Experts debate whether kissing is to blame for gonorrhoea spread

Sydney Morning Herald, July 18, 2019 — 2.00am

The long-held position of sexual health experts is that gonorrhoea is transmitted by the penis, but an Australian researcher is studying the possibility the infection can be spread by kissing.

At the STI and HIV World Conference in Vancouver on Thursday, Professor Kit Fairley from Monash University will be arguing his case in a debate with Professor Emeritus H. Hunter Handsfield from the University of Washington.

A community perspective: On Human Papillomavirus (HPV)-related cancer among women and, trans and gender diverse people

Positive Life NSW & Femfatales, April 2019

Authors: Liz Sutherland, Lance Feeney, Katya Samodurov

Human papillomavirus (HPV) is a common virus which can be passed through skin to skin contact during sexual activity. Evidence to date shows that women living with HIV are 3 to 6 times more likely to develop cervical cancer than the general female population. They are also at greater risk of developing anal, vaginal, oropharyngeal and vulvar cancers.

There are other groups who may have a higher but preventable risk because they are often left out of the conversation about HPV and related cancers. Trans men are less likely to be up-todate with Pap tests to screen for cervical cancer. Furthermore, several studies have highlighted that trans and gender diverse people, and lesbian and bisexual cis-gendered women are often disregarded as not being at risk.

Positive Life and Femfatales developed a cross-sectional study to:

• Assess awareness and knowledge of HPV infection and risk for 4 HPV-related cancers (cervical, vaginal, vulvar, and anal) among women and, trans and gender diverse people in Australia;

• Assess the knowledge gaps to inform the development and implementation of population-specific educational resources to increase community and healthcare professional awareness of HPV and related cancers;

• Assist with the prevention of morbidity and mortality by increasing screening, early detection and treatment of HPV-related cancers, and;

• Assess rates of HPV vaccination in women and, trans and gender diverse people

KEY FINDINGS:

1. The results from this survey highlighted a lack of awareness of risk, prevention,
symptoms, and early detection of HPV-related vaginal, vulvar, and anal cancers.

2. Approximately 28% of HIV-positive respondents were unaware that a vaccination
against HPV exists and 71% of HIV-positive respondents had not been vaccinated
against HPV.

3. Over half (60%) of HIV-positive respondents believe their risk of anal cancer was either‘about the same’, ‘lower’, or ‘much lower’ than the general female population’s risk.

4. While all HIV-positive respondents had screened for cervical cancer at some point in
their lives, 91.7% had never had an anal examination for anal cancer.

5. Among HIV-positive and HIV-negative but immunocompromised respondents who had undergone staging or treatment for either cervical, vaginal, or vulvar cancer, none had ever screened for anal cancer.

6. Of the HIV-positive respondents who do not receive screening reminder notifications, none were aware of the new 3 yearly National Cervical Screening Guidelines and changes.

7. Qualitative responses indicated that respondents generally preferred having clinician-initiated conversations with female doctors or nurses who were non-judgemental, non-dismissive, clear, and made them feel comfortable.

8. In an open-ended short-answer question, more than 25% of qualitative respondents felt that more awareness and normalising talking about HPV in the public realm would help increase their chance of detecting HPV-related cancer early.

STI’S on the rise in SA – free campaign resources (SHINE SA media release)

SHINE SA, April 2, 2019

Sexually transmitted infection (STI) rates are on the rise in South Australia, with around 1 in 20 young people infected with chlamydia¹. Left untreated chlamydia can lead to infection of the reproductive systems and long term consequences. Having one STI also increases the risk of being infected with another. As such it’s important that young people in SA are encouraged to practise safer sex as well as getting a sexual health check.

In response to this rise in STIs, SHINE SA is excited to announce the launch of their Sexual Health Check campaign and related resources for use across South Australia. These resources can be used by organisations including universities, secondary schools, youth services, general practice and community health services.

The Sexual Health Check campaign aims to raise awareness of STIs as well as highlight how easy it is to get a sexual health check.
According to the most recent epidemiological report released by SA Health in 2017, STI and blood borne viruses (BBVs) have jumped 14% compared to the previous five years.

In 2017:

  • there were 8,181 new infections of STIs and BBVs, this is a 7% increase compared to 2016
  • 77% of infections were in people aged 15 to 29 years.

SHINE SA encourages young people to receive a sexual health check at a SHINE SA clinic, their local doctor or Aboriginal Health service. SHINE SA offers FREE sexual health checks as well as counselling to South Australians under the age of 30 with a Medicare Card.

Dr Amy Moten, SHINE SA’s Coordinator of Medical Education said:
“STIs are on the rise, so practicing safer sex and having regular testing is vital. Left untreated, serious infection may occur and lead to complications such as infertility, chronic pelvic pain and ectopic pregnancy. As most people don’t have any symptoms, lack of testing contributes to the continued spread of the disease”.

SHINE SA hopes other health and education organisations and media outlets can assist by promoting and sharing the Sexual Health Check campaign. By doing so we can help raise awareness of STIs in the community and encourage young people to access sexual heath checks.

  • The free campaign resources including a Sexual Health + STIs FAQ booklet, posters and social media tiles can be downloaded here
  • For further information contact Tracey Hutt, Director Workforce Education and Development, by email here 
  • Download this media release

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¹ http://www.sti.guidelines.org.au/populations-and-situations/young-people

 

 

STIs in remote Australia

ABC Health Report, Monday 18 March 2019 5:45 PM

Leading Aboriginal researcher Associate Professor James Ward* is calling for action in remote Australia to deal with a preventable epidemic of sexually transmissible infections — including syphilis — in a population that’s no more sexually active than non-Indigenous people of the same age.  

He joined Dr Norman Swan’s Health Report on ABC RN.

Later this month James will present to the National Rural Health Conference about addressing sexually transmitted infections in remote Australia.

*James Ward is Associate Professor, Flinders University; & Head of Infectious Diseases Research, Aboriginal Health, South Australian Health and Medical Research Institute. 

 

 

‘Building Workforce Capacity in Sexual Health’ Program: Country South Australia

SHINE SA, March 2019

With rising national rates of sexually transmitted infections (STIs), and in particular chlamydia, gonorrhoea and syphilis, it’s important that SHINE SA support those at the frontline of diagnosis and prevention – general practitioners. SHINE SA has recently been funded by Country SA PHN to deliver a program to support rural and regional health workers.

The Building Workforce Capacity in Sexual Health Program aims to help build capacity and skills around sexual health through education, personalised support and information.

Education and training will be offered in regional areas of South Australia and will focus on addressing the current syphilis outbreak and the ongoing chlamydia epidemic.

RAINING AND EDUCATION OPPORTUNITIES

Through this program SHINE SA will provide opportunities for information, resources, education and training. These opportunities can be both formal and informal depending on needs.

This will include:

  • evening education session/s (see below)
  • webinar and case presentations
  • personalised support including telephone advice
  • information for health practices located in the region
  • increasing access to formal certificate qualifications where relevant

SHINE SA is currently applying for RACGP QI/CPD points for the regional evening education sessions.

REGIONS

This program will reach the following regions:

  • Murray Mallee Region
  • Lower North
  • Mid North & Yorke Peninsula
  • Whyalla
  • Barossa

General practitioners, nurses and/or midwives, Aboriginal Health Practitioners and Aboriginal Health Workers in these regions are encouraged to express interest in receiving training from SHINE SA.

COST

FREE! There is no cost for education and training for those eligible.

TO PARTICIPATE

To express interest in this program please fill out the form here:
Expressions of Interest – Building Workforce Capacity in Sexual Health Program

You can also enrol in the free education sessions:

Sexually Transmitted Infections – Strategies For General Practice
These sessions will give an update of STIs focusing on the current syphilis outbreak and the ongoing chlamydia epidemic.

For any further questions please contact SHINE SA’s Program Lead: Edwina Jachimowicz via email 

COURSE DATES

Murray Bridge – Sexually Transmitted Infections – Strategies for General Practice

Date: 10 April 2019
Time: 6:15pm registration, 6:45 dinner served, 7:00pm-9:00pm
Location:  Adelaide Road Motor Lodge, 212 Adelaide Road, Murray Bridge SA 5253
Status: Open

ENROL NOW

Berri – Sexually Transmitted Infections – Strategies for General Practice

Date: 02 May 2019
Time: 6:15pm registration, 6:45 dinner served, 7:00pm-9:00pm
Location: Berri Hotel,Riverview Drive, Berri SA 5343
Status: Open

Expressions of Interest – Building Workforce Capacity in Sexual Health Program: Country South Australia

Date: 15 June 2019
Status: Open

EXPRESS INTEREST NOW

Update on multi-drug resistant shigella

SHINE SA, 7/3/2019

The shigella outbreak is continuing in South Australia. This is to advise clinicians to be on alert for a potential increase in shigella cases, and to highlight updated recommendations on treatment as released by the Communicable Disease Control Branch (CDCB).

The outbreak is predominantly in men who have sex with men (MSM) and there is a potential for further increase in numbers related to a larger outbreak in Victoria and NSW. We encourage you to be alert for clients who have recently traveled interstate.The CDCB is now recommending that patients with confirmed multi-drug resistant (MDR) shigella (or at risk of MDR shigella while awaiting sensitivities) be treated with five days of Ceftrixaone 1g IV, rather than 1 day (as recommended in the Public Health Alert issued in December 2018).