across California and the United States. STIs can be associated with increased 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 increased in San Diego County starting in 2003 and continued to increase through
2022. In 2023 and 2024, data has started to show decreases in STI rates.
The County of San Diego (County) receives funding from the California Department of Public
Health (CDPH) to implement public health activities related to prevention, testing, treatment,
referral, surveillance, disease investigation, partner services, and community partnerships to
support the most vulnerable and underserved individuals living with, or at risk for, sexually
transmitted infections. This work is done in collaboration with community-based organizations
within our Local Health Jurisdiction and supports increasing access to STI clinical services for
LGBTQ+ populations.
On November 25, 2025, CDPH notified the County of funding for the next five fiscal years for
the STI Prevention and Collaboration grant. Today’s action requests the San Diego County
Board of Supervisors approve and authorize the acceptance of approximately $5,736,290 in
funding for the period of July 1, 2026, through June 30, 2031, to support core STI prevention
and control activities in San Diego County and authorize applications for additional funding
opportunity announcements to support STI testing and prevention resources throughout the
region.
Today's action supports the County vision of a just, sustainable, and resilient future for all,
specifically those communities and populations in San Diego County that have been historically
left behind, as well as our ongoing commitment to the regional Live Well San Diego vision of
healthy, safe, and thriving communities. This will be accomplished through services that link
residents who are vulnerable to HIV and STIs to testing and prevention resources, as well as
ensuring that residents with STIs are linked to care and treatment services.
RECOMMENDATION(S)
CHIEF ADMINISTRATIVE OFFICER
1. Authorize the acceptance of approximately $5,736,290 in funding from the California
Department of Public Health, STD Control Branch, for the period of July 1, 2026 to June
30, 2031, and authorize the Chief Administrative Officer, or designee, to execute all
required documents, upon receipt, including any extensions, amendments, or revisions
thereto that do not materially impact the program or funding level.
2. Authorize the Chief Administrative Officer, or designee, in this and future fiscal years, to
apply for additional funding for HIV and sexually transmitted infection prevention,
testing, diagnostic and/or treatment services.
EQUITY IMPACT STATEMENT
In San Diego County, sexually transmitted infections (STIs) disproportionately impact
communities of color (particularly Black/African American residents), youth, and gay, bisexual,
and men who have sex with men. According to the 2024 STI data from the County of San Diego
(County) Health and Human Services Agency, Public Health Services, HIV, STD and Hepatitis
Branch, local STI transmission rates were higher among Black/African Americans and
other/mixed-race women and men than among other populations. Specifically, the rate of
gonorrhea in Black/African American males was 2.8 times higher than that of white males and
2.6 times that of Hispanic males. In addition, the rate of infection in Black African American