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    DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

15th Texas HIV-STD Conference - 1:00 Tuesday Breakout Sessions


A1: Topical Microbicides to Prevent the Transmission of HIV, San Antonio Room

Microbicides are vaginally or rectally applied drugs that could prevent HIV and other STDs. Several compounds have demonstrated antiviral activity both in vitro and in animal models, but none have been approved for use in humans. Many candidate microbicides are currently being studied in clinical trials. Their mechanisms of action include disruption of the viral membrane by surfactants, maintenance of an acidic vaginal pH, binding to the viral envelope to block receptor binding, and blocking of receptors. They may also be combined with antiretroviral drugs.

Because there are multiple targets for HIV infection in the genital tract, synergistic combinations of microbicides will probably offer the greatest protection for non-HIV-infected persons and might decrease transmissibility when used by those infected with HIV. The development of safe and effective microbicides has been delayed by limitations in understanding the biological processes of HIV transmission, difficulties in extrapolation from animal models, lack of established correlates of protection, and the need to enroll and follow large cohorts of high-risk participants for several years in order to demonstrate efficacy. Several clinical trials that are under way may demonstrate the ability of microbicides to protect against transmission of HIV, but multiple challenges remain.

Darpun Dhawan
Brown Medical Student, Year IV
Brown Medical School / Mount Sinai School of Medicine
New York, New York

Darpun Dhawan has worked in the field of HIV prevention and microbicide research for nearly five years. As an undergraduate, she was involved in research regarding the acceptability of microbicides to women in India. More recently, during the course of her medical training, she pursued a research fellowship for one year to study the basic science of microbicide development in a laboratory at Mount Sinai School of Medicine. She will obtain a medical doctorate in the spring of 2007 and plans to pursue a career in internal medicine and infectious diseases that will allow her to conduct international clinical trials to test the safety, efficacy, and acceptability of microbicidal candidates.

B1: Chronic Viral Hepatitis and HIV Co-Infection, San Marcos Room

Sharing a common set of risk factors, hepatitis B, C, and HIV co-infections are expected. With improved anti-retroviral drug treatment, liver disease has emerged as a leading cause of death in those with HIV co-infections. This presentation examines chronic viral hepatitis, its diagnosis, treatment, epidemiology, and impact on individuals with HIV infection. Concurrent viral infections pose both treatment and case management challenges. Both the need and the missed opportunities for hepatitis A and B vaccinations in this risk group will be discussed. The data reporting increased longevity in individuals with hepatitis G co-infections are examined.

Gary Heseltine, M.D., M.P.H.
Department of State Health Services
Austin, Texas

Dr. Gary Heseltine has worked for DSHS for the last six years as an epidemiologist in the Infectious Disease Control Unit. His current areas of responsibility are hepatitis, blood borne pathogens, and some childhood illnesses.

C1: Ask the Experts Panel, Sabine Room

This informal panel will provide an open forum for discussion of issues related to the DSHS Laboratory, Family Planning, Tuberculosis, and Immunizations Programs. DSHS experts from each of these areas will serve on the panel. No continuing education will be provided.

James H. Lee (moderator)
Senior Public Health Advisor
HIV/STD Comprehensive Services Branch
Department of State Health Services
Austin, Texas

Jim Lee is the Senior Public Health Advisor with the DSHS HIV/STD Comprehensive Services Branch. He received a bachelor of arts in sociology and political science from East Carolina University, Greenville, North Carolina, in 1977. He started his career as a Disease Intervention Specialist in Charlotte, North Carolina in 1980 and has been a supervisor or manager in HIV/STD Programs in Florida, New Mexico, Missouri, and Texas. He has authored several articles on STD and HIV issues in peer reviewed journals.


Elizabeth W. Delamater, Ph.D.
Microbiological Sciences Branch, Laboratory Services Section
Department of State Health Services
Austin, Texas

Dr. Elizabeth Delamater has worked at the DSHS laboratory for 12 years. She started out as the Section Chief of the HIV/STD section, overseeing testing for HIV and Syphilis. She then became the Branch Supervisor for the Medical Serology/Molecular Biology area, and now is the Manager of the Microbiological Sciences Branch of the Laboratory. Dr. Delamater also participated in expanding Hepatitis C testing in the State of Texas. She is active in the Association of Public Health Laboratories, serving on several committees. Dr. Delamater came to DSHS with a traditional research background, having worked in stem cell transplant research, at the USDA developing enzyme immunoassays to detect antibiotic use in food animals, and completing a post-doctoral fellowship studying gene regulation in bacteria. She has a Ph.D. in microbiology with a subspecialty in immunology from UTMB in Galveston.

Mark E. Ritter, M.H.A.
CDC Senior Public Health Advisor, Immunization Branch
Department of State Health Services
Austin, Texas

Mark Ritter has been the CDC Senior Public Health Advisor for the DSHS Immunization Branch since November 2003. Prior to his employment by the CDC, Ritter served as the Immunization Division Manager for the San Antonio Metropolitan Health District for over six years. He works directly with the DSHS Immunization Branch Management Team to provide technical and programmatic assistance for the Texas Immunization Project. He is responsible for updating management and program staff on current trends, schedules, and recommendations as they may pertain to all immunizations and vaccines.

Marcia Sims, R.N., M.S.N., C.N.S.
Nurse Consultant
Department of State Health Services
Austin, Texas

Marcia Sims has been a nurse consultant at DSHS for 17 years in three different service areas, including HIV, chronic disease, and family planning. Her earliest involvement with HIV was as a hospice nurse in Austin in the mid-1980s, when people were first being diagnosed with AIDS in the Central Texas area. At that time she served on the Austin AIDS Task Force, a voluntary group that worked to coordinate community services. In her current position with family planning, Sims' responsibilities include facilitating a Title X funded special project to integrate HIV testing into four family planning agencies' clinics and participating in the Texas Infertility Prevention Project, a CDC-supported chlamydia screening and prevention effort between family planning services, STD services, and laboratory services.

Charles Wallace, Ph.D., M.P.H.
Infectious Disease Intervention and Control Branch
Department of State Health Services
Austin, Texas

Dr. Charles Wallace has worked with disenfranchised populations for over 30 years. He has worked in AIDS/HIV epidemiology, STD epidemiology and tuberculosis prevention and control. He was the director of the Texas Department of Health Office of Minority Health and the Community Health Director for the Albert Schweitzer Hospital, Haiti, West Indies. Dr. Wallace was director of the first federally funded sickle cell anemia program in Texas. He has been the developer and host of two radio programs, including "Health Focus," a weekly radio program that was on KAZI-FM in Austin that focused on the health of minority communities and "Black Family Profiles," which focused on the concerns of Black families. Dr. Wallace served as President of the National Tuberculosis Controllers Association in 2001. Dr. Wallace was most recently the Director of the TDH Tuberculosis Elimination Division and now serves as the Manager of the Infectious Disease Intervention and Control Branch. His dissertation was entitled "AIDS/HIV Infection Prevention Interventions and Perceptions: The Experiences of Gay Black Men."

D1: Establishing Collaborations to Test for STDs in Juvenile Detention Facilities, Trinity B

This presentation will highlight the successful collaboration between the Dallas County Health Department STD Division and the Henry Wade Juvenile Detention Center in Dallas, in which juveniles were tested for gonorrhea and chlamydia. The ability to screen youth in juvenile detention facilities provides a unique opportunity to reach an at-risk and underserved population. According to the 2004 Trends in Reportable STDs, half of the 19 million new STD infections each year are found in young people ages 15 to 24. Specialized, targeted prevention and intervention for this group can be effectively accomplished through collaboration between health departments and juvenile detention facilities.

Regina Richardson-Idaho
Lead Public Health Advisor
Dallas County Health Department
Dallas, Texas

Regina Richardson-Idaho is a Lead Public Health Advisor assigned to the Dallas County Health Department. She received a bachelor of science in health administration from California State University, Northridge. Richardson-Idaho is the supervisor for the Dallas County STD Program jail team. She has been with Dallas County since 1993.

E1: Integrating HIV Perinatal Prevention Activities into HIV Prevention and Services Organizations, Trinity A

This presentation will provide an overview of the Texas HIV perinatal data, laws, and HIV perinatal prevention activities performed by three HIV prevention and services organizations. The speaker will explore the lessons learned and provide recommendations to enhance HIV perinatal prevention activities among HIV/STD service providers.

Jenny R. McFarlane
Team Leader
HIV/STD Comprehensive Services Branch
Department of State Health Services
Austin, Texas

Jenny McFarlane has worked with HIV/AIDS and STDs for the past 19 years. She has spent most of her career working with the incarcerated, substance users, sex trade workers, and individuals living with HIV and AIDS. McFarlane has been a Field Operations Consultant and Team Leader with the DSHS HIV/STD Comprehensive Services Branch for nearly ten years. She supervises a team of consultants who monitor and provide technical assistance to HIV and STD prevention and services programs funded by DSHS. In addition to her duties, Jenny has become a specialist in HIV perinatal prevention, evidence based interventions, HCV counseling and testing, and the administration of HIV services and housing assistance.

F1: Hepatitis B Vaccination in Public Health STD Clinic Settings, Concho Room

Adults at high risk for hepatitis B infection are a difficult population to target for vaccination through traditional health care. Public health STD clinics offer an accessible setting for reaching high-risk adults. In December 2002, DSHS made a one-time purchase of 39,000 doses of adult hepatitis B vaccine. It was unknown whether clients would be receptive to receiving the vaccine and if clinics could effectively incorporate vaccination into their clinic services. The Immunization and STD programs collaborated to pilot a project to administer hepatitis B vaccine to adult clients in select public health STD clinics. Eighteen STD clinics across the state voluntarily agreed to participate in the project. Vaccine was allocated based on the average number of STD clients receiving services monthly over the past year and then multiplied by estimated vaccine uptake for dose 1 (45%), 2 (49%), and 3 (25%). Each month, the participating clinics submitted monthly reports detailing the number of doses administered by age group and by series dose number. An estimated 38 percent of clients returned for the 2nd dose, 48 percent for the 3rd dose, and 18 percent completed the series. In order to calculate a true measure of vaccine acceptance, the number of STD clients offered hepatitis B vaccine each month should have been collected. This data is now being collected through ongoing efforts of this project, which were re-initiated in August 2006.

Rita Espinoza, M.P.H.
Infectious Disease Control Unit
Department of State Health Services
Austin, Texas

Rita Espinoza joined DSHS in 2000 as the epidemiologist for the Immunization Division. After 4½ years in that position, she joined the Infectious Disease Control Unit to serve as the epidemiologist responsible for the antibiotic resistant organisms and vaccine-preventable diseases. She has served as the Statewide Hepatitis B Coordinator for the past five years. She has given both oral and poster presentations at national and state conferences.

G1: Accessing Hidden Populations: Respondent Driven Sampling: A New Tool Serving Prevention, Pecos Room

Respondent Driven Sampling (RDS) is an innovative and proven method for accessing hidden populations such as injecting drug users (IDUs) and other hard-to-reach groups. Adapted from chain-referral sampling methods, RDS uses peer recruitment strengthened with incentives for participants and recruiters. In research or surveillance applications this reduces biases that are inherent in other peer-based recruitment strategies. This presentation will offer: 1) the history and evolution of the RDS method, 2) current applications in HIV research and surveillance, and 3) applications of RDS methods to prevention services.

Dallas is one of 25 cities funded by CDC to conduct the National HIV Behavioral Surveillance (NHBS) program, a recurring series of behavioral surveys that characterizes HIV-associated risk behaviors and use of local HIV prevention services. For the NHBS-IDU phase, UT Southwestern Medical Center in collaboration with DSHS used RDS to recruit a large sample of IDUs and will test this method for reaching heterosexuals at higher risk for HIV/STD in 2006. The speakers will share successes and challenges experienced while implementing RDS at five field sites in Dallas and Fort Worth. This discussion will serve as a bridge to application of RDS in prevention. Prevention providers may be familiar with the concept of Social Network Recruitment, which is very similar to RDS. Shared experiences with RDS will offer practical information for using such techniques to recruit participants for evidence-based HIV prevention interventions, HIV counseling and testing, and community assessments.

Doug Kershaw
Senior Research Associate
University of Texas Southwestern Medical Center at Dallas
Dallas, Texas

Doug Kershaw has worked in HIV/AIDS research for eight years. He began his career at the University of Colorado at Denver as the lead ethnographer for a National Institute of Drug Abuse funded HIV intervention research project and is currently the Project Coordinator for National HIV Behavioral Surveillance at the UT Southwestern Allied Health Sciences School. His primary domains of interest and expertise include injecting drug use and drug cultures, men who have sex with men, and high-risk heterosexuals.

Douglas A. Shehan
Research Scientist
University of Texas Southwestern Medical Center at Dallas
Dallas, Texas

Douglas Shehan has served for more than ten years as the Program Manager for HIV Epidemiology Research and Behavioral Studies, of the Community Prevention and Intervention Unit, UT Southwestern Allied Health Sciences School. His current activities include local management of national HIV behavioral surveillance, web-based HIV behavioral surveillance, HIV incidence surveillance, surveillance of variant and atypical resistant HIV strains, and other epidemiology activities to support HIV prevention and services.

Richard K. Yeager, Ph.D.
HIV Behavioral Surveillance Coordinator
HIV/STD Epidemiology and Surveillance Branch
Department of State Health Services
Austin, Texas

Dr. Richard Yeager is the HIV Behavioral Surveillance Coordinator for DSHS. He is also the project manager, staff epidemiologist, and co-investigator for the National HIV Behavioral Surveillance system (NHBS) and the web-based HIV Behavioral Surveillance (WHBS) project.

Anne C. Freeman
Faculty Associate/Director
University of Texas Southwestern Medical Center at Dallas
Dallas, Texas

Anne Freeman is a Faculty Associate, Director, and Principal Investigator of the Community Prevention and Intervention Unit, Department of Health Care Sciences, School of Allied Health Sciences. She directs all HIV/AIDS prevention, evaluation, counseling/testing, and epidemiology activities. She is also the Director of the Texas STD/HIV Prevention Behavioral Intervention Training Center.

H1: Adult Sex Venues: Getting in the Doorway, Ballroom A

In January 2005, four primary syphilis cases reported the same adult video arcade as the point of sexual contact. In response, Austin/Travis County Health Department began an aggressive outreach program to prevent additional STD cases. The target was men who frequent adult sex venues (bookstores and adult video arcades) for sex with anonymous partners. The intervention was designed and implemented to reach clients with prevention messages through the individual managers and workers in the adult sex venue rather than regulate the venues through local ordinances. Bookstore/arcade managers initially rebuffed Health Department outreach attempts, but one year after the implementation, store management and employees have become the key players in the intervention. They serve as gatekeepers and prevention mentors to customers. STD prevention messages, free condoms and free testing coupons are all incorporated in the adult sex venues. Program evaluation shows it to be successful in "getting in the doorway" of the above establishments. This program shows that collaboration between adult sex venues and health agencies can reduce the rate of STDs and clients can be empowered to make sexually responsible decisions in an environment traditionally based on unrestricted anonymous sex.

Hugh A. Ramsey
Outreach Intervention Manager
Austin/Travis County Health and Human Services
Austin, Texas

Hugh Ramsey entered the military serving in the Army Medical Corps as a Preventive Medicine Specialist in the Republic of Vietnam in 1968 following graduation from Stephen F. Austin State University. Upon his honorable discharge from the Army, Ramsey began work as a Disease Intervention Specialist in the Venereal Disease Division of the Houston Health Department. In 2002, he retired from the Texas Department of Health after 32 years of service in a variety of positions in the field of HIV/STD. Ramsey took a position as Outreach Intervention Manager for Austin/Travis County Health and Human Services in 2002. In his over 35 years of public health service, he has made numerous media appearances, and has presented at national and state STD conferences.

Kay Dreiss, L.S.W.
Public Health Educator
Austin/Travis County Health and Human Services
Austin, Texas

Kay Dreiss has been an employee with the City of Austin for 25 years in various social service and public health capacities. She has worked as an HIV Public Health Educator dealing with high risk, hard to reach populations for the past 18 years.

I1: Using Social Networks to Identify Undiagnosed HIV Infection, Ballroom B

Communities of color are disproportionately affected by HIV/AIDS in the United States. Continued high rates of HIV infection in these communities underscore the importance and the need for new strategies to identify persons with undiagnosed HIV infection. Approximately 250,000 persons living with HIV in the United States are unaware of their infection. One promising strategy for reaching these persons is through the use of social networks. Enlisting HIV-positive persons to encourage their associates to be tested for HIV can be an effective method for accessing individuals with undiagnosed HIV infection.

This presentation will address the lessons learned from implementing social network strategies for identifying undiagnosed HIV infection. Presentations and interactive discussion with workshop attendees, describing the experience of implementing this project, and assessing organizations readiness to integrate a social networks strategy into their CTR programs will be featured in this workshop. Attendees will learn about barriers and successes encountered during implementation of the social networks strategy.

Lisa W. Kimbrough, M.S.
Public Health Advisor
U.S. Centers for Disease Control and Prevention
Atlanta, Georgia

Lisa W. Kimbrough is a Public Health Advisor in the Prevention Research Branch, Division of HIV/AIDS Prevention at CDC. She has more than 17 years of STD/HIV experience, all during her career at CDC. She received a bachelor of science in human services (1987) and a master of science in school health education (1989) from the University of Tennessee in Knoxville. She also received a graduate certificate in public health from Johns Hopkins University in Baltimore (1998). In her role as Public Health Advisor with CDC, she has worked with state and local health departments and community-based organizations to provide management and oversight of STD/HIV prevention activities. Additionally, she provides leadership to a multidisciplinary team currently working on the diffusion of the social networks testing strategy for HIV counseling and testing programs.

J1: Texas/Oklahoma AIDS Education & Training Center Border Issues Track: Capacity Building HIV/AIDS Models of Border-Binational Cooperation Texas/Mexico, Wedgewood Room

The Texas/Oklahoma AIDS Education & Training Center (TX/OK AETC) is located at the HIV Services Department of Parkland Health & Hospital System (PHHS) in Dallas. PHHS provides over 60 percent of Dallas County's HIV services. This presentation identifies six primary processes by which the TX/OK AETC and the PHHS HIV Services Department (through private funding), have collaboratively begun developing a clinical "workforce" that is prepared to treat persons with HIV/AIDS in the Texas/Mexico border area. Six best practice elements for this workforce development will be descibed: 1) needs assessment, 2) recruitment, 3) capacity building and skills development, 4) international networking opportunities, 5) replication on the Texas/Mexico border area, and 6) diffusion along the U.S./Mexican border. These elements address the binational concern of HIV/AIDS treatment, care, prevention, and training through collaborations between CENSIDA (Mexico's federal AIDS prevention and treatment program), TX/OK AETC and PHHS HIV Services Department.

Laura Armas-Kolostroubis, M.D.
Clinical Director
Texas/Oklahoma AIDS Education & Training Center (TX/OK AETC)
Dallas, Texas

Dr. Laura Armas has been a practicing internist in HIV services at Parkland Health & Hospital System since 1998. She completed fellowships in both women's health and general internal medicine. She is a clinical instructor at University of Texas Southwestern Medical Center in the Department of Internal Medicine. Her research interests include women with HIV and continuing medical education. She is the Clinical Director for the TX/OK AETC. Dr. Armas has presented and co-authored several publications and has presented within state, national, and international arenas. She is fluent in English and Spanish.

Oscar Gonzalez, M.S.
Border Coordinator
Texas/Oklahoma AIDS Education & Training Center
Dallas, Texas

Oscar Gonzalez is the Border Health Coordinator at the TX/OK AETC. Prior to joining the TX/OK AETC, he worked as Training Coordinator at the Dallas STD/Prevention Training Center for the University of Texas Southwestern Medical Center and CDC. Gonzalez has 15 years of experience in the field of HIV/AIDS as an anthropologist and ethnographer. His areas of expertise include HIV/AIDS training and technical assistance, rapid assessment, evaluation, treatment and medications adherence in HIV/AIDS patients, prevention for positives, HIV behavior surveillance, HIV intervention for men who have sex with men, injection drug users and high-risk heterosexuals with priority in minority women, and HIV and intimate partner violence in women. His expertise and specialization is in Latino communities in United States, Latin America, and the Caribbean. Subsequent to working with the TX/OK AETC, he worked in many research projects funded by CDC, NIDA, NIH, HRSA, and several universities. He has also provided multiple consultations for HIV/AIDS international organization and agencies. He also participates in nationwide and international HIV conferences. Gonzalez is bilingual and bicultural. Being an anthropologist is a rewarding career in which he is always able to learn and share how to improve the lifestyles of people.

Philip Keiser, Ph.D.
Medical Director
Parkland Health & Hospital System HIV Department
Dallas, Texas

Dr. Philip Keiser is an Associate Professor in Medicine and an infectious disease physician in the Department of Internal Medicine at the University of Texas Southwestern (UTSW) Medical Center in Dallas. He also serves as Clinical Director of the AIDS Clinical Trials Unit, Medical Director of HIV/AIDS Services at Parkland Health & Hospital System (Dallas), and Principal Investigator (PI) of the TX/OK AETC. His research interests include anti-retroviral therapy of HIV infection, acute HIV sero-conversion illness, and outcomes and economic impact of HIV therapy. He is the PI for several clinical trials and has served as the Chairman of the DSHS AIDS Drug Assistance Advisory Board since 1999. He has presented at the state, national, and international levels and has authored and reviewed numerous journal articles.

Henry Pacheco, M.D.
Project Director
Texas/Oklahoma AIDS Education & Training Center
Dallas, Texas

Dr. Henry Pacheco is the Director of TX/OK AETC and is responsible for overall direction and coordination of the AETC program. He directs the development, implementation, evaluation, and dissemination of education, training, clinical consultation, and technical assistance services for health care professionals treating HIV seropositive patients. Dr. Pacheco serves as the primary contact for HRSA, NAAETC, DSHS, and other federal/state agencies.


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Last updated May 22, 2013