Responding to Mpox using Program Collaboration and Service Integration (PCSI), District 5-2, GA.
Abstract
Background: Program Collaboration and Service Integration (PCSI) promotes connecting activities and partners targeting similar health concerns to better public health outcomes. With a high proportion of U.S. Mpox cases coinfected with HIV, evidence-based strategies like PCSI are needed to more effectively respond to infectious disease epidemics and link patients to comprehensive care. The purpose of this presentation is to describe the use of this approach to respond to Mpox cases during the 2022 outbreak in District 5-2.
Methods: As Mpox started to get reported in Georgia, training on cultural competencies and specialized interview techniques were pushed out. For every reported case, epidemiology and HIV prevention staff worked together to review medical records, interview cases, refer for treatment and other services as needed, and refer contacts for vaccination. Follow-up was continued until all skin lesions resolved. Home visits were made for cases who failed to return communication within one week.
Results: From July-November 2022, 40 Mpox cases were identified. Of these cases, all were male, 80% were of African American origin, 50% were between 20 and 29 years old, and 45% were HIV positive. Regarding Mpox vaccination, 383 vaccines, 252 primary and 131 secondary doses, were administered. Eighty-five percent of those vaccinated were male, 60% were of African American origin, and 28% were between 50 and 59 years old.
Conclusion: Responding to the 2022 Mpox outbreak using the PCSI approach increased collaboration between public health and clinical partners and service delivery to positive cases and contacts. The PCSI model should be considered in responses to other disease events affecting high-risk populations to strengthen public health impacts.
Keywords
Mpox, Monkeypox, program collaboration, service integration, evidence-based
Responding to Mpox using Program Collaboration and Service Integration (PCSI), District 5-2, GA.
Background: Program Collaboration and Service Integration (PCSI) promotes connecting activities and partners targeting similar health concerns to better public health outcomes. With a high proportion of U.S. Mpox cases coinfected with HIV, evidence-based strategies like PCSI are needed to more effectively respond to infectious disease epidemics and link patients to comprehensive care. The purpose of this presentation is to describe the use of this approach to respond to Mpox cases during the 2022 outbreak in District 5-2.
Methods: As Mpox started to get reported in Georgia, training on cultural competencies and specialized interview techniques were pushed out. For every reported case, epidemiology and HIV prevention staff worked together to review medical records, interview cases, refer for treatment and other services as needed, and refer contacts for vaccination. Follow-up was continued until all skin lesions resolved. Home visits were made for cases who failed to return communication within one week.
Results: From July-November 2022, 40 Mpox cases were identified. Of these cases, all were male, 80% were of African American origin, 50% were between 20 and 29 years old, and 45% were HIV positive. Regarding Mpox vaccination, 383 vaccines, 252 primary and 131 secondary doses, were administered. Eighty-five percent of those vaccinated were male, 60% were of African American origin, and 28% were between 50 and 59 years old.
Conclusion: Responding to the 2022 Mpox outbreak using the PCSI approach increased collaboration between public health and clinical partners and service delivery to positive cases and contacts. The PCSI model should be considered in responses to other disease events affecting high-risk populations to strengthen public health impacts.
