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Tuesday, May 6, 2014

CDC HIV/Hepatitis/STD/TB Prevention News Update 5/06/2014

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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 5/6/2014
National News

Rates of Gonorrhea at All-time Low Among Adolescents

International News

Technology Is a Key Ally in the AIDS War

Medical News

Harm-Reduction Program Optimizes HIV/AIDS Prevention

Local and Community News

Broward County School Board to Vote on Sexual Health Education Tuesday

News Briefs

Hepatitis Testing Offered for Free

Free STD Testing to Be Offered in Two Clinics Next Friday and Saturday

National News
National News Rates of Gonorrhea at All-time Low Among Adolescents

UNITED STATES :: STDs
Healio (05.04.2014)

Healio reported that US gonorrhea rates among adolescents reached an all-time low in 2012, while chlamydia rates remained constant. The findings, presented at the 2014 Pediatric Academic Societies Annual Meeting in Vancouver, Canada, may be positive news, but researchers noted that overall STD rates still remain high in youth, especially in certain subgroups.

Researchers examined data between 2003 and 2012 from the National Electronic Telecommunications System for Surveillance and US Census Bureau. Adolescents constituted 30 percent of chlamydia diagnoses and 24 percent of gonorrhea diagnoses in 2012. Between 2003 and 2011, adolescent chlamydia rates increased by 41 percent, while the 2012 rates dropped for the first time to just under those of 2011. Gonorrhea showed an overall 14-percent decrease in adolescent cases, which is an historic low.

The researchers concluded that, “These findings support the CDC and US Preventive Services Task Force recommendations that clinicians should provide annual chlamydia screening for all sexually active female adolescents and gonorrhea screening for sexually active female adolescents at increased risk.”
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International News
International News Technology Is a Key Ally in the AIDS War

GHANA :: HIV/AIDS
Baseline (05.05.2014) :: By Eileen Feretic

Baseline reported that John Dramani Mahama, president of Ghana, recently announced a consortium to reduce his country’s levels of mother-to-child HIV transmission. Part of the consortium’s work would involve testing pregnant women, treating those testing HIV-positive, and tracking their pregnancies. The consortium includes Yale University, IBM, the ONE Campaign (an organization fighting to end poverty and disease), and local partners such as the Ghana AIDS Commission and the Christian Health Association of Ghana.

At present, 9 percent of approximately 800,000 babies are born HIV-positive in Ghana. Mahama plans to reduce that statistic to lower than 5 percent by 2018 and lower than 1 percent by 2020. According to Mahama’s Web site, the consortium’s task is preparing information technology infrastructure, streamlining healthcare resources, raising public awareness, and building human capacity to use resources efficiently so that at-risk women and children receive state-of-the-art care.

Yale will use student and faculty for HIV research, education, and training to support care providers and public health officers. IBM will provide the technology and expert help. To this end, teams from IBM’s pro-bono Corporate Service Corps are working with the Ghana Health Service and Yale’s health professionals. Healthcare workers in clinics, offices, and remote areas will use mobile devices to collect data, upload information to an IBM mainframe for analysis, and determine the most effective treatment and prevention program.

Dr. Elijah Paintsil, a Yale pediatric faculty member, commented that the main barrier the consortium will have to confront is cultural because of the stigma against HIV in Ghana. Paintsil noted that the consortium would have to educate the public about HIV and HIV treatments and would need to include the fathers of infected children.
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Medical News
Medical News Harm-Reduction Program Optimizes HIV/AIDS Prevention

CALIFORNIA :: HIV/AIDS
Medical Xpress (04.21.2014) :: By Jeff Sheehy

Medical Xpress reported on a study of a harm-reduction substance use treatment program to help participants reduce stimulant use and decrease sexual risk behavior. Researchers from the University of California, San Francisco (UCSF) and the San Francisco AIDS Foundation (SFAF) evaluated 211 methamphetamine-using men who have sex with men (MSM) who enrolled in the Stonewall Project, an SFAF program for substance-using gay and bisexual men and other MSM. The program uses evidence-based cognitive-behavioral substance use treatment.

Clients could choose abstinence or use harm-reduction strategies such as less potent types of drug use or reducing sexual risk-taking while under the influence. The risk-reduction strategies include condom use during sex, seroadaptive behaviors, and decreasing the number of sex partners. The researchers explained that stimulant use is a key barrier to HIV prevention and care, but the program does not insist on abstinence. Instead, it worked with clients whether or not they were able to stop using, to teach them better ways of caring for themselves and improving their lives.

Adam W. Carrico, PhD, UCSF assistant professor of nursing, noted that participants reported that even when they used methamphetamine, they followed HIV risk-reduction strategies after participating in Stonewall. Michael V. Discepola, MA, director for the Stonewall Project at SFAF, concluded that helping HIV-positive clients adhere to their treatment program not only improved their health, but also reduced the likelihood of HIV transmission. Carrico suggested a larger randomized controlled trial comparing abstinence-based and harm-reduction approaches as a follow-up to this study.

The full report, “Community-Based Harm Reduction Substance Abuse Treatment with Methamphetamine—Using Men Who Have Sex with Men,” was published online in the Journal of Urban Health (2014; doi: 10.1007/s11524-014-9870-y).
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Local and Community News
Local and Community News Broward County School Board to Vote on Sexual Health Education Tuesday

FLORIDA :: HIV/AIDS,STDs
Local 10 News (05.05.2014) :: By Andrea Torres

Local 10 News reported that Florida’s Broward County School Board will vote this week on whether the school district, the seventh largest in the country, should change its public school sexual education curriculum, which it has not updated in approximately 10 years. The district has some of the highest HIV rates in the country, and concerned parents, activists, and school board members think the current curriculum does not prepare adolescents for the reality of living in such an area.

The current set of courses contains outdated birth control methods while not providing updated information on the human papillomavirus (HPV) vaccine, which was introduced in 2006. Health officials estimate that more than a third of teens have HPV, an STD that can lead to several cancers, most commonly cervical cancer. "This is a matter of life and death for some of our teens who are not getting this information," said Robin Bartleman, a Broward School Board member.

The new curriculum, which was developed drawing from CDC’s National Health Education Standards, will include lessons to be used from kindergarten through grade 12, and will include "age appropriate" and "medically accurate" qualifications, said Bartleman. Through fourth grade, students will learn about anatomy and personal safety. From fifth through twelfth grade, students will learn about contraception options, sexual orientation, and gender identity. Science teachers will train to talk to teens about varied sexual health education topics, including abstinence, sexting, dating violence, sex abuse prevention, and social media.
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News Briefs
News Briefs Hepatitis Testing Offered for Free

MISSISSIPPI :: Viral Hepatitis
Clarion Ledger (Jackson) (05.05.2014)

The Clarion-Ledger reported that the Mississippi Department of Health is providing free hepatitis B virus and hepatitis C virus (HCV) testing in May at all county health departments. Dr. Thomas Dobbs, state epidemiologist, explained that diagnosis is important to prevent further complications such as cirrhosis and liver cancer, since HCV is the leading cause of liver cancer and reason for liver transplants. People born between 1945 and 1965 have five times the risk of being infected, and most of them have no symptoms and are unaware of the infection until they experience complications. HCV is transmitted through needle sticks, injecting drug use, blood transfusions before 1992, sexual contact, from mother to child at birth, and rarely from sharing personal items.
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  Free STD Testing to Be Offered in Two Clinics Next Friday and Saturday

TEXAS :: HIV/AIDS,STDs
San Angelo LIVE! (05.02.2014) :: By Chelsea Schmid

San Angelo LIVE announced that the Texas Department of State Health Services, with the assistance of the San Angelo-Tom Green County Health Department, will provide two free local clinics to test for STDs. The free and confidential testing for HIV, syphilis, gonorrhea, and chlamydia will occur at the Wash Zone car wash at North Chadbourne and West 21st streets on Friday, May 9, from 1:00 to 8:00 p.m.; and Saturday, May 10, from 1:00 to 6:00 p.m. Testers will collect a small blood and urine sample and will provide pamphlets for HIV and STDs, information on adult vaccines, and free condoms. For more information, call the City of San Angelo Health Services Division at (325) 657–4493 or (325) 657–4214.
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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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