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Thursday, May 1, 2014

CDC HIV/Hepatitis/STD/TB Prevention News Update 5/1/2014

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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 5/1/2014
National News

California Porn Condom Bill Passes Committee

International News

Sex Workers Help Bangladesh Fight HIV

Medical News

Diagnosis of Childhood TB Could Be Improved by Genetic Discovery

Local and Community News

Health Department Establishes Clinic in Response to Rise in STDs

News Briefs

Mobile Clinic Tests for Pregnancy, STDs

Sacramento County to Expand TB Testing at Grant High School

National News
National News California Porn Condom Bill Passes Committee

CALIFORNIA :: HIV/AIDS,STDs
Los Angeles Daily News (04.30.2014) :: By Associated Press

The Los Angeles Daily News reported that a committee of the California State Assembly voted in favor of Assembly Bill 1576, which would require porn actors to use condoms during film production and to have regular STD testing. The City of Los Angeles approved a similar law—Measure B—in 2012, and Assembly Member Isadore Hall (D-Compton) has tried twice unsuccessfully to expand the mandate statewide. The measure goes next to the Assembly Appropriations Committee, where it failed to pass last year. Some porn stars and public health advocates described the bill as a “basic workplace safety measure.”

California Division of Occupational Safety and Health rules already prohibited shooting porn scenes without condoms. However, the state only launched investigations in response to complaints. The bill’s supporters explained that state regulators have been slow to adopt standards requiring condom use in the adult film industry.

Porn studio owners and some porn stars objected to the condom mandate. The studios stated that they required regular STD testing to prevent the need for condom use. The Free Speech Coalition claimed that the Los Angeles condom law resulted in the loss of adult film industry and related business in Los Angeles. Film LA, a nonprofit that issues film production licenses, reported that the number of licenses issued dropped from 480 in 2012 to 40 in 2013. Attorney Marc Randazza warned that the industry was moving to Nevada, which has low fees and little regulation.

The AIDS Healthcare Foundation (AHF) believed the objections were a response to business safety regulations and stated that the number of licenses issued did not reflect a larger, unregulated segment of the adult film industry. AHF pledged to file complaints against film makers who moved their business to other states and asserted that shooting porn films was illegal in most states.
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International News
International News Sex Workers Help Bangladesh Fight HIV

BANGLADESH :: HIV/AIDS
Asia Times (04.30.2014) :: By Naimul Haq

The Asia Times reported that Bangladesh sex workers help keep the country’s HIV rate one of the lowest in the world. Bangladesh was one of the first developing countries to make HIV intervention a priority, starting back in the 1990s. The Bangladesh Manobadhikar Sangbadik Forum (BMSF), an HIV and STD advocacy group, began educating sex workers about HIV and sexual safety. Now, sex workers educate and train each other.

"Awareness lessons work like magic," said Mohammad Alamgir Kabir, coordinator of BMSF in Kushtia. "They virtually cost nothing. Initially, we acted as catalysts to train and educate sex workers. Now, sex workers educate their peers for their own safety."

Although Bangladesh has a high STD prevalence and low literacy rates, the country only has reported approximately 3,000 HIV cases. The government’s strong political commitment and partnership with nongovernmental organizations are credited for the low HIV incidence by targeting high-risk groups, such as men who have sex with men, sex workers, and transgender people. The government and its partners have placed locations throughout the small, densely populated Asian country to provide awareness and support, including 309 drop-in centers, 98 blood transfusion centers, and 61 voluntary counseling centers.
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Medical News
Medical News Diagnosis of Childhood TB Could Be Improved by Genetic Discovery

GLOBAL :: TB
Science Codex (04.30.2014)

Science Codex reported on a study that found a genetic “signature” in the blood of children with TB that could result in faster diagnosis of the disease in children. Childhood TB is difficult to diagnose and usually is found in a late stage of the disease when the child is very ill. According to Professor Michael Levin, director of the Wellcome Centre for Clinical Tropical Medicine at Imperial College London and lead researcher of the study, children’s TB symptoms are similar to those of other childhood diseases and the adult tests do not work for children. As a result, many children die or are left with lasting damage from the disease.

In this European Union- funded study, Levin and colleagues investigated more than 2,800 children with TB symptoms in hospitals in South Africa, Malawi, and Kenya. The researchers examined blood samples to determine which genes were activated or suppressed in children with TB. Results showed that 51 genes were able to distinguish TB from other diseases depending on whether they were activated or suppressed. The researchers assigned each child a TB risk score based on this information, and accurately diagnosed TB in more than 80 percent of the Kenyan children.

Levin noted the study took seven years and the work of clinicians and scientists in the United Kingdom, Africa, and Singapore. He commented on the need for collaboration with biotechnology and industrial partners to translate the findings into a simple, rapid, and affordable TB test for use worldwide.

The full report, “Diagnosis of Childhood Tuberculosis and Host RNA Expression in Africa,” was published in the New England Journal of Medicine (2014; 370(18):1712–1723).
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Local and Community News
Local and Community News Health Department Establishes Clinic in Response to Rise in STDs

MICHIGAN :: HIV/AIDS,STDs
Cadillac News (04.30.2014) :: By Jeff Broddle

Cadillac News reported that the Cadillac, Mich., District Health Department Number 10 set up a separate clinic for STD testing in March after chlamydia rates in Wexford, Missaukee, and Lake counties increased dramatically during the first months of 2014. In 2013, 48 of 747 people (approximately 6 percent) tested positive for chlamydia, which was consistent with historical trends. In the first three months of 2014, 10 percent tested positive for chlamydia. The district began offering the clinic in Wexford and Mason counties in March, and plans to expand the clinic to Lake, Missaukee, and other District 10 counties in the future.

The health department hoped the establishment of a separate clinic would encourage more men to come in for STD testing, since men were reluctant to use the health department’s family planning clinic, according to Sheryl Slocum, supervisor of the STD clinic. The family planning clinic already offered testing for HIV, chlamydia, and gonorrhea. The STD clinic aimed to expand testing to include syphilis, hepatitis B, and hepatitis C screening. The clinic offered testing on a sliding fee scale.

Dr. Robert Graham, the health department’s medical director, stated that although STD rates overall have increased in recent years, chlamydia diagnoses have risen more quickly than other STD cases, possibly because of better testing. Graham emphasized that antibiotic treatment could cure chlamydia, but would not prevent reinfection. The health department recommended that all people who were sexually active, but not monogamous, use condoms consistently to prevent STD infections.

The Central Michigan District Health Department, which established a separate clinic for STD testing approximately a year ago, reported a similar increase in chlamydia diagnoses during 2014.
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News Briefs
News Briefs Mobile Clinic Tests for Pregnancy, STDs

NEW MEXICO :: HIV/AIDS,STDs
KOB Eyewitness News 4 (04.30.2014) :: By Jen Samp

KOB Eyewitness News 4 reported that a recreational vehicle (RV) hosting the Know Now Mobile Medical Clinic provides free and confidential HIV and STD testing throughout Albuquerque, N.M. The RV targets at-risk individuals who cannot otherwise afford testing, are uncomfortable going to a clinic, or cannot get to one. A local church donated the RV and the medical staff consists of volunteers. The clinic purchased equipment with other donations. The mobile clinic currently is concentrating on locations near the University of New Mexico campus and Albuquerque’s International District. The clinic also offers free pregnancy testing and ultrasounds to pregnant women.
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  Sacramento County to Expand TB Testing at Grant High School

CALIFORNIA :: TB
Modesto Bee (04.29.2014) :: By Diana Lambert

The Modesto Bee reported that Sacramento County Public Health Officials will test 500 more students and staff members of Grant Union High School for TB. The health officials made the decision after 47 people tested positive for latent TB infection (LTBI). Although LTBI is not infectious, it can become active later. The 47 individuals diagnosed with LTBI are receiving treatment. Health officials tested close contacts of a student who was diagnosed with active TB in February. The student was treated and is back at school. In this round of testing, health officials will test individuals who attended classes immediately after the infected student and those in classrooms sharing ventilation with the classrooms the infected student used. The tests will be given on May 5, and read on May 8. Thus far, officials have found no new cases of active TB. For more information about TB, call the health department at (916)875-5881.
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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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