DATE:
December 9, 2025
07
TO:
Board of Supervisors
SUBJECT
Title
AUTHORIZE ACCEPTANCE OF FUNDING TO ADDRESS SEXUALLY TRANSMITTED INFECTIONS, SUPPORT HARM REDUCTION SERVICES, AND APPLY FOR FUTURE FUNDING OPPORTUNITIES (DISTRICT: ALL)
Body
OVERVIEW
The County of San Diego (County) receives funding from the California Department of Public Health (CDPH) to develop, expand, train, and sustain the disease intervention specialist workforce (locally known as communicable disease investigators or CDIs), who respond to new cases of syphilis, HIV, and Mpox. Prior authorization for this funding was received from the San Diego County Board of Supervisors (Board) on November 2, 2021 (11) to accept a four-year grant agreement from July 1, 2021, through June 30, 2025, totaling $2,093,808.
Sexually transmitted infections (STIs) remain a significant public health concern locally and across California and the United States. STIs can increase the risk of HIV acquisition and transmission and can cause multiple health complications, including infertility, blindness, hearing loss, and death. Surveillance data demonstrate that the incidence of reportable bacterial STIs has been increasing in San Diego County since 2003.
Additionally, substance use disorder is one of the drivers of increases in syphilis, HIV, and Mpox. Behavioral health concerns, such as substance use disorders, are some of the root causes of high risk behavior determined during STI case investigations. The County was notified on September 24, 2025 of a new grant award from The Center at Sierra Health Foundation for the California Overdose Prevention and Harm Reduction Initiative. This funding is an opportunity to address STI concerns within communities impacted by substance use.
Today's action requests the Board approve and authorize acceptance of approximately $2,355,534 in funding for the period of July 1, 2025 through June 30, 2030, to support core STI disease intervention workforce development a...
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