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Sexually Transmitted Diseases

Sexually Transmitted Diseases. Oak Schuetz Doak Covington Paige Mansfield. Healthy People 2020: STDs 1. GOAL IMPORTANCE: STD rates generally increasing Easily transmitted Cancer causing Life long problems. STD Objectives 1 and 2 1.

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Sexually Transmitted Diseases

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  1. Sexually Transmitted Diseases Oak Schuetz Doak Covington Paige Mansfield

  2. Healthy People 2020: STDs1 GOAL IMPORTANCE: • STD rates generally increasing • Easily transmitted • Cancer causing • Life long problems

  3. STD Objectives 1 and 21 • STD-1:Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections • STD-2: Reduce Chlamydia rates among females aged 15 to 44 years

  4. STD-Chlamydia: Importance2 • Most common STD • 70% are asymptomatic • Incidence: 1,244,180 new cases in 2009 • Prevalence: 2.8 million infections • Decrease risky sexual behavior • Learn to use condoms correctly and consistently • People aren’t getting screened so it is increasing • Leads to infertility

  5. STD-Chlamydia: Review3 • http://www.youtube.com/watch?v=OSOMJtLqFbU

  6. STD-Chlamydia: Nationally4 • “Better than the best” • For Example: • Asian/Pacific Islander group had the “best” rate of 20 cases per 100,000 population • “GYT” • The Patient Protection and Affordable Care Act

  7. STD-Chlamydia: Washington State5 • STD prevention counseling, testing, and referral services • Partner Services • Prevention for high-risk • School-based STD Prevention

  8. STD-Chlamydia: Whatcom County6 • 1988, chlamydia screening and treatment activities were initiated in Washington through a federally-funded Infertility Prevention Project.

  9. STD Objective 7.2 • Objective1 • STD-7.2: Reduce sustained domestic transmission of primary and secondary syphilis among males • Importance7 • Reemerging disease

  10. STD-7.2 Syphilis: Review • Contracting Syphilis8 • Primary Stage8 • Secondary Stage8 • Diagnosis8 • Treatment8,9

  11. STD-Syphilis: Nationally • 13,500 cases in 200811 • Mostly ages 20-29 • 13,970 reported primary or secondary infections for 201110 • 12,453 primary and secondary infections in males for 2011

  12. STD-Syphilis: Washington State • 151 male cases in 200912 • 261 male cases in 201012 • 322 males in 201110

  13. STD-Syphilis: Whatcom County • 0 reported cases in 2009 and 201012 • 3 reported cases in 201113

  14. STD-Syphilis: Amongst Males • Higher rates • Males accounted for majority of Local, State, Nation10,12 • “Not being tested each year”14 • New type of DNA test14 • Not enough funding14

  15. STD-Syphilis: Community Program in Los Angeles • Partner notificationi • Community Based Clinic serving men • Trained by local health department • Resultsi • 100% were notified in 2009 • 67% were notified before program

  16. STD Objective 9 • Reduce the proportion of females with human papillomavirus (HPV) infection1 • Importance: • Can lead to different cancers16,17 • Painful warts18 • Transmission to infants18 19

  17. STD-9 HPV: Review20 • Double stranded DNA Virus • Confined to the epithelium • Immune responses not always detected • 120 types • 40 mucosal/genital • High risk (types 16 &18) • Low risk (types 6 &11) • 80 cutaneous

  18. STD-9 HPV: Nationally20

  19. STD-9 HPV: Nationally • CDC Preteen and Teen Vaccination Communication Campaign21 • Goal • Screening Guidelines (2012)20 • 21-29 years: pap every 3 years • 30-65 years: • Cotesting (HPV & pap) every 5 years • Or pap alone every 3 years

  20. Vaccines: Recommendations: STD-9 HPV: Nationally20FDA licensed HPV vaccines & Recommendations • Quadrivalent (Gardasil) • Types 6, 11, 16, & 18 • Bivalent (Cervarix) • Types 16 & 18 • Females age 11 or 12, also age 13 to 26 • 3 doses (quad- or bi- valent) • Males age 11 or 12, also age 13 to 21 • 3 doses (quadvalent) • Gay, bisexual, & MSM • Receive vaccine through 26 yrs

  21. STD-9 HPV: Washington State20

  22. Sexually Transmitted Infections Annual Report (2010)22 Sexually Transmitted Fast Facts 201123 STD-9 HPV: Washington State • “common” but not “reportable to the health department” • Treatment Guidelines • Recommended rx • Dose/route • Alternatives • Multiple STIs • If left untreated • WA state stats • Cases and rates • HPV not mentioned

  23. STD-9 HPV: Whatcom County • Focus Report on Communicable Diseases24 • “…important but non-reportable STD…” • Fact Sheet18 • HPV introduction • Symptoms • Transmission • How to avoid infection • Phone number to contact

  24. STD-9 HPV: Whatcom County25 • Free Cancer Screenings • April 2012 • St Joseph Hospital • Oral, Neck and Head Cancers • “…partly due to increase in Humanpapilloma Virus.”

  25. STD-9 HPV: Whatcom County • Planned Parenthood26 • ASK • Train to expand knowledge of sexual health • Plan community activities • Resource for peers • WCPC27 • Relate • Healthy Relationships • Education on & Prevention of STDs

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