1. IT’S NOT WHO YOU ARE…. IT’S WHAT YOU DO

2. Take the following survey, print it out and turn it in with your portfolio. Lesson 9-STDSurvey ASSIGNMENT #9.1

3. Sexually Transmitted Infections: (also known as STD—Sexually Transmitted Disease) Are very common Spread person to person during sexual contact Skin-to-skin contact Vaginal, oral, and anal routes Can be serious May not cause symptoms

5. 2009 Public Health Dept. phone survey: 15-24 year olds 2/3 of 15-24 year olds sexually active Average age for initial sexual encounter is 15 years Average # of sexual partners: 8 Teens with 5 or more partners: ↑ use of alcohol and/or drugs during sex #1 reason to engage in sexual activity: Peer pressure or want to be like friends Spokane rates higher in STIs than Washington State

6. Can only be spread through sexual intercourse… –Herpes, genital warts You can’t get a STI if you have anal or oral sex… –Bacteria and virus can enter body through cuts or tears in mouth or anus Can only pass the infection if you have symptoms… –3 out of 4 infected with Chlamydia have no symptoms If you have a cold sore and have oral sex, you can’t get genital herpes… –Herpes 1 and 2 can “locate” anywhere in the body

7. STIs happen only with multiple partners… –You can get a STI from your first sexual encounter STIs can be cleared up with antibiotics… –Some STIs stay with you for your lifetime Once symptoms of a STI go away, you’re cured… –STIs can last for months or years without symptoms Once infected, you can’t get another STI or the same one again… –Re-infections occur and in combination with others

8. Number 1 reported sexually transmitted infection in 15-24 year olds?

11. AIDS (Acquire Immune Deficiency Syndrome) –Caused by Human Immunodeficiency Virus –Every hour 4 Americans are infected with HIV Present in blood, semen, and vaginal fluids Spread through anal, oral, vaginal sex; sharing needles for drugs Gets into blood through tiny breaks in the skin An infected mother can pass it to baby People can be infected and don’t know it –still look fine

12. One out of 5 teens and adults are infected Many people don’t know they are infected until they break out with a sore Spread through the open sores the virus causes, but can spread through skin without sores HSV-1 more commonly causes cold sores on mouth HSV-2 more commonly caused by “genital” virus HSV-1 infection in the genitals can be caused by oral-genital or genital-genital contact. Symptoms: painful sore that looks like a blister, flu- like symptoms, fever, swollen glands

13. Spread through genital contact—mostly vaginal and anal Approximately130 types of HPV –“Low risk”-can cause genital warts in men and women –“High risk”-can cause cervical cancer Body’s immune system usually clears HPV within 2 years Warts: cause small bumps, usually in genital area –Raised, flat, single, multiple, cauliflower shaped –Will not cause cervical cancer Cervical dysplasia (cell changes occur on the cervix) –Detected through pelvic exam and cervical smear Vaccination (Gardasil) available for females starting at age 11 years of age

14. Reasons given for never being tested for STI on Spokane survey : #1: Don’t think you are at risk #2: Has a steady partner #3: Don’t want to be tested #4: Never felt the need #5: Don’t have symptoms

15. If sexually active, have a yearly examination by your doctor or healthcare provider Be open and honest with your doctor or healthcare provider Be open and honest with your partner/s Urine, genital swab, or blood tests available to detect STIs Washington State Law (RCW 70.24.110): “Minor age 14 and older may seek care for STIs; diagnostic and treatment information is confidential in this instance.” Testing available through Planned Parenthood or your doctor.

16. Treatment depends on type of STI –Antibiotics to cure bacterial infections –Anti-virus medications to treat, not cure viruses –Vaccine for HPV and Hepatitis B Responsible Sexual Behavior is best prevention

17. 100% effective method:

18. Protect yourself, Protect others Monogamy—only have one partner If you have an STI, What are your choices? do not have sex use a condom be honest with your partner Talk to your partner—especially if a new partner Ask questions of your partner –Present or Past IV Drug user –Have they had multiple partners –Do they have a STI

19. 1.The greater the number of sex partners, the more likely you will have a STI? (True/False) 2.STIs discriminate-only certain people are vulnerable (True/False) 3.STIs can cause serious lifelong health problems or sterility (True/False) 4.You should only use a condom if you are having sex with someone you do not know well (True/False) 5.Both and/or all partners have to be treated if an infection is diagnosed in someone whom you have had sex with? (True/False) 6.If you suspect an STI/STD, you should not worry about it or tell anyone? (True/False) 7.If you do not have symptoms of an STI/STD there is no need to worry if you have participated in risky sexual behavior? (True/False) 8. Having a STI/STD will not affect your body over the long run; live it up and worry about the consequences later. (True/False) Journal Entry #9.1 Journal Entry #9.1 Answer the following questions.

20. Sexually transmitted infection hotline: 1-800-27-8922 Planned Parenthood Spokane clinics: 509-326-2142 123 E. Indiana Ave. Suite 100 1925 E. Francis 10525 E. Trent Or, ask your doctor or healthcare provider about STI testing and treatment

21. Student Activity You will create a poster board to promote safe sex practices/activity or STI/STD prevention. You may use the following for your poster:  Abstinence  Condoms  Monogamy  Do Not share needles  Alcohol abuse  Bisexual activities  Promiscuity The poster must be colorful, portray the meaning without confusion and laminated before you turn it in. ASSIGNMENT #9.2

22. Student Activity Examine the following two-(2) charts and write a narrative about each and the information that you get from the data. The narrative should be no less than one-(1) page in length, double spaced, 12 font, Times New Roman This assignment will be the last entry into your health journal or portfolio. Do a good job and think about what you want to say. Journal Entry #9.2

23. Student Activity

24. Click on the chart to see a larger version.