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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 - 4:00 Thursday Breakout Sessions


A9: Forming Collaborations With Local Universities Through Service Learning Projects, San Antonio Room

Service learning is defined as a pedagogy whereby students learn and develop through active participation in thoughtfully organized service that is conducted in and meets the needs of the community. Since 2004, Mujeres Unidas Contra el SIDA, an AIDS service organization (ASO) in San Antonio, has collaborated with Our Lady of the Lake University to provide active learning and community engagement opportunities for over 100 undergraduate and graduate students from a range of disciplines. Many of these students are enrolled in the School of Social Work and the Department of Sociology. As a small ASO, the more than 1,500 hours service has greatly enhanced the breadth and depth of this Latina-based, grassroots agency's community programming while equipping students with skills in becoming more responsible, engaged citizens.

A critical element for success regarding such projects is its "goodness of fit." Mujeres Unidas employs a community-based approach to its HIV/AIDS programs and recognizes the importance of community building and collaboration through a number of important culturally and linguistically competent cultural events, i.e. Dia de Los Muertos, Baile de VIDA, Habla Conmigo Mother/Daughter Retreats, World AIDS Day, etc.

Drawing on Mujeres Unidas' rich experience and compilation of program evaluation data, this presentation will include examples of successful service learning projects, case studies and problem-solving techniques, collaboration techniques for negotiating relationships between agencies and academic institutions, and opportunities for active participation and interaction among workshop attendees interested in implementing or improving service learning programs in their perspective agencies.

Yolanda Rodriguez-Escobar, L.M.S.W.
Executive Director
Mujeres Unidas Contra el SIDA
San Antonio, Texas

Yolanda Rodríguez-Escobar is a native San Antonian. She obtained a bachelor of arts and a master's degree in social welfare with a specialization in children and families from the University of California at Berkeley. Her professional career in social work has included work in child welfare, foster care, crisis counseling, and for the last 20 years Yolanda has developed an expertise in the field of HIV/AIDS. She began her work as a front-line social worker serving pediatric HIV/AIDS patients and their families in the 1980s. In 1994, she founded Mujeres Unidas Contra el SIDA, a non-profit, women-centered, grass-roots organization for Latinas and their families who are infected/affected by HIV/AIDS. She presently serves as Executive Director for Mujeres while advocating for the needs of Latinas living with HIV/AIDS in a bilingual/bicultural setting. The agency provides HIV/AIDS education and prevention and targets Latinas at-risk by using a familia approach while conducting outreach in the Latino community through platicas and other non-traditional culturally and linguistically appropriate interventions.

B9: Beyond 101 Quality Management for HIV, San Marcos Room

This presentation is a basic introduction to the quality management system: what it is, how it is different than a staff function performed by the program administrator or coordinator, why it is essential to a successful program implementation and maintenance, and how it is used in HIV.

Susan Traynor, B.S.N., R.N., C.A.R.N.
Quality Management Specialist
Department of State Health Services
Austin, Texas

Susan Traynor has been a registered nurse for 30 years. She is a certified addiction registered nurse with diverse experience in private and public entities that includes behavioral health, public health, medical, and bureaucratic. Her first introduction to HIV was in 1985 as a pulmonary nurse. She has worked in quality management for Medicaid Managed Care, Family and Community Health, and the former Texas Commission on Alcohol and Drug Abuse.

C9: Internet Partner Notification, Sabine Room

This is a step-by-step instructional presentation for DIS and DIS supervisors on how to correctly and effectively conduct partner notification via e-mail. Participants will walk away with a better understanding of disease trends, why e-mail notification is necessary, and increased comfort in applying the steps within their own programs. Internet confidentiality techniques of DIS will also be displayed and discussed. This method of DIS activity is crucial to a successful DIS program and is a program requirement within Texas.

Andrea Hanner
STD/HIV Assistant Trainer
State of North Carolina
Raleigh, North Carolina

Andrea Hanner has been in the counseling field for 17 years, working as a DIS for 15 years and a DIS supervisor for five years. She is currently an STD/HIV trainer for the State of North Carolina training all DIS and front line supervisors.

D9: Recognizing and Identifying Increases of Syphilis in Rural Areas, Trinity B

Rural areas may have limited medical/health resources available to the general public. This can impact disease intervention activities. Staff must be able to address these barriers to health care in a timely manner. Local resources must be used in collaboration with health department staff to contain a potential syphilis outbreak. The nationwide syphilis elimination initiative has increased public awareness of the need for control and prevention activities.

Participants will be exposed to a variety of control measures that can be used to decrease early syphilis morbidity. Intervention staff must maintain a high level of active surveillance following the outbreak to reduce the likelihood of a recurrence. Routine monitoring of early syphilis morbidity, particularly primary and secondary (P&S) cases, is essential to disease control efforts. Any increase in P&S syphilis should be addressed immediately to prevent further transmission within the affected community. When a syphilis outbreak occurs, the entire community becomes part of the syphilis elimination effort.

Sheri Brooks-Jefferson
Public Health Advisor
Dallas County Health and Human Services
Dallas, Texas

Sheri Brooks-Jefferson has been a Public Health Advisor in STD/HIV for 14 years. She has worked in the rural area for Dallas County for over two years and is responsible for prenatal and congenital syphilis for Dallas County.

Kenneth Parker
Disease Intervention Specialist
Dallas County Health and Human Services
Dallas, Texas

Kenneth Parker has two years of DIS experience with the Dallas County Health Department and is currently responsible for 32 rural counties in the North Texas region.

E9: TB and HIV: The Deadly Duo, Trinity A

This presentation will provide insight into the relationship between tuberculosis and HIV including how the two diseases interact and form a deadly duo. It will explore basic tuberculosis information and include local, national, and global TB/HIV statistics. Time will also be devoted to discussing how to build relationships between TB and HIV/STD programs.

Kimberly Petrilli, M.S.P.H., M.S.W.
Training Coordinator
Heartland National Tuberculosis Center
San Antonio, Texas

Kimberly Petrilli received a master of science in public health and a master of social work from the University of North Carolina - Chapel Hill in 2005. She has spent the past nine years working in various areas of health education including: developing educational materials, HIV testing and counseling, organizing community awareness programs, and facilitating educational workshops. Petrilli is currently on staff at the Heartland National TB Center in San Antonio as the Training Coordinator.

F9: Health Literacy: Improving Clear Health Communication for Better Patient Outcomes (Part III), Concho Room

See F7 for presentation overview and speaker information.

G9: HIV Risk Behaviors in Injecting Drug Users in Dallas/Fort Worth, Pecos Room

The National HIV Behavioral Surveillance system (NHBS) is an ongoing, CDC-funded initiative that examines selected risk behaviors in targeted high-risk populations in 25 metropolitan areas nationally. DSHS is funded to conduct this project in the Dallas-Fort Worth metropolitan area. The NHBS questionnaire asks in-depth questions about respondents' sexual behaviors, drug use behaviors, and access to prevention services. Respondents are asked about the number and types of sexual partners; specific sexual behaviors; questions about the types of drugs used and how those drugs are prepared and ingested; and about specific prevention services that the respondent may have accessed. While the questions are asked in face-to-face interviews, responses are kept anonymous.

This presentation will provide results from the first injecting drug user (IDU) phase of the project which were collected from August 2005 through February 2006. Participants for this project were recruited through Respondent-Driven Sampling (RDS), a peer-recruiting method that allows surveillance staff to access hard-to-reach populations while avoiding problems associated with convenience samples. For this phase, 568 current or recent IDUs were administered the NHBS questionnaire. The majority of the recruited respondents were male (65%), African American (73%), and over the age of 40 (81%). Specific behavioral trends in sexual, drug use, and experience with prevention services will be discussed.

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.

Sharon K. Melville, M.D., M.P.H.
HIV/STD Epidemiology and Surveillance Branch
Department of State Health Services
Austin, Texas

Dr. Sharon Melville received a medical doctorate in 1985 and a master of public health in epidemiology in 1991. She has worked in the field of HIV and STD for over 10 years. She joined DSHS (then Texas Department of Health) in November 1996. She is currently Manager of the HIV/STD Epidemiology and Surveillance Branch. The HIV/AIDS Epidemiology and Surveillance Branch has responsibility for statewide disease surveillance for HIV/AIDS and STDs. The Branch is also responsible for conducting special surveillance activities; epidemiologic investigations; data collection, analysis, and dissemination of HIV/AIDS and STD data; program evaluation and data collection; management, analysis, and dissemination of HIV/STD program-related data, including HIV counseling and testing data, data on HIV/AIDS prevention, and data on clinical and social services. Dr. Melville is currently Principal Investigator (PI) on the HIV/AIDS Surveillance and Serosurveillance Cooperative Agreement that includes Core Surveillance, Texas Incidence Surveillance and the National HIV Behavioral Surveillance activities. She is also PI on the Paso Del Norte Study, Enhanced Perinatal Surveillance, the Medical Morbidity Project and Web-Based HIV Risk Behavior Surveillance Among Men Who Have Sex With Men.

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.

H9: Questioning Norms? Gay and Bisexual Male Culture and Sexual Risk-Taking Ballroom A

Despite years of preventative education, men who have sex with men are still infected with STIs, including HIV, at a rate that is disproportionate to their numbers in the larger community. University health personnel are in a unique position to reach out to these male students, provide them with comprehensive sexuality information, and create a campus environment that nurtures the development of a healthy identity. To decrease the incidence of infection in our campus communities, educators must understand today's self-identified collegiate gay and bisexual men's construction of gender and sexuality. Too often, campus STI prevention programs fail to address the socio-cultural variables that may normalize sexual risk-taking. This presentation shares the results of a qualitative study that explores the impact of institutionalized heterosexism and campus LGBTQ culture on the sexual health of gay and bisexual men. This presentation also identifies the gaps in campus STI prevention programs and offers suggestions for more effective programming. Through dialogue with conference attendees, implications for practice are explored. This presentation is applicable to anyone working with young gay and bisexual men.

J. Michael Wilkerson, C.H.E.S.
Health Education Coordinator
Texas State University - San Marcos Student Health Center
San Marcos, Texas

Michael Wilkerson is the Health Education Coordinator at the Texas State Student Health Center. He has 13 years of experience in the health education field and is a Certified Health Education Specialist. Michael has a master's degree in health education from Baylor University and is currently pursuing a doctorate in adult, professional, and community education at Texas State University - San Marcos. His dissertation explores how the self-identified collegiate gay and bisexual men's construction of gender and sexuality impacts their sexual health.

I9: Changing Drug Trends and Their Implications for HIV/STD in Texas, Ballroom B

Trends in drug use are changing around the world. Cannabis is the most popular illicit substance worldwide, with methamphetamine being the second most prevalent illicit substance of abuse. Cocaine is becoming more popular in Europe and the emergence of Southwest Asian heroin will impact drug use patters.

In Texas, cocaine is the primary illicit drug for which Texans enter treatment and it is a major problem on the border with Mexico. Major indicators of cocaine use remain stable, although crack cocaine continues to move beyond African American users to White and Hispanic users. Heroin indicators are stable or dropping; addicts entering treatment are primarily injectors. Hydrocodone is a larger problem than oxycodone or methadone, and fentanyl indicators fluctuate from year to year. Codeine cough syrup, “Lean,” continues to be abused. Marijuana treatment admissions with criminal justice problems are less impaired than those who are referred from other sources. Methamphetamine is a growing problem across the state and smoking “Ice” is now the major route of administration for persons entering treatment. Abuse of Xanax and Soma is increasing. All indicators of Ecstasy use are increasing as the drug spreads from the club scene to “the street.” GHB and GBL remain a problem, particularly in the Dallas-Fort Worth Metroplex area. PCP indicators are high and stable, and dextromethorphan is a problem with adolescents. Inhalants remain a problem with different types of users. The proportions of HIV and AIDS cases related to male-to-male sex are increasing and the heterosexual mode of transmission now exceeds injecting drug use.

Jane C. Maxwell, Ph.D.
Research Professor
University of Texas Addiction Research Institute
Austin, Texas

Dr. Jane Maxwell is a research professor with the Center for Social Work Research at the University of Texas at Austin, where she is director of the Center for Excellence in Epidemiology in the Gulf Coast Addiction Technology Transfer Center. Prior to her move to the University of Texas, Dr. Maxwell was Chief of Research at the Texas Commission on Alcohol and Drug Abuse for over 30 years, where her research group produced a number of school, household, and juvenile and criminal justice surveys. She has been a member of SAMHSA's National Advisory Council and is a member of the Drug Abuse Advisory Committee to FDA's Center for Drug Evaluation and Research. She is also a member of NIDA's Community Epidemiology and Border Epidemiology Work Groups, as well as the College on Problems of Drug Dependence and the Research Society on Alcoholism. Her specialty is monitoring alcohol and drug abuse patterns and trends in the U.S. and internationally. She is a Fulbright Senior Specialist and is a Visiting Fellow at the Centre for Accident Research, Queensland University of Technology, in Brisbane, Australia. She was principal investigator on the SAMHSA Treatment Needs Assessment and Prevention Needs Assessment Contracts and co-investigator on a NIDA-funded study on the needs of heroin addicts in treatment in Texas programs. One of her most recent publications is on drug trends and increasing HIV/STD risk factors along the U.S.-Mexico border.

J9: AETC Border Issues Track: La Influencia del Area Metropolitana de San Antono con el Area Rural de Eagle Pass, Wedgewood Room

This presentation will be conducted in Spanish.

En esta presentacion se discutira el rol e influencia del area metropolitana de San Antonio, Texas en las zonas rurales de Eagle Pass. Se hablara de las necesidades y las barreras en el cuidado y tratamiento a las Personas Viviendo con VIH/SIDA. Asi mismo la presentación discutira como los casi 150 casos acumulados de VIH desde 1992 al 2006, en esta area fronteriza con Mexico han sido interpretados desfavorablemente para atraer recursos suficientes para desarrollar la capacidad de las Agencias que ofrecen Servicios para el VIH/SIDA. Finalmente discutira el esecenario de los servicios clinicos, despues de la finalización de los SPNS.

This presentation will discuss the role and influence of the San Antonio metropolitan area in the rural zone of Eagle Pass. Presenters will talk about needs and barriers in the care and treatment of people living with HIV/AIDS. With this information, the presentation will cover how the almost 150 accumulated cases of HIV from 1992 to 2006 in this border region have been unfavorably interpreted to attract sufficient resources to develop the capacity of agencies offering HIV/AIDS services. Finally, the clinical services background will be discussed after the finalization of the SPNS.

Gustavo de la Cerda
Clinical Case Manager
United Medical Center (Health Counseling Services Office)
Eagle Pass, Texas

Gustavo de la Cerda actualmente es Clinical Case Manager en United Medical Center, en Eagle Pass. Su experiencia es en el abuso de las sustancias y VIH/SIDA. Por los últimos 10 años Gustavo ha trabajo en la línea de enfrente apoyando el cuidado y tratamiento de las personas viviendo con VIH/SIDA en el área rural de Eagle Pass.

Gustavo de la Cerda is currently a Clinical Case Manager with United Medical Center in Eagle Pass. His experience is in substance abuse and HIV/AIDS. For the last ten years, Gustavo has worked on the front lines assisting with the care and treatment of people living with HIV/AIDS in the rural Eagle Pass area.

Irene Martinez, L.V.N.
Supervisor Nurse Internal Medicine
United Medical Center
Eagle Pass, Texas

Irene Martinez has been the charge nurse for the Internal Medicine Department at United Medical Center for 37 years, serving 20 HIV/AIDS patients monthly.

Jorge Barbosa-Soza, M.D.
Internal Medicine
United Medical Center
Eagle Pass, Texas


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Last updated May 22, 2013