Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, San Mateo County Health
Tamarra Jones, Director, Public Health Policy and Planning
Subject: Acceptance of Award and Agreement with the California Department of Public Health Sexually Transmitted Diseases Control Branch to Develop, Expand, Train and Sustain the Disease Intervention Specialist Workforce
RECOMMENDATION:
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Adopt a resolution authorizing the acceptance of an award from, and entering into an agreement with, the California Department of Public Health Sexually Transmitted Diseases Control Branch to develop, expand, train and sustain the Disease Intervention Specialist Workforce, for the term of July 1, 2025 through December 31, 2030, in an amount not to exceed $887,652.
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BACKGROUND:
The California Department of Public Health (CDPH) Sexually Transmitted Disease Control Branch supports health departments’ efforts to increase capacity to conduct sexually transmitted disease (STD) investigation, linkage to prevention and treatment, case management and oversight, and outbreak response for other infectious diseases.
The purpose of the Disease Intervention Specialist (DIS) Workforce Development grant is to develop, expand, train, and sustain the disease investigation and intervention workforce, increase prevention, and improve response needs for human immunodeficiency virus (HIV), sexually transmitted infections (STIs), hepatitis C virus, and mpox.
DISCUSSION:
CDPH funding for the DIS Workforce will be utilized to increase prevention efforts, link people to care, and support the monitoring of disease trends.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
This agreement is coming to this Board late due to delayed receipt of the CDPH grant agreement.
The agreement and resolution have been reviewed and approved by the County Attorney as to form.
It is anticipated that 98% of individuals in San Mateo County who test positive for an STD will be referred for medical care services.
PERFORMANCE MEASURE:
|
Measure |
FY 2025-26 Estimated |
FY 2026-27 Projected |
|
|
Percentage of individuals who test positive for an STD that are referred for medical care services |
97% 1,164 individuals |
98% 1,176 individuals |
|
COMMUNITY IMPACT:
Untreated STIs can cause infertility, chronic pain, congenital infections in newborns, and increased HIV transmission risk. When people aren’t linked to care, they remain infectious longer, driving new cases and increasing the future burden on clinics, hospitals, and public health programs. Medical Care services help break transmission chains, reduce community-wide STI rates, and protect disproportionately impacted populations. Failure to link vulnerable populations to medical care widens existing disparities.
FISCAL IMPACT:
The term of this agreement is July 1, 2025, through June 30, 2030. The amount of the agreement is not to exceed $887,652 for the five-year term, of which $98,628 is included in the Public Health, Policy and Planning (PHPP) FY 2025-26 Adopted Budget. $197,256 will also be included in the PHPP FY 2026-27, and $197,256 for FY 2027-28, and $197,256 for FY 2028-29, and $197,256 for FY 2029-30 Recommended Budgets.
There is no Net County Cost associated with this agreement.