NYC 9/11 Public Portal Document
through the Health Education and Life Program (HELP) van since 1995. The Department
has implemented a number of educational campaigns for individuals at risk ofHIV infection
in its effort to prevent further transmission of disease. Between calendar years 1994 and
1998, New York City experienced a decline of 72 percent in the number of deaths due to
HIV/AIDS, from 7,102 tol,978. New AIDS cases declined by 38 percent, from 12,123
cases in 1994 to 7,428 cases in 998.
D) Sexually Transmitted Diseases
Since 1994, the Department has become more aggressive in its outreach and follow-up for
positive syphilis tests. Also that year, the Department began operating a unique syphilis
screening and treatment program in the women's facility at Riker's Island. Furthermore, the
Department increased clinic accessibility to patients by opening selected clinics on
Saturdays. Given the extra burden that the City carries for many diseases, it is a particular
accomplishment that New York City rates for syphilis and gonorrhea have surpassed the
Center for Disease Control's Healthy People 2000 goals. From 1994 to 1998, the City
experienced a decrease of 84 percent in syphilis cases and a 37 percent decrease in
gonorrhea.
E) Infant Mortality
Since 1994, the Department expanded its services to reduce infant mortality to include Fort
Greene and a mobile van that provides pregnancy testing, risk assessment and medical
referrals to women residing in high-risk neighborhoods. The City's infant mortality rate
(IMR) for Calendar Year 1998 was 6.8 per 1,000 live births, representing both a historic 101
year low and a decline of 24 percent from the CY94 rate of 9.0 per 1,000 births. In addition,
the City has surpassed the Healthy People 2000 IMR goal of 7.0 per 1,000 live births.
F) Immunization
A top priority of the Department is to improve the childhood immunization rates through a
comprehensive Citywide plan targeting communities in need of programs and services. As
of January 1997, all hospitals, clinics and providers who immunize children are mandated
to report immunizations given to children less than eight years of age to the Department's
Immunization Registry. As of July 1999, all public and private hospitals and 87 percent of
private physicians were reporting to the Immunization Registry with over 1.7 million
children with 8.5 million immunizations being recorded.
G) Access to Care
In July 1998, the Department launched its Division of Health Care Access to develop,
implement and monitor initiatives that expand access to health care services. Previously
executed by the Mayor's Office of Medicaid Managed Care, the Department became the
administrator of the Medicaid Managed Care Program and executes contracts with Medicaid
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