6HIV PrevalenceAbout 1.3 Million people in the US have HIV and only 75% of them know it.It is seen in all classes, races, and genders.
7HIV Prevalence in Montana Total new casesdiagnosed in 2012 = 19diagnosed in 2011 = 22diagnosed in 2009 = 32Living adult HIV cases = 154Living adult AIDS cases = 272Pediatric HIV/AIDS cases = 2Total Living Cases = 428
8HIV Symptoms HIV does not have a set of symptoms Symptoms could be flu like, muscle aches, rash, or nothing at all.
9HIV TransmissionBodily fluids containing HIV include blood, semen, vaginal fluid, and breast milk.Vaginal, Anal and Oral sex, needle sharing, exposure to infected blood.HIV cannot be spread via casual contact, including kissing, using the same eating utensils, hugging, etc.
10HIV Testing HIV test takes 20 minutes and is confidential Requires a finger stick, not a blood draw, or Oral Fluid.You can get a free HIV test at:RiverStone ClinicYellowstone AIDS ProjectPlanned Parenthood
18What is a Sexually Transmitted Disease/Infection? STD’s same as STI’sWhat is a Sexually Transmitted Disease/Infection?
19Viral HIV = No Cure Bacterial Chlamydia Parasitic Hep B = No Cure if Chronic Carrier,vaccine is availableHPV = No Cure, vaccine is availableHerpes = No cureHep CBacterialChlamydiaSyphillisGonorrheaParasitic
20According to Data from Montana Department of Health and Human Services For January to June 20101,499 cases of Chlamydiawere reported in Montana.1066 were female431 were male859 were female from 14-24282 were males from 14-24
21According to the same data source, 58 cases of Gonorrhea were reported.32 were female, 22 < 24 years old26 were male, 11 < 24 years oldOnly 2 cases of Syphillis had been reported.There are still 6 months worth of DataTo be reported for this year.
22Chlamydia SymptomsIt is known as the silent disease because about 75% of infected women and 50% of infected men have no symptoms.
23Chlamydial Cervicitis Normal cervixChlamydial Cervicitis
24Chlamydia Treatment Is treated with Antibiotics If left untreated in women, damage can lead to chronic pelvic pain, infertility, and potentially fetal ectopic pregnancy.
25Gonorrhea symptoms Burning when urinating White, yellow, or green discharge from vagina or penisSwollen testiclesBleeding in between periodsCan take 30 days for symptoms to appear
2670% of people with gonorrhea and/or chlamydia don’t have symptoms. Optical infectionDischarge
28HPV Transmission HPV is transmitted sexually. A vaccine exist to prevent the ‘4 undesirable genotypes of HPV.’Gardasil $165 per shot at RiverStone.If you are between 13 and 18 you can get the shot for $20.
35Genital Herpes Transmission Skin to skinDoes NOT require sexual intercourse to spread.Herpes simplex 1 & 2 are interchangeable
36How is syphilis transmitted? Syphilis is transmitted via touching a syphilis sore.Transmission occurs during vaginal, anal and oral sex.Syphilis cannot be spread through casual contact with a toilet seat, door knob, swimming pool, shared clothing and eating utensils.
37Signs and SymptomsPrimary – single sore or chancre, usually in about 21 days. The sore lasts about 3-6 weeks.The foundation for successful internal brand development is assimilating it into the cultureAs employee support for change increases, the intensity and the difficulty of activities intended to drive change also increases
38Secondary and Tertiary Syphilis Skin rash and mucous membraneThe disease can remain latent for years and can eventually damage internal organs, including the brain, nerves, eyes, heart, blood vessels, liver, bones and joints.
43CrabsPubic lice are parasitic insectsarms, legs, armpits, eyebrows, and eyelashes.More than 3 million cases occurring in the United States every year.
44Modes of Transmission: If your sexual partner is infested with pubic crabs, you have a 95% chance of becoming infected yourself.Crabs can only live for 48 hours without human blood.
45Symptoms:Itching and irritationBluish spots where the crabs have been feedingDark spots (crab feces) indicate a definite infestationNits (eggs) close to the bottom of the pubic hair shaft
46Treatment:Genital crabs can be treated with prescription lotions or shampoos as well as over-the-counter remedies.
47STDS can affect these areas: Conjunctiva (eye)MouthThroatWe have seen all three of these in Billings in the past month.
48What we do…We talk to people infected with the aforementioned STDs to get their sexual contacts’ information.Re-infection is a big concern because it is so common.We are legally obligated to notify partners ANONYMOUSLY.No names or time frames are used in this process.
49When I have sex, I am also sleeping with? 5 other people10 other people15 other peopleMore than I thought!
53What is Hepatitis?HEPA means liveritis means inflamed
54The ABC’s of HepatitisWhere is the liver and what does it do?
55Hepatitis A Fecal-Oral transmission Contaminated, uncooked food Immunizations available
56Hepatitis B Sexually transmitted Blood, semen, and vaginal fluid Immunization available
57Hepatitis CNeedle sharing, even using the same water, cotton, or spoon.Rarely sexually transmitted (3-6% in monogamous relationships).Only blood carries Hep CStays alive for 3 weeks outside the bodyDon’t share personal items with ANYONE!!