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CDC Finds STIs Including Gonorrhea and Syphilis on The Rise
- Over 2.5 million STIs were reported in the United States in 2021, marking a 7% increase in cases between 2017 and 2021.
- Cases of syphilis have increased by nearly 74% during that time.
- Between 2017 to 2021, cases of gonorrhea have increased by about 28%, cases of syphilis have increased by nearly 74 %, and cases of congenital syphilis have increased by over 203%.
Sexually transmitted infections (STIs) like syphilis, chlamydia, and gonorrhea continued to rise in 2021, a new report from U.S. Centers for Diseases Control and Prevention (CDC).
Over 2.5 million STIs were reported in the United States in 2021, marking a 7% increase in cases between 2017 and 2021.
Cases of increases in syphilis saw the biggest spike, growing by 32% between 2020 and 2021.
The CDC says the COVID-19 pandemic, which drove many people to forego or delay prevention services like testing, contributed to the spread of STIs.
Even before the pandemic hit, however, STIs were on the rise — a trend that has disproportionately impacted ethnic minority groups, gay and bisexual men, and people younger than age 25.
“Rates of STIs continue to increase in the U.S. with alarming numbers over the past few years. Changes in sexual behavior with a decrease in condom use, decrease in prevention and testing efforts are likely the major contributors to the increase in STIs in the U.S.,” says Dr. Maria Alcaide, an infectious disease specialist with UHealth, University of Miami Health System and a professor of Medicine with the University of Miami Miller School of Medicine.
Between 2017 and 2021, cases of gonorrhea have increased by about 28%, cases of syphilis have increased by nearly 74%, and cases of congenital syphilis have increased by over 203%.
The report showed that cases of chlamydia dropped by 4%, but the researchers suspect the decline is due to reduced prevention and public health efforts during the pandemic and not an actual decrease in infections.
“The COVID-19 pandemic may have contributed to the rising rates of STIs as people may have had less access to education, testing, and treatment,” Dr. Alcaide says.
But STIs were swiftly rising even before the pandemic hit.
Data suggests barriers to care, discrimination, and the stigma attached to STIs have all contributed to the rise in STIs.
Reduced condom use, a decrease in prevention and screening efforts, and opioid use, which is known to go hand-in-hand with STIs, are believed to have played a role, too.
Between 2020 and 2021 alone, syphilis rose by 32%.
“While most of new syphilis cases occur among men who have sex with men, we are also seeing an increasing number of cases among women, which reflects the increase in congenital syphilis,” Alcaide said.
Dr. Irene Stafford, a maternal-fetal medicine physician and an associate professor of OB/GYN with McGovern Medical School at UTHealth Houston, says syphilis is often a silent infection that presents with no symptoms.
“The rash and lesions of early syphilis can be asymptomatic and after they clear, an infected individual is unaware they are still infected,” she says.
People who are infected can then unknowingly spread it to others through skin-to-skin contact or mucosal contact with an infected person.
“Transmission is easier than with other STIs that are transmitted through sexual intercourse,” says Alcaide.
Many STIs can be asymptomatic in certain individuals, however, left untreated, can lead to complications like chronic pelvic pain, pelvic inflammatory disease, infertility, pregnancy complications, an increased risk of contracting infections like HIV, and infant death.
Syphilis, for example, is more common in reproductive-aged people, including pregnant women, according to Dr. Stafford.
Untreated, the infection can be passed to the fetus and lead to health complications, like speed and liver problems and nerve issues, due to congenital syphilis.
To prevent the spread of STIs, all sexually-active people should get regularly tested once a year.
“If there is a new sexual partner, unprotected sex, recent STIs, or a partner with STIs testing should be done more frequently,” says Alcaide.
STI screenings and open conversations should be a part of all routine health care visits, according to Stafford, not just when people have behavioral risk factors.
“This discussion should include an open dialogue about practices and behaviors that might increase your risks of STI,” Stafford said.
To combat the spread of STIs, she thinks more non-traditional settings, like emergency rooms, should be screening patients for STIs.
Consistent condom use, early diagnosis, treatments, and vaccinations can all help stop the spread of STIs.
“Access to quality health care and innovative ways to reach our patients, increase health literacy and promote STI screening are desperately needed to reduce STI and the morbidity and mortality of congenital syphilis — an infection that is 100% preventable,” says Stafford.
Sexually transmitted infections (STIs) like syphilis, chlamydia, and gonorrhea rose by 7% 2021. Syphilis saw the biggest surge, growing by 32% between 2020 and 2021.
The pandemic, which led to reduced public health efforts and testing, likely contributed to the surge in cases, however, STI numbers have been growing for years. Health experts say there are many contributing factors behind the trend, such as limited access to care, reduced condom use, stigma, and heavier opioid use.
Wellness and rejuvenation on a Whistler weekend
The freshness of spring is giving way to the languor of summer. It’s also that time of year when I step up my health and fitness habits, with the help of a wellness weekend getaway. Check out these ten wholesome ways to experience Whistler.
1. Eat well, be well at a new event series
Making its debut the Nourish Spring Series by Cornucopia celebrates the season every weekend in June with farm-to-table fare, farm tours, lavish wellness dinners, healthy brunches and activities to refresh both mind and body. Sit down to a four-course spring harvest tasting menu (Brome Lake duck breast with Pemberton beets, anyone?), brush up on grilling skills with an expert chef, pick up painting pointers on an art picnic or jump into an outdoor Zumba class. Order tickets online at whistler.com/events/spring-cornucopia.
2. Chill at a spa
With more than 12 spa facilities in town, it could be said that Whistler has everyone’s back. Pop into the Whistler Day Spa for a 75-minute stress relief massage using Swedish relaxation techniques or the Taman Sari Royal Heritage Spa for an 80-minute herbal steam massage using pouches filled with Javanese turmeric, ginger and other spices. Have more time? Dip into the hot-cold-and-relaxing thermal journey at the silent Scandinave Spa Whistler, home to open-air pools, cold-plunge baths, a Finnish sauna, Nordic showers and solariums in a tranquil forest setting.
3. Lace up for new guided hikes
Trek past alpine meadows flush with wildflowers on the way to glacier-fed Garibaldi Lake or meander through a fragrant rainforest before taking a dip in Crater Rim’s warm Loggers Lake. These are just a couple of guided hike options from Mountain Skills Academy & Adventures. Prefer to stay close to town? Sign up for the Whistler Alpine Hike and explore the gondola-accessed terrain of Whistler Blackcomb.
4. Embark on an ebike adventure
Sneak in some good clean fun with an ebike rental or guided tour. Explore Whistler’s car-free Valley Trail, a 46-km network of paved paths and boardwalks linking the resort town’s neighbourhoods and lakes, beaches, parks and viewpoints along the way. Go it alone or hop on a full-suspension electric-assist mountain bike with Whistler Eco Tours for a two-hour guided ride. Prefer an old-school ride or want to hit the alpine trails? Comfort cruisers, cross-country and downhill bikes are also on hand.
5. Expand the mind at an Indigenous exhibit
You have until October to view, the Squamish Lil’wat Cultural Centre’s Unceded: A Photographic Journey into Belonging. Shot at striking locales throughout the Sea to Sky Corridor, the exhibit brings together aspects of ancient traditions, modern Indigenous life, and colonization and development. Behold the bear dancer on Blackcomb Mountain, the cultural chief in the Fairmont Chateau Whistler lobby and the Squamish Nation chair standing in the middle of downtown Vancouver’s West Cordova St.
6. Get down, be healthy at a new café
Boogie back in time to the ’70s and ’80s at the new Rockit Coffee in Whistler Creekside. From the speaker-lined wall and vintage phones, radios and ghetto blasters to menu items like Espresso Greatest Hits and Drinks Just Wanna Have Fun, the colourful café exudes a decidedly retro vibe. Pull up a chair and order a nutritious Aero-Smoothie – choose from the Green Day, Bananarama or Strawberry Fields Forever – and pair it with a Veggie Eilish breakfast wrap or Prosciutto Rhapsody sandwich.
7. Check into wellness
Go for the Fairmont Chateau Whistler’s healthful options like daily yoga classes, guided excursions and access to pools, steam rooms, the fitness centre, tennis court and (soon) new pickle ball courts. But stay for the regionally sourced seasonal menus – complemented by the rooftop garden’s bounty from May to October – and no-proof cocktail selection in the Mallard Lounge.
8. Float down a winding river
Canoe, kayak or stand-up paddleboard along the meandering five-km-long River of Golden Dreams. After putting in at Alta Lake, paddle past riverbanks lined with wildflowers, foliage and forest, all the while keeping an eye out for beavers, otters, eagles and bears. Newbie paddlers are advised to go with a guide, as changing water levels can make for tricky steering and mandatory portages.
9. Connect with nature on a new birding trail
Watch for whiskey jacks, Clark’s nutcrackers and, come summer, lots and lots of swallows along the Sea to Sky Bird Trail. The fifth and most recent route to be added to the BC Bird Trail network along the Pacific Flyway, the new trail takes birders to alpine heights (lift ticket required) where they can spot olive-sided flycatchers and various raptors. Then it’s off to Rainbow Park on Alta Lake to spy common yellow throats and merlins.
10. Wake up beside a lake
Perched along the southern tip of Nita Lake in Whistler Creekside, Nita Lake Lodge checks off all the boxes for a dreamy wellness escape. Start with stunning water and valley views from luxe suites, currently undergoing a modern refresh slated to wrap in time for summer. Then there’s the new onsite restaurant, The Den, where plant-based alternatives share space with meat and seafood items on the seasonal menus. Topping off a salubrious stay at Whistler’s only lakeside hotel is an award-winning spa with rooftop hot tubs.
HIV stigma index researchers look for Manitobans with positive diagnoses to share experience
Manitoba researchers looking for people to take part in a national HIV Stigma Index project are only about halfway to their goal of hearing from at least 75 people living with a positive diagnosis.
The international peer-driven research project helps understand the stigma associated with HIV and supports those living with a diagnosis.
“I wouldn’t say that anybody ran out and said ‘I’m gonna go get HIV today and see how that happens.’ Things happen to people and it’s our duty as human beings to support people no matter what they’re going through,” research co-ordinator Arthur Miller told CBC Information Radio Wednesday.
The Canadian HIV Stigma Index is a community-led and community-based research study, part of the international implementation of the People Living with HIV Stigma Index project
Participants are interviewed by another person living with a positive diagnosis. Interviews are about an hour-and-a-half long and can be done in person, by phone or through a video conferencing platform, said Miller, a Mi’kmaw HIV activist based out of Nova Scotia and research co-ordinator of the project with REACH Nexus, under the MAP Centre for Urban Health Solutions at Unity Health Toronto.
The national project has been done in Ontario, Quebec, Atlantic Canada and British Columbia, and this is the second time it’s being done in Manitoba, with an updated survey.
Researchers collect information related to stigma, discrimination and human rights, with the aim of better understanding the social determinants and stigma across systems like health care, schools and legal fields. The research aims to help people develop supports and policies at both local and national levels.
Peer-driven aspect crucial
Jared Star, a research manager at Winnipeg’s Nine Circles Community Health Centre, which specializes in HIV prevention and care, said the HIV Stigma Index’s peer-driven aspect is crucial for participants.
“They know that they won’t be judged,” he said. “They won’t have to explain situations and details that come naturally for them, because they’re talking to somebody with the same experience.”
Star is also a research consultant and PhD student with expertise in sexual health, alongside his work with Nine Circles, which is working closely with Miller on the project.
“It’s better for the study if we can collect the data in a shorter period of time, but because it’s qualitative research, it tends to take longer than a survey,” said Star. “But the more we can get up front and faster, the better.”
Star said the information gained from the project will help people move from a place of supporting and sustaining stigma to actively challenging and resisting it.
“I think if we do a good job and we’re able to get that information and then develop interventions that target stigma, we will be able to contribute to a reduction in HIV infections in Manitoba,” he said.
Education key to understanding
Much more is known about HIV now than 30 years ago — like how to prevent transmission and that it’s no longer a death sentence.
With proper care, people who are HIV positive can lead long, healthy lives.
Miller said education is key and pointed to the fact that many don’t understand somebody with an undetectable viral load who adheres to treatment can’t transmit HIV through sexual intercourse.
“This is big for people with HIV,” he said. “For me, it felt like I got part of my life back.”
Manitobans willing to share their experiences through the HIV Stigma Index project can contact Miller at firstname.lastname@example.org or by phone at 1-877-347-1175 to begin the process.
“The great thing about this study is we’re building this network of people living with HIV,” Miller said. “You’re going to be talking with someone living with HIV, so they can relate and share some experiences.”
May 27, 2023 coronavirus update for Oakville
This is Oakville’s coronavirus update for Saturday, May 27, 2023. New, active cases of COVID-19 in Halton have nearly doubled for the second week in a row, and outbreaks at local long-term care homes are growing.
Oakville is reporting 22 new cases this week, about the same as the week before. But these last two reports from Halton regional health are the highest numbers of new cases in months – and active cases are now trending upwards by 50-100% weekly.
The outbreak that opened earlier this month at Oakville’s West Oak Village long-term care home has been contained to the Harbour floor. But there are two new outbreaks that have opened this week in other parts of Halton, including one at Oakville’s Northridge home on the Chisholm floor.
Halton continues to fall behind on our booster shots: only 1 of every 10 people in Halton have a full series of immunization, and the percentage of residents with outdated immunization has grown every week since the start of 2023. Among those 40 and under, those fully immunized is now below 5%.
The United States this week has said they and the CDC will no longer be tracking new, aggregate daily COVID-19 cases and deaths or new nationwide testing data.
The World Health Organization (WHO) has declared that after more than three years, the COVID-19 global health emergency is now over. WHO has determined that “COVID-19 is now an established and ongoing health issue which no longer constitutes a public health emergency of international concern (PHEIC).”
765 million cases of COVID-19 have now been recorded worldwide since the start of the pandemic; 6.9 million people have died.
**Vaccine booking: Fourth doses (second booster doses) of vaccine are now available for anyone in Halton age 5 and up, though fourth doses must be at least five months since your last dose and 90 days since having COVID-19.
Halton continues to book first and second-dose vaccinations for all residents age six months and older, plus third-dose boosters for anyone age 5 and up.
Wellness and rejuvenation on a Whistler weekend
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