Sexually Transmitted Diseases – General

Sexually Transmitted Diseases – General 1. Any person known or suspected of having syphilis, gonorrhea, Chlamydia, chancroid, human immunodeficiency virus (HIV) or other sexually transmissible disease (STD) or suspected of having been exposed to syphilis, gonorrhea, Chlamydia, chancroid, HIV or other STD shall submit to examination as provided in Section 105. Any person who, after due notification, fails or refuses to report for examination at the time and place designated by the health officer shall be subject to prosecution and the local health officer or the Mississippi State Department of Health or its representative may make an affidavit of such fact and cause the issuance of a warrant returnable before any court of competent jurisdiction. All records and reports herein required shall be kept in secret files and disclosed only as required before the court (Section 41-23-29, Mississippi Code of 1972 as amended.). 2. It shall be the duty of the local health officer or his or her representative to conduct effective epidemiological actions including initial and follow up interviews, rapid contact and suspect referral to medical examination, satisfactory determination of the source of patient infection and all subsequent infections, and appropriate administration of prophylactic treatment to all at risk critical period contacts. 3. Case reports of genital Chlamydia, gonorrhea, chancroid and syphilis shall include date, type of treatment and dose, or if no treatment has been initiated. 4. Syphilis a. Class 1B (including congenital and infection in pregnancy) case report required. b. General i. Any reactive serologic test for syphilis (STS) shall be reported to the State Department of Health by the laboratory performing the test. Report shall include test result, patient's name, age, race, sex, and address, and name of physician ordering the test. ii. RPR or VDRL ≥ 1:8 - Class 1B case report required. iii. Any reactive STS in persons 10 years of age or younger - Class 1B case report required. iv. RPR or VDRL ≤ 1:4 - Class 1B case report required. MSDH "Laboratory Log Sheet" or a form providing all the same information may be used. 5. All Mississippi physicians and medical practitioners providing prenatal care to pregnant people shall be required to: a. Perform syphilis testing for all pregnant people in their first trimester (or at the initial visit for prenatal care) and again in the third trimester (28-32 weeks). b. Perform syphilis testing for all pregnant people at the time of delivery. c. Ensure appropriate treatment for syphilis infections during pregnancy and for congenital syphilis, per the most current Centers for Disease Control and Prevention (CDC) treatment guidelines. d. Ensure appropriate reporting of syphilis infection in pregnancy to the Department.