1. Sexually Transmitted Diseases Oak Schuetz Doak Covington Paige Mansfield

2. Healthy People 2020: STDs 1 GOAL IMPORTANCE: STD rates generally increasing Easily transmitted Cancer causing Life long problems

3. STD Objectives 1 and 2 1 STD-1:Reduce the proportion of adolescents and young adults with Chlamydia trachomatis infections STD-2: Reduce Chlamydia rates among females aged 15 to 44 years

4. STD-Chlamydia: Importance 2 Most common STD 70% are asymptomatic Incidence: 1,244,180 new cases in 2009 Prevalence: 2.8 million infections Decrease risky sexual behavior Learn to use condoms correctly and consistently People aren’t getting screened so it is increasing ◦ Leads to infertility

5. STD-Chlamydia: Review 3 http://www.youtube.com/watch?v=OSOM JtLqFbU http://www.youtube.com/watch?v=OSOM JtLqFbU

6. STD-Chlamydia: Nationally 4 “Better than the best” ◦ For Example:  Asian/Pacific Islander group had the “best” rate of 20 cases per 100,000 population “GYT” The Patient Protection and Affordable Care Act

7. STD-Chlamydia: Washington State 5 STD prevention counseling, testing, and referral services Partner Services Prevention for high-risk School-based STD Prevention

8. 1988, chlamydia screening and treatment activities were initiated in Washington through a federally-funded Infertility Prevention Project. STD-Chlamydia: Whatcom County 6

9. STD Objective 7.2 Objective 1 ◦ STD-7.2: Reduce sustained domestic transmission of primary and secondary syphilis among males Importance 7 ◦ Reemerging disease

10. STD-7.2 Syphilis: Review Contracting Syphilis 8 Primary Stage 8 Secondary Stage 8 Diagnosis 8 Treatment 8,9

11. STD-Syphilis: Nationally 13,500 cases in 2008 11 ◦ Mostly ages 20-29 13,970 reported primary or secondary infections for 2011 10 ◦ 12,453 primary and secondary infections in males for 2011

12. STD-Syphilis: Washington State 151 male cases in 2009 12 261 male cases in 2010 12 322 males in 2011 10

13. STD-Syphilis: Whatcom County 0 reported cases in 2009 and 2010 12 3 reported cases in 2011 13

14. STD-Syphilis: Amongst Males Higher rates ◦ Males accounted for majority of Local, State, Nation 10,12 ◦ “Not being tested each year” 14 ◦ New type of DNA test 14 ◦ Not enough funding 14

15. STD-Syphilis: Community Program in Los Angeles Partner notification 15 ◦ Community Based Clinic serving men ◦ Trained by local health department Results 15 ◦ 100% were notified in 2009 ◦ 67% were notified before program

16. STD Objective 9 Reduce the proportion of females with human papillomavirus (HPV) infection 1 Importance: ◦ Can lead to different cancers 16,17 ◦ Painful warts 18 ◦ Transmission to infants 18 19

17. STD-9 HPV: Review 20 Double stranded DNA Virus Confined to the epithelium Immune responses not always detected 120 types ◦ 40 mucosal/genital  High risk (types 16 &18)  Low risk (types 6 &11) ◦ 80 cutaneous

18. STD-9 HPV: Nationally 20

19. STD-9 HPV: Nationally CDC Preteen and Teen Vaccination Communication Campaign 21 ◦ Goal Screening Guidelines (2012) 20 ◦ 21-29 years: pap every 3 years ◦ 30-65 years:  Cotesting (HPV & pap) every 5 years  Or pap alone every 3 years

20. STD-9 HPV: Nationally 20 FDA licensed HPV vaccines & Recommendations Quadrivalent (Gardasil) ◦ Types 6, 11, 16, & 18 Bivalent (Cervarix) ◦ Types 16 & 18 Females age 11 or 12, also age 13 to 26 ◦ 3 doses (quadri- or bi- valent) Males age 11 or 12, also age 13 to 21 ◦ 3 doses (quadrivalent) Gay, bisexual, & MSM ◦ Receive vaccine through 26 yrs Vaccines:Recommendations:

21. STD-9 HPV: Washington State 20

22. STD-9 HPV: Washington State “common” but not “reportable to the health department” Treatment Guidelines ◦ Recommended rx ◦ Dose/route ◦ Alternatives Multiple STIs ◦ If left untreated ◦ WA state stats  Cases and rates HPV not mentioned Sexually Transmitted Infections Annual Report (2010) 22 Sexually Transmitted Fast Facts 2011 23

23. STD-9 HPV: Whatcom County Focus Report on Communicable Diseases 24 ◦ “…important but non-reportable STD…” Fact Sheet 18 ◦ HPV introduction ◦ Symptoms ◦ Transmission ◦ How to avoid infection ◦ Phone number to contact

24. STD-9 HPV: Whatcom County 25 Free Cancer Screenings ◦ April 2012 ◦ St Joseph Hospital ◦ Oral, Neck and Head Cancers ◦ “…partly due to increase in Humanpapilloma Virus.”

25. STD-9 HPV: Whatcom County Planned Parenthood 26 ◦ ASK  Train to expand knowledge of sexual health  Plan community activities  Resource for peers WCPC 27 ◦ Relate  Healthy Relationships  Education on & Prevention of STDs