An increase in the number of notifications of infectious syphilis was noted in the Barkly district of the Northern Territory (NT) in early October 2010. An outbreak of infectious syphilis was established shortly after, which involved cases from Indigenous patients in the NT and Queensland. This study described the outbreak and measures taken to control it.
Data retrieved from relevant local and national surveillance databases and the local syphilis register database were used to describe the epidemiology. A multidisciplinary outbreak control team (OCT) was formed. Vigorous contact tracing was instigated and NT treatment protocols enforced. A map of the sexual networks among identified individuals was used to assist in understanding the development of this outbreak. Communication was established with intrastate and interstate stakeholders.
Extensive contact tracing identified a total of 25 people (11 female, 14 male) as being involved in the outbreak, a majority of these being residents of Tennant Creek with some from neighbouring communities in the NT and Queensland. Of these, 7 cases of infectious syphilis were diagnosed (3 female, 4 male) with their ages ranging from 20 – 34 years, all being indigenous. The majority of identified individuals, including all cases, have been contacted and treated appropriately. Existing levels of syphilis screening undertaken in the 15 – 35 year age group in the Tennant Creek region were estimated to be between 20 – 30%. Measures to enhance case-finding and early diagnosis were communicated to local hospital and community clinic staff for on-going control of the infection.
With low and declining rates of infectious syphilis in remote Indigenous communities in the NT, outbreaks of syphilis in the NT can be successfully controlled but require a coordinated and multidisciplinary approach. Community based strategies may be required to further reduce ongoing syphilis transmission.
Over the past 20-30 years, the Premature Ejaculation (PE) treatment paradigm, previously limited to behavioural psychotherapy, has expanded to include drug treatment. Animal and human sexual psychopharmacological studies have demonstrated that serotonin and 5-HT receptors are involved in ejaculation and confirm a role for SSRIs in the treatment of PE. Multiple well-controlled evidence-based studies have demonstrated the efficacy and safety of SSRIs in delaying ejaculation, confirming their role as first-line agents for the medical treatment of lifelong and acquired PE. Daily dosing of SSRIs is associated with superior fold increases in IELT compared to on-demand SSRIs.
Despite high rates of screening and treatment in many remote Indigenous communities in Australia, diagnosis rates for sexually transmitted infections (STI), chlamydia and gonorrhoea in particular, remain alarmingly high. One contributing factor may be the high rate of temporary mobility for residents of remote communities. We use mathematical modelling to explore the impact of mobility on STI transmission within remote communities.
In 2006 two new innovative features were added to the WhyTest website; the ‘Tell them’ service allowing visitors to forward anonymous e-postcard or short message services (SMS) to sexual partners who may have been exposed to an STI, and the ‘remind me’ service allowing visitors to register for a 3, 6 or 12 monthly SMS reminder for a sexual health check. We describe the usage of the new website functionality, and recognition of a health promotion campaign conducted in January-June 2007 to promote these new features.
This symposium presentation will discuss conceptual approaches to how processes underway to develop the Australian Curriculum might link to improved sexual health outcomes. It will also explore the assumptions underpinning the ‘partnership’ between health and education sectors to uncover both the opportunities and the pitfalls for those who want to promote young people’s learning.
Human papillomavirus (HPV) induced oropharyngeal squamous cell carcinoma is a unique subtype of oropharyngeal cancer. It has a significantly better prognosis than that caused by tobacco and/ or alcohol. The incidence of HPV related oropharyngeal cancer is raising in the western countries.
ACCEPt is a multi-state cluster randomised trial that aims to increase annual chlamydia testing in 16-29 year olds attending general practice. 54 postcodes (80% in rural areas) are being randomised to a multi-faceted intervention and GP clinics within each postcode enrolled. The primary outcome is change in chlamydia prevalence, and a prevalence study is being conducted at the beginning and end of the trial. We report on the findings of the baseline prevalence study.
Surgery for gender dysphoria was not routinely available prior to the 80’s, surgery and psychiatry having had an unhappy liaison. While gender dysphoria is DSM classified it’s not because it is deemed to be an illness, rather than to give guidelines as to establishing a diagnosis, and surgery is now deemed to be an appropriate activity.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent