RESUMO
Neisseria meningitidis (Nm) urogenital infections, although less common than infections caused by Neisseria gonorrhoeae (Ng), have been associated with urethritis, cervicitis, proctitis, and pelvic inflammatory disease. Nm can appear similar to Ng on Gram stain analysis (gram-negative intracellular diplococci) (1-5). Because Nm colonizes the nasopharynx, men who receive oral sex (fellatio) can acquire urethral Nm infections (1,3,5). This report describes an increase in Nm-associated urethritis in men attending sexual health clinics in Columbus, Ohio, and Oakland County, Michigan.
Assuntos
Meningite Meningocócica/complicações , Neisseria meningitidis/isolamento & purificação , Uretrite/epidemiologia , Uretrite/microbiologia , Adolescente , Adulto , Instituições de Assistência Ambulatorial , Humanos , Masculino , Michigan/epidemiologia , Pessoa de Meia-Idade , Ohio/epidemiologia , Adulto JovemRESUMO
The Michigan Department of Community Health (MDCH), utilizing the expertise of public and private, federal, state, and local partners, increased the proportion of state health department-funded community-based organizations implementing effective behavioral interventions (EBIs) from .05 (1:18) in 2002 to .78 (14:18) in 2004. As the stewards of nearly two thirds of the HIV prevention funds awarded annually by the Centers for Disease Control and Prevention, state health departments occupy an important position in diffusing the science of EBIs to their grantees. This article describes the strategies and partners employed by Michigan's state health department to build the capacity of community-based providers to implement effective behavioral interventions. Additionally, lessons learned by the MDCH are highlighted and challenges to the long-term sustainability of these interventions are also discussed.