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Matching HIV, Tuberculosis, Viral Hepatitis, and Sexually Transmitted Diseases Surveillance Data, 2000-2010: Identification of Infectious Disease Syndemics in New York City

Drobnik, Ann MPH; Pinchoff, Jessie MPH; Bushnell, Greta BS; Ly, Sonny BBA; Yuan, Julie MS; Varma, Jay K. MD; Fuld, Jennifer MA

Journal of Public Health Management and Practice: September/October 2014 - Volume 20 - Issue 5 - p 506–512
doi: 10.1097/PHH.0b013e3182a95607
Original Articles

Context: In 2012, the New York City Department of Health and Mental Hygiene matched HIV, tuberculosis, viral hepatitis, and sexually transmitted disease surveillance data to identify the burden of infection with multiple diseases.

Methods: HIV, tuberculosis, hepatitis B, hepatitis C, chlamydia, gonorrhea, and syphilis surveillance data from 2000 to 2010 were matched using a deterministic method. Data on deaths from the Department of Health and Mental Hygiene's Office of Vital Statistics were also matched.

Results: The final data set contained 840,248 people; 13% had 2 or more diseases. People with a report of syphilis had the highest proportion of matches with other diseases (64%), followed by gonorrhea (52%), HIV (31%), tuberculosis (23%), hepatitis C (20%), chlamydia (16%), and hepatitis B (11%).

Conclusions: The findings indicate several possible infectious disease syndemics in New York City and highlight the need to integrate surveillance data from different infectious disease programs. Conducting the match brought surveillance programs together to work collaboratively and has resulted in ongoing partnerships on programmatic activities that address multiple diseases.

This article describes the methods used to match infectious disease surveillance data sets in the absence of a fully integrated surveillance system and presents findings of potential infectious disease syndemics in New York City. In addition, lessons learned from the data-matching project useful for other health departments are described.

Division of Disease Control (Mss Drobnik, Pinchoff, Bushnell, and Fuld and Dr Varma) and Data Support Unit, HIV Epidemiology and Field Services Program of the Bureau of HIV/AIDS Prevention and Control (Mr Ly and Ms Yuan), New York City Department of Health and Mental Hygiene, New York.

Correspondence: Ann Drobnik, MPH, New York City Department of Health and Mental Hygiene, 42-09 28th St, 5th Floor, CN-22, Long Island City, NY 11101 (

The Centers for Disease Control and Prevention (CDC-PS10_10175) supported this work through cooperative agreement no. 1U38PS003142-04 (Program Collaboration and Service Integration). The authors thank Jim Hadler, from the Office of the Commissioner of Health, Shama Ahuja and Lisa Trieu, from the Bureau of TB Control; Sarah Braunstein, Laura Stadelmann, Colin Shepard, Mary Irvine, and Chris Williams, from the Bureau of HIV/AIDS Prevention and Control; Katherine Bornschlegel and Jennifer Baumgartner, from the Bureau of Communicable Disease; Mary Chao and Preeti Pathela, from the Bureau of STD Control; and Tiffany Harris and Amber Levanon Seligson, from the Bureau of Epidemiology Services.

The authors declare no conflicts of interest.

© 2014 Lippincott Williams & Wilkins, Inc.