Public health advocates headed to Congress last week to ask for $53.5 million to help state and local health departments prepare for the impending appearance of antibiotic-resistant gonorrhea in the United States.
Gonorrhea is one of the most common sexually transmitted infections (STIs), with over 700,000 cases in the United States each year. The infection may cause itching, burning, discharge, or pain during urination, but often has no symptoms. If left untreated, however, it can cause pelvic inflammatory disease and lead to infertility in both men and women.?Gonorrhea, once known as “the clap,” has long been thought of as minor by many because it can be treated with antibiotics.
However, as I explained in a piece for RH Reality Check last year, Neisseria gonorrhoeae, the official name for this pesky bacterium, has steadily developed resistance to entire classes of antibiotics. As early as the 1940s, it was resistant to sulfanilamides, by the 1980s penicillins and tetracyclines no longer worked, and in 2007 the Centers for Disease Control and Prevention (CDC) stopped recommending the use of fluoroquinolones (the class of drugs that includes Cipro, which we may all remember as the thing to stockpile in case of an anthrax attack). Today, the only class of antibiotics that remains effective is cephalosporins, but the bacterium’s susceptibility to these drugs is rapidly declining.
Last summer, the CDC changed its treatment guidelines for gonorrhea because the bug is becoming resistant to oral ceftriaxone, which had been the recommended drug. Now, the CDC suggests that infection be treated with injectable ceftriaxone in combination with one of two oral antibiotics—doxycycline or azithromycin. The goal of this change is to preserve the effectiveness of ceftriaxone, because it is the last drug that works and there are no others in the pipeline.
The first U.S. case of gonorrhea thats highly resistant to current antibiotics was discovered recently in Hawaii. Similar cases have been seen in other countries, including Norway and Japan. William Smith, the executive director of the National Coalition of STD Directors (NCSD) and one of the advocates who addressed Con.
ed a study with 119 individuals with non-standard affective-sexual orientations and who are members of the associations LGTB EHGAM, GEHITU and Bost Axola.
Although Martxueta warns that the sample is not large enough for the results to be statistically significant, the study suggests that discrimination, harassment and insults endured at school due to affective-sexual orientation are related with higher levels of depression and anxiety and lower levels of self-esteem and balance of affections today.
Yet even though it may seem strange in principle, adds Martxueta, these very same individuals who report that they have been harassed perceive greater support and acceptance from the family and environment close to them, and display a greater and earlier acceptance of their affective-sexual orientation.
Following the empirical study, Martxueta analysed the studies conducted in the Basque Country, Spain, other European countries, and the United States dealing with the attitudes displayed by the students towards their non-heterosexual classmates. There is a great difference in the number of studies conducted here and in Spain compared with those produced in other European countries, like the United Kingdom, and in the United States, above all. In particular, he highlights Los Angeles where the LGTB community is very active and se.
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