Female genital mutilation in children presenting to Australian paediatricians

Arch Dis Child doi:10.1136/archdischild-2016-311540

Abstract

Objective The WHO reports that female genital mutilation/cutting (FGM/C) is an ancient cultural practice prevalent in many countries. FGM/C has been reported among women resident in Australia. Our paper provides the first description of FGM/C in Australian children.

Design Cross-sectional survey conducted in April–June 2014.

Setting Paediatricians and other child health specialists recruited through the Australian Paediatric Surveillance Unit were asked to report children aged <18 years with FGM/C seen in the last 5 years, and to provide data for demographics, FGM/C type, complications and referral for each case.

Participants Of 1311 eligible paediatricians/child health specialists, 1003 (76.5%) responded.

Results Twenty-three (2.3%) respondents had seen 59 children with FGM/C and provided detailed data for 31. Most (89.7%) were identified during refugee screening and were born in Africa. Three (10.3%) were born in Australia: two had FGM/C in Australia and one in Indonesia. All parents were born overseas, mainly Africa (98.1%). Ten children had WHO FGM/C type I, five type II, five type III and six type IV. Complications in eight children included recurrent genitourinary infections, menstrual, sexual, fertility and psychological problems. Nineteen children (82.6%) were referred to obstetrics/gynaecology: 16 (69.9%) to social work and 13 (56.5%) to child protection.

Conclusions This study confirms that FGM/C is seen in paediatric clinical practice within Australia. Paediatricians need cultural awareness, education and resources to help them identify children with FGM/C and/or at risk of FGM/C, to enable appropriate referral and counselling of children, families and communities to assist in the prevention of this practice.

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VAC announces $100,000 for PREPX trial [for HIV prevention]

Gay News Network, Wednesday 18 January 2017

The Victorian AIDS Council has announced it will give an additional $100,000 to the PrEPX trial to fund access to pre-exposure prophylaxis for HIV (PrEP) for 600 Victorians at risk.

VAC’s announcement comes months after PrEPX reached capacity for men living in
metropolitan Melbourne. The VAC said there is already a substantial waiting list for those wishing to access PrEP as part of the trial.

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What’s the point of sex? It frames gender expression and identity – or does it?

The Conversation, January 18, 2017 6.05am AEDT

The act of penetrative sex has evolved over millions of years as a mechanism to deliver sperm to eggs and initiate pregnancy. But there’s more to sex than just the meeting of two sets of genes. The ‘What’s the point of sex?’ series examines biological, physical and social aspects of sex and gender.

[This] piece looks at sexual identity and gender, and how these are expressed in a social context.

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Respectful and Inclusive Work Practices (LGBTI Communities and Sex Workers): Workshop

SIN and SHIne SA, Jnaury 2017

Respectful and Inclusive Work Practices (LGBTI Communities and Sex Workers): Workshop for Health and Community Workers, GPs, Nurses and Midwives

LGBTI Communities: 

This workshop aims to provide health workers with the knowledge and skills to incorporate into their practice a culture of safety and respect for Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) staff, clients or other stakeholders.
Implementing such an approach benefits the practitioner, the client and organisations as a whole by creating a culture that values and upholds diversity of all kinds.

Sex Worker Sensitivity Training:

It is estimated that 1 in 64 South Australian women will engage in sex work at some point in their life. Sex Industry Network (SIN) is a South Australian peer organisation, offering support services to local sex workers. Come along and be educated by the experts around all aspects of sex work, and how to engage respectfully with sex workers, in order to provide the best possible services to this marginalised group of people.

When
Friday 10 February 2017
10.00 am – 4.00 pm
Where
SHine SA
64c Woodville Road, Woodville
Cost
$150 (Student concession $110)
Includes lunch & refreshments

Enquiries
Email: shinesacoursesATshinesa.org.au

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Nearly two-thirds of European HIV cases are now in Russia

aidsmap, 09 January 2017

The annual number of new cases of HIV increased by at least 8% in 2015 in the European region, and by 60% in the last decade. A continued increase in new diagnoses in Russia was responsible for most of the increase.

In 2015, 64% of European-region new cases were in Russia.

The UK still reported by far the largest number of new cases of HIV of any country in western Europe.

Read more here 

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