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Who should be reported?
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Newly diagnosed HIV-positive persons,
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Persons previously diagnosed, but new to the provider, and
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Children born to HIV-positive women.
For newly diagnosed adult persons (>13 years of age):
- Fill out the Iowa Adult HIV/AIDS Case Report Form.
- In addition to the information on the form, we want to know:
- Client’s past testing history and why they tested this time;
- How the client responded to notification of a positive confirmatory test result;
- Client’s living situation (living with parents? By himself? etc);
- Best way to contact the client; and
- Details of any referrals for care and treatment.
The comment section of the case report form is a good place to report additional information.
For persons previously diagnosed, but new to the provider (>13 years of age):
- Fill out the Iowa Adult HIV/AIDS Case Report Form.
The comment section of the case report form is a good place to report additional information.
For children born to HIV-positive women (or newly diagnosed children ≤13 years age):
- Fill out the Iowa Pediatric HIV/AIDS Case Report Form. All essential information on pediatric reporting are contained in the form. Please complete with as much detail as possible.
Use the comment section of the form to report any additional information.
We assign all persons with a new diagnosis of HIV to a Disease Intervention Specialist (DIS) for delivery of Partner Services.
In this regard:
- It is important to gather patient phone numbers and addresses.
- It is important to find out as much as possible about the client’s living situation, marital status, employment, and other relevant information.
- The above details help the DIS to do a proper job of contacting the client and protecting confidentiality.
- DIS are skilled at providing HIV education and information about available resources and services. They are also glad to offer their assistance in confidentially notifying the client’s sex and/or needle-sharing partners.
- It is very useful if HIV testing sites and physicians tell the client to expect a call from a DIS. We assign to a DIS after clients are notified of their diagnosis.
Completed HIV reporting forms may be sent by U.S. Mail, or we are happy to receive the information via the telephone. Mailing address and telephone numbers are on the form. Please do not fax the completed form.
Please feel free to contact the IDPH with any questions or comments at 515-281-6918 or 515-242-5141.
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‘Partner services’ are offered to individuals who are diagnosed with STDs, to their partners, and to other persons who are at increased risk of infection in an effort to reduce transmission and decrease the risk of complications resulting from these infections.
Disease Intervention Specialists (DIS) are highly trained public health professionals who perform much of the partner services work in Iowa. DIS work to interrupt the transmission of sexually transmitted diseases like HIV, syphilis, gonorrhea, and chlamydia. They employ a diverse set of skills and have a wide range of duties that enable them to act as disease investigators, counselors, educators, and have expertise in clinical recommendations related to STDs, particularly the four infections listed above.
DIS ensure that patients understand their diagnoses, receive adequate treatment, answer any questions they may have, offer risk reduction counseling to reduce the risk of acquiring infections in the future, and elicit information on sex and needle-sharing partners. DIS then work with these partners to confidentially notify them of their exposure and connect them with recommended treatment and testing. DIS are knowledgeable of other resources in their area and refer individuals to other services as needed (e.g., family planning and reproductive health, mental health services, substance abuse treatment, etc.).
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Guidelines for PrEP & nPEP Prescriptions
Both pre and post-exposure prophylaxis (PrEP & nPEP) can be easily managed by a general practitioner/primary care provider. PrEP is approved for anyone weighing a minimum of 77 lbs. PrEP should not be used unless an individual has a documented non-reactive 4th generation HIV test. Information on contraindications and a more complete overview of the prescribing guidelines can be found at www.prepiowa.org/provider
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A variety of medical and support services are available to support people living with HIV achieve the best health outcomes. Ryan White services are designed to assess the needs of each individual and design an individualized plan to stay in care and achieve viral suppression. Services include medication assistance, case management, and other support services.
Ryan White services increase an individual's ability to achieve viral suppression. In 2020, Iowans living with HIV not receiving case management services were suppressed at a rate of 67%. Iowans living with HIV engaged in case management services were suppressed at a rate of 87%.
Some services have eligibility guidelines; however, case management services are available for all.
Benefits of Ryan White Part B Case Management Services
Case Management Services Include:
- Medical care
- Appointment reminders
- Transportation for medical appointments
- Dental care
- Medications & HIV treatments
- Medication adherence
- Medical insurance
- Public benefits
- Substance abuse & mental health services
- Stable housing & other basic needs
- Social support
- And more!
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Iowa law requires providers AND laboratories to report to IDPH
HIV:
- Newly diagnosed HIV-positive persons,
- Persons previously diagnosed, but new to the provider, and
- Children born to HIV-positive women.
HCV:
- Hepatitis C antibody screening results (positive/reactive)
- PCR RNA confirmatory tests (positive/reactive AND negative/not detected)
STDs:
- Chlamydia (any anatomic site)
- Gonorrhea (any anatomic site)
- Syphilis
