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<div class="WordSection1">
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Arial",sans-serif">Dear LPHA Partners,
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in;text-align:justify;text-indent:-.25in">
<span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt">On September 1st, the Northwest Portland Area Indian Health Board (Board) launched a new STD/HIV testing program on called
<i>Indigenous I Want the Kit </i>[IIWTK (</span><a href="https://iwantthekit.org/"><span style="font-size:14.0pt;color:windowtext;text-decoration:none">https://iwantthekit.org/</span></a><span style="font-size:14.0pt">)]. The Oregon launch of
<i>IIWTK</i>, which is part of a national home testing program affiliated with Johns Hopkins University, will be launched in 2 phases:<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="margin-left:0in;text-align:justify;mso-list:l0 level1 lfo3">
<span style="font-size:14.0pt">Phase 1 includes gonorrhea, chlamydia, and trich testing (launched September 1)
<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:0in;text-align:justify;mso-list:l0 level1 lfo3">
<span style="font-size:14.0pt">Phase 2 will include phase syphilis and HIV (launching sometime after November 1 – more information about Phase 2 forthcoming as we learn more).
<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.25in;text-align:justify;text-indent:-.25in">
<span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><i><span style="font-size:14.0pt">IIWTK</span></i><span style="font-size:14.0pt"> will be marketed specifically to American Indian/Alaska Native people and tribal members, but anyone age 14 or older may use the
service. <o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt">As part of this program, the Board will be assuming responsibility for the initial follow up on persons with positive test results. Board responsibilities will include:<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">Notifying the patient of their result;<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">Refer patient for treatment;<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">Provide harm reduction and prevention education<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">Confirm treatment was received;<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">Refer patient to <i>
Tell Your Partner</i> or a similar service;<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">Refer patient to PrEP services (if HIV-negative);<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-align:justify;text-indent:-.25in;mso-list:l2 level1 lfo5">
<![if !supportLists]><span style="font-size:14.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:14.0pt">They will NOT be providing traditional partner services activities but will inform patients with positive tests that someone from their respective LPHA
<b>may</b> be contacting them for partner services.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-align:justify"><b><span style="font-size:14.0pt">Currently, the Board does not have Orpheus access.</span></b><span style="font-size:14.0pt"> The Orpheus security oversight team is investigating options to add the Board as an
Orpheus user without jeopardizing our security protocols. In the meantime, we are working to a create a reporting tool the Board can use to securely report case follow up information to the respective LPHA after they have completed follow up. The reporting
tool will include:<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="margin-left:2.5pt;text-align:justify;mso-list:l1 level1 lfo8">
<span style="font-size:14.0pt">REALD <o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:2.5pt;text-align:justify;mso-list:l1 level1 lfo8">
<span style="font-size:14.0pt">SOGI<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:2.5pt;text-align:justify;mso-list:l1 level1 lfo8">
<span style="font-size:14.0pt">Treatment<o:p></o:p></span></li><li class="MsoListParagraph" style="margin-left:2.5pt;text-align:justify;mso-list:l1 level1 lfo8">
<span style="font-size:14.0pt">Exposure/Risk<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.25in;text-align:justify"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">In the next few weeks, you may see ELRs for gonorrhea being reported as part of IWTK. We have not seen an example of the ELRs yet, but the reporting laboratory should be Johns Hopkins and/or there could be
some designation of the ELR indicating it is from <i>I Want the Kit</i>. <b>Please process these ELRs as you normally would but do not begin follow up activities.</b> The test results will be simultaneously reported to the Board, and we have asked them to
contact the LPHA of record to confirm they will be following up. We will be providing the Board with a list of primary contacts at each LPHA to call. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">Ashley Hoover and Jessica Rienstra from the Board will be contacting patients. Their contact information is:<o:p></o:p></span></p>
<p class="MsoNormal"><a href="mailto:ahoover@npaihb.org"><span style="font-size:14.0pt">ahoover@npaihb.org</span></a><span style="font-size:14.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><a href="mailto:jrienstra@npaihb.org"><span style="font-size:14.0pt">jrienstra@npaihb.org</span></a><span style="font-size:14.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">If you want to learn more about this project, Ashley will be providing a brief introduction of
<i>IWTK</i> at the September 14<sup>th</sup> Orpheus Users Group Webinar. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">The Board also presented information about
<i>IIWTK</i> along with background about HIV/STI in Indian Country at a recent End HIV/STI Oregon Statewide Planning Group meeting. Notes from that meeting can be found at:<o:p></o:p></span></p>
<p class="MsoNormal"><a href="https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/HIVSTDVIRALHEPATITIS/IPG/Documents/Notes_OSPG_Mtg-8-16-23.pdf"><span style="font-size:14.0pt">https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/HIVSTDVIRALHEPATITIS/IPG/Documents/Notes_OSPG_Mtg-8-16-23.pdf</span></a><span style="font-size:14.0pt"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">As always, please feel free to contact us with questions - Lea Bush (</span><a href="mailto:lea.bush@oha.oregon.gov"><span style="font-size:14.0pt">lea.bush@oha.oregon.gov</span></a><span style="font-size:14.0pt">)
or Jillian Garai (</span><a href="mailto:jillian.d.garai@oha.oregon.gov"><span style="font-size:14.0pt">jillian.d.garai@oha.oregon.gov</span></a><span style="font-size:14.0pt">).
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt">Thank you, <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#1F4E79">Annick Benson-Scott<o:p></o:p></span></b></p>
<p class="MsoNormal"><i><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496">Pronouns: she/her/hers</span></i><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D">HIV/STD/TB Section Manager<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D">OREGON HEALTH AUTHORITY<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D">Public Health Division<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D">Desk: 971-673-0142
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D">Cell: 971-255-7092
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D">Hours: M-F 7:00 am – 3:30 pm<o:p></o:p></span></p>
<p class="MsoNormal"><a href="http://www.oregon.gov/OHA"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:blue">http://www.oregon.gov/OHA</span></a><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><a href="http://www.endhivoregon.org/"><span style="color:windowtext;text-decoration:none"><img border="0" width="131" height="100" style="width:1.3645in;height:1.0416in" id="Picture_x0020_2" src="cid:image001.png@01D9DCE7.4B6FE240"></span></a><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:14.0pt"><o:p> </o:p></span></p>
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