The Availability of HIV and Sexually Transmitted Infection Testing and Treatment Services at Crisis Pregnancy Centers in the United States.

BACKGROUND: Crisis pregnancy centers (CPCs) are nonprofit organizations that aim to prevent abortion and promote sexual abstinence before marriage only often using misinformation and deceptive tactics. We sought to describe the availability of HIV and sexually transmitted infection (STI) testing, treatment, and referral services at CPCs in the United States. METHODS: We used CPC Map, an online geocoded directory, to identify US CPCs. From December 2018 to August 2019, we assessed HIV/STI services advertised on CPC Web sites and used a standard script to call CPCs about the availability of services. Referrals were not requested but recorded. RESULTS: Of 2400 CPCs (96.3%) with accessible Web sites, 507 (21.1%) advertised STI testing, 291 (12.1%) STI treatment, and 114 (4.8%) HIV testing. Of 2467 (99.0%) CPCs reached by telephone, 552 (22.4%) offered STI testing, 377 (15.3%) STI treatment, and 208 (8.4%) HIV testing. At centers where services were unavailable, 795 (41.5%) proactively referred for STI testing, 170 (8.1%) for STI treatment, and 170 (7.5%) for HIV-related services. Nearly one-quarter (22.8%) of centers that offered STI testing did not offer treatment or provide a referral. CONCLUSIONS: A minority but substantial number of CPCs advertised and offered HIV/STI services. People at risk for pregnancy who seek CPC services likely have outstanding need for HIV/STI services.

Vaccination Coverage Among Children Aged 2 Years - U.S. Affiliated Pacific Islands, April-October, 2016.

Vaccine-preventable diseases (VPDs) cause substantial morbidity and mortality in the United States Affiliated Pacific Islands (USAPI).* CDC collaborates with USAPI immunization programs to monitor vaccination coverage. In 2016, † USAPI immunization programs and CDC piloted a method for estimating up-to-date status among children aged 2 years using medical record abstraction to ascertain regional vaccination coverage. This was the first concurrent assessment of childhood vaccination coverage across five USAPI jurisdictions (American Samoa; Chuuk State, Federated States of Micronesia [FSM]; Commonwealth of the Northern Mariana Islands [CNMI]; Republic of the Marshall Islands [RMI]; and Republic of Palau).§ Differences in vaccination coverage between main and outer islands¶ were assessed for two jurisdictions where data were adequate.** Series coverage in this report includes the following doses of vaccines: ≥4 doses of diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP); ≥3 doses of inactivated poliovirus vaccine (IPV); ≥1 dose of measles, mumps, and rubella vaccine (MMR); ≥3 doses of Haemophilus influenzae type B (Hib) vaccine; ≥3 doses of hepatitis B (HepB) vaccine; and ≥4 doses of pneumococcal conjugate vaccine (PCV); i.e., 4:3:1:3:3:4. Coverage with ≥3 doses of rotavirus vaccine was also assessed. Completion of the recommended series of each of these vaccines†† was <90% in all jurisdictions except Palau. Coverage with the full recommended six-vaccine series (4:3:1:3:3:4) ranged from 19.5% (Chuuk) to 69.1% (Palau). In RMI and Chuuk, coverage was lower in the outer islands than in the main islands for most vaccines, with differences ranging from 0.9 to 66.8 percentage points. Medical record abstraction enabled rapid vaccination coverage assessment and timely dissemination of results to guide programmatic decision-making. Effectively monitoring vaccination coverage, coupled with implementation of data-driven interventions, is essential to maintain protection from VPD outbreaks in the region and the mainland United States.