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10 <br />'~. QBJECTIVES <br />1. Assess populations at high risk for syphilis, factors which promote syphilis ir~nsmission, and <br />barriers to syphilis u~eatment and prevention in high morbidity areas of Forsyth, .P: amance, <br />Orange and Durham Counties, by December 31, 1998. <br />a) Conduct and analyze rapid community assessments using the tool developed for the. <br />Guilford County Rapid Community Assessment. <br />b) Assess the availability of syphilis diagnostic and treatment services in Forsyth, <br />Alamance, Orange and Durham Counties, including services provided by county health <br />departments and services provided by other public and private providers by December 31, <br />1998. <br />c) Assess the surveillance system for syphilis in the five-county area by December 31, <br />1998. <br />d) Characterize the moleculaz epidemiology of Treponema pallidum in the five-county <br />azea during 1998-99. <br />2. Develop a targeted syphilis elimination plan for the five-county area with individualized plans <br />for each county based on the rapid community assessments by March 31, 1999. _ <br />a) Assist each county in hiring an outreach worker for the project by December 31, 1998. <br />b) Assist each county in developing a syphilis awazeness task force which will provide <br />local monitoring of the syphilis elimination activities. <br />c) With the participation of the Tocal syphilis awareness task forces and. Local DIS, project <br />staff will develop a syphilis elimination plan for the five-county area. <br />3. Implement syphilis elitninaxion plan beginning April 1, 1999. Specifics of the plan will <br />depend on results of community assessments. However, each plan is expected to include the <br />following components: outreach worker educational and sazeening activities, clustering <br />techniques by local DIS, screening fir syphilis in jails and community based organizations <br />performing HIV counseling and testing, and contribution to the outbreak response team. <br />4. Evaluate and document the appropriateness of the syphilis elimination plan targeting through <br />quarterly assessment of the popuiaxion aiiected by syphilis and their utilization of health services <br />for syphilis, and revise specinc targeting of plan as indicated by this assessment. <br />S. Evaluate the achievements of the syphilis elimination project through process objectives, <br />includi~ all those given above and: <br />S <br />