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Background
According to the Centers for Disease Control and Prevention, sexually transmitted
diseases (STDs), also referred to as sexually transmitted infections (STIs) are a
major public health challenge in the U.S., affecting approximately 19 million
Americans each year, almost half of them young people ages 15 to 24. In
'Trends in Reportable Sexually Transmitted Diseases in the United States, 2006',
CDC presents STD statistics and trends in the United States through 2006 but points
out that many cases of STDs go undiagnosed and unreported and therefore, this
data represents only a small proportion of the true national burden of STDs.
Nevertheless, it indicates that, the national rate of chlamydia and gonorrhea, the
two most commonly diagnosed reportable STDs, increased by more than 5% from
2005 to 2006.
In
"Trends in Reportable Sexually Transmitted Diseases in the United States, 2007",
CDC presents STD statistics and trends in the United States through 2007 but
points out that many cases of STDs go undiagnosed and unreported and therefore,
this data represents only a small proportion of the true national burden of STDs.
Nevertheless, the two most commonly reported infectious diseases in America -
chlamydia and gonorrhea -together were reported in almost 1.5 million Americans
in 2007. Chlamydia remains the most commonly reported disease in the United States,
and the 2007 total (1,108,374) represents the largest number of cases ever
reported to CDC for any condition. Gonorrhea is the second most commonly reported
infectious disease in the United States, with 355,991 cases reported in 2007.
The rate of primary and secondary (P&S) syphilis - the most infectious stages
of the disease - decreased throughout the 1990s, and in 2000 reached an all-time
low. However, over the past seven years, the syphilis rate in the United States
has been increasing. Between 2006 and 2007, the national P&S syphilis rate
increased 15.2 percent, from 3.3 to 3.8 cases per 100,000 population, and the
number of cases increased from 9,756 to 11,466
Below, we have provided information on STDs including policies and directives,
training material, and other resources, to assist healthcare providers and Service
members and their families.
Table of Contents
Clinical Guidance
Policies and Directives
DoD/Joint Forces
Army
Air Force
- AFI 48-105 Surveillance, Prevention, and Control of Diseases and Conditions of Public Health or Military Significance, 1 Mar 05. Incorporating Change 1, 1 Aug 06, Certified Current 22 Mar 10
- AFI 48-135 Human Immunodeficiency Virus Program, 12 May 04 incorporating Change 1, 7 Aug 06. Certified Current 13 May 10
- AFI 44-102, Medical Care Management, 1 May 06 incorporating Change 1, 23 May 07
- Uniformed Services Sexual Health Policies on NMCPHC Web site
Navy/Marines
Coast Guard
Fact Sheets, Manuals, Brochures
Other Related Information
- Institute of Federal Health Care Roundtable Discussion, Examining Collaborative Efforts In STD Screening and Treatment, July 2008
Education and Training
Research
Related Links
- Centers for Disease Control and Prevention (CDC) Sexually Transmitted Diseases Page
- National Institute of Allergy and Infectious Diseases (NIAID) Sexually Transmitted Infections Page (NIAID is part of the National Institutes of Health. It conducts and supports basic and applied research to better understand, treat, and ultimately prevent infectious, immunologic, and allergic diseases)
- World Health Organization (WHO) Sexually Transmitted Infections Page
- Navy and Marine Corps Public Health Center (NMPHC), Sexual Health Information
- Health Resources and Services Administration HIV/AIDS Program: Caring for the Underserved
- AIDS.gov (Web site administered by the U.S. Department of Health and Human Services that provides access to U.S Government HIV/AIDS information)
- AIDSinfo (AIDSinfo is a U.S. Department of Health and Human Services project that offers the latest federally approved information on HIV/AIDS clinical research, treatment and prevention, and medical practice guidelines for people living with HIV/AIDS, their families and friends, health care providers, scientists, and researchers.)
- American Social Health Association (ASHA) (AHSA is a non-profit organization that has advocated on behalf of patients to help improve public health outcomes since 1914. It is recognized by the public, patients, providers, and policy makers for developing and delivering accurate, medically reliable information about STDs.)
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