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Expansion of Opt-Out Testing for Gonorrhea and Chlamydia to Male Detainees in the Cook County Jail - Chicago,
Samuel John Starke1,2, Paul Won1, Chad Zawitz1,2,3
1Rush University, Department of Medicine, Division of Infectious Diseases.
Sexually Transmitted Diseases
|August 11, 2026
Abstract:
In June 2023, the Cook County Jail expanded opt-out gonorrhea and chlamydia testing to male detainees. In the 12 months before and after, testing among males increased from 7.2% to 23.5% of intakes, with cases rising threefold for both gonorrhea and chlamydia. Most infections were treated before release.
