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SF seeks new plan to combat rise in STDs

by Matthew S. Bajko

Dr. Susan Philip. Photo: Rick Gerharter
Dr. Susan Philip. Photo: Rick Gerharter  

After a decade-long rise in the transmission of sexually transmitted diseases in San Francisco, local health officials are seeking a new plan to reverse the troubling trend.

Similar to how the city pioneered a "Getting to Zero" plan to drastically reduce the transmission of HIV by 2020, public health leaders are in talks to create a multi-pronged strategy for reducing STDs rates. A key part of the plan calls for greater collaboration between the Department of Public Health's sections focused on HIV prevention and STD control.

"We have to create a roadmap for getting us to where we want to be," said Deputy Health Officer Dr. Susan Philip, the director of the disease prevention and control branch in the health department's Population Health Division. "The only way to serve people well is to take a holistic look at their health and specifically at hepatitis C, HIV, and STDs all together."

The move to re-examine how the city is preventing the transmission of STDs comes as federal health officials are warning that the country is "sliding backward" in its fight to stop the spread of chlamydia, gonorrhea, and syphilis. New data released August 28 during the 2018 STD Prevention Conference showed that cases of all three of the STDs had increased in 2017 for the fourth year in a row.

According to the Centers for Disease Control and Prevention, there were nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis diagnosed in the United States last year, according to preliminary data. As the Bay Area Reporter noted in a story posted to its website Tuesday, the number surpassed the previous record set in 2016 by more than 200,000 cases.

"The CDC is seeing steep and sustained increases in STDs," said Dr. Gail Bolan, director of the CDC's Division of STD Prevention, during a news conference with media Tuesday. "This is a continuation of a persistent and troubling trend."

According to the CDC, a range of factors may be contributing to STD increases, with studies pointing to drug use and socioeconomic factors like poverty, stigma, and discrimination. Michael Fraser, Ph.D., executive director of the Association of State and Territorial Health Officials, laid part of the blame with the underfunding of the federal health agency by political leaders in Washington.

"What the rates show to me is our lack of investment in public health and prevention," said Fraser. "We shouldn't be that surprised by these increases when we look at the decrease in funding and purchasing power of states over time."

While the rise in STDs nationally mirrors the introduction of PrEP, the once-a-day pill that protects HIV-negative people from acquiring HIV, it remains unclear if the medication is behind the increase of cases in gay and bisexual men. STD rates were increasing and condom usage was decreasing among men who have sex with men prior to PrEP, noted David C. Harvey, executive director of the National Coalition of STD Directors.

Rather, the HIV and STD testing standards associated with the usage of PrEP are seen as beneficial toward the goal of reducing rates of both, argued Harvey. Federal health officials earlier this year, at the urging of local health leaders and others, updated their guidelines to encourage STD screening every three to six months for those taking PrEP, though STD directors favor testing every three months.

"PrEP presents an unprecedented opportunity to treat STDs because of the testing standards associated with PrEP," Harvey told the B.A.R. in a phone interview Tuesday. "Ultimately, we believe PrEP and the STD screening that goes along with it will reduce STDs."

SF numbers
San Francisco has experienced increases in all three of the STDs since 2007, with preliminary data for 2018 from the Department of Public Health showing the number of cases of chlamydia, gonorrhea, and syphilis all continuing to outpace those seen last year. The health department warned local medical providers in May of this year that the city was "experiencing a significant increase in STD rates."

Preliminary data for 2017 released earlier this year found that gonorrhea had increased 10.7 percent, from 5,196 cases in 2016 to 5,750 in 2017. It is a more moderate jump in cases than the nearly 22 percent increase seen between 2015 and 2016.

Compared to 2016, early syphilis increased 25.5 percent from 1,144 to 1,436 cases in 2017, according to the data. And the city also reported that cases of chlamydia, which have increased nearly every year since 1995, rose last year by 12 percent, from 8,091 to 9,061 cases in 2017.

In the letter to providers, Philip and Dr. Tomás Aragón, the city's health officer, noted that the highest rates of syphilis, chlamydia, and gonorrhea were among gay and bisexual men, adolescents and young adults, and transgender people. They asked that providers integrate sexual health and STD prevention into their routine primary and HIV care. They also reminded them that sexually active men who have sex with men should be tested for both STDs and HIV every three months.

"Providers are also encouraged to work with us to ensure that sex partners are tested and treated and notify us if they suspect that their patient may have a resistant infection," wrote Philip and Aragón.

Unlike with the city's plans for ending the transmission of hep C and HIV, the STD plan likely will not include target dates for eliminating cases of syphilis, chlamydia, and gonorrhea, Philip told the B.A.R. during a phone interview Monday while in Washington, D.C. attending the STD conference. That has to do, she said, with the current lack of vaccines to prevent people from acquiring sexually transmitted infections as there are for hep A and hep B, with research ongoing for a hep C vaccine, or a once-a-day pill to block STD transmission like the use of PrEP against HIV.

The health department's City Clinic provides a model for how the plan could work, said Philip, as it already integrates STD and HIV prevention and care under one roof.

"What is new, really, is we are talking about a roadmap as we are doing for getting to zero on HIV transmissions and no new hep C infections. We also want to think about decreasing our rates of STDs," said Philip, who is expected to discuss the proposal at the Health Commission meeting Tuesday.

Philip said the pieces for an integrated plan to combat STDs already exist in the city, from the health department's clinic and programs to community-based service providers and advocates focused on promoting sexual health. It is more a matter of how to ensure all of those components are working in tandem, she said, and devising new tools for screening and the prompt treatment of STDs.

City Clinic is piloting a rapid test for gonorrhea and chlamydia that takes 90 minutes to deliver results, rather than two days or more. And it continues to advocate at the federal level for new biomedical preventions for STDs.

"It is a really challenging task," said Philip. "But I am optimistic we will continue to do what we can to improve sexual health in San Francisco."

Harvey, with the STD directors association, believes San Francisco's STD plan could be a model nationally that other health departments can replicate.

"We applaud San Francisco's efforts to get to zero on STDs," said Harvey. "Like so many times in the past, San Francisco is playing a cutting edge and leading role nationally in this area."

His coalition is also pushing for the development of a national strategy on STDs, similar to the federal plan to end HIV transmissions adopted by the Obama administration. During the national media call Tuesday, Harvey said that an additional $70 million, at least, is needed in the federal budget for Fiscal Year 2019 to properly fund state and local STD programs.

He told the B.A.R. that Senator Kamala Harris (D-California) has been "a new champion" for the funding since being elected in 2016 and that advocates continue to work with House Minority Leader Nancy Pelosi (D-San Francisco) in moving the funding request through the House.

"Ironically, STDs have more stigma than HIV, so we have a huge ladder to climb," said Harvey.

The state and territorial health officials group's Fraser said the CDC also needs an additional $50 million to fully fund its STD prevention work and that of the states in local communities.

"We all need to be incredibly interested in how we are going to solve this problem," said Fraser. "It is great to have surveillance data from the CDC and states, but we will really solve it by those boots on the ground."

Contact the reporter at m.bajko@ebar.com.

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    I was diagnosed with herpes since I was a child. My mother has them too, and does nothing to stop the spread. it was hard to not kiss my children all the time, but they grow up knowing that "when mommy has a lip owie, she can’t kiss." They give me kisses on my forehead instead and we have extra hugs. It was also very painful to not kiss my partner. However, I was 100% determined to not pass this on to anyone, especially those I love.I mostly want to thank those who feel the way I do. dr saibu health herbs home helped me and my family to find happiness and peace ,their herbal remedies for herpes works like miracle,i was totally cured of herpes virus within 5 weeks of usage . for your herpes cure contact them today order online via call or whatsapp +2348064438762 address... you can also email them via drsaibu2@gmail.com they also have cure to the following ... HIV and AIDS DIABETES CANCERS ALS god bless us all !!


  • Anonymous, 2019-02-28 16:23:04

    My name is Ruben Katherine.The conclusion by medical doctors that HIV has no cure is certainly not true because I’m a leaving testimony of how Dr MAGGI uses black seed extracts and other herbal materials to cure HIV/AIDS and HERPES virus. I was leaving with HIV for more than 8years, consulted many doctors for treatment but all they administer is antiretroviral drugs which depresses me even more. On this blessed day i went to the river side to reflect and maybe commit suicide due to HIV. While there a lady Maria noticed i was deep in thoughts and ask me what the trouble is and i told her my pains she offered to help because she has also benefited from Dr. MAGGI cure. Right there she sent a mail to an African based herbalist (Dr MAGGI) who replied and requested i send him information about myself. This conversation changed my story for good because less than 3weeks of using his herbal remedies which he sent to me through courier Service the virus was completely out of my body and this shocked my personal home doctors. One would have thought the solution to this demon called (HIV), Herpes, Cancer or HPV etc would come from the world recognized scientists. Hey, if you are tired of antiretroviral drugs, heartbroken and in need of solution contact him on: (Maggiherbalcenter@gmail.com) or watsapp +2348148487280.


  • Anonymous, 2019-02-28 16:24:13

    I’m here to testify about what DR. MAGGI did for me. I have been suffering from (GENITAL HERPES VIRUS) disease for the past 3 years and had constant pain and inching, especially in my private part. During the first year, I had faith in God that i would be cured someday.This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of Rose Smith on the internet testifying about a Man called DR. MAGGI on how he cured her from 7 years HSV 2. And she also gave the email address of this man, advise anybody to contact him for help on any kind of diseases that he would be of help, so I emailed him telling him about my (HSV 2) he told me not to worry that I was going to be cured!! Well, I never doubted him I have faith he can cure me too,, DR. MAGGI prepared and sent me Healing Oil, Soap, roots and herbs which I took. In the first one week, I started experiencing changes all over me, after four weeks of using his Roots/ Herbs, Oil and Soap, I was totally cured. no more inching , pain on me anymore as DR. MAGGI assured me. After some time I went to my doctor to do another test behold the result came out negative. So friends my advise is if you have such disease or know anyone who suffers from it or any other disease like HPV, HBV, HIV, ALS, HBP, CANCER etc. you can contact DR. MAGGI for help via email} Maggiherbalcenter@gmail.com or call or whatsapp him on +2348148487280 You can also email me on howardvivian222@gmail.com. I may not reply your mail immediately but at my leisure i will do so, Thanks once again DR. MAGGI for making me a happy woman again. or visit his web:drmaggiherbalcenter.webs.com.


  • Anonymous, 2019-03-02 22:57:18

    Words are not enough to thank you Dr Ajayi for healing me of the deadly disease that have been disturbing me for 4 years now, I have promise to share testimony about you if you are really able to cure me of my HSV which you really cured. I am here to tell the whole world that there are real powerful herbal doctor who can cure any disease because i am a living testimony to your work. You have wiped away the shame on my face and brought Joy back to my life that i have wish for over 4 years now. I was reading a testimony in a forum of a lady who said you cured her from the deadly Herpes Simplex virus, and i never believed not until i gave you a try and you really cured me. You are really a God sent to people and i will continue to spread the good thing you are doing to other people in the world who might also be having same problem cause i know you will also be of help. Anyone who is suffering from any kinds of disease should contact this great herbal Man called Dr Ajayi on his email ajayiherbalhome@gmail.com or call his mobile number +2348154724883 and get your problem solved.


  • Anonymous, 2019-03-04 10:28:29

    HOW I GOT CURE FROM HERPES WITHIN 14DAYS WITH THE HELP OF DR JOE HERBAL MEDICINE CONTACT DR JOE VIA drjoehome@gmail.com I am so Happy to be writing this article in here, i am here to explore blogs forum about the wonderful and most safe cure for HERPES SIMPLEX VIRUS . I was positive to the Virus called HERPES and i lost hope completely because i was rejected even by my closet friends. i searched online to know and inquire about cure for HERPES and i saw testimony about Dr JOE online on how he cured so many persons from Herpes Disease so i decided to contact the great herbalist because i know that nature has the power to heal everything. i contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via FEDEX or DHL and it got to me after 4 days! i used the medicine as he instructed me (MORNING and EVENING) and i was cured! its really like a dream but i’m so happy! that’s the reason i decided to also add more comment of Him so that more people can be saved just like me! and if you need his help,contact his Email: (drjoehome@gmail.com) You can contact him +2348155730398 or WhatsApp him +2348155730398 He also have the herb to cure difference cure for any sickness (1) HERPES, (2) DIABETES, (3) HIV&AIDS, (4) URINARY TRACT INFECTION, (5) HEPATITIS B,


  • Anonymous, 2019-03-09 22:06:24

    I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees.This disease started to circulate all over my body and I have been taking treatment from my doctor, few weeks ago I saw a testimony of someone who has been healed from Herpes and Cancer by this Man Dr Ajayi and she also gave the email address of this man and advice anyone with any sickness to also contact him that he would be of help, so I wrote to Dr Ajayi telling him about my (HERPES VIRUS) he told me not to worry that he is going to cure me!! i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over my body, after some time i went to the hospital for chick up and my test result came out as negative, today am so happy to share my testimony to everyone out there, friends my advice is if you have such sickness contact you too will be cured if only you contact him via email ajayiherbalhome@gmail.com you can also call or whatsapp him +2348154724883. he also have cure to other sickness like: HEPATITIS CENSER HIV/AIDS COLE SORES TOOTH ARK SYMPTOMS


  • Anonymous, 2019-03-13 02:11:11

    I can’t believe my Genital Herpes and HIV is really cured, i never thought and believed that one day i will live on earth cured of this disease.i have been suffering of this deadly disease GENITAL Herpes and HIV since 3years ago.Happiness is all i see now i never thought that i will live on earth before the year runs out this is a miracle A shot testimony on how i was cured for my Genital Herpes and HIV Virus diseases by Dr Maggi with his Herbal Root Herbs Medicine, Although this is almost too impossible to believe, but I am here to fulfill my promise to Dr Maggi I am a survivor, I am a living proof of this medication, at first it sounded so fake, but my mum encouraged me to continue with the medication, within 3 days I notice the sours in my genitals were all dried up and my tongue stopped paining me, so i stopped taking my ARVS and focused on the herbal medication. I felted my body coming back to life, my skin, my face, no more body weakness and my mum kept praying for me, she was really happy when i was tested negative. This unbelievable transformation have also brought me closer to God, and thanks to Dr Maggi for his regular checkups, calls, sms and chats. I am CURED, I am CURED and I repeat I AM CURED! I have been a slave of HIV for 3years but it took just 18 days for my cure! God Bless you Sir! contact him now for any kind of diseases problem such as Hiv, cancer, Hpv, prostate enlargement, Hepatitis C, on his mail (Maggiherbalcenter@gmail.com) or call him +1(305)697-6952 he is a herbal remedy to all sickness i have copied and sent the link of your contacts to a few Hiv, Cancer, Enlargement and Hepatitis B/Herpes friends, please sir help them and God will increase you! thanks you again sir for putting a smile on my face again so i am posting to this forum saying if you are into similar situation or have any kind of disease problem you can as well contact him for help.


  • Anonymous, 2019-03-14 09:11:52

    All thanks to Dr Ajayi for curing my herpes virus with his herbal medicine, i do not have much to say but with all my life i will forever be grateful to him and God Almighty for using Dr Ajayi to reach me when i thought it was all over, today i am happy with my life again after the medical doctor have confirmed my herpes of 5 years is gone,i have never in my life believed that herpes can be cured by herbal medicine. so i want to use this means to reach other persons who have this disease by testifying the power of Dr Ajayi that all hope is not lost, you too will be cured if only you have the believe. contact him via email: ajayiherbalhome@gmail.com you can also call or whatsapp his mobile number +2348154724883. he also cure CENSER DIABETES HIV VIRUS HEPATITIS TOOTH ARK


  • Anonymous, 2019-03-18 11:54:32

    I Am here to testify of the miraculous work of a great traditional doctor called DR. JOE ..I have been suffering from herpes since last 2 years with my Husband but today I am happy that am cure from it with the herbal medicine made by Dr. JOE the great healer, I was browsing the internet searching for help when I came across a testimony shared by someone on how Dr. JOE cure her from Herpes Disease. I quickly contacted him to get the cure and today i am now free from the Virus, I am so much happy today that we have someone like this great healer out there, so’ people out there kindly contact this great doctor on his email address please sir keep your good work cause there are people out there who is in need of your healing medicine .once more contact him now drjoehome@gmail.com Dr. JOE can prepare Herbal medicine for all kind of disease. HIV. CANCER. HEPATITIS B .DIABETES. COLD SORES. Syphilis. HBV, HPV, STD’s And many more. contact Dr. JOE to get your CURED Email : drjoehome@gmail.com CONTACT WHATSAPP +2348155730398? http//drjoehome.blogspot.com


  • Anonymous, 2019-03-19 03:00:38

    I am really happy that i have been cured from (HERPES SIMPLEX VIRUS) with the herbal medicine of Dr JOE , i have been suffering from this disease for the past 2 years and 7 mouth without solution until i came across the email of this doctor who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my husband, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follow his instructions for use and he ask us to go for a check up after 1 week and 4days which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this doctor who is ready to help anytime any day. To all the readers and viewers that is doubting this testimony stop doubting it and contact this doctor if you really have one and see if he will not actually help you. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me and i know that there are some people out there who are really suffering and hurting their family just because of these diseases so you can to mail him on drjoehome@gmail.com or WHATSAPP +2348155730398 he also told me that he has cure for these diseases listed below . HERPES SIMPLEX VIRUS. .DIABETES . CANCER .HEPATITIS .HIV/AIDS Thank you for your time bye.


  • Anonymous, 2019-03-20 07:56:04

    I can’t believe how Dr.Okougbe cure my HPV VIRUS, since three year ago i was effected with HPV VIRUS, and i have taking all manner of drugs prescribed to me from several doctors,but all my effort was wasted,i cried all day thinking on how i can be cured of this illness, i lost hope while i was looking for solution for my health,but one faithful day, i was searching the internet i came across several testimonies about Dr.Okougbe and how he has cure so many effected individual ,so i try and contact his email: Drokougbe@gmail.com i can’t express how happy i am now after so many years. If you have this ailment or whatsoever you might be suffering from contact: Drokougbe@gmail.com his Mobile number +234 811 927 8442


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