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ErikaA. Coleman
HealthScience 273
May 26,2 015
 What is gonorrhea?
 How common is Gonorrhea?
 Symptoms of gonorrhea
 Gonorrhea Images
 Prevention:
 Ways to reduce risks of getting gonorrhea
 Are you at risk?
 Is gonorrhea curable?
 Ignoring signs of infection
 Resources
 Treatment
 Prevalence of Gonorrhea in San
Bernardino County
 Crude case rates for surrounding counties
 Attaining a healthy sex life
 Summary
1. References
 Gonorrhea is a sexually
transmitted disease (STD)caused
by infection with Neisseria
gonorrhoeae bacterium. It infects
the mucous membranes of the
reproductive tract, including the
cervix, uterus, and fallopian tubes
in women and the urethra in
women and men.
 It can also cause infections in the
genitals, rectum, and throat.
 Gonorrhea is a very common
infectious disease.
 CDC estimates that, annually, 820,000 people in the United States
get new gonorrheal infections, and less than half of these infections
are detected and reported to CDC.
 CDC also estimates that 570,000 of them were young people 15-24
years of age.
 In 2013, 333,004 cases of gonorrhea were reported to CDC
 Some menwith Gonorrhea may have no
symptom at all however men who do
have symptoms may have:
1. A burning sensation when urinating;
2. A white, yellow, or green discharge from
the penis;
3. Painful or swollen testicles ( less common
than most)
 Most women with Gonorrhea do not
have any symptoms. Even when there
are symptoms, they are mistaken for
bladder or vaginal infection.
 Symptoms in womencan include:
 Painful or burning sensation when
urinating;
 Increased vaginal discharge;
 Vaginal bleeding between periods
 Symptoms of Rectalinfectionsinclude:
1. Discharge
2. Anal itching
3. Soreness
4. Bleeding
5. Painful bowl movements
 The only way to avoid STDs is to not have vaginal, anal, or oral sex.
 If you are sexually active, you can do the following things to lower your
chances of getting gonorrhea:
Being in a long-term mutually monogamous relationship with a partner
who has been tested and has negative STD test results.
Using latex condoms the right way every time you have sex.
 Any sexually active person can get gonorrhea through unprotected
vaginal, anal, or oral sex.
 If you are sexually active, have an honest and open talk with your health
care provider and ask whether you should be tested for gonorrhea or
other STDs.
 If you are a sexually active man who is gay, bisexual, or who has sex with
men, you should be tested for gonorrhea every year.
 If you are a sexually active women younger than 25 years or an older
women with risk factors such as new or multiple sex partners, or a sex
partner who has a sexually transmitted infection, you should be tested for
gonorrhea every year.
 Yes,gonorrhea can be cured with the right treatment. It is important that you take
all of the medication your doctor prescribes to cure your infection. Medication for
gonorrhea should not be shared with anyone. Althoughmedicationwillstopthe
infection, it willnot undoanypermanentdamagecausedby thedisease.
 It is becoming harder to treat some gonorrhea, as drug-resistant strains of
gonorrhea are increasing.
 If your symptoms continue for more than a few days after receiving treatment, you
should return to a health care provider to be checked again.
 Untreated gonorrhea can cause serious
and permanent health problems in
both women and men.
 In women, Untreated gonorrhea can
cause Pelvicinflammatorydisease. Some
of the complications of PID are:
Formation of scar tissue
that blocks fallopian tubes
Ectopic pregnancy (pregnancy
outside the womb)
Infertility
Long-term pelvic/abdominal
pain
 In men, gonorrhea can cause a painful
condition in the tubes attached to the
testicles.
 In rare cases, this may cause a man to
be sterile, or prevent him from being
able to father a child.
 Untreated gonorrhea may also increase
your chances of getting or giving HIV–
the virus that causes AIDS.
 A few local resources:
1. Division of STD Prevention (DSTDP)
Centers for Disease Control and Prevention
www.cdc.gov/std
2. San Bernardino County Department of Public Health
San Bernardino Health Center
3. Planned Parenthood of Orange and San Bernardino Counties
Incorporated
San Bernardino Health Center
4. Riverside San Bernardino County Indian Health Incorporated
San Manuel Health Clinic
 Gonorrhea can be cured with the right treatment. CDC now recommends
dual therapy (i.e. using two drugs) for the treatment of gonorrhea.
 It is important to take all of the medication prescribed to cure gonorrhea.
 Medication for gonorrhea should not be shared with anyone.
 Although medication will stop the infection, it will not repair any permanent
damage done by the disease.
 If a person’s symptoms continue for more than a few days after receiving
treatment, he or she should return to a health care provider to be
reevaluated.
55%
45%
Crude Case Rate for Gonorrhea
Female
Male
Age adjusted death rate
Crude case rate
Gonorrhea
Emergency
department
Visits per
100
Population
Death by
Zipcode
Coronary
heart
Disease Diabetes
female
Breast
Cancer
Prostate
Cancer Female Male Female Male
San
bernardino
County 120.9 33.0 23.5 23.3 203.7 169.2 29.1
San diego
County 95.7 19.6 21.2 22.2 106.2 198.0 22.2
Kern
County 134.2 34.7 20.6 22.3 312.4 312.6 26.9
Orange
County 98.8 15.0 18.4 19.2 59.7 104.5 21.9
California
Objective 103.8 20.8 20.7 20.2
National
Objective 103.4 b 20.7 21.8 251.9 194.8
Zipcode
92410 106 145
b National Objective is based on both underlying and contributing cause of death which requires use of multiple cause of death files.
Latex condoms, when used consistently and correctly, can
reduce the risk of transmission of gonorrhea.
The guaranteed way to avoid transmission of gonorrhea or
other STDs is to abstain from sexual intercourse,
Lastly, be in a long-term mutually monogamous
relationship with a partner who has been tested and is
known to be uninfected.
NO SEX!
 What is gonorrhea?
 How common is Gonorrhea?
 Symptoms of gonorrhea
 Gonorrhea Images
 Prevention:
 Ways to reduce risks of getting gonorrhea
 Are you at risk?
 Is gonorrhea curable?
 Ignoring signs of infection
 Resources
 Treatment
 Prevalence of Gonorrhea in San
Bernardino County
 Crude case rates for surrounding counties
 Attaining a healthy sex life
 Summary
 "Gonorrhea - CDC Fact Sheet (Detailed Version)." Centers for Disease
Control and Prevention. Centers for Disease Control and Prevention, 16
Dec. 2014. Web. 18 June 2015.
 "Gonorrhea Statistics." Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention, 30 Mar. 2015. Web.
18 June 2015.

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Health Related Issues And Prevention

  • 2.  What is gonorrhea?  How common is Gonorrhea?  Symptoms of gonorrhea  Gonorrhea Images  Prevention:  Ways to reduce risks of getting gonorrhea  Are you at risk?  Is gonorrhea curable?  Ignoring signs of infection  Resources  Treatment  Prevalence of Gonorrhea in San Bernardino County  Crude case rates for surrounding counties  Attaining a healthy sex life  Summary 1. References
  • 3.  Gonorrhea is a sexually transmitted disease (STD)caused by infection with Neisseria gonorrhoeae bacterium. It infects the mucous membranes of the reproductive tract, including the cervix, uterus, and fallopian tubes in women and the urethra in women and men.  It can also cause infections in the genitals, rectum, and throat.  Gonorrhea is a very common infectious disease.
  • 4.  CDC estimates that, annually, 820,000 people in the United States get new gonorrheal infections, and less than half of these infections are detected and reported to CDC.  CDC also estimates that 570,000 of them were young people 15-24 years of age.  In 2013, 333,004 cases of gonorrhea were reported to CDC
  • 5.  Some menwith Gonorrhea may have no symptom at all however men who do have symptoms may have: 1. A burning sensation when urinating; 2. A white, yellow, or green discharge from the penis; 3. Painful or swollen testicles ( less common than most)  Most women with Gonorrhea do not have any symptoms. Even when there are symptoms, they are mistaken for bladder or vaginal infection.  Symptoms in womencan include:  Painful or burning sensation when urinating;  Increased vaginal discharge;  Vaginal bleeding between periods  Symptoms of Rectalinfectionsinclude: 1. Discharge 2. Anal itching 3. Soreness 4. Bleeding 5. Painful bowl movements
  • 6.
  • 7.  The only way to avoid STDs is to not have vaginal, anal, or oral sex.  If you are sexually active, you can do the following things to lower your chances of getting gonorrhea: Being in a long-term mutually monogamous relationship with a partner who has been tested and has negative STD test results. Using latex condoms the right way every time you have sex.
  • 8.  Any sexually active person can get gonorrhea through unprotected vaginal, anal, or oral sex.  If you are sexually active, have an honest and open talk with your health care provider and ask whether you should be tested for gonorrhea or other STDs.  If you are a sexually active man who is gay, bisexual, or who has sex with men, you should be tested for gonorrhea every year.  If you are a sexually active women younger than 25 years or an older women with risk factors such as new or multiple sex partners, or a sex partner who has a sexually transmitted infection, you should be tested for gonorrhea every year.
  • 9.  Yes,gonorrhea can be cured with the right treatment. It is important that you take all of the medication your doctor prescribes to cure your infection. Medication for gonorrhea should not be shared with anyone. Althoughmedicationwillstopthe infection, it willnot undoanypermanentdamagecausedby thedisease.  It is becoming harder to treat some gonorrhea, as drug-resistant strains of gonorrhea are increasing.  If your symptoms continue for more than a few days after receiving treatment, you should return to a health care provider to be checked again.
  • 10.  Untreated gonorrhea can cause serious and permanent health problems in both women and men.  In women, Untreated gonorrhea can cause Pelvicinflammatorydisease. Some of the complications of PID are: Formation of scar tissue that blocks fallopian tubes Ectopic pregnancy (pregnancy outside the womb) Infertility Long-term pelvic/abdominal pain  In men, gonorrhea can cause a painful condition in the tubes attached to the testicles.  In rare cases, this may cause a man to be sterile, or prevent him from being able to father a child.  Untreated gonorrhea may also increase your chances of getting or giving HIV– the virus that causes AIDS.
  • 11.  A few local resources: 1. Division of STD Prevention (DSTDP) Centers for Disease Control and Prevention www.cdc.gov/std 2. San Bernardino County Department of Public Health San Bernardino Health Center 3. Planned Parenthood of Orange and San Bernardino Counties Incorporated San Bernardino Health Center 4. Riverside San Bernardino County Indian Health Incorporated San Manuel Health Clinic
  • 12.  Gonorrhea can be cured with the right treatment. CDC now recommends dual therapy (i.e. using two drugs) for the treatment of gonorrhea.  It is important to take all of the medication prescribed to cure gonorrhea.  Medication for gonorrhea should not be shared with anyone.  Although medication will stop the infection, it will not repair any permanent damage done by the disease.  If a person’s symptoms continue for more than a few days after receiving treatment, he or she should return to a health care provider to be reevaluated.
  • 13. 55% 45% Crude Case Rate for Gonorrhea Female Male
  • 14. Age adjusted death rate Crude case rate Gonorrhea Emergency department Visits per 100 Population Death by Zipcode Coronary heart Disease Diabetes female Breast Cancer Prostate Cancer Female Male Female Male San bernardino County 120.9 33.0 23.5 23.3 203.7 169.2 29.1 San diego County 95.7 19.6 21.2 22.2 106.2 198.0 22.2 Kern County 134.2 34.7 20.6 22.3 312.4 312.6 26.9 Orange County 98.8 15.0 18.4 19.2 59.7 104.5 21.9 California Objective 103.8 20.8 20.7 20.2 National Objective 103.4 b 20.7 21.8 251.9 194.8 Zipcode 92410 106 145 b National Objective is based on both underlying and contributing cause of death which requires use of multiple cause of death files.
  • 15. Latex condoms, when used consistently and correctly, can reduce the risk of transmission of gonorrhea. The guaranteed way to avoid transmission of gonorrhea or other STDs is to abstain from sexual intercourse, Lastly, be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected. NO SEX!
  • 16.  What is gonorrhea?  How common is Gonorrhea?  Symptoms of gonorrhea  Gonorrhea Images  Prevention:  Ways to reduce risks of getting gonorrhea  Are you at risk?  Is gonorrhea curable?  Ignoring signs of infection  Resources  Treatment  Prevalence of Gonorrhea in San Bernardino County  Crude case rates for surrounding counties  Attaining a healthy sex life  Summary
  • 17.  "Gonorrhea - CDC Fact Sheet (Detailed Version)." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 16 Dec. 2014. Web. 18 June 2015.  "Gonorrhea Statistics." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 30 Mar. 2015. Web. 18 June 2015.

Editor's Notes

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