• DSHS HIV/STD Program
    Post Office Box 149347, MC 1873
    Austin, TX 78714

    Phone: 737-255-4300

    Email the HIV/STD Program

    Email HIV, STD, Hepatitis C, and TB data requests to the Program – Use this email to request Texas HIV, STD, Hepatitis C, and TB data and statistics. Do not use this email to request treatment or infection history for individuals, or to request information on programs or services. Do not email personal, identifying health information such as HIV status, date of birth, or Social Security Number.

    For treatment/testing history, please contact your local health department.

    For information on HIV testing and services available to persons living with HIV, please contact your local HIV services organization.

Congenital Syphilis - FIMR


Fetal Infant Morbidity Review Boards Texas uses the Fetal Infant Morbidity Review (FIMR) methodology to conduct enhanced reviews of Congenital Syphilis (CS) and perinatal HIV cases in Houston, San Antonio, and Dallas. Participants identify missed opportunities for disease intervention and barriers to medical care engagement that may have contributed to a CS or perinatal HIV diagnosis.

Case summaries consisting of medical chart abstractions and maternal interviews provide valuable insight into the maternal experience prior, during, and after pregnancy. Meeting participants come from a variety of settings across the community such as medical providers, members of healthcare systems, the public health sector, and representatives from systems who serve persons diagnosed with syphilis or HIV. Over the years, various trends in barriers to engagement in care emerged (Figure 1).

During a FIMR meeting, participants identify action items that community advocates address that may have directly or indirectly led to a CS case or a perinatal HIV case, or cases in which key perinatal HIV prevention opportunities were missed. Follow-up outcomes range from direct provider outreach to changes in the law. If you are interested in attending a FIMR meeting, 2021 dates are below (CE credits are offered).

Figure 1: Identified Barriers to Engagement in Care Texas FIMR Cases, November 2018-November 2020. Living at or Below Federal Poverty Level 35, Substance Use 25, Child Protective Services Involvement 25, Intimate Partner/Domestic Violence 9, Criminal Justice Involvement 5, Housing Instability 5, Mental Health Disorders 5. Of 44 Congenital Syphilis cases reviewed.

Fetal Infant Mortality Review Boards (PDF)

Fetal Infant Morbidity Review Meetings


Dallas (Wednesdays, 12:30-4:00 p.m.):

San Antonio (Tuesdays, 9:00 a.m.-12:30 p.m.):

Houston (Thursdays, 1:00-5:00 p.m.):

Fetal Infant Mortality Review continuing education credit statement

Congenital Syphilis

Reporting Congenital Syphilis

Provider Resources

Program Resources

Data and Surveillance

For the Public

FIMR

Exploring an Epidemic podcast



Last updated February 9, 2022