Clinical Services January 2016 to June 2016

Clinical Services

January 2016 to June 2016

AREA OF FOCUS APPLIES? YES/NO
Strategic Plan Direction/Goal No
Ontario Public Health Standard, 2008 (OPHS) Yes

Manager: Rosalyn LaRochelle

Director: Rita Sethi

Division: Community Health and Wellness

Summary of Strategic Plan Goal and Operational Plan Objective(s)

STRATEGIC DIRECTION

Building Healthy Communities - We will work with communities to support the health and well-being of everyone.

Health Equity - We will provide programs and services that integrate equity principles to reduce or eliminate health differences between population groups.

STRATEGIC GOAL(S)

We will enhance our understanding of the local needs and priorities of the communities we serve and develop programs and services in response to those needs.

IS THIS A NEW INITIATIVE OR UPDATE OF EXISTING INITIATIVE?

Existing Initiative/Program Update

Summary of OPHS Program Requirement(s):

OPHS PROGRAM

Sexual Health, Sexually Transmitted Infections and Blood-borne Infections

GOAL

To prevent or reduce the burden of sexually transmitted infections and blood-borne infections.  To promote healthy sexuality.

STRATEGY

Disease Prevention/Health Protection

REQUIREMENTS 

  • The Board of Health achieves timely and effective detection and identification of cases of sexually transmitted infections and blood-borne infections, and their associated risk factors and emerging trends
  • The board of health is aware of and uses epidemiology to influence the development of healthy public policy and its programs and services to promote healthy sexuality and prevent or reduce the burden of sexually transmitted infections or blood-borne infections
  • The public is aware of risk, protective, and resiliency factors related to healthy sexuality and the prevention of sexually transmitted infections and blood-borne infections
  • Priority populations have the capacity to adopt behaviours related to healthy sexuality and the prevention of sexually transmitted infections and blood-borne infections
  • The board of health manages reported cases and contacts of sexually transmitted infections and blood-borne infections
  • Health care providers have the capacity to manage cases and contacts of sexually transmitted infections and blood-borne infections

ACCOUNTABILITY INDICATOR(S)

3.3:        100% of confirmed gonorrhea cases where initiation of follow-up occurred within two business days

HAS A PERFORMANCE VARIANCE OR DISCREPANCY BEEN IDENTIFIED

Yes ☐

No ☒

Highlights 

Gonorrhea is the second most frequently reported sexually transmitted infection in Ontario and rates continue to rise locally, provincially and internationally.

Historical treatments are no longer are effective and multi-drug resistance in gonorrhea is rapidly evolving.  The potential for widespread multi-drug resistance gonorrhea is a genuine concern and could lead to increased rates of pelvic inflammatory disease, urethritis, disseminated disease and neonatal ophthalmia.

New testing and treatment guidelines for gonorrhea were established in Ontario in 2013 in an effort to monitor and address antibiotic resistance to gonorrhea and ultimately reduce the risk of clinical failure and complications in an infected individual. 1

A future indicator for gonorrhea will be the number of people with gonorrhea who receive first line treatment.

Related Board or WDGPH reports

Board of Health Report – BH.01.NOV0514.R25 - Gonorrhoea

 

1.  Public Health Ontario: Guidelines for Testing and Treatment of Gonorrhea in Ontario (April 2013): http://www.publichealthontario.ca/en/eRepository/Guidelines_Gonorrhea_On…