Background: Before April 2003, all male detainees were offered chlamydia (CT) and gonorrhea (GC) screening tests, after which services were limited to symptom-based testing. In 2003, male screening was discontinued at a large urban county jail.
Objective: To evaluate the impact of discontinuing universal male sexually transmitted disease screening in a large county jail.
Methods: We compared the number of male CT/GC cases during the periods of universal screening (April 2002 to March 2003) with symptom-based testing (April 2003 to March 2004).
Results: The number of reported CT/GC cases among male detainees declined by −91.7% (3329–277) and −90.5% (1133–108), respectively after universal screening was discontinued. Citywide, CT/GC cases among males and females declined by −9.3% (24,885–22,563) and −12.9% (13,249–11,541), respectively.
Conclusions: Discontinuation of universal male CT/GC screening services at a large county jail represents a missed opportunity to screen a high-risk population and was associated with substantial declines in reported morbidity.
Discontinuation of the jail screening program resulted in substantial reductions in case finding at a large urban county jail and in citywide reported morbidity for male chlamydia and gonorrhea.
From the *Chicago Department of Public Health, STD/HIV Prevention and Care Program, Chicago, Illinois; and †Cermak Health Services of Cook County, Cook County Bureau of Health Services, Chicago, Illinois
Correspondence: Jennifer Broad, MPH, Chicago Department of Public Health, STD/HIV/AIDS Division, 2045 W. Washington Blvd., Chicago, IL 60601. E-mail: email@example.com.
Received for publication May 7, 2007, and accepted July 20, 2007.