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HSV1 & HSV2 Genital Herpes
1.
2.
3. Genital Herpes is chronic viral
infection: No cure.
Caused by (HSV-1) or (HSV-2).
Most genital herpes cases are
caused by HSV-2.
Most individuals have no or
minimal signs or symptoms.
HSV can be easily mistaken for
1. razor burn,
2. a yeast infection,
3. hemorrhoids, genital acne,
4. or even just a simple bug bite.
4. HSV2 is NOT caused by sexual
promiscuity
Caused through skin to skin contact
In most cases of sexual transmission of
HSV2, the source case is asymptomatic at
the time of transmission.
Rarely contracted by a toilet seat or
clothing of an infected individual.
HSV2 is readily inactivated by drying,
soap and water.
Infected individuals are more susceptible
to the HIV virus, (active HSV sores
compromise immune system & make it
easier for the HIV virus invade body)
5.
6. Primary infection w/o treatment
lasts about 2–4 weeks.
Asymptomatic shedding occurs in
most, HSV-2 cases.
Rates of asymptomatic shedding
with HSV-2 are highest in early
infection and decrease over time.
Aseptic meningitis
(complication of HSV-2) is more
common in women than men.
7. The risk for transmission from
infected mother to neonate is
30%–50% in women who
acquire genital herpes near the
time of delivery
The risk for transmission from
infected mother is less than 1%
in women treated for recurrent
HSV.
Women w/ recurrent HSV-2
lesions at the onset of labor
should still deliver by “C”
Section.
8.
9. 1 in 6 Americans has
HSV-2
90% of those infected
don't know it .
Women are more
affected than men (2 to
1 ratio)
Sexual transmission of
HSV-2 is less efficient
from women to men
Percentage of Adults Aged 20--29 Years with Genital Herpes* Infection, by
Race/Ethnicity† --- National Health and Nutrition Examination Survey,
United States, 1988--1994, 1999--2002, and 2003—2006
SOURCES: National Health and Nutrition Examination Survey, 1988--2006.
Available at http://www.cdc.gov/nchs/nhanes.htm.
11. Annual Estimates of the Resident Population by
Sex, Single Year of Age, Race, and Hispanic Origin
for the United States: April 1, 2010 to July 1, 2015
2015 Population Estimates
Source:
http://factfinder.census.gov/faces/tableservices/js
f/pages/productview.xhtml?src=bkmk
If approximately 50%
of 14,275,300 African
American females age
14+ are infected
Then 7,137,650 African
Americans females are
infected
And 6,423,885 are
infected and do not
know it.
Black Population Growth
2010 2011 2012 2015
43,213,17
3
43,896,76
8
44,456,00
9
42,632,53
0
12. In this Tech Savvy World
Our mission is still to
“work 24/7 to protect
America from health, safety
and security
threats…Whether diseases
start at home or abroad, are
chronic or acute, curable or
preventable, human error or
deliberate attack...”
13. Sexual transmission of HSV2 can
occur during asymptomatic periods
Stressful events may trigger
recurrences
The frequency of outbreaks
generally decreases with increasing
duration of the infection.
In co-infected persons, suppressive
anti-herpetic therapy has been
shown to decrease plasma HIV viral
load and genital and rectal HIV
shedding
14.
15. Partner Top 30 Historically “Black”
Universities
Develop Phone App
Educate
Promote “Healthy Days”
Allow to register and make
appointment to get tested and get
free flu shot
Distribute result, medication and
referrals as needed.
Develop PSA
Upbeat and dramatic
Reposition Genital Herpes as
CHRONIC VIRAL INFECTION
Highlights contributions of
University Alumni to Public Health
Alumnus pleas for current students
keep university thriving-GET
TESTED.
16. Mass email promoting App, post
ad on:
University main learning
electronic “blackboard” (like
Canvas),
University website and
at every sporting event,
promote at every residence hall
(including attending two
residence halls meeting leading
up to the “healthy days”.
Create Facebook, Instangram, and
other social media pages to continue
to educate and empower
17. 1st HSV-2 may be detected by culture for about 12 days.
Costs
Acyclovir 400mg $9.96 for a month's supply
“Glaxo's Valtrex $192.88 Antiviral therapy partially controls
symptoms and signs of HSV-2 episodes
Primary Eruptions
Acyclovir 400mg po tid for 7-10 days
Valacyclovir 1g po q 12h for 7-10 days
Famciclovir 250mg po tid for 7-10 days
Recurrent Eruptions
Acyclovir 400mg po tid for 5 days
Valacyclovir 500mg po q 12h for 3 days
Famciclovir 1000mg q 12h for 1 day
18. HSV-2 is typically not life threatening
HSV-2 can be transmitted sexually
during asymptomatic periods.
The frequency of outbreaks generally
decreases with time
Advise to inform future sex partners
that they’re HSV-2+ before initiating a
sexual relationship.
Advise to abstain from sexual activity
with uninfected partners during
outbreaks.
Advise to inform their OB-GYN of
their HSV-2 status, if they are women
who are pregnant or of child-bearing
age
Risks of neonatal infection will be
explained to women and men.
19. Awasthi, S., & Friedman, H. M. (2014). A paradigm shift: vaccine-induced antibodies as an immune correlate of protection
against herpes simplex virus type 1 genital herpes. The Journal Of Infectious Diseases, 209(6), 813-815.
www.bestcolleges.com, (2016). BEST HISTORICALLY BLACK COLLEGES. Retrieved on July 14, 2016 from
http://www.bestcolleges.com/features/top-30-historically-black-colleges/
Brown, D. (2007). Herpes Awareness Project Divides Health Officials. Retrieved on July 14, 2016 from
http://www.washingtonpost.com/wp-dyn/content/article/2007/07/23/AR2007072301583.html
CDC. (2012). Neonatal Herpes Simplex Virus Infection Following Jewish Ritual Circumcisions that Included Direct
Urogenital Suction — New York City, 2000–2011. Retrieved on July 14, 2016 from
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6122a2.htm
CDC, (2015). Adolescents, Technology and Reducing Risk for HIV, STDs and Pregnancy. Reviewed July 14, 2016 from
http://www.cdc.gov/std/life-stages-populations/adolescents-tech.htm
Harvard Medical School, Patient Education Center, 2016. Genital Herpes. Retrieved on July 14, 2016 from
http://www.patienteducationcenter.org/articles/genital-herpes/
IN BRIEF. (2010). Australian Nursing Journal, 17(8), 12.
20. Kinchington, P. R., Leger, A. J. S., Guedon, J.-M. G., & Hendricks, R. L. (2012). Herpes simplex virus and varicella zoster
virus, the houseguests who never leave. Herpesviridae, 3, 5.
LeGoff, J., Péré, H., & Bélec, L. (2014). Diagnosis of genital herpes simplex virus infection in the clinical laboratory.
Virology Journal, 11(1), 1-30.
Li, D., Raebel, M. A., Cheetham, T. C., Hansen, C., Avalos, L., Chen, H., & Davis, R. (2014). Genital herpes and its
treatment in relation to preterm delivery. American Journal Of Epidemiology, 180(11), 1109-1117.
Madrid, E., & Swanson, J. (1995). Psychoeducational groups for young adults with genital herpes: training group
facilitators. Journal Of Community Health Nursing, 12(4), 189-198.
McKendry, A., Narayana, S., & Browne, R. (2015). A typical presentations of genital herpes simplex virus in HIV-1 and
HIV-2 effectively treated by imiquimod. International Journal Of STD & AIDS, 26(6), 441-443.
Project Accept. 2012. Herpes Stigma: the Origin. Reviewed July 14, 2016 from http://projectaccept.org/herpes-stigma-
the-origin/.
Sauerbrei, A. (2016). Optimal management of genital herpes: current perspectives. Infection and Drug Resistance, 9,
129–141.
WebMd.Com, (2014). Genital Herpes Symptoms, Pictures, and Treatment. Retrieved on July 14, 2016 from
http://www.webmd.com/genital-herpes/ss/slideshow-genital-herpes.
Editor's Notes
Caused through skin to skin contact (like touching a lesion and then touching mouth or eye; or from a cold sore during oral sex)
app created to educate about the benefits of getting a flu shot and the dangers of living with undiagnosed genital herpes. The new app will also highlight dates and times that health workers will visit each of the residence halls. The app will then allow participants to schedule appointments anonymously, app will give the participant an appointment confirmation with only an identification