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NAHC also participates in the SFDPH Prevention and Early Intervention (PEI) initiative as part of the State of California Mental Health Services Act (MHSA) through a project called Living in Balance.
Initially, the SF OBOT Pilot was intended to provide only methadone, but when buprenorphine became available for office-based use in 2002, the SFDPH saw the opportunity to introduce providers (particularly primary care physicians) to this new treatment option and to develop a city-wide program that would adequately support providers in this new endeavor.
SFDPH undertook a health analysis of the rezoning plans, focusing on noise, roadway pollution, and pedestrian hazards, and was able to integrate the findings from these analyses directly into the draft EIR for the Eastern Neighborhoods Plans as co-authors (53).
SFDPH has maintained a registry of persons with positive HBsAg test results reported to SFDPH since 1984; the registry contains HBsAg test results for approximately 25,700 persons.
The SFDPH responded to this demand with a more proactive role in the EIA process.
In April 2003, SFDPH became aware of an azithromycin failure in the treatment of primary syphilis in one patient and subsequently collected case information on this and seven other apparent treatment failures occurring during September 2002-July 2003.
In accordance with California law, cases of syphilis are reported to SFDPH by laboratories and public and private health-care providers.
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