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Men and STIs: Update of current epidemiological data in Victoria. Dr. David M. Lee Nurse Practitioner (Sexual Health) Melbourne Sexual Health Centre. Sexual transmission probability Anderson, RM Sex Transm Disases 1999, pg 26.
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Men and STIs:Update of current epidemiological data in Victoria Dr. David M. Lee Nurse Practitioner (Sexual Health) Melbourne Sexual Health Centre
Sexual transmission probabilityAnderson, RM Sex Transm Disases 1999, pg 26
Epidemiology: Chlamydia trachomatisSource: DHS Victoria www.dhs.vic.gov.au/ideas
Gonorrhoea:Symptoms / Signs / Tests / Treatment /Sequelae / Follow Up
HIV Victorian Prevalence • Calculation of possible HIV transmission if source is unknown is based on prevalence in local population: • Homosexual men: 3-15% • Injecting Drug Users: 1% • If IDU and gay: 17% • Heterosexuals blood donors: 0.0005%, STI clinic attendees 0.1%
Other Viral STIs ? Importance Hepatitis A - oral to feacal transmission Hepatitis B - blood, semen, vaginal fluids, breastmilk HCV = BBV – > Not classified as STI HSV (Skin-to-skin) HPV (Skin-to-skin)
STI / HIV Prevention • condoms for vaginal, anal and oral sex • non-penetrative contact • partner notification and treatment • raised awareness and education about STI’s • regular screening and treatment with antibiotics if detected • early detection may prevent complications and transmission of the STI to other sexual partners • regular screening encouraged amongst MSM
MSHC Resources and Supportswww.mshc.org.au • Web-based Patient Information ‘Check Your Risk’ http://checkyourrisk.org.au/ • Web-based GP resources www.mshc.org.au/gpassist • Sexual Health Physician Advice Line: 1800 009 903 (Toll Free) Hours available: Monday - Friday 09.00 -12.30 and 13.30 - 17.00