Objective: To determine the prevalence of Neisseria gonorrhoeae in a student population before hurricane Katrina and after their residential neighbourhoods were devastated in the wake of the hurricane.
Methods: Students in a New Orleans public high school were offered urine screening for N gonorrhoeae and Chlamydia trachomatis using nucleic acid amplification tests before (n = 346) and after (n = 333) hurricane Katrina. Based on studies showing gonorrhea clustering in physically deteriorated neighbourhoods, it was hypothesised that the post-Katrina gonorrhea prevalence would be higher among students whose neighbourhoods still showed signs of deterioration in the aftermath of the hurricane.
Results: Before and after hurricane Katrina, the prevalence of gonorrhea increased from 2.3% (8/346, 95% CI 1.3% to 4.6%) to 5.1% (17/333, 95% CI 3.1% to 8.2%), respectively (one-sided p = 0.027). In logistic regression of gonorrhea controlling for gender, age, chlamydia infection and exposure to hurricane-affected residential neighbourhood conditions, gonorrhea was significantly associated with female gender (odds ratio (OR) 2.6, 95% CI 1.0 to 6.3; p = 0.04) and with chlamydia infection (OR 9.2, 95% CI 3.9 to 21.7; p<0.001). Although of weak statistical significance, there was a strong independent positive trend toward testing positive for gonorrhea after the hurricane (OR 2.2, 95% CI 0.9 to 5.4; p = 0.09).
Conclusions: The analysis indicates that the odds of testing positive for gonorrhea more than doubled among students after the hurricane, indicating that surveillance activities should be restored to monitor sexually transmitted infections (STIs) among at-risk populations. Redoubled efforts should be put into STI screening programmes as soon as possible following natural disasters to prevent resurgent STI incidence rates.
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Presented in part at the 17th International Society for STD Research/10th International Union against STI World Congress in Seattle, Washington, USA, 29 July to 1 August 2007. Poster #: P-007.
Funding: Funding for this screening was provided by the STD Control Program of the Louisiana Office of Public Health, New Orleans, Louisiana, USA. This study was supported in part by a Louisiana Board of Regents Health Excellence Fund grant (HEF (2001–6) 04).
Competing interests: None.
Ethics approval: Ethics approval was provided by the Institutional Review Board of the Louisiana State University Health Sciences Center.
Patient consent: Parental consent obtained.
Contributors: MJN, SNT and DHM designed the study; MJN, SNT and BSS conducted the study; DHM oversaw laboratory testing; MJN, SNT and DHM interpreted the data; MJN analysed the data and wrote the paper; all authors contributed to the successive revisions of the manuscript.
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