1 / 19

MSM Sexual Health Summit August 20, 2012

MSM Sexual Health Summit August 20, 2012. HIV/STD Prevention and Care Branch Texas Department of State Health Services. Newly Diagnosed HIV Cases, Deaths, and People Living with HIV in Texas: 1980-2011. Living with HIV. New HIV Cases. Deaths Among Cases.

Download Presentation

MSM Sexual Health Summit August 20, 2012

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. MSM Sexual Health Summit August 20, 2012 HIV/STD Prevention and Care Branch Texas Department of State Health Services

  2. Newly Diagnosed HIV Cases, Deaths, and People Living with HIV in Texas: 1980-2011 Living with HIV New HIV Cases Deaths Among Cases Newly diagnosed HIV infection includes all new HIV cases regardless of disease status. 2009-2010 death data are provisional.

  3. Full Diagnosis Public Awareness Support Participation in Care Targeted Prevention Successful Linkage Medical Adherence

  4. Texas 2011 New Diagnosis Rate by Selected Characteristics ^Denominator estimate based on: LiebS, et al. Estimating Populations of Men Who Have Sex with Men in the Southern United States. Journal of Urban Health. 2009 Nov;86(6):887-901

  5. 2011 New Diagnosis Rate by Race Among MSM1 1Denominator estimate based on: LiebS, et al. Estimating Populations of Men Who Have Sex with Men in the Southern United States. Journal of Urban Health. 2009 Nov;86(6):887-901

  6. Gonorrhea Cases:Texas, 1971-2011

  7. STI/HIV ComorbidityProportion of HIV cases Co-Infected with STI 2005-2010

  8. GC/HIV ComorbidityBy Race/Ethnicity 2005-2010

  9. GC/HIV ComorbidityBy Risk 2005-2010

  10. GC/HIV ComorbidityBy Age Group 2005-2010

  11. GC/HIV ComorbidityInterval Between Diagnoses 2005-2010

  12. Timing of Diagnoses2005-2010 -8 4 0 2 6 8 -12 -10 -6 --4 -2 10 12 Number of Months from HIV to Other DX 12

  13. Interdependent Capacity Building

  14. Interdependence, Unintended Consequences, Systems Adaptation • Undetected and untreated disease driving GC and HIV– don’t ask don’t tell • Not using all the laboratory weapons in our arsenal • The unintended consequences of urine testing and how this may be fueling transmission of GC and also HIV in the MSM community • Haven’t had a spotlight on the sexual transmission of HCV

  15. CDC Recommendations from STD Treatment Guidelines, 2010 Screening tests should be performed at least annually for sexually active MSM: • HIV serology, if HIV negative or not tested in the previous year • syphilis serology • GC/CT screening for: • urethral infection (urine testing) for men who had insertive intercourse • Rectal infection (rectal swab) for men who had receptive anal intercourse • Pharyngeal infection (throat swab) for men who had receptive oral intercourse

  16. CDC Recommendations Sexual transmission of hepatitis C virus infection can occur, especially among HIV-infected MSM. Serologic screening for hepatitis C infection is recommended at initial evaluation of newly diagnosed HIV-infected persons. HIV-infected MSM can also acquire HCV after initial screening; therefore, men with new and unexplained increases in alanine aminotransferase (ALT) should be tested for acute HCV infection.

  17. Overall Goals of Engagement • Reduce undetected and untreated GC/CT in MSM • Reduce transmission of HIV in MSM • Increase identification of HIV-positive MSM co-infected with HCV

  18. Summit Goals • Increase awareness, urgency and action to implement consistent, appropriate and timely GC/CT detection for MSM and HCV screening for HIV-positive MSM • Expand capacity to build protocols and provide education on this issue

  19. Summit Outcomes • Develop next steps for your organization to implement extra-genital screening for MSM • Build coalitions with partners in your area to implement consistent, appropriate and timely extra-genital GC and HCV screening for MSM

More Related