Transcript STD 101 Unlocking Good Health with Prevention and Control
STD 101
Unlocking Good Health with Prevention and Control
Miami-Dade STD Program Florida Department of Health
“ Early knowledge of STD infection is a critical component in preventing & controlling the spread of STDs, including HIV.”
Who Are We?
STD Program objectives:
Intervene in the spread of HIV and other sexually transmitted diseases
Reduce the complications brought on by sexually transmitted diseases
Protect the community from sexually transmitted disease related outbreaks
STD Clinic offers:
Four convenient sites
Routine voluntary HIV test with STD exam
Multilingual & culturally competent trained staff
Private Setting
Client Confidentiality
Community & Case Specific Screenings
Educational Presentations
STD Screening & Care
“Clients who are HIV-infected or at increased risk for HIV are at risk for other STDs and should receive or be referred for STD screening and treatment.”
Types of STD Clinical Services
Comprehensive Exam & Screening for common STDs Chlamydia Gonorrhea Syphilis Herpes BV Trichomoniasis Genital Warts
HIV Testing
Blood Orasure Rapid Test
Treatment available for common STDs Hepatitis A & B & C Testing Hepatitis A vaccination for eligible clients Hepatitis B vaccination available Pap Smear Testing Start-up Birth Control for STD Clients Pregnancy Testing for STD Clients
Disease Intervention & Prevention Services
General & Specific Patient Education & Counseling HIV Counseling & Testing in Field Setting Confidential Anonymous Risk & Harm Reduction Counseling HIV Post Test Counseling Negative Positive Indeterminate Disease Intervention Interviews Partner Counseling & Referral Services (PCRS) Community Awareness & Sexual Health Promotion Referrals Other STD Testing in Field Setting
How We Work?
STD Prevention & Control
At-A-Glance
Residents & Visitors Send Lab Report to STD
What’s A STD?
Sexually Transmitted Disease (STD)?
A sexually transmitted disease is a broad term that refers to as many as 20 different infections, all of them transmitted by sex. STDs are serious, sometimes painful and can cause a lot of damage in your body. Some STDs infect your reproductive and sexual organs. Others (HIV, hepatitis B, and syphilis) cause general body infections.
How are STDs spread?
Through the exchange of body fluids such as semen, vaginal fluid, and blood with someone who is infected.
Through vaginal, anal and oral sex.
STDs can be given by mothers to their babies You can get some STDs, such as herpes, by kissing and caressing or close contact with infected areas —not just intercourse.
Asymptomatic Vs Symptomatic disease
Asymptomatic
– Sometimes a person can have an STD with no signs or symptoms.
Symptomatic
– Other times, a person will have symptoms that go away on their own.
Either way, the person will still have the STD until he/she gets treated. A few STDs can not be cured. But most can be cured with treatment.
How common are STDs?
STDs are increasingly common in the United States today. That’s distressing news, because STDs are also easy to prevent.
STD FACT SHEET
According to CDC, each year An estimated
19 million
new infections occur, almost half of them among young people ages 15 to 24 Direct medical costs associated with STDs in the United States are estimated at up to
$14.1 billion
annually An estimated 2.8 million new cases of chlamydia occur in the United States Gonorrhea is the second most commonly reported infectious disease in the U.S. Like chlamydia, however, gonorrhea is substantially under-diagnosed and under-reported, and approximately twice as many new infections are estimated to occur each year as are reported.
Types of Organisms responsible for STDs
Bacteria
Viruses
Fungi
Protozoa
Metazoa
Bacteria
(including mycoplasmas and chlamydiae) Types of Bacteria that affects humans Spirilla-syphilis, yaws Cocci-gonorrhea, meningitis Bacilli-typhoid fever, tetanus Mycoplasmas-nongonococcal urethritis (NGU), pneumonia Chlamydia trachomatis-chlamydial urethritis, mucopurulent cervicitis (MPC)
Viruses A few of the significant viral STDs are
hepatitis B genital herpes condylomata acuminata (genital warts) acquired immunodeficiency syndrome (AIDS)
Fungi Fungi causes
Candidiasis Other vaginal yeast infections Lung diseases Ring worm
Protozoa Protozoa are responsible for
Trichomoniasis Malaria
Metazoa
Metazoa causes many diseases and infestations
Scabies Guinea worm infection Pediculosis pubis
Common STDs
Bacterial Vaginosis (BV) Chlamydia Gonorrhea Genital Warts Herpes (HSV types I and II) Hepatitis B (Hep B) Human Immunodeficiency Virus (HIV) Lice & Scabies Syphilis Trichomoniasis (Trich)
Chlamydia
Chlamydia is a sexually transmitted disease that is caused by the bacterium
Chlamydia trachomatis
.
Signs and Symptoms Pain and burning when urinating, discharge. 75% of women and 50% of men have no signs or symptoms. Diagnosis Lab exam of fluid from the infected area Treatable?
Yes Therapy Antibiotic pills that kill bacteria Result if Left Untreated Pelvic infections such as Pelvic Inflammatory Disease (PID).
Chlamydia
Chlamydia trachomatis in a Thin Prep PAP Test
Chlamydia
Chlamydia Trachomatis in a Thin Prep PAP Test Chlamydia urethritis, penile
Gonorrhea
Gonorrhea is a sexually transmitted disease that is caused by the bacterium
Neisseria gonorrhoeae
.
Signs and Symptoms Pain or burning when urinating, yellow discharge Diagnosis Lab exam of fluid from the infected area Treatable?
Yes Therapy Antibiotic pills that kill bacteria Results if Left Untreated Pelvic Infections, PID, and Sterility
Gonorrhea
Positive Gram Stain from Urethral Discharge
Studies suggest that the presence of gonorrhea infection makes an individual three to five times more likely to acquire HIV, if exposed
Gonoccocal Urethritis Gonoccocal Cervicitis
Gonorrhea
Bartholin’s abscess Bartholin’s abscess Gonococcal ophthalmia
Gonorrhea
Disseminated gonorrhea – skin lesion Disseminated gonorrhea – skin lesion
Genital Warts
Genital warts is a sexually transmitted disease that is caused by the virus
Human Papilloma.
Signs and Symptoms Bumpy warts on/near genitals Diagnosis Visual Treatable?
Yes (but can’t be cured) Therapy Burning or liquid removal of warts Result if Left Untreated May lead to some cancers
Genital Warts
Condyloma acuminata, vaginal wall
Genital Warts
Condyloma Acuminata Anal Meatus
Genital Warts
Condyloma Acuminata Vulva Meatus
Herpes
Herpes is a sexually transmitted disease caused by the
herpes simplex virus
(HSV). Signs and Symptoms HSV-type 1 (oral herpes) commonly causes fever blisters on the mouth or face HSV-type 2 (genital herpes) typically affects the genital area causing red bumps/blisters.
However, both viral types can cause either genital or oral infections
.
Diagnosis Lab exam of fluid from the sore Treatable?
Yes (but can’t be cured) Therapy Pills and ointment Results if Left Untreated Prolonged and more severe symptoms
Herpes
Primary Same Patient, 4 Days Later
Herpes
Primary Recurring
Herpes
Vulva Cervicitis
Lice and Scabies
Lice (Crabs) is a sexually transmitted diseases caused by the metazoa
Pediculosis Pubis Sarcoptes scabiei
. You get crabs by having sex, sharing clothes, bed sheets, or towels with someone who is infected. Scabies is a contagious skin disease caused by the metazoa , a very small mite. Signs and Symptoms Severe itching, rashes Diagnosis Visual Treatable?
Yes Therapy Over-the-counter or prescription lotion Results if Left Untreated Continuing symptoms
Lice
Female Crab Louse Lice in the pubic Area
Scabies
Scabies Mite Eczema Scabies
Syphilis
Syphilis has been called “the great imitator” because so many of the signs and symptoms are indistinguishable from those caused by other diseases.
Syphilis
Syphilis is a sexually transmitted disease caused by the bacterium
Treponema Pallidum.
Signs and Symptoms Chancre sore, rash, genital ulcers Diagnosis Lab exam of tissue, fluids/blood test Treatable?
Yes Therapy Penicillin shots to kill bacteria or antibiotic pills Results if Left Untreated Blindness, Heart disease, Brain damage
Syphilis
Stages: Primary Secondary Latent Late Latent Treponema Pallidum
Primary Stage
The most infectious stage of the disease.
Primary Syphilis
Chancres
Vaginal Penile
Primary Syphilis
Vaginal Anal Chin
Secondary Stage
Lesions of the mouth, throat, and cervix (mucous patches) frequently occur during this stage.
Secondary Syphilis
Papulo-pustular rash Condyloma Lata
Secondary Syphilis
Nickel and Dime Lesion Palmer Rash Alopecia
Latent Syphilis Late Syphilis The stage in which no clinical signs or symptoms are present to suggest infection and serologic tests for syphilis are reactive. An early latent stage of syphilis can appear between the primary and secondary stages; between secondary relapses; and after the secondary stage, continuing to the late latent stage, late syphilis, or cure.
Untreated late syphilis may present a wide range of signs and symptoms, varying from none which are apparent to those which indicate severe damage to one or more body systems. Late syphilis is classified as neurosyphilis, cardiovascular syphilis, and late benign syphilis .
Congenital syphilis
Through the 18 th week of gestation the Langhan’s cell layer of the early placenta may help in restricting the treponema from crossing the placenta to infect the fetus. Thus, pregnancy while the mother is in the primary or secondary stages of infection frequently terminate in a stillbirth, whereas pregnancy occurring during the later stages of syphilis may result in a clinical spectrum from a fulminating fatal congenital syphilis
Congenital Syphilis
IS
Preventable
Congenital Syphilis
Primary chancre of syphilis that appeared at the age of 4 wks
Congenital Syphilis
Perforation of Palate Mucous Patches
Congenital Syphilis
Hypertropic Skin Hemorraoic Snuffles
Syphilis
Congenital syphilis – Hutchinson’s teeth
The link between syphilis and HIV
While the health problems caused by the syphilis bacterium for adults and newborns are serious in their own right, it is now known that the genital sores caused by syphilis in adults also make it easier to transmit and acquire HIV infection sexually.
There is a 2- to 5- fold increased risk of acquiring HIV infection when syphilis is present. Areas of the U.A. that have the highest number rates of syphilis also have the fastest – growing HIV infection rates in women of childbearing age.
Why We Care?
Sexual Health Prevention Strategies:
Cancer Prevention
HIV Prevention through STD Intervention
Healthy Moms and Healthy Babies through Reproductive Health
Eliminating Health Disparities
Unlocking Good Health
Disease Prevention Messages Practice sexual abstinence, or limit sexual contact to one uninfected partner.
Limit the number is sexual partners, and do not go back and forth between partners Use latex condoms correctly every time you have sex. Condoms do not provide complete protection from all STDs. Sores and lesions of other STDs on infected men and women may be present in areas not covered by the condom, resulting in transmission of infection to another person.
Unlocking Good Health
Disease Prevention Messages Any genital symptoms such as discharge or burning during urination or unusual sore or rash should be a signal to stop having sex and to consult a health care provider immediately. If you are told you have syphilis, gonorrhea, or any other STD and receive treatment, you should notify all of your recent sex partners so that they can see a health care provider and be treated. This will reduce the risk that your partner(s) will develop serious complications from the disease and will reduce your own risk of becoming reinfected.
Unlocking Good Health
Disease Control Messages!!!
If you think you might have an STD, get checked out. Don’t just hope the STD will go away.
It won’t!
You must get treatment for the STD, even if it is a hard thing for you to do.
This is the only way you will get well.
Most STDs can be treated with antibiotics. Do exactly what you doctor tells you. Be sure to use all of your medicine.
If you do not use all of your medicine, the STD will not go away.
Medicine you buy off the streets will not get you well. In fact, it may only hide your symptoms.
You will still have the STD.
Unlocking Good Health
Disease Control Messages!!!
You must tell your sexual partner(s). If they aren’t treated, they can spread the STD.
They might even give it to you again!
The health department can arrange confidential partner counseling and referral services for you if you don’t feel comfortable telling your partner(s).
If you have any questions about STDs, services or clinic hours, please contact one of the four local STD clinics
Where Are We?
Miami-Dade County Health Department Sexually Transmitted Disease Clinics
Downtown STD Clinic
1350 NW 14 th St, Bldg. #4 Miami, Fl 33125 Mon-Fri 7:30am-3:00pm (305) 324-2422
Little Haiti Health Center
300 N.E. 80 th Terrace Miami, Fl 33137 Mon, Wed, & Fri 8am-3:00pm (305) 795-2100 www.dadehealth.org
www.dadehealth.org
English, Spanish, Creole English, Creole, Spanish Walk-in Walk-in 12 years old and above 12 years old and above Central Miami-Dade County North Miami-Dade County
West Perrine STD Clinic Miami Beach STD Clinic
18255 Homestead Avenue 615 Collins Ave.
Perrine, Fl 33157 Miami Beach, FL 33139 Mon-Thurs 8:00am-11:00am And 1:00pm-3:00pm Mon , Wed & Fri 8:00am-11:00am 1:00pm-4: 00pm (305) 256-6315 www.dadehealth.org
(305) 535-5540 www.dadehealth.org
English, Spanish English, Spanish, Creole Walk-in Walk-in 12 years old and above 12 years old and above South Miami-Dade County East Miami-Dade County
“April is STD Awareness Month”
“STD Awareness” STD Awareness : www.std-awareness.com
HPV Awareness : www.hpv-awareness.com
THANK YOU!
Need more information about STD Facts or reporting STDs to the county health department?
Contact the Miami-Dade STD Program @ (305) 325-3242