The impact of a comprehensive chlamydia prevention program in Wisconsin.

An analysis using case reports, laboratory records of tests for C. trachomatis, and Hospital Discharge Summary data shows that, following implementation of a chlamydia prevention program in Wisconsin in 1985, statewide declines were observed in prevalence, incidence and complications of infection. In 1990, prevalence rates among teenage women peaked at 2,794 infections per 100,000 15-19-year-old females. Between 1987 and 1991 (a period of stable testing volume), the proportion of positive tests decreased in all age-groups for females (by 29-41%) and males (by 10-14%), and the incidence of new infections in women decreased in clinic populations by 27%-50%. Between 1986 and 1991, hospitalization rates declined by 33% for pelvic inflammatory disease and by 20% for ectopic pregnancy.

[1]  D. Addiss,et al.  History and features of the Wisconsin Chlamydia trachomatis control program. , 1994, Family planning perspectives.

[2]  D. Fine,et al.  STDs and family planning clinics: a regional program for Chlamydia control that works. , 1992, The American journal of gynecologic health.

[3]  A. Johansson,et al.  A Retrospective Study of Efforts to Diagnose Infections by Chlamydia trachomatis in a Swedish County , 1991, Sexually transmitted diseases.

[4]  T L Chorba,et al.  Case definitions for public health surveillance. , 1990, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[5]  Cates.  The Epidemiology and Control of Sexually Transmitted Diseases in Adolescents. , 1990, Adolescent medicine.

[6]  J. P. Davis,et al.  Chlamydia trachomatis Infection In Women Attending Urban Midwestern Family Planning and Community Health Clinics: Risk Factors, Selective Screening, and Evaluation of Non‐culture Techniques , 1990, Sexually transmitted diseases.

[7]  D. Addiss,et al.  Selective screening for Chlamydia trachomatis infection in nonurban family planning clinics in Wisconsin. , 1987, Family planning perspectives.

[8]  A. Washington,et al.  Chlamydia trachomatis infections in the United States. What are they costing us? , 1987, JAMA.

[9]  J. Buring,et al.  Epidemiology in Medicine , 1987 .

[10]  H. Morgenstern,et al.  Epidemiologic Research: Principles and Quantitative Methods. , 1983 .

[11]  C. Schofield.  Sexually transmitted disease surveillance. , 1982, British medical journal.

[12]  J. Wasserheit.  Epidemiological Synergy: Interrelationships Between HIV Infection and Other STDs , 1991 .