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.
To evaluate the impact of discontinuing universal male sexually transmitted disease screening in a large county jail.
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).
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.
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.