were initiated, compared with 42.1% before lockdown (aPR, 0.74; 95% confidence interval [CI], 0.70%-0.78%), 41.7% during lockdown (aPR, 0.79; 95% CI, 0.73-0.85), and 41.7% after lockdown (aPR, 0.81; 95% CI, 0.77-0.85). Among initiated cases, the proportion interviewed also seemed to drop in the 3 lockdown periods (52.4%, 41.0%, 44.1%) compared with 2019 (55.7%). However, in adjusted analyses, the prevalence of interview among case patients was only lower pre-lockdown (aPR, 0.91; 95% CI, 0.85-0.99), and higher during (aPR, 1.10; 95% CI, 1.01-1.20) and after (aPR, 1.12; 95% CI, 1.06-1.19). Interviewed patients named partners more often during (21.4%; aPR, 1.35; 95% CI, 1.05-1.74) and less often after lockdown (16.0%; aPR, 0.63; 95% CI, 0.51-0.79), compared with 2019 (26.6%).
These results underscore the need for a trained public health worker reserve, and plans for deployment of existing workers and prioritization of cases to continue essential sexually transmitted infection public health activities during public health crises.
SARS-CoV-2 大流行缓解措施导致公共卫生人员重新分配，可能会影响及时提供性传播感染伴侣服务 (PS)。我们描述了华盛顿州金县在大流行前后的 PS 结果。
我们检查了 2019 年和 2020 年 3 个时期诊断出的梅毒和淋病病例的 PS 结果 (封锁前：2020 年 1 月 1 日至 3 月 23 日;封锁：2020 年 3 月 24 日至 6 月 5 日;封锁后：2020 年 6 月 6 日至 12 月 31 日)。我们描述了 3 个 PS 结果随时间的变化：开始治疗、接受采访和确定性伴侣。我们使用泊松回归比较了 2020 年期间与 2019 年期间的这些结果，并计算了调整后的患病率比 (aPR)。
2019 年和 2020 年报告的淋病 (4611 例比 4179 例) 和梅毒 (665 例比 586 例) 病例减少。在 2019 年，有 60.7%的病例开始治疗，而封锁前为 42.1% (aPR，0.74;95%置信区间[CI]，0.70%-0.78%)，封锁期间为 41.7% (aPR，0.79;95% CI，0.73-0.85)，封锁后为 41.7% (aPR，0.81;95% CI，0.77-0.85)。在开始治疗的病例中，接受采访的比例在 3 个封锁期间似乎也有所下降(52.4%、41.0%、44.1%)，而 2019 年为 55.7%。然而，在调整后的分析中，病例患者接受采访的患病率仅在封锁前较低(aPR，0.91;95%CI，0.85-0.99)，而在封锁期间和封锁后较高(aPR，1.10;95%CI，1.01-1.20)和(aPR，1.12;95%CI，1.06-1.19)。与 2019 年相比，接受采访的患者在封锁期间(21.4%;aPR，1.35;95%CI，1.05-1.74)更常命名性伴侣，而在封锁后较少(16.0%;aPR，0.63;95%CI，0.51-0.79)。
这些结果强调了需要有训练有素的公共卫生工作者储备，并需要制定计划，部署现有工作人员，并对病例进行优先排序，以便在公共卫生危机期间继续开展基本的性传播感染公共卫生活动。
