What are important and preventable causes of morbidity and mortality, and associated lost productivity and health care costs?
What are the 5 major concepts in the prevention and control of STDs?
1 Education and counseling of those at risk on ways to reduce risk
2 Detection of asymptomatically infected individuals
3 Effective dx and tx of infected individuals
4 Partner notifications
5 Immz of persons at risk for vaccine-preventable STDs
The effective prevention and tx of STDs in our military population requires partnerships w/ whom?
Local public health departments
The prevention of STDs begins w/ changing what that places the person at risk for infection
All patients presenting for evaluation of possible STDs will be tested for serological evidence of what infection?
All active duty patients presenting for evaluation of possible STDs shall be tested for serological evidence of what
Additional HIV testing may be indicated after how many months based on a dx of a genital ulcer disease, the prevalence of HIV in an area, the number of episodes of STDs, and the nature and duration of sexual risk behavior?
3 and 6 months
When the same regimen of testing is recommended for family members and other civilians how should it be conducted?
On an opt-out basis unless signed informed consent is required by state law
If a family member or civilian agrees to be tested for HIV infection, this must be documented how?
Documented w/ a signed and witnessed informed consent form available from the applicable state IAW state policies
Per reference all women age what and younger are at risk for what and will be screened annually as part of their regular health care visit
Information about named partners who are non DOD health care beneficiaries shall be passed to whom for notification?
Local or state civilian public health
Eligible beneficiary partners of HIV cases will be managed at the Naval HIV evaluation and treatment units (HETU) located where
The big 3 hospitals
What vaccines are required for all AD personnel when presenting for evaluation of a possible STD case?
Hep A and B
What is an effective strategy for reducing risk taking behaviors and re-infection
For every new case of HIV, what form is completed
CDC Form 50.42A HIV/AIDS confidential case report or equiv state form
Tests drawn by local MTFs are not considered confirmatory tests T or F?
Who can confirm HIV/AIDS tests?
HETU (Big 3)
For all NON-AD health care beneficiaries (including reserve component) may be confirmed HIV positive where?
Any MTF - In such cases it is the requirement of the MTF to report the new Dx IAW host state laws
For all NON-AD health care beneficiaries (including reserve component) who are OCONUS and confirmed HIV positive, the MTF will report the new HIV case to whom?
State of legal residence of the HIV positive beneficiary
Who completes CDC form 50.42A
Who gets a courtesy copy from the HETU when reporting HIV confirmation reports?
Omit name, ssn, and send through Navy central HIV program to NMCPHC for epidemiological purposes
Before referring a newly positive patient to HETU a designated clinician by MTF or CO will be assigned to advise the member what?
That they may be infectious and should protect current and future sexual partners from blood or sperm
The primary responsibility for contact interview and partner notification for newly dx members is
Clinicians may elect to offer partner notification services prior to referring the patient to HETU but should not what
Conduct lengthy sexual contact interviews because of inadequate training
The MTF or local medical dept shall directly notify all NAVMED partners/spouses who are DOD health care beneficiaries and who reside or receive care in an MTF jurisdiction must be done how?
Face to face notification
For NAVMED partners/spouses who are DOD health care beneficiaries but do not reside w/in the local public health jurisdiction the local MTF or local medical dept shall whom?
Phone the NEPMU /military public health office or local medical dept which has jurisdiction where they reside.
How is partners/spouses who are NOT DOD health care beneficiaries notified?
The MTF or local med dept shall phone the MTFs host state/territory and mail field records to the MTFs host state/territory for action.
Partner information obtained by the MTF or local med dept should be shared w/ whom so the partner is not notified twice?
What must be done by HETUs at every visit?
Afford initial and on-going partner referral services to every HIV positive patient
Valuable STD resources are available on the Internet from NMCPHC sexual health and responsibility program (SHARP) what is the number to this tech manual?
What is important for assessing morbidity trends, targeting limited resources, and assisting local health authorities IAW ref (k) and local statutory requirements?
Syphilis, gonorrhea, chlamydia, and acute cases of hepatitis are reportable what?
Medical events in the DON
What are the reportable diseases in every state?
HIV, Syphilis, chancroid, gonorrhea, and chlamydia