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Wednesday, April 30, 2014

CDC HIV/Hepatitis/STD/TB Prevention News Update 4/30/2014

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HIV/Hepatitis/STD/TB News - CDC Prevention News Update

"PNU is a prevention and treatment news summary service. NPIN redistributes summaries as a public service. Inclusion of an article does not constitute CDC endorsement of the content. More details in footer."

CDCNPIN Prevention Newsletter 4/30/2014
National News

USPSTF: Behavioral Counseling to Prevent STIs

International News

HIV+ Women Sue for Forced Sterilisation

Medical News

Sex Toys Can Show Traces of HPV 24 Hours After Use, Have Increased Chance of Spreading Virus, Despite Cleaning

Local and Community News

Attorney: Patient Got Hepatitis C at Corning Hospital

News Briefs

State Recommends STD Tests for Patients of Suspended Steelton Doctor

State Senate Approves Pilot Needle Exchange Program in Miami-Dade

National News
National News USPSTF: Behavioral Counseling to Prevent STIs

UNITED STATES :: STDs
Monthly Prescribing Reference (04.28.2014) :: By HealthDay News

Monthly Prescribing Reference reported that as a way of decreasing the spread of sexually transmitted infections (STIs), the US Preventive Services Task Force (USPSTF) recommends that sexually active women get screened for chlamydia and gonorrhea, and that all sexually active individuals receive intensive behavioral counseling. Two contributing studies prompted the recommendation.

Researcher Elizabeth O’Connor, PhD, from the Kaiser Permanente Center for Health Research in Portland, Ore., and colleagues found that the benefit of intensive behavioral counseling, mainly curbing further STI transmissions, outweigh the disadvantages, which are mainly the costs of interventions.

Researcher Heidi D. Nelson, MD, MPH, from the Oregon Health & Science University in Portland, and colleagues studied the pros and cons of screening women at risk for chlamydia and gonorrhea and found tests can detect the diseases accurately without detectable disadvantages. Results of screening men for STIs or HIV were inadequate.
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International News
International News HIV+ Women Sue for Forced Sterilisation

SOUTH AFRICA :: HIV/AIDS
IOL News (04.26.2014) :: By Nondumiso Mbuyazi

South Africa’s Independent Online reported that more than 12 HIV-positive women in Durban, South Africa, are suing the KwaZulu-Natal (KZN) Department of Health for performing sterilizations on them without their consent. The women complained of being “tricked” or forced into sterilization and only realized it when they later discovered why they were unable to conceive another child.

Health Spokesperson Desmond Motha refuted the accusations. He denied any intentions or incentive among KZN doctors to sterilize HIV-positive women or to coerce them to agree to sterilization. Motha maintained that no such policy ever existed in the Department of Health, and the department’s legal division had no record of any claim being brought against it concerning sterilization.

Motha presented the health department’s requirements before a doctor can perform sterilization, which included: the patient’s informed consent; confirmation from a doctor of the woman’s candidacy for the procedure; provision of patient counseling regarding the benefits and disadvantages; and patient understanding of the procedure’s permanence. The healthcare provider must request informed consent in a language the woman understands and at least one other health worker must witness.

The women allege that the doctors involved did not follow these requirements and they are seeking legal action with the assistance of Her Right Initiative, a social impact organization that supports women’s sexual and reproductive rights. Recently, a Gauteng woman won a similar case against that province’s health department and was awarded approximately R500,000.
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Medical News
Medical News Sex Toys Can Show Traces of HPV 24 Hours After Use, Have Increased Chance of Spreading Virus, Despite Cleaning

UNITED STATES :: STDs
Medical Daily (04.23.2014) :: By Sabrina Bachai

Medical Daily reported on a study showing that shared sex toys can retain traces of human papillomavirus (HPV) even after cleaning. Researchers from the Division of Infectious Diseases at Indiana University School of Medicine investigated sex toys’ ability to transmit disease, using women ages 18–29 who were in sexual relationships with both men and women within the year prior to the study. The researchers gave each woman a cleaning product and two vibrators, one made of thermoplastic elastomer and the other of soft silicone, and instructed them to swab them after vaginal use, immediately after cleaning, and 24 hours later.

The researchers detected HPV in samples from nine of 12 swabs. In the samples from the nine vibrators the HPV-positive women used, eight showed signs of the virus. After the women cleaned the vibrators, five of the nine retained traces of HPV. Two hours after cleaning the contaminated vibrators, two out of five swabs remained positive. Silicone vibrators had a lower detection rate after 24 hours.

The researchers concluded that sharing sex toys potentially can transmit HPV, thus putting partners at risk of acquiring this STD. Findings expand the number of behaviors associated with HPV transmission and indicate a need for specific recommendations for cleaning sex toys.

The full report, “A Study of Human Papillomavirus on Vaginally Inserted Sex Toys, Before and After Cleaning, Among Women Who Have Sex with Women and Men,” was published online in the journal Sexually Transmitted Infections (2014; doi:10.1136/sextrans-2014-051558).
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Local and Community News
Local and Community News Attorney: Patient Got Hepatitis C at Corning Hospital

NEW YORK :: Viral Hepatitis
The Leader (Corning, New York) (04.28.2014) :: By Amber Brenza

The Leader reported that according to the Ziff Law Firm in Elmira, N.Y., one of 236 patients exposed to contaminated syringes at Guthrie Corning Hospital from 2012 to 2013 was diagnosed with hepatitis C virus (HCV) infection. The patient received the diagnosis at his one-year follow-up test. The Ziff Law Firm, which filed a medical malpractice law suit on behalf of approximately 80 of the patients, added an additional lawsuit against the hospital and an unidentified nurse on behalf of the recently diagnosed patient, and included him in the original lawsuit filed in 2013. According to the hospital, patients were exposed to HCV, hepatitis B, and HIV after a nurse reused saline syringes on 236 people between October 15, 2012, and January 29, 2013.

Ziff Attorney Adam Gee explained that his firm publicized the information on the patient’s diagnosis to encourage others who may have been exposed to get the follow-up tests regardless of whether they previously received negative results. The hospital offered up to one year of testing to those who were exposed, but that time frame is close to expiring. Gee hoped that the hospital would consider extending the time for testing, because he is concerned about the disease’s extended incubation period and that the disease may show up after one year. He advised patients to continue with their follow-up tests and to pay for it themselves if the hospital did not cover further testing, to ensure they were healthy and not at risk of acquiring and transmitting the disease.
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News Briefs
News Briefs State Recommends STD Tests for Patients of Suspended Steelton Doctor

PENNSYLVANIA :: HIV/AIDS,STDs
PennLive.com (04.28.2014) :: By David Wenner

PennLive.com reported that the Pennsylvania Department of Health is recommending STD and hepatitis testing for female patients of a doctor whose license the department suspended for purportedly not properly cleaning medical instruments used during invasive exams. The department recommends women who visited the practice between 1994 and 2014 get tested for HIV, chlamydia, gonorrhea, and hepatitis. The suspended doctor is cooperating with authorities and has agreed to provide free testing. The physician will mail detailed letters to patients and is accessible via telephone at (717) 986–0794. The health department will hold free clinics for uninsured patients. Individuals can get information and details about the free clinics from the health department by calling (877) 724–3258 and selecting option 9.
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  State Senate Approves Pilot Needle Exchange Program in Miami-Dade

FLORIDA :: HIV/AIDS,Viral Hepatitis
CBS Miami (04.29.2014)

Miami CBS Local reported that the Florida State Senate recently approved a pilot needle and syringe exchange program in Miami-Dade to prevent the transmission of HIV and other infectious diseases. The five-year program would allow injection drug users to exchange used needles and syringes for clean ones. The program would not receive state funds, but would be privately funded. Sen. Oscar Braynon (D-Miami Gardens) sponsored the bill (SB 408) and state senators voted 30–10 to approve it.
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The CDC National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention provides the above information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, viral hepatitis, other sexually transmitted diseases, and tuberculosis does not constitute CDC endorsement. The above summaries were prepared without conducting any additional research or investigation into the facts and statements made in the articles being summarized, and therefore readers are expressly cautioned against relying on the validity or invalidity of any statements made in these summaries. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/Hepatitis/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted above for full texts of the articles.

The Prevention News Update electronic mailing list is maintained by the National Prevention Information Network (NPIN), part of the Centers for Disease Control and Prevention's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Regular postings include the Prevention News Update, select articles from the Morbidity and Mortality Weekly Report series, and announcements about new NPIN products and services.

 

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