Chlamydia up 19%, gonnorrhea 63%, syphilis 71% since 2014 per CDC

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This came out in October, but it is mostly current, as data lags a bit anyway on such things.


2018 Sexually Transmitted Disease Surveillance

Chlamydia

1.8 million cases;
19% increase since 2014


Gonorrhea

583,405 cases;
63% increase since 2014


Primary and Secondary Syphilis

35,063 cases;
71% increase since 2014


Congenital Syphilis

1,306 cases;
185% increase since 2014


1-F_CTHXSEX-08-13-2019.png

18-F_GCHXSEX-08-13-2019.png



In 2018, a total of 35,063 cases of P&S syphilis were reported in the United States, yielding a rate of 10.8 cases per 100,000 population. This rate represents a 14.9% increase compared with 2017 (9.4 cases per 100,000 population), and a 71.4% increase compared with 2014 (6.3 cases per 100,000 population).
 
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tall73

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well, sex education including the proper use of condoms is very important of course

a. Do you have any theories as to what changed that the numbers went up?

b. If you see it as a failure in education, where do you see the failure happening since 2014.

c. What role do societal changes play beyond education?
 
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grasping the after wind

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I'm guessing condoms aren't being used enough . I wonder why?

Because there is too much reliance on the pill which does nothing to inhibit venereal diseases. It also has been proven to have other undesirable effects upon women. Condoms on the other hand when used properly are effective and have no ill after effects. But no one seems to believe that acting responsibly in one sexual conduct ought to be encouraged. Condom use and spontaneity don't always line up.
 
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This came out in October, but it is mostly current, as data lags a bit anyway on such things.

2018 Sexually Transmitted Disease Surveillance

Chlamydia

1.8 million cases;
19% increase since 2014


Gonorrhea

583,405 cases;
63% increase since 2014


Primary and Secondary Syphilis

35,063 cases;
71% increase since 2014


Congenital Syphilis

1,306 cases;
185% increase since 2014


1-F_CTHXSEX-08-13-2019.png

18-F_GCHXSEX-08-13-2019.png



In 2018, a total of 35,063 cases of P&S syphilis were reported in the United States, yielding a rate of 10.8 cases per 100,000 population. This rate represents a 14.9% increase compared with 2017 (9.4 cases per 100,000 population), and a 71.4% increase compared with 2014 (6.3 cases per 100,000 population).

Maybe God is telling us that we should be married before we start fooling around.
M-Bob
 
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Desk trauma

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Maybe God is telling us that we should be married before we start fooling around.
M-Bob
Clearly its a positive message for the Lesbians given their low rate of STIs.
 
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Because there is too much reliance on the pill which does nothing to inhibit venereal diseases. It also has been proven to have other undesirable effects upon women. Condoms on the other hand when used properly are effective and have no ill after effects. But no one seems to believe that acting responsibly in one sexual conduct ought to be encouraged. Condom use and spontaneity don't always line up.
No, it's because we have Conservative Christians, The vice Pence and Trump trying to block condom and birth control access . Nothing more.
 
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ThatRobGuy

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A couple different factors...

1) Other forms of birth control have become more popular than the condom due to efficacy and convenience, and while the condom isn't #1 in terms of pregnancy prevention, it's obviously the best in terms of STD prevention when compared to the pill or IUDs.

2) Certain diseases are prone to progression and mutation as more people get them over time. For instance, the first recorded cases of Gonorrhea date back to the 1100's.


With this topic, it's important to keep a few contextual aspects in mind.

"Sexually transmitted" diseases are thought of as "worse" simply due to societal stigmas around sex. However, many aren't any more harmful (if left untreated) than ones transmitted via airborne mechanisms or other forms of skin contact, and many are just as easy to treat as any other form of infection. For instance, compare the mortality rate between herpes and the flu and see what numbers you come up with...or consider the long term effects of untreated strep throat if a kid drinks from a water fountain that another kid (with strep) put their mouth on. There's no stigma about going to the doctor to get a 10-day run of Augmentin to treat Strep...but there is a stigma about going to the doctor to get a 7-day run of doxicycline (if I'm spelling that right) to treat an STD.

In terms of the "big ones" HIV/AIDS that can actually have catastrophic consequences...numbers are way down from where they were a few decades ago and that's what's important.


The underlying fact remains, it's a biological thing and the social taboos around sex aren't relevant. If you had an island, and had 10,000 people (none of whom currently had any forms of STDs whatsoever), and they all proceeded to have a year long unprotected swingers party, at the end of that year, they'd still not have an issue with STDs even though they had just spent 365 days engaging in promiscuity.


In a nuthsell, touting STD statistics is nothing more than a way for people to say "see, if you followed my personal moral stance on sex, this wouldn't be a problem"

No different than a vegan activist claiming "see, if you just followed my personal moral viewpoint, this heart disease thing wouldn't be an issue"
 
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tall73

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In terms of the "big ones" HIV/AIDS that can actually have catastrophic consequences...numbers are way down from where they were a few decades ago and that's what's important.

They can still be dangerous, and there are issues besides just stigma to be concerned with. But the stigma is an issue in itself because it means fewer may seek treatment.

Syphilis - 2018 Sexually Transmitted Diseases Surveillance

After decreasing from 10.5 to 8.4 reported congenital syphilis cases per 100,000 live births during 2008–2012, the rate of reported congenital syphilis has subsequently increased each year since 2012 (Table 1). In 2018, there were a total of 1,306 reported cases of congenital syphilis, including 78 syphilitic stillbirths and 16 infant deaths, and a national rate of 33.1 cases per 100,000 live births. This rate represents a 39.7% increase relative to 2017 (23.7 cases per 100,000 live births) and a 185.3% increase relative to 2014 (11.6 cases per 100,000 live births).

STDs in Women and Infants - 2018 Sexually Transmitted Diseases Surveillance


Also,

Basic Information about ARG - STD information from CDC

Gonorrhea has developed resistance to nearly all of the antibiotics used for its treatment. We are currently down to one last recommended and effective class of antibiotics, cephalosporins, to treat this common infection. This is an urgent public health threat because gonorrhea control in the United States largely relies on our ability to successfully treat the infection.

Moreover, there are additional factors to look at. In a minority of cases of congenital syphilis the reason it doesn't get diagnosed in time to help the child is lack of access to proper medical care.


There are populations who may not have a choice in their behaviors, but are exposed, such as those who are trafficked, which is increasing.

I agree there is a stigma. But I don't think the lesson of science is that there is no big deal. Part of the reason there is a big deal is that the stigma keeps people from betting treatment, and for that reason it increases.




 
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tall73

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The underlying fact remains, it's a biological thing and the social taboos around sex aren't relevant. If you had an island, and had 10,000 people (none of whom currently had any forms of STDs whatsoever), and they all proceeded to have a year long unprotected swingers party, at the end of that year, they'd still not have an issue with STDs even though they had just spent 365 days engaging in promiscuity.

And just as scientifically true, if you had an island where half the population had an std, but no one had any sex, the transmission rate would be a lot lower than if they had a year long orgy, as in your scenario.

In a nuthsell, touting STD statistics is nothing more than a way for people to say "see, if you followed my personal moral stance on sex, this wouldn't be a problem"

Downplaying an issue that is increasingly impacting people is a way to ignore figuring out why the numbers are going up, despite our ability to treat some strains going down.

And if a disease is sexually transmitted, even science might agree that changing sexual behaviors could change transmission rates. I don't think your doctor is telling folks to go have lots of unprotected sex.
 
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tall73

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These military towns have the highest rates of sexually transmitted diseases in the country

Robison-Chadwell said that in terms of addressing STDs, prevention is key, given the rise of antibiotic resistant gonorrhea in the U.S. Across the world, other countries are seeing a growing problem with treatment resistant strains of chlamydia, which can cause infertility, and syphilis, which, if not treated, can cause arthritis, blindness, heart disease and dementia.


“What is troubling is that we are seeing an increase in the number of treatment-resistant gonorrhea cases,” Robison-Chadwell said. “People think if they get sick they can just pop a pill and they’ll get better. That’s no longer the case.”

She added that there is a “misnomer out there” that if a person is asymptomatic, they won’t transmit a disease.

People focus on the symptoms and tend to think if they stay away from someone with symptoms, they won’t get an infection. But they need to know their partners, take precautions and get tested regularly,” Robison-Chadwell said.
 
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ThatRobGuy

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Downplaying an issue that is increasingly impacting people is a way to ignore figuring out why the numbers are going up, despite our ability to treat some strains going down.

And if a disease is sexually transmitted, even science might agree that changing sexual behaviors could change transmission rates. I don't think your doctor is telling folks to go have lots of unprotected sex.

My intent wasn't to downplay anything.

Obviously the rise of any disease or condition is an issue.

My point was, with diseases that exist within the realm having some sort of overlap with an activity that someone is ideologically opposed to, people will tend use that as some sort of validation of their own ideological view, and suggest things like "the solution to this would be simple if people would just do it our way", and tout their own preferred approach as an exclusive solution.
(that's obviously in addition to any societal stigmas that exist due to a large portion of the population stigmatizing the related activities)


For instance, when discussing issues within the public schools, while most would simply look to see what changes could address those issues, a staunch homeschooling advocate will likely suggest "We wouldn't have these problems if everyone would just pull their kids out and home school them like we do!"

While it's true that abstaining from certain things will lower risks, that doesn't actually "solve the issue" per say, as avoidance doesn't address the problem.

A more real-world practical example. I have seasonal allergies that really act up (if I don't use my eye drops and nasal sprays) when I go out the in woods and do my hikes and photography (which I enjoy doing).

Sure, "this could all be solved if you just avoided wooded areas for 120 days out of the year", but it's not a very practical approach given that human nature is doing to drive many folks to do things they find to be enjoyable.
 
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Some of the increase could be related to better health care access. STIs are reportable diseases. But obviously, an infected person must have been seen and diagnosed by a heath care provider for the case to be reported. So if more people are being diagnosed and treated, it will appear statistically as an increase in the prevalence of STIs. Greater access to treatment is a good thing. Though clearly, there is no substitute for safe and responsible sexual behavior.

For the record, from a long term historical perspective, these numbers are still very low. I have a medical textbook from 1902. It was estimated that 10-15% of the US population was infected with syphilis. Yes, these were the pre-antibiotic days, but that’s an enormously high prevalence rate. It was why states required pre-marital blood tests. And that doesn’t include countless more cases of gonorrhea, and other STIs that weren’t yet well understood—like chlamydia, herpes, trichomoniasis, HPV, and others.
 
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My intent wasn't to downplay anything.

Obviously the rise of any disease or condition is an issue.

My point was, with diseases that exist within the realm having some sort of overlap with an activity that someone is ideologically opposed to, people will tend use that as some sort of validation of their own ideological view, and suggest things like "the solution to this would be simple if people would just do it our way", and tout their own preferred approach as an exclusive solution.

The problem needs to be addressed from all angles. But one of those angles, even suggested by the scientists in the Military Times article, includes having more information about sexual partners.

“People focus on the symptoms and tend to think if they stay away from someone with symptoms, they won’t get an infection. But they need to know their partners, take precautions and get tested regularly,” Robison-Chadwell said.

Here is an example of advice given in the context of the larger society, not just those who wait until marriage for sex. It is still not a good idea to pick up people you don't know, and don't know their history, and I assume by take precautions here condom use is meant. Then get tested.

While it's true that abstaining from certain things will lower risks, that doesn't actually "solve the issue" per say, as avoidance doesn't address the problem.

People can choose what actions they want to take to mitigate risk in their own life. Abstinence is one option, among many. Discussing it is not more a problem than discussing the rest.
 
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