Category Archives: Health Alerts

COVID 19 Impact: Cases of Gonorrhea, syphilis, and Congenital Syphilis Surpass 2019 Levels

From medical.net

Reported cases of sexually transmitted diseases (STDs) in the United States decreased during the early months of the COVID-19 pandemic in 2020, but most resurged by the end of that year. Ultimately, reported cases of gonorrhea, syphilis, and congenital syphilis surpassed 2019 levels, while chlamydia declined, according to new data published today by the Centers for Disease Control and Prevention (CDC). The data provide the clearest picture yet of COVID-19’s impact on the U.S. STD epidemic.

The newly released 2020 STD Surveillance Report found that at the end of 2020:

  • Reported cases of gonorrhea and primary & secondary (P&S) syphilis were up 10% and 7%, respectively, compared to 2019.
  • Syphilis among newborns (i.e., congenital syphilis) also increased, with reported cases up nearly 15% from 2019, and 235% from 2016. Early data indicate primary and secondary syphilis and congenital syphilis cases continued to increase in 2021 as well.
  • Reported cases of chlamydia declined 13% from 2019.

Chlamydia historically accounts for the largest proportion of reported STDs in the United States. The decline in reported chlamydia cases is likely due to decreased STD screening and underdiagnosis during the pandemic, rather than a reduction in new infections. This also contributed to an overall decrease in the number of reported STDs in 2020 (from 2.5 million reported cases in 2019 to 2.4 million in 2020).

Read the full article.

S.T.I.s Are on the Rise, Still

From the New York Times

Rates of many sexually transmitted infections continued to climb during the first year of the pandemic, the Centers for Disease Control and Prevention said in a statement posted to its website on Tuesday. While overall there were 2.4 million infections recorded in 2020, down from a record high of 2.6 million in 2019, diagnosed cases of certain sexually transmitted diseases surged.

Cases of congenital syphilis, which occurs in newborns who contract the disease from their mothers, reached the highest numbers in 26 years, rising by 235 percent since 2016. Rates of primary and secondary syphilis rose by 7 percent from 2019 to 2020; gonorrhea cases rose by 10 percent in the same time period.

Read the full article on the New York Times Website.

Highest rates of syphilis infection in 30 years says PA Health Department

The Pennsylvania Department of Health recently reported that during 2021, the state (outside of Philadelphia) experienced a 28% increase in early syphilis—going from 1,105 cases reported in 2020 to 1,418 cases reported in 2021. The latest numbers are the highest infection rates of early syphilis cases in more than 30 years.

Of the early syphilis cases reported in women, 90% were of child-bearing age—which presents a unique danger of congenital syphilis, where the infection can be passed on from mother to child during pregnancy.

As a result, health officials are strongly encouraging all sexually active men and women to get tested.

Syphilis is a sexually transmitted infection (STI) that can be spread through vaginal, oral or anal sex. Syphilis can also be spread during pregnancy to the unborn child, and by sharing intravenous needles. Syphilis is easily cured if caught in the early stages of infection but, because symptoms can be mild, it’s possible to have it and not know. Testing is the only way to verify infection.

Ask  your doctor about getting tested for syphilis. If you don’t have a doctor or prefer a nearby confidential clinic, enter your zip code at https://gettested.cdc.gov/ (to refine your search, select “syphilis testing” under “filter results”). Most testing clinics are free.

To find out more about syphilis, you can go to the CDC information page at https://www.cdc.gov/std/syphilis/default.htm.

 

 

 

Erie County Department of Health: Historic increase in new Syphilis infections

Erie County Department of Health is reporting a record-breaking increase in new Syphilis infections in the county — 41 cases in 2021. That’s an increase of 310% from the previous year. Most new infections were among people under the age of 30. Men accounted for 78% of the new infections and 22% were women. As a result, health officials are strongly encouraging all sexually active county residents to get tested.

Erie County Health Department building
Erie County Health Department (https://eriecountypa.gov/departments/health/)

Syphilis is a sexually transmitted infection (STI) that can be spread through vaginal, oral or anal sex. Syphilis can also be spread during pregnancy to the unborn child, and by sharing intravenous needles. Syphilis is easily cured if caught in the early stages of infection but, because symptoms can be mild, it’s possible to have it and not know. Testing is the only way to verify infection.

To find out where you can get free testing, enter your zip code at https://gettested.cdc.gov/ (under Filter Results, select “syphilis testing”). To find out more about syphilis, you can go to the CDC information page at https://www.cdc.gov/std/syphilis/default.htm.

Today is National Black HIV/AIDS Awareness Day

From POZ Magazine online…

Black woman and man standing together
“Let’s Stop HIV Together” campaign that promotes NBHAAD at https://www.cdc.gov/stophivtogether/index.html

Monday, February 7, marks National Black HIV/AIDS Awareness Day (NBHAAD) 2022. By numerous measures, Black Americans are disproportionately affected by the HIV epidemic. NBHAAD highlights related challenges while raising awareness about prevention, testing, treatment and more.

“This #NBHAAD we are focused on equity,” tweeted the Centers for Disease Control and Prevention’s Division of HIV Prevention, adding: “We must end unequal access to #HIV prevention & care, & address root causes that contribute to disparities in HIV such as poverty, stigma, systemic racism, & unequal access to healthcare & education.”

In 2020, African Americans represented 12% of the U.S. population age 13 and older but accounted for 43% of new HIV diagnoses, according to AIDSVu.org, which analyzes HIV data and creates related infographics and interactive maps.

Disproportionate HIV rates are more pronounced in the South, where in 2020, Black Americans accounted for 52% of new HIV diagnoses but made up only 19% of the population in that region.

See the full article.

CDC: People who are immunocompromised should get an additional dose of COVID-19 vaccine

From HIV.gov

C D C logoThe Centers for Disease Control and Prevention recommends people who are moderately to severely immunocompromised get an additional dose of the Moderna or Pfizer COVID-19 vaccine after the initial two doses. Widespread vaccination is a critical tool to help stop the pandemic.

This includes:

  • Recipients of organ or stem cell transplants
  • People with advanced or untreated HIV infection
  • Active recipients of treatment for cancer
  • People who are taking some medications that weaken the immune system
  • And others

HIV.gov spoke with Harold J. Phillips, Director of The White House Office of National AIDS Policy, about what people with HIV need know. “There are three key messages we need to share,” he said:

  • Everyone over 12 years of age, regardless of HIV status, get vaccinated
  • Those with advanced HIV disease and/or not on medications, get a third dose of the vaccine
  • Those in HIV care and treatment who are virally suppressed, talk with your health care provider about the need for an additional dose.

He concluded: “By working together and spreading the word, we can help keep everyone in our HIV community safe and healthy.”

Health Alert: Pennsylvania reports highest rate of syphilis in 20 years

From outbreaknewstoday.com

Pennsylvania state health officials are reporting increased amounts of sexually transmitted infections, in particular syphilis, prompting officials to encourage the public to take steps to decrease their risk.

decretive imagePregnant women should be screened at first and third trimester because of the sharp increase in the number of babies born with the disease in the United States. Nationally, cases of congenital syphilis increased by 185 percent between 2014 and 2018. In 2019, five congenital syphilis cases were reported in the state of Pennsylvania, following seven cases reported in 2018. These reported cases of congenital syphilis in the state represented the highest number of cases in more than 25 years.Early syphilis in Pennsylvania is currently at the highest rate in more than 20 years. Over the last five years, early syphilis reported in women of child-bearing age (women aged 15 to 44) increased 114 percent, from 78 cases in 2015 to 167 cases in 2019.

“Sexually transmitted diseases are serious diseases that impact many Pennsylvanians each year,” Acting Secretary Beam said. “It is essential that all residents are aware of the risks and dangers associated with STDs. Many of these diseases can be easily diagnosed and treated, which is why we encourage all residents to talk to their doctor about getting tested so we can further prevent diseases and keep our residents healthy.”

Read the full article.

People living with HIV can get COVID 19 vaccine now

A message from Rob Ghormoz, Secretary of Intergovernmental Affairs, Office of the Governor…

The Pennsylvania Department of Health today will announce two additional categories of eligible individuals to receive the COVID-19 vaccination as part of Phase 1A. Beginning today, all individuals 65 and older, and individuals ages 16-64 with certain medical conditions, as defined by the Centers for Disease Control and Prevention (CDC) that increase the risk of severe illness from the virus, are eligible for the COVID-19 vaccination. The Departments’ Updated Interim Vaccine Plan can be found here.

Those conditions are outlined by the CDC here and include: Cancer; Chronic kidney disease; COPD (chronic obstructive pulmonary disease); Down Syndrome; Heart conditions such as heart failure, coronary artery disease, or cardiomyopathies; Immunocompromised state (weakened immune system) from solid organ transplant, blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines; Obesity; Severe Obesity; Pregnancy; Sickle cell disease; Smoking; and Type 2 diabetes mellitus.

If you are part of a group that is eligible for vaccination, you can use the Pennsylvania Vaccine Provider Map to find a place to schedule your vaccine. Contact the vaccine provider of your choice directly to schedule an appointment. This map will be updated as more locations receive vaccine. Although a provider may have received vaccine, there is no guarantee that they have open appointments as supply is still very limited. Check back frequently as the map will be updated multiple times per week.

How the COVID-19 pandemic is affecting another epidemic among teens: STDs | Expert Opinion

2020 marks the fifth consecutive year of increasing rates of gonorrhea, chlamydia and syphilis in the U.S.

From The Philadelphia Inquirer

While the eyes of the nation are on the coronavirus pandemic, another threat to public health has been steadily growing in the United States. We’ve been battling rising rates of sexually transmitted infections (STI) for the last several years. In fact, 2020 marks the fifth consecutive year of increasing rates of gonorrhea, chlamydia and syphilis in the U.S., due in part to significant funding cuts to more than 50% of the nation’s public health STI programs. And now the COVID-19 pandemic has placed an even greater burden on our strained public health system and supply chains, shifting focus from one major public health issue to another.virus and bacteria images

We can’t risk losing one critical resource that will be essential to ending the STI epidemic — the availability of free and confidential STI testing for adolescents. Prior to the pandemic, national public health efforts were scaling up to improve STI and HIV testing, and quickly link youth to prevention services.  Rapid identification and treatment of STIs not only has public health benefits in terms of lowering transmission, but when left untreated, STIs increase the risk of infertility, severe pelvic infection, chronic pelvic pain, ectopic pregnancy and HIV transmission.

While accounting for 25% of the population, adolescents and young adults comprise over 50% of STIs in the U.S. each year. Black, Latinx, and LGBT youth face the greatest burden of infections and risk of complications. Fortunately, significant advances have been made over the last several decades to improve rates of STI and HIV testing among adolescents and young adults. The American Academy of Pediatrics now recommends HIV screening by the age of 16-18 years for all youth regardless of their sexual activity.

Read the full article.

Health Alert: Rates of new HIV infection still on the rise among specific groups

From the Centers for Disease Control and Prevention

In 2018, 37,968 people received an HIV diagnosis in the United States (US) and dependent areas. From 2014 to 2018, HIV diagnoses decreased 7% among adults and adolescents. However, annual diagnoses have increased among some groups.

Gay and bisexual men are the population most affected by HIV, with Black/African American, Hispanic/Latino gay and bi men having the highest rates of new infections.

info graphic showing rates of H I V infection with highest rates of infection in 2018
click no image for enlarged view

The number of new HIV diagnoses was highest among people aged 25 to 34.

info graphic showing age range of new H I V infections
click on image for enlarged view

Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2018 (updated)HIV Surveillance Report 2020;31.