1. Sexually Transmitted Diseases
STD’s
Sexually Transmitted Diseases

2. What does it mean to be asymptomatic?
Do you remember what the biggest difference is between Bacterial infections and Viral infections?
Bacterial infections can be treated with antibiotics. If treated early enough, there will be no long term effects.
Viral infections can not be treated with antibiotics. Once they are in your system, they are not going away. Any medication taken is for the symptoms only. The virus will still be there.
What does it mean to be asymptomatic?
It means there may not be any symptoms, but it can still be spread from person to person.

3. Anytime you see this picture, there is a very graphic slide with CDC photos coming up on the next slide!

4. You can still have the STD and spread it even if
REMEMBER…
You can still have the STD and spread it even if
NO SYMPTOMS
APPEAR!

5. You can still have the STD and spread it even if
NO SYMPTOMS APPEAR!

6. Chlamydia in Travis County
Chlamydia is the most frequently reported bacterial STD in the United States with more than one million cases reported to CDC in 2010.
Chlamydia is known as a "silent" disease because the majority of infected people have no symptoms. If untreated, chlamydia infections can progress to serious reproductive and other
health problems with both short-term and long-term consequences.
Travis County recorded 5,902 new cases of chlamydia in 2010.
In 2010, the majority of reported chlamydia cases (82%) were diagnosed among people 15 to 34 years old. 71% were females.
Blacks and Hispanics had the highest rates of chlamydia over the past decade in Travis County.

7. Gonorrhea in Travis County
Gonorrhea is the second most commonly reported disease in the United States.
Travis County reported 1,452 new cases of gonorrhea in 2010.
Gonorrhea is most frequently reported among males.
Blacks have consistently had the highest rates of gonorrhea over the past decade in Travis County.
In 2010, the majority of reported gonorrhea cases (74%) were diagnosed among people 15 to 29 years old; 83% among people aged 15 to 34.

8. Healthy Cervix In order to know
what an unhealthy cervix looks like, we need to know what a healthy one looks like.

9. Healthy Cervix

10. Chlamydia in Women Not all cases of CHLAMYDIA will look like this!
You can still have the STD even if NO SYMPTOMS APPEAR!

11. (Cervix)

12. Chlamydia in Men Not all cases of CHLAMYDIA will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

13. (Penis)

14. Gonorrhea in Women Not all cases of GONORRHEA will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

15. (Cervix)

16. Gonorrhea in Men Not all cases of GONORRHEA will look like this!
You can still have the STD even if NO SYMPTOMS APPEAR!

17. (Penis)

18. You can still have the STD and spread it even if
NO SYMPTOMS APPEAR!

19. Trichomonas in Women Not all cases of TRICHOMONAS will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

20. (Cervix)

21. Trichomonas Not all cases of TRICHOMONAS will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

22. (Back of Mouth)

23. You can still have the STD and spread it even if
(1st stage)
(2nd stage)
(1st stage)
(2nd stage)
You can still have the STD and spread it even if
NO SYMPTOMS APPEAR!

24. Syphilis in Travis County
Syphilis has often been called "the great imitator" because so many of the signs and symptoms are indistinguishable from those of other diseases.
Syphilis can be treated at any stage of the disease, but if left untreated can be fatal.
Travis County reported 83 new cases of primary and secondary syphilis in 2010.
Primary and secondary syphilis is most frequently reported among males. In 2010, 86% of reported cases were male.
Since 2003, there have been marked increases in the syphilis rates in the Black population.
At the beginning of the decade, cases were most frequently seen in year olds. In 2010, that remained true, however there have been increases in every age group over 14 years old.

25. Syphilis Rashes and Sores
Not all cases of SYPHILIS will look
like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

26. Syphilis
Sores
Syphilis
Rash

27. Syphilis in Men Not all cases of SYPHILIS will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

28. Syphilis
(Penis)
(Outside of the Vagina)

29. You can still have the STD and spread it even if
NO SYMPTOMS APPEAR!

30. Oral Herpes Not all cases of HERPES will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

31. Herpes Simplex 1 (Oral)

32. Genital Herpes Not all cases of HERPES will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

33. Herpes Simplex 2 (Genital)
(Penis)
(Outside of the Vagina)

34. You can still have the STD and spread it even if
NO SYMPTOMS APPEAR!

35. You can still have the STD even if
HPV Warts in Men
Not all cases of
HPV will look
like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

36. (Penis)
HPV

37. You can still have the STD even if
HPV Warts in Women
Not all cases of
HPV will look
like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

38. (Outside of Vagina)

39. You can still have the STD even if
ANAL WARTS
Not all cases of
HPV will look
like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

40. (Anal Warts)

41. You can still have the STD even if
Cervical Cancer
Not all cases of
Cervical Cancer
will look like this!
You can still have the STD even if
NO SYMPTOMS APPEAR!

42. Not all types of HPV cause Cervical Cancer!

43. You can still have the STD and spread it even if
NO SYMPTOMS APPEAR!

44. HIV in Travis County
In 2010, Travis County reported 197 new diagnosis of HIV.
In 2010 males accounted for 86% of the total HIV cases.
In 2010 in Travis County, Whites/Other made up 48% while
Blacks comprised 24% and Hispanics comprised 28% of new HIV diagnoses.
Although the majority of reported HIV cases each year are Whites/Other, over time the highest rate of cases are among Blacks.
By age group, HIV diagnoses peak in persons under 30 years old.

45. AIDS in Travis County
In 2010, Travis County reported 87 newly diagnosed cases of AIDS.
85% of the newly diagnosed AIDS cases were male.
43% were Whites/Other.
In 2010, the rate of AIDS cases among males was over five times
higher than the rate of AIDS cases among females.
In 2010, the rate of AIDS cases among Blacks was four times higher than the rate of AIDS cases among Whites/Other and almost three times higher than the rate of AIDS cases among Hispanics.
By age group, AIDS diagnosis peaks in persons in their 30s. It is likely that the people being diagnosed with AIDS in their 30s were actually infected during their 20s.

46. AIDS Opportunistic Infections Acquired Immune Deficiency Syndrome
infections or illnesses that take advantage of a weakened immune system
Opportunistic
Infections

47. Helper T cells ~ white blood cells that activate the immune response when a pathogen enters the body.
Healthy people carry about 500 – 1500 helper T cells in about 20 drops of blood
The HIV virus attaches itself to the helper T cells forcing the T cells to make copies of the HIV. This is called replication.
When a person’s white blood cell count gets below 200 per milliliter of blood, they are said to have AIDS.

48. BLOOD Vaginal Fluid semen Breast milk
Fluids that transmit
the HIV virus:
BLOOD
Vaginal Fluid
semen
Breast milk

49. How is HIV
transmitted?

50. Sexual activity with an infected person
ABSTINENCE is the only 100% effective way to prevent HIV infection through sexual transmission.

51. with an infected person
Sharing
needles
with an infected person

52. injecting drugs or steroids
sharing drug equipment or drug solutions
sharing objects used for piercing or tattooing
blood transfusion

53. Infected mother to her infant before or during the birth process or
breast feeding

54. Testing for HIV: HIV antibodies may be found within
6 – 12 weeks after infected with HIV.
In rare cases up to 6 months, for these tests to be accurate.

55. When should you get tested for HIV?
2 tests given to test for HIV are:
Elisa
Test
Western
Blot Test
When should you get tested for HIV?

56. However…

57. process allowing people with HIV to live longer,
Even though there is
no cure,
ARV drugs can slow
down the replication
process allowing people
with HIV to live longer,
healthier lives than those
who are infected with
HIV who are not taking ARV drugs.
Video on picture

58. It VERY important to remember that people infected with HIV who are on ARV drugs can STILL TRANSMIT HIV to others!