Produced by Rainbow Health Victoria for the LGBTIQ Family Violence Prevention Project 2019–202, launched 30 Jun 2020
Authors: Marina Carman, Jackson Fairchild, Matthew Parsons, Claire Farrugia, Jennifer Power and Adam Bourne.
The Pride in Prevention Evidence Guide is now available to download.
This project forges new ground in the primary prevention of family violence experienced by LGBTIQ communities, seeking to address critical evidence gaps, strengthen understanding of the drivers of violence, and build expertise for both LGBTIQ organisations and family violence primary prevention organisations to effectively deliver evidence-based programs.
The Medical Board of Australia is encouraging practitioners and students to review the new Guidelines for registered health practitioners and students in relation to blood-borne viruses before they take effect on 6 July 2020.
The Board’s guidelines are for practitioners and students who perform exposure-prone procedures and registered health practitioners who are treating registered health practitioners or students living with a blood-borne virus who perform exposure-prone procedures.
Li D, Jin M, Bao P, Zhao W, Zhang S. Clinical Characteristics and Results of Semen Tests Among Men With Coronavirus Disease 2019. JAMA Network Open. 2020;3(5):e208292. doi:10.1001/jamanetworkopen.2020.8292
May 7, 2020
In this cohort study, we found that SARS-CoV-2 can be present in the semen of patients with COVID-19, and SARS-CoV-2 may still be detected in the semen of recovering patients. Owing to the imperfect blood-testes/deferens/epididymis barriers, SARS-CoV-2 might be seeded to the male reproductive tract, especially in the presence of systemic local inflammation. Even if the virus cannot replicate in the male reproductive system, it may persist, possibly resulting from the privileged immunity of testes. So far, researchers have found 27 viruses associated with viremia in human semen. But the presence of viruses in semen may be more common than currently understood, and traditional non–sexually transmitted viruses should not be assumed to be totally absent in genital secretions.5,6 Studies on viral detection and semen persistence are beneficial to clinical practice and public health, especially concerning viruses that could cause high mortality or morbidity, such as SARS-CoV-2.
This study is limited by the small sample size and the short subsequent follow-up. Therefore, further studies are required with respect to the detailed information about virus shedding, survival time, and concentration in semen.
If it could be proved that SARS-CoV-2 can be transmitted sexually in future studies, sexual transmission might be a critical part of the prevention of transmission, especially considering the fact that SARS-CoV-2 was detected in the semen of recovering patients.
SHINE SA will now temporarily provide a full 28-day supply of Post-exposure Prophylaxis (PEP) medication in place of the usual five-day starter pack. This measure has been put in place with the assistance of SA Health to help limit movement during the COVID-19 pandemic.
Prior to the pandemic, clients received a five-day HIV PEP starter pack and then the remaining medication after a follow-up appointment. Clients can now call SHINE SA for a telehealth appointment where our team will guide clients through the process including supply of the medications and blood tests. Follow-up care arrangements will remain in place.
What is PEP?
PEP is a four week long course of medication taken to reduce the risk of HIV infection. It needs to be initiated within 72 hours of possible contact with HIV in order to help prevent the chance of infection. Exposure can occur through unprotected sex or the sharing of needles and other injection equipment.
It’s important that PEP is accessed as soon as possible after you think you may been exposed to HIV. If you are outside of the time-frame you can still contact your local GP or SHINE SA for further assistance.
What are the most common reasons for needing PEP?
Sex without a condom or sex where a condom broke or slipped off, with a person who has, or might have, HIV.
Sharing needles or syringes with a person who has, or might have, HIV.
How can I find out more?
The PEP Hotline is available 24 hours a day on 1800 022 026. The Registered Nurse on the PEP hotline will help assess your needs and indicate where to access PEP near you.
To speak to SHINE SA about accessing PEP call 8300 5300.
To learn more about PEP you can visit the SAMESH website or call 7099 5300.