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Transcript
The Silent Epidemic
• Any pathogen that spreads from one
person to another during sexual contact is
called a sexually transmitted infection,
or STI.
• More than 13 million new cases of STIs
are reported each year in the United
States and over 3 million occur in people
under age 20.
– some STIs are fatal
Harmful Effects of STIs
• short term, STIs may cause pain,
discomfort, and embarrassment
• long-term consequences of STIs
– increased risk of certain cancers
– and an increased risk of infertility in both men
and women
• Many STIs can be treated with medicines,
but some are incurable.
Risky Behaviors and the STI
Epidemic
• Ignoring Risks
• Multiple Partners
• Not Seeking Treatment
Avoiding STIs
• transmitted mainly through sexual contact,
but a few are also transmitted through
contact with the blood of an infected
person.
• Healthy behaviors to prevent getting
– practicing abstinence
– avoiding drugs
– choosing responsible friends
Kinds of STIs
• The Most Common STIs
– STIs are caused by pathogens, including
bacteria, viruses, and protozoans.
– spread from person to person through blood
and body fluids such as semen, vaginal
secretions, and breast milk.
– Three of the most common STIs in the United
States are trichomoniasis, human papilloma
virus, and chlamydia.
Main types of STIs
• Trichomoniasis: caused by a protozoan that infects the urinary tract or vagina.
(over 7 million people in the U.S. are infected)
– In males, if not treated, can lead to inflammation of the lining of the urethra,
called urethritis
– In females, untreated trichomoniasis can lead to vaginitis, which is a vaginal
infection or irritation
• Human Papilloma Virus (HPV)
– most common viral STI in the U.S. (more then 6 million effected each year
– genital warts
– cervical cancer in women.
• Chlamydia (almost 3 million effected each year)
– most common STI caused by bacteria
– Infected males experience painful, frequent urination and discharge from the
penis.
– In females has no symptoms other than a yellowish vaginal discharge.
– If untreated can cause a serious infection of the reproductive organs called
pelvic inflammatory disease, or PID.
Other STIs
• Hepatitis
– Hepatitis B and C are sexually transmitted infections that attack
the liver (spread by blood-to-blood contact.
– Both infections may lead to liver cancer or cirrhosis a condition
in which normal liver tissue is replaced by scar tissue.
– symptoms are fatigue, abdominal pain, nausea, and jaundice
– No cure
• Gonorrhea: bacterial STI that infects the urinary tract of males and
females and the reproductive organs of females
– Males usually have a thick, puslike discharge from the penis and
painful urination and Females sometimes experience painful
urination and a puslike discharge from the vagina or urinary tract
Other STIs
• Genital Herpes: virus that causes genital herpes is the herpes
simplex virus.
– symptoms include painful blisters that appear on or around the
genitals or could be hardly noticeable
– no cure for genital herpes.
• Syphilis: is a serious bacterial STI that progresses through three
distinct stages
– is a serious bacterial STI that progresses through three distinct
stages
– In the second stage, sores appear in the mouth and flulike
symptoms develop.
– In the third stage, bacteria attack internal parts of the body.
– Eventually, untreated syphilis can cause brain damage,
paralysis, and heart disease.
HIV Infection
• Human immunodeficiency virus can lead to AIDS, or
acquired immunodeficiency syndrome, which is an often
fatal disease of the immune system.
• Attacks specific cells of the immune system, disabling
the body’s defenses against other pathogens.
• When the immune system becomes severely disabled, the infected
person has AIDS.
• HIV infects helper T cells, which stimulate other cells of the immune
system to produce antibodies against invading pathogens.
• Inside a helper T cell, HIV reproduces, killing the cell in
the process.
• The new viruses are released from the cell and move on
to destroy other helper T cells.
Stages of HIV Infection
• Asymptomatic Stage
– Soon after exposure to HIV, an infected person may experience
flulike symptoms, which usually go away after a few weeks.
• Symptomatic Stage
– Symptoms may include weight loss, a persistent fever, diarrhea,
or fungal infections.
• AIDS
– marked by a very low number of helper T cells in the blood. At
this stage, HIV-infected people are usually experiencing even
more severe symptoms than in the symptomatic stage.
Opportunistic Infections
• opportunistic infections
– attack a person with a weakened immune system
• These opportunistic infections include
• Tuberculosis, fungal infections, and a lung disease called pneumocystis
carinii pneumonia
• Certain types of cancer are also more common in people
with AIDS, including cancer of the cervix and Kaposi’s
sarcoma, a kind of skin cancer.
Transmission of HIV and Risky
Behaviors
• People with HIV are infectious whether or not they have
any symptoms of disease.
• Individuals infected can pass the virus on to someone
else through the exchange of blood, semen, vaginal
secretions, or breast milk.
•
•
•
•
Sexual Contact HIV
Shared Needles HIV
Contact With Blood HIV
Mother to Baby HIV
Safe Behaviors and Donors
• HIV is not transmitted by casual contact.
• Small amounts of HIV occur in saliva, tears, and
perspiration.
• the amounts are so small that infection from
contact with these fluids is unlikely.
• Blood that tests positive for HIV antibodies
is discarded.
• Potential donors are interviewed and are not
allowed to give blood if they have engaged in
behaviors that place them at risk for HIV
infection.
A Global Problem
• With approximately 40 million people
infected around the world, HIV and AIDS
represent a global health problem.
• Africa Sub-Saharan Africa accounts for more
than half of all global infections.
• Africa Sub-Saharan Africa accounts for more
than half of all global infections.
High-Risk Groups and Prevention
• higher infection rates in women are often due to a lack of
information about how to protect themselves or, in some
cases, a lack of power to protect themselves.
• The World Health Organization and the Joint United
Nations Program on HIV/AIDS monitor the situation and
recommend steps for stemming the epidemic in different
countries.