Trends in Sexual Risk Behaviors Among High School Students Each year 3 million cases of STD in teens in U.S. Each year 1 million U.S. teens get pregnant HIV infection is the 6th leading cause of death among 15-24 y/o Unprotected sexual intercourse and multiple sex partners is risky for HIV, STD, and pregnancy One out of six college girls are raped. Mostly “date rape” & they know their victims.

What’s Happening in Georgia Georgia, like the rest of the Southeast, has some of the highest rates of Sexually Transmitted Diseases/Infections (STDs/STIs) in the country. According to the CDC, in 2012 Georgia was ranked: 8th Highest in the U.S. for chlamydia with a rate of 534 per 100,000 5th Highest in the U.S. for gonorrhea with a rate of 156.1 per 100,000 1st in the U.S. for primary and secondary syphilis with a rate of 9.5 per 100,000 Cobb County Public Health - 2012

How many STD’s are there? 1974 – 2 STD’s (gonorrhea & syphilis) 2004 – 20 different STD’s 2012 – 27 (3 new bacterial STD’s)

In the United States, about 85% of all sexually transmitted diseases occur in persons between the ages of 15 - 30.

Ways to Get an STD Vaginal, Anal, or Oral Sex Contamminated Needles Tattoos Piercing

2 Most Common STD Chlamydia (Bacteria - curable) Genital Warts (HPV) (virus – non-curable)

Through the Years Started out as VD (venereal disease) - Syphilis oldest VD STD (Sexual Transmissible Disease) STD (Sexual Transmitted Diseases) Today: STI (Sexual Transmitted Infection)

Types of STDs Type: Gonorrhea Cause: Bacteria Signs/Symptoms: often no signs/symptoms; heavy yellowish discharge Treatment: Antibiotic

Gonorrhea Infection in Eyes of Newborn

Gonorrhea/Bacterial Often called the CLAP Penis was clapped between 2 hands to push out the infection

Type: PID (Pelvic Inflammatory Disease) Causes: Bacteria Signs/Symptoms: painful sexual intercourse; uterine bleeding; urinary problems Treatment: Powerful antibiotics Type: Chlamydia Signs/Symptoms: usually no signs/symptoms; difficulty urinating; discharge Treatment: Antibiotics

Type: Genital herpes (Herpes simplex type 2) Causes: Virus Signs/Symptoms: usually no signs/symptoms; painful blisters on cervix or penis Treatment: No Cure

Herpes/Viral

Type: Syphilis Causes: Bacteria Signs/Symptoms: Primary – small red bumps called chancre; Secondary - rash/moist sores in genital areas; Tertiary (final stage) blindness, paralysis, or death Treatment: Antibiotics

Lesions of Secondary Syphilis - Rash

Lesions of Late Syphilis

Type: Trichomoniasis Causes: Parasite Signs/Symptoms: painful urination; discharge Treatment: Antibiotics Type: Genital Warts (Human Papilloma Virus) Causes: Virus Signs/Symptoms: Warts in the genital or anal area Treatment: No Cure

Type: Vaginitis Causes: Bacteria that can turn into a virus Signs/Symptoms: painful urination; discharge Treatment: Antibiotics depending on cause Type: Hepatitis B Causes: Virus Signs/Symptoms: flu like symptoms; dark urine; yellowish skin, inflammation of optic nerve Treatment: No Cure

Type: Pubic Lice Causes: Parasite Signs/Symptoms: Intense itching in genital area Treatment: Medicated lotions & shampoo Type: Scabies Signs/Symptoms: Intense itching in genital area, under breast, armpits, between fingers

Penicillin Common antibiotic used to treat many bacterial STD’s