An update on chlamydia screening in the US from John Douglas, Jr., MD, Director, Division of STD Prevention, CDC

6. Chlamydia — Rates: Total and by sex: United States, 1989–2008 Note: As of January 2000, all 50 states and the District of Columbia had regulations requiring the reporting of chlamydia cases. Total Cases =1,210,523 B:W ratio= 8:1 % dx’d STD clinics= 15%

7. Chlamydia — Median state-specific positivity among 15- to 24-year-old women tested in family planning clinics: United States, 1997–2008 Note: As of 1997, all 10 DHHS regions, representing all 50 states, the District of Columbia, and outlying areas, reported chlamydia positivity data. SOURCE: Prevalence Monitoring Project (Regional Infertility Prevention Projects); Office of Population Affairs; Local and State STD Control Programs; Centers for Disease Control and Prevention

9. Annual Chlamydia Screening in Commercial and Medicaid Plans, HEDIS 2000 - 2008 Data from State of Health Care Quality reports from NCQA,, Healthcare Effectiveness Data and Information Set. 59% 53% 43% 40%

15. Tuesday, December 1, 2009 WETZSTEIN: STD exams needed early A prominent medical group recently suggested that American teenage girls and college-age women avoid getting gynecological exams for cervical cancer until they turn 21. I hate to second-guess this esteemed group, but when one in four U.S. teenage girls has a sexually transmitted disease (STD), the advice seems odd to me. I would think medical professionals would urge every American woman who is single and sexually active to run, not walk, to a doctor's office every few months for a genital checkup. This goes double for teens and college-age girls. Getting regular genital exams is just prudent these days - and with chlamydia cases reported at a record 1.2 million, there's no time to delay. Chlamydia is curable with antibiotics, said Susan Maloney of the National Chlamydia Coalition. The chlamydia test is easy to do (just a vaginal swab); some doctors are starting to ask women getting Pap smears whether they would like a chlamydia test too. Sexually active young women should ask their doctors for a chlamydia test whether they "feel anything or not," Ms. Maloney said.

18. Evolving Landscape of EPT: Legal Status Summary EPT is Potentially Allowable EPT is Likely Prohibited EPT is Permissible Legislation Pending 2006—2009: Increase of 10 states Non-EPT states with >30 k reported cases: --FL, OH, MI, GA, NC, VA --23% all reported CT CA OR WA NV NM UT AZ WY CO NB KS MO AR OK FL GA AL MS LA TX WI IA MN ID MT ND SD NC VA WV KY TN OH MI IN IL VT AK HI ME NY PA RI MA NJ CT NH SC DE DC MD ( Baltimore only) CA OR WA NV NM UT AZ WY CO NB KS MO AR OK FL GA AL MS LA TX WI IA MN ID MT ND SD NC VA WV KY TN OH MI IN IL VT AK HI ME NY PA RI MA NJ CT NH SC DE DC MD 2006 2009