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A Growing Epidemic

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Running head: A GROWING EPIDEMIC

A Growing Epidemic
Amy Hook
Chamberlain College of Nursing
Community Health Nursing
February 2, 2010 A Growing Epidemic
Sexually transmitted diseases have a significant health and economic impact on the American people. An estimated 15 million people are diagnosed with these diseases each year (Foundation, 2010). This number is by most accounts underestimated due to the fact the majority of sexually transmitted disease have no noticeable symptoms. People may have diseases with no symptoms or because of social stigma do not get tested. When people are not tested, they will go on to infect more people. This cascade is how sexually transmitted diseases continue to spread throughout America.
The number of sexually transmitted diseases reported is lower than the actual number of people infected each year is because there are only three types of diseases nationally reportable. Health care providers are only required to report Gonorrhea, Syphilis, and Chlamydia. There are no national reporting requirements for the other five major sexually transmitted diseases- genital herpes, human papillomavirus, hepatitis B, HIV and trichomoniasis (Rolfs & Nakashima, 1998).
Society is impacted greatly by the cost of sexually transmitted diseases. The direct medical costs of sexually transmitted disease treatment for all estimated cases in the United States per year are at least $8.4 billion (Gunn, Greenspan, Seidman & Wasserheit, 1998). In addition to the cost of the American people there is a high human cost in terms of pain, suffering and grief. While some diseases are bacterial infections that are curable, some are lifelong, incurable diseases.
Healthy People 2010 have set goals towards promoting responsible sexual behaviors, strengthening community capacity, and increasing access to quality services to prevent sexually transmitted diseases and their complications ("Progress toward healthy people 2010 targets," 2010). Healthy People 2010 have determined that prevention opportunities come from understanding how these diseases are spread. First, the rate at which uninfected individuals have sex with infected people. Second, the probability that a susceptible exposed person actually will acquire the infection. And lastly, the time period during which an infected person remains infectious and able to spread the disease to others ("Progress toward healthy people 2010 targets," 2010). The main goal is to educate people on these facts and make sure people are getting tested. Clinics are being set up in communities, jails, and other centers to help promote healthier lifestyles and to test for these disease.
Sexually transmitted diseases may start as just a bacterial infection, but may develop into lifelong medical consequences. For example, syphilis can increase the likelihood of HIV transmission and compromise the ability to have healthy babies due to spontaneous abortions, still births, and multisystem disorders caused by congenital syphilis passed from infected mothers. Chlamydia and gonorrhea can cause serious problems with the female reproductive system. Women with these diseases may have permanent scarring or complete blockage of the fallopian tubes that may cause ectopic pregnancy of infertility (Foundation, 2010). Reducing these risks will save society money and anguish.
The primary prevention of sexually transmitted disease is to promote responsible sexual behavior, the secondary prevention is to prevent the spread of the disease, and the tertiary prevention is to provide community education and treatment for communicable disease to the population. These measures are being taken nationwide through community centers, health clinics, schools, and even jail and prison systems. There have been national programs since the First World War to combat sexually transmitted diseases. Originally the focus of federal grants was only on syphilis and its complications. By the late 1970s the importance of other sexually transmitted diseases became recognized. The World Health Organization started organizing health strategies, education, and research to help control the outbreak. To date education has mainly contributed to secondary prevention, through advice directed to infected people after symptoms appear. The goal today is to help educate people how not to get infected. Also to promote early detection so the spread of these diseases is eliminated and the appropriate treatment if one is already infected. (Rolfs & Nakashima, 1998).
After several decades of apathy and neglect the government has finally recognized the impact these illnesses has on society. The Surgeon General has designated them as one of the fifteen health priority areas for national prevention and control efforts (Rolfs & Nakashima, 1998). The goal is to reduce prevalence and incidence in America. There are approximately 65 million people living with an incurable sexually transmitted disease in the United States. The prevalence rate roughly calculates to one in four people, almost twenty four percent of the population. The annual incidence rate is 15.3 million, approximately one in seventeen or 5.62% of the people in the United States. This number of sexually transmitted diseases breaks down to 1,275,000 new cases per month, 294,230 per week, and 41,917 per day (Health Grades & Inc, 2010).
The updated estimate of sexually transmitted diseases is closer to 20 million annually. This number is dramatically higher than in years past. The reason for this increase may be due to several different factors. There has been great improvement in diagnostic sensitivity; therefore many diseases not previously diagnosed are now being spotted prior to symptoms appearing. As methods and education improves this number may continue to rise (Gunn, Greenspan, Seidman & Wasserheit, 1998). The hope now is that the education reaches people and detours practices of unsafe sex and lifestyles that are plaguing our communities. References
Foundation, K. F. (2010). Sexually transmitted diseases in America. Retrieved February 2, 2010, from www.kff.org/womenshealth.
Gunn, R. A., Greenspan, J. R., Seidman, R. L., & Wasserheit, J. N. (1998). The changing paradigm of sexually transmitted disease control in the ear of managed health care. JAMA, 279, 680-684.
Health Grades, & Inc. (2010). Prevalence and incidence of sexually transmitted diseases. Retrieved February 7, 2010, from www.wrongdiagnosis.com.
Progress toward healthy people 2010 targets. (2010). Sexually Transmitted Diseases. Retrieved from www.healthypeople.gov.
Rolfs, R. T., & Nakashima, A. K. (1998). Epidemiology of primary/secondary/tertiary syphilis in the us. JAMA, 264, 1432-7.

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