Genital herpes is a chronic viral infection caused by HSV-1 or HSV-2. HSV-2 is the primary cause of genital herpes and is commonly transmitted through skin-to-skin contact. While most cases are asymptomatic, primary infections can cause symptoms for 2-4 weeks. Long term risks include increased susceptibility to HIV infection and neonatal transmission from infected mothers. African Americans have the highest rates of HSV-2 infection, with nearly 50% of women infected. Education and awareness are key to prevention and treatment.

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)

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.

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.

10. 1 in 2
African
Americans
are Infected
with HSV-2

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

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.

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http://www.bestcolleges.com/features/top-30-historically-black-colleges/
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http://www.washingtonpost.com/wp-dyn/content/article/2007/07/23/AR2007072301583.html
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http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6122a2.htm
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http://www.cdc.gov/std/life-stages-populations/adolescents-tech.htm
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http://www.patienteducationcenter.org/articles/genital-herpes/
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