Health Care Seeking Among Men With Genital Ulcer Disease in South Africa: Correlates and Relationship to Human Immunodeficiency Virus-1 and Herpes Simplex Virus Type 2 Detection and Shedding
“…10 Syphilis accounted for almost half of the cases of genital ulcer disease in 1991, whereas it currently accounts for less than 10% of cases. 11,12 Furthermore, the national prevalence of presumptive syphilis steadily declined from 11.2% in 1997 to 2.8% in 2007 in pregnant women attending ANC. 13 In contrast, during the same period, antenatal HIV prevalence increased from 17.0% to 28.0%.…”
Integration and provision of a package of HIV and syphilis testing at the first ANC visit and decentralizing treatments of both infections to primary care settings could increase the coverage of testing and treatment services, thus enhancing the effectiveness of current programs eliminating mother-to-child transmission of HIV and syphilis.
“…10 Syphilis accounted for almost half of the cases of genital ulcer disease in 1991, whereas it currently accounts for less than 10% of cases. 11,12 Furthermore, the national prevalence of presumptive syphilis steadily declined from 11.2% in 1997 to 2.8% in 2007 in pregnant women attending ANC. 13 In contrast, during the same period, antenatal HIV prevalence increased from 17.0% to 28.0%.…”
Integration and provision of a package of HIV and syphilis testing at the first ANC visit and decentralizing treatments of both infections to primary care settings could increase the coverage of testing and treatment services, thus enhancing the effectiveness of current programs eliminating mother-to-child transmission of HIV and syphilis.
“…We identified 118 articles in the SDH category of education and schooling. Of the 118 articles, we classified 81 (69%) as having a minimal SDH focus 24 –26,28,32,33,35,36,38,40,42,45,49,50,59,61,70,73,74,85,108 …”
Section: Resultsmentioning
confidence: 99%
“…The 28 articles that had a substantial SDH focus included those that discussed in-depth health care provision, health care disparities, delays or refusal to enter into care, retaining patients in care, and health care costs. 31,50,57,74,105,107,124,146,170,208,214,215,223,348 –362 The identified articles addressed health and health care in 2 main ways: (1) the use of health care services and/or health care-seeking behaviors and (2) health care access and affordability or health care provision. Additional topics included disease transmission in health care settings and health care workers as an at-risk group.…”
This assessment serves as a baseline measurement of inclusion of SDH topics from NCHHSTP authors in the literature and creates a methodology that can be used in future assessments of this topic.
“…For instance, a study showed that health care–seeking men, with genital ulcer disease, were older, had more ulceration episodes in the past year, and were more likely to test seropositive for HSV-2. 36 Another study reported that patients who delayed seeking health care assistance were younger, came from a lower socioeconomic state, had milder symptoms, and experienced less interference with their daily activities. 37 Other studies showed that an increase in pain and disability increased the likelihood of seeking professional help.…”
Background.Our previous articles showed that suppressive or preventive treatment with the herbal Gene-Eden-VIR/Novirin reduced the number and duration of genital herpes outbreaks with no adverse effects. These studies also revealed that the herbal Gene-Eden-VIR/Novirin is mostly superior to acyclovir, valacyclovir, and famciclovir drugs in genital herpes. This study tested the effect of Gene-Eden-VIR/Novirin in oral herpes (also called cold sores and fever blisters).Methods.The framework of the study was a retrospective chart review. The study included 68 participants. The participants took 1 to 4 capsules per day over a period of 2 to 36 months. The study included 2 Food and Drug Administration–recommended controls: baseline and a no-treatment.Results.Gene-Eden-VIR/Novirin was effective in 89.3% of participants. The treatment reduced the mean number of outbreaks per year from 6.0 and 3.6 in the control groups to 2.0 in the treatment group (P < .0001 and P = .07, respectively). Gene-Eden-VIR/Novirin reduced the mean duration of outbreaks from 9.8 and 5.8 days in the control groups to 3.2 days in the treatment group (P < .0001 and P = .02, respectively). There were no reports of adverse experiences. Gene-Eden-VIR/Novirin was compared to acyclovir and valacyclovir in 6 tests. In all tests, Gene-Eden-VIR/Novirin showed higher efficacy. Gene-Eden-VIR/Novirin also showed superior safety.Conclusions.This clinical study showed that suppressive or preventive treatment with the herbal Gene-Eden-VIR/Novirin reduced the number and duration of outbreaks in oral herpes without any adverse effects. The study also showed that the herbal Gene-Eden-VIR/Novirin had better clinical effects than acyclovir and valacyclovir, the leading drugs in the category. Based on these results, we recommend using the herbal Gene-Eden-VIR/Novirin as preventive treatment for oral herpes and, specifically, as an alternative to the acyclovir and valacyclovir drugs.
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