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Friday, May 2, 2014

CDC HIV/Hepatitis/STD/TB Prevention News Update 5/02/2014

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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 5/2/2014
National News

State HIV Report Shows Slight Decline in Cases

International News

MSF: West, Central Africa Lagging in HIV Care

Medical News

Low HPV Risk in Cancer Patients' Sex Partners

Local and Community News

UNKC Researchers Get $3.2M to Assess Churches' Role in HIV Testing

News Briefs

Indiana Study Focuses on New Hepatitis C Screening

Iowa Legislature Passes HIV Transmission Bill

National News
National News State HIV Report Shows Slight Decline in Cases

MINNESOTA :: HIV/AIDS,STDs
Shakopee Valley News (04.30.2014)

Shakopee Valley News reported that the Minnesota Department of Health reported a 4-percent decline in last year’s state HIV rate. The department reported 301 new HIV diagnoses in 2013 and 314 in 2012. Though the overall rate has dropped, certain population groups and rates in the suburbs have increased. Minnesota reported no new cases of infant HIV in 2013.

“Although we saw a slight decrease in the overall HIV case reports, there are certainly some increases occurring among our communities of color and men who have sex with men that concern us,” said Minnesota’s Commissioner of Health Dr. Ed Ehlinger.

The 2013 data show that one-third of HIV cases were among young adults between 20–29 years old; female diagnoses increased by 22 percent, with 73 percent of female cases being in women of color; male diagnoses decreased by 11 percent, with 62 percent of male cases among men who have sex with men and 18 percent in male youth ages 13–24.

Rates for chlamydia, gonorrhea, and syphilis increased in 2013, which caused concern among health officials for the possible impact on HIV rates. Health officials stress that HIV and all STDs are preventable. “People in treatment can significantly reduce the risk of transmitting HIV to their sexual partners,” said Ehlinger. “Getting tested for HIV is the best place to start if you are sexually active.”
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International News
International News MSF: West, Central Africa Lagging in HIV Care

AFRICA :: HIV/AIDS
Voice of America (05.01.2014) :: By Jennifer Lazuta

Voice of America reported that according to Doctors Without Borders (MSF), only 20 percent of HIV-positive individuals in French-speaking West and Central Africa receive antiretroviral therapy (ART). MSF explained that although there is low prevalence of HIV in West and Central Africa, where less than 5 percent of the population is infected, ART is available to only one-fifth of the patients who need treatment. Many die before they receive a diagnosis because testing is not available.

Dr. David Maman, an MSF HIV specialist, explained that some parts of Africa have very few physicians, yet only physicians are allowed to prescribe ART. This causes a hardship for these countries, as patients are unable to access ART at the same rate as countries with more physicians. To meet this need, Maman suggests training less-qualified health workers, such as nurses, to test patients and prescribe ART. This was successful in other African countries, particularly in rural areas. Maman argues that allowing qualified non-physicians to test and treat HIV provides help for more people and would free doctors to focus on more complicated cases.

Also, in West and Central Africa HIV testing and treatment are not included as part of regular healthcare, but are available at specialized clinics that usually are located in big cities. Maman proposed that district clinics integrate HIV testing and treatment in the regular health services. HIV-positive individuals would not have to travel long distances for care or have to wait for a doctor to come to the district. Maman maintains that decentralizing treatment and including HIV care in rural clinics worked in Malawi. However, these changes require strong political will and financing. MSF suggests that governments and aid organizations should do more to help HIV-positive individuals in West and Central Africa.
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Medical News
Medical News Low HPV Risk in Cancer Patients' Sex Partners

UNITED STATES :: Viral Hepatitis
MedPage Today (05.01.2014) :: By Charles Bankhead

MedPage Today reported on HPV risk in sex partners of patients with viral oropharyngeal cancer. Gypsyamber D’Souza, PhD, of Johns Hopkins School of Public Health, and colleagues analyzed oral rinse samples from 164 patients with human papillomavirus (HPV)-positive oropharyngeal cancer and 93 partners. They analyzed samples for 36 types of HPV DNA, including HPV 16. Patients and partners completed a risk factor survey and cancer history, and partners received an oral examination. The researchers compared patients’ and partners’ oral HPV prevalence with that of 45–65-year-old participants in the 2009–2010 National Health and Nutrition Examination Survey (NHANES).

Patients were 90 percent male with a mean age of 56. Of these patients, 51 percent had never smoked and 97 percent had performed oral sex. There were 71 patients without partners, including single, divorced, separated, widowed, and those whose partners were unavailable or did not wish to participate. All the partners except six were women. Partners’ median age was 53, 57 percent had never smoked, and 98 percent had performed oral sex.

Results show that few sex partners tested positive for HPV. Partners had an oral HPV prevalence of 1.2 percent, which is similar to that of female participants in NHANES and compares with the 1.3 percent rate for women of the same age in the general population. None of the male partners tested positive for HPV. Patients tested positive for oncogenic oral HPV DNA 61 percent of the time, including 54 percent with oral HPV 16, which is most closely linked to oropharyngeal and cervical cancer.

The full report, “Oral Human Papillomavirus (HPV) Infection in HPV-Positive Patients with Oropharyngeal Cancer and Their Partners," was published in the Journal of Clinical Oncology (2014; doi: 10.1200/JCO.2014.56.1341).
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Local and Community News
Local and Community News UNKC Researchers Get $3.2M to Assess Churches' Role in HIV Testing

KANSAS :: HIV/AIDS
Kansas City Business Journal (04.30.2014) :: By Brianne Pfannenstiel

The Kansas City Business Journal reported that the US National Institute of Mental Health awarded a $3.2 million grant to the University of Missouri–Kansas City’s (UMKC) Department of Psychology to study religiously appropriate HIV intervention strategies in African-American churches. The grant extends the “Taking it to the Pews” program, which approximately 30 Kansas City churches and 12 churches in Montgomery, Ala., use currently, into a full-scale clinical trial.

“The church is a trusted institution in the African-American community and can serve as a powerful setting in improving the health of its congregants along with community members served through church outreach ministries,” said Jannette Berkley-Patton, assistant professor at UMKC and principal investigator on the grant.

The study will attempt to ascertain whether HIV intervention programs tailored for churches will increase HIV screenings and decrease risky sexual behaviors. The program saturates HIV information into many church offerings, including services, bulletins, posters, testimonials, and Sunday school programs.
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News Briefs
News Briefs Indiana Study Focuses on New Hepatitis C Screening

CALIFORNIA :: Viral Hepatitis
Sacramento Bee (05.02.2014) :: By Associated Press

The Sacramento Bee reported that researchers in Indiana are studying a new behaviorally based hepatitis C screening procedure that may diagnose the disease before serious complications develop. On May 1, Indiana University and several Centerstone nonprofit organizations announced the study, which is funded by Indiana University’s School of Public Health in Bloomington. The screening study intends to diagnose the virus before it advances to cancer or other serious illnesses. Those carrying the disease sometimes do not seek treatment until symptoms become apparent, which may be too late for effective treatment.
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  Iowa Legislature Passes HIV Transmission Bill

IOWA :: HIV/AIDS,STDs
SFGate.com (San Francisco) (05.01.2014)

SF Gate reported that on May 1, the Iowa Legislature sent the governor a measure to sign that will lessen the penalties for individuals who expose others to HIV unknowingly without the intention of infecting them. The House passed the bill, which the Senate approved in February, before it adjourned for the year. The measure changes a current law that stipulates if an individual exposes someone to HIV without their consent, then they can be convicted of a felony punishable by up to 25 years in prison. The bill also institutes more general rules about infectious diseases, making individuals eligible for 25-year sentences only if they transmit a disease intentionally without someone’s knowledge.
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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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