On November 17, CDC investigators were deployed at the request of DCHD to assist with the response and data analysis and assess the cost to the health department for its response.
To assess the cost to DCHD during different phases of the response, data were split into three periods: 1) the initial period, from the first case notification to the declaration of the outbreak (September 26-October 26); 2) the outbreak period, when most of the cases were reported and DCHD worked to update control measures (October 27-November 5); and 3) the follow-up and reporting period, when DCHD implemented new control measures and observed reduced incidence of disease (November 6-21).
DCHD recommended chemoprophylaxis for 148 close contacts.
Many staff members stopped working on their previous projects to work on the outbreak; although most staff members were able to return and complete their projects, DCHD staff members reported a total delay of 83 days on those projects.
The DCHD also developed cooperative agreements with social service and community-based organizations([unkeyable]) to provide comprehensive care for persons using crack cocaine.
Of the 78 persons identified with untreated syphilis, 61 (78%) received clinical examination and treatment at the DCHD clinic; of these, 38 (62%) also had other STDs: 13 had gonorrhea; 12, pelvic inflammatory disease; seven, nongonococcal urethritis; two, herpes; two, chancroid; one, human papillomavirus infection; and one, lymphogranuloma venereum.
Specifically, men who were clients of the DCHD and who sought information on HIV/AIDS and materials relating to homosexual issues (which may also reflect a connection to homosexual or bisexual culture) used condoms more consistently compared with men who did not seek this information.