Impact of the COVID-19 Pandemic on Centers for Disease Control and Prevention–Funded Sexually Transmitted Disease Programs

Wright, Shauntā S; Kreisel, Kristen; Hitt, Jeffrey; Pagaoa, Melissa; Weinstock, Hillard; Thorpe, Phoebe

doi:10.1097/olq.0000000000001566

Cited by 30 publications

(35 citation statements)

References 5 publications

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“…CAS = condomless anal sex; CI = confidence interval; GBMSM = gay, bisexual, and other men who have sex with men; PR = prevalence ratio; PrEP = pre-exposure prophylaxis. departments were forced to redeploy staff and resources from sexual health initiatives to COVID-19 mitigation efforts (Kuehn, 2022;Wright et al, 2022). The prevalence of past-year HIV and STI testing was lower among participants aged 35 years and those who had never used PrEP.…”

Section: Discussionmentioning

confidence: 99%

HIV and STI Testing Among South Asian Gay, Bisexual, and Other Men Who Have Sex With Men in the United States

2023

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South Asian gay, bisexual, and other men who have sex with men (GBMSM) in the United States are subsumed under the broad, heterogeneous category of Asian GBMSM in national surveillance systems. Disaggregated data on their rates of HIV and sexually transmitted infection (STI) testing are not publicly reported. This is problematic as the diversity of ancestries, cultures, and customs across subgroups of Asian GBMSM may contribute to differential HIV and STI testing experiences. To address this deficit in knowledge, 115 South Asian GBMSM recruited through social media advertising and peer referral were surveyed about their patterns of HIV and STI testing. In the past 6 months, almost two-thirds ( n = 72, 62.61%) had two or more male sex partners, and more than a quarter ( n = 33, 28.70%) had condomless anal sex with two or more male partners. In the past year, more than one in four ( n = 32, 27.83%) had not been tested for HIV, and more than two in five ( n = 47, 40.87%) had not been tested for STIs. The prevalence of past-year HIV and STI testing was lower among participants aged ≥35 years and those who had never used pre-exposure prophylaxis. Participants who were partnered were less likely to have been tested for HIV, and those who were born outside the United States were less likely to have been tested for STIs in the past year. Findings highlight gaps in domestic HIV- and STI-prevention efforts with respect to adequately engaging South Asian GBMSM and suggest that some segments of this subgroup may benefit from targeted outreach.

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Section: Discussionmentioning

confidence: 99%

HIV and STI Testing Among South Asian Gay, Bisexual, and Other Men Who Have Sex With Men in the United States

2023

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“…This redaction in STI case reporting was also reported in a similar study elsewhere (26). This fact can be explained with significant underdiagnosis and underreporting of cases during the pandemic because of reduced screening or it also may reflect a true decline in STI transmission due to social distancing measures during the pandemic (27). This disruption in treatment and prevention measures of STIs may results in increased morbidity, STI transmission, HIV transmission and drug resistance, which highly affects the prevention and control efforts of STIs and HIV/AIDS (27).…”

Section: Discussionmentioning

confidence: 99%

Effect of COVID-19 pandemic on essential health care services and mitigation strategies implemented in Benishangul gumuz: An emerging region of Ethiopia

Amaya

2022

Preprint

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Health systems of low-to-middle-income countries may have fewer buffering resources and capacity against shocks from a pandemic. This study assessed the effects of COVID-19 on essential health care services and its mitigation strategies employed in Benishangul Gumuz Region in the Assosa district of western Ethiopia. Institutional based cross-sectional study design with multilevel triangulated mixed approach was used. Purposively selected health facilities and key informant or in-depth interviewee from different facilities were involved. Document review from health facilities reports and case registration logs were used to access the service utilizations per-and -post the pandemic. The study showed that there was a significant decrement in antenatal care (ANC) visits, family planning new acceptors, family planning repeated acceptors, skilled delivery, and in postnatal care within 7 days of delivery during the COVID-19 pandemic. There was an increase in home delivery, teenage pregnancy and still births. There was also a significant reduction in the vaccination coverage for almost all vaccines. During the pandemic, children treated for diarrheal disease and the number of people screened for human immunodeficiency virus (HIV), new HIV-positive individuals, and new HIV-positive individuals receiving antiretroviral therapy have decreased significantly. There has been a statistically significant increase in the number of people with elevated blood sugar during the pandemic. The COVID-19 pandemic has had a significant negative impact on essential health services, most notably in Benishangul Gumuz Region. Groups of individuals considered to be at higher risks of morbidity and mortality are the most significantly affected. Mitigation strategies have been implemented to address the indirect effects of the COVID-19 pandemic and improve health care delivery in the region’s highly affected areas. Urgent and comprehensive action is needed to mitigate the future (long-term) impact of Covid-19 on the health of community in the region.

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“…In 2020, the final number of reported cases of P&S syphilis, the infectious stages, was 41,655, a 6.8% increase from 2019. The incidence of reported cases of syphilis (all stages) for 2020 was 40.8 per 100,000, representing a 3.3% increase from 2019 [ 1 , 4 , 5 ].…”

Section: Epidemiologymentioning

confidence: 99%

Syphilis in Dermatology: Recognition and Management

2023

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The incidence of syphilis has been increasing in the USA since 2000. Notably, the coronavirus disease 2019 pandemic negatively impacted the public health efforts to contain the spread of sexually transmitted diseases including syphilis and congenital syphilis. Clinical manifestations of syphilis are predominantly mucocutaneous lesions, thus dermatologists are primed to recognize the myriad presentations of this disease. Primary syphilis is classically characterized by a painless transient chancre most often located in the genital area. Secondary syphilis typically manifests clinically as systemic symptoms in addition to a mucocutaneous eruption of which a variety of forms exist. Although less common in the era of effective penicillin treatment, late clinical manifestations of syphilis are described as well. In addition to recognition of syphilis on physical examination, several diagnostic tools may be used to confirm infection. Treponema pallidum spirochetes may be detected directly using histopathologic staining, darkfield microscopy, direct fluorescent antibody, and polymerase chain reaction assays. A table detailing the histopathologic features of syphilis is included in this article. Serologic testing, non-treponemal and treponemal tests, is the preferred method for screening and diagnosing syphilis infections. Two serologic testing algorithms exist to aid clinicians in diagnosing positive syphilis infection. Determining the correct stage of syphilis infection combines results of serologic tests, patient history, and physical examination findings. Using the current Centers for Disease Control and Prevention case definitions and treatment guidelines, a management algorithm is proposed here. Penicillin remains the pharmacological treatment of choice although specific clinical situations allow for alternative therapies. Syphilis is a reportable disease in every state and should be reported by stage according to individual state requirements. Screening recommendations are largely based upon risks encountered through sexual exposures. Likewise, sexual partner management includes evaluating and treating persons exposed to someone diagnosed with an infective stage of syphilis. Close clinical follow-up and repeat testing are recommended to ensure appropriate response to treatment. This guide will discuss the current epidemiology of syphilis and focus on practice aspects of diagnosis and management, including public health reporting.

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Impact of the COVID-19 Pandemic on Centers for Disease Control and Prevention–Funded Sexually Transmitted Disease Programs

Cited by 30 publications

References 5 publications

HIV and STI Testing Among South Asian Gay, Bisexual, and Other Men Who Have Sex With Men in the United States

HIV and STI Testing Among South Asian Gay, Bisexual, and Other Men Who Have Sex With Men in the United States

Effect of COVID-19 pandemic on essential health care services and mitigation strategies implemented in Benishangul gumuz: An emerging region of Ethiopia

Syphilis in Dermatology: Recognition and Management

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