Wisconsin: City Staff Say STD Case Outsourcing Was "Horrible Public Health"
June 22, 2009
The outsourcing of STD treatment in Racine led to "horrible public health" practices before it was ultimately suspended, according to some city health department officials. From January 2008 to May 29, 2009, the city contracted STD treatment out to the Racine Family Medicine Center, which does not specialize in STDs.
One female patient reportedly had sexual contact with a person who had gonorrhea but was allegedly told she "looked clean" and left untreated, Breheim said. "Now the partner needs re-treatment," Breheim wrote in another February 2008 e-mail. "I don't know how many people he has re-infected."
Schmidt said he did not think Racine Family Medical Center was at fault, but that "there was a lot of miscommunication in there." It was hard to keep all the center's physicians aware of the guidelines, he said.
Grammer asked Schmidt under cross-examination if he was aware of the department's budget constraints. Outsourcing treatment was not Grammer's first choice, but she faced many competing challenges, she said.
Racine has re-hired its former clinic nurse and given her a raise, and now the city is back to treating STDs again, Schmidt said. "Give us a year and maybe we'll be able to tell" if treatment has improved, he said.
Journal Times (Racine)
06.18.2009; Alex Campbell; Stephanie Brien; Paul Sloth
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