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Monday, May 5, 2014

CDC HIV/Hepatitis/STD/TB Prevention News Update 5/05/2014

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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 5/5/2014
National News

HPV Vaccine Lowering Infection Rates Among Girls: CDC

Medical News

Drinking, Even Casual Amounts, Poses Much Greater Risk for Advanced Liver Disease in HIV/Hepatitis C Patients

Local and Community News

Syphilis Outbreak Across North Wales

News Briefs

Otsuka Multi-Drug Resistant TB Drug Approved in Europe

HIV Treatment to be Free for Scots

National News
National News HPV Vaccine Lowering Infection Rates Among Girls: CDC

UNITED STATES :: STDs
KnowMore TV (05.04.2014) :: By HealthDay

KnowMore TV reported that the human papillomavirus (HPV) vaccine, given to young women between the ages of 14 and 19, has caused a 56-percent decline in the number of new HPV cases in the same age group, according to a new CDC study. HPV is the principal cause of cervical cancer but also can cause other genital organ and oral/throat cancers.

“Herd immunity,” which means widespread vaccination that greatly decreases the number of infected people so it is less likely someone else could get it, may be the reason why the decline is so high.

CDC Director Dr. Tom Frieden said the study results, which were higher than expected, are “striking” and demonstrate the need to “increase [HPV] vaccination rates, because we can protect the next generation of adolescents and young girls against cancer.” The United States’ vaccination rate is only one-third of young females, while some countries are reaching close to 80 percent vaccination coverage. Friedan argued that for every year the United States does not increase the vaccine coverage rate, 4,400 girls who would have otherwise been protected with the vaccine will get cervical cancer later in life.

HPV is a highly contagious STD. Approximately 79 million Americans are thought to have HPV, which causes 19,000 cancers in women and 8,000 cancers in men each year. The vaccine has had some resistance in the United States, with parents reluctant to give their young daughters and sons an STD shot. Frieden says doctors also are responsible for low vaccination rates. “Providers are not consistently giving strong recommendations for the vaccine, and they are not encouraging vaccination at every encounter,” he said. The vaccine continues to prove its safety, with more than 56 million doses provided in the United States with no serious long-term problems reported.
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Medical News
Medical News Drinking, Even Casual Amounts, Poses Much Greater Risk for Advanced Liver Disease in HIV/Hepatitis C Patients

UNITED STATES :: HIV/AIDS,Viral Hepatitis
Science Daily (05.02.2014)

Science Daily reported on a study of the effect of alcohol on liver disease in people with HIV and chronic hepatitis C virus (HCV) coinfection. Joseph K. Lim, MD, of Yale University School of Medicine and the Veterans Affairs (VA) Connecticut Healthcare System; senior author Vincent Lo Re III, MD, MSCE, assistant professor of medicine and epidemiology in the Division of Infectious Diseases and Department of Biostatistics and Epidemiology at the University of Pennsylvania and an infectious disease physician at the VA Medical Center in Philadelphia; and colleagues conducted a cross-sectional study of participants from the Veterans Aging Cohort Study.

Of 7,270 participants, 701 were HIV/HCV-coinfected, 1,410 were HIV-positive, 296 were HCV-infected and 1,158 were uninfected with either virus. Participants completed the Alcohol Use Disorders Identification Test–Consumption questionnaire and, based on the results, researchers classified their drinking as alcohol abuse/dependence, nonhazardous drinking, hazardous/binge drinking, and alcohol-related diagnosis.

The researchers found that despite participants’ HIV or HCV status, liver fibrosis increased in relation to alcohol use. Coinfected patients, regardless of level of alcohol use, had the strongest associations compared with uninfected nonhazardous drinkers. The association between alcohol use and fibrosis increased in people with HIV/HCV coinfection, and even light nonhazardous drinking was linked to higher risk of liver fibrosis in coinfected individuals.

The full report, “Relationship Between Alcohol Use Categories and Noninvasive Markers of Advanced Hepatic Fibrosis in HIV-Infected, Chronic Hepatitis C Virus-Infected, and Uninfected Patients,” was published in the journal Clinical Infectious Diseases (2014; 58 (10):1449).
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Local and Community News
Local and Community News Syphilis Outbreak Across North Wales

WALES :: STDs
Daily Post (North Wales) (05.02.2014) :: By Rhodri Barker

The Daily Post reported that syphilis cases in North Wales have increased more than five times in less than a year, with 39 cases reported since mid-2013. Most cases have been among men who have sex with men. The region usually reports only seven cases per year.

Syphilis can be treated easily with antibiotics, but can be fatal if left undetected and untreated. Original symptoms, painless genital or mouth ulcers, can disappear, but the individual remains infected and can still transmit the STD to others.

According to a Public Health Wales spokesperson, Betsi Cadwaladr University Health Board and Public Health Wales have put into place steps to fight the recent outbreak, by increasing surveillance and communication with health professionals to target the higher risk populations in the region.
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News Briefs
News Briefs Otsuka Multi-Drug Resistant TB Drug Approved in Europe

EUROPE :: TB
PharmaTimes (04.30.2014) :: By Kevin Grogan

PharmaTimes reported that the European Commission has approved Otsuka Pharmaceutical Company to market its TB drug Deltyba in Europe. The commission approved use of the drug as part of a combination regimen for multidrug-resistant TB (MDR TB) in adults when other therapies do not work for them or they cannot be tolerated. While new TB cases are on the decline throughout Europe, numbers of MDR TB have more than doubled from 2008 to 2012, making the new drug a welcome new option, according to Wiel de Lange of the University Medical Center in Groningen, the Netherlands. The European Commission’s approval comes five months after the European Medicines Agency’s Committee for Human Medicinal Products recommended approval for Deltyba.
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HIV Treatment to be Free for Scots

SCOTLAND :: HIV/AIDS
HeraldScotland (05.02.2014)

The Herald Scotland reported that the Scottish Government has decided to make HIV treatment free to everyone in Scotland, regardless of their residency status. The policy change aligns Scotland with England and exempts HIV from National Health Service (NHS) charges in the same way that TB and other infectious diseases are. NHS already exempts HIV testing and sexual health services. The National AIDS Trust (NAT) and HIV Scotland welcomed the decision, and according to Yusef Azad, director of policy and campaigns at NAT, the change will allow insolvent asylum seekers and vulnerable refugees the ability to receive essential healthcare while they reside in Scotland. He also considered it a “step to safeguard the public health of communities.”
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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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