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Project Red Talon Northwest Portland Area Indian Health Board

Project Red Talon Northwest Portland Area Indian Health Board. Sexually Transmitted Diseases: Information for Tribal Decision-Makers.

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Project Red Talon Northwest Portland Area Indian Health Board

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  1. Project Red TalonNorthwest Portland Area Indian Health Board Sexually Transmitted Diseases: Information for Tribal Decision-Makers

  2. For many of us, talking about sex is an uncomfortable topic. Because of this, we have remained silent. But our silence will not stop the devastating impact of STDs and HIV. Together, we must find the courage to stand up and have a voice to protect future generations.

  3. STDs and HIV/AIDS: Impact on our Northwest Tribes • STDs: What are they? • Prevalence – The numbers… • Social Impact • Economic Impact • The Tribe’s Role in Prevention

  4. What are they? • Sexually Transmitted Diseases (STDs) are caused by viruses or bacteria that enter the body through tiny cuts or tears. • STDs can be passed via: • skin-to-skin contact • sexual fluids (blood, semen, infected discharge, vaginal fluids • oral, vaginal, or anal sex

  5. PREVELENCE

  6. Prevalence: Impact on our Northwest Tribes American Indians and Alaska Native are disproportionally affected by STDs and HIV/AIDS.

  7. DISPARITIES Nearly 5 times higher! When comparing rates by ethnicity, American Indians have the second highest chlamydia rate in the United States.

  8. Fact: 1 in 10 sexually active adolescents has chlamydia. Nearly 3/4 of all chlamydia cases occur among 15-24 year olds.

  9. DISPARITIES Almost 4 times higher! In 2004, American Indians and Alaska Natives had the second-highest gonorrhea rate. From 2000-2004, gonorrhea rates increased 19.4% among AI/ANs.

  10. Fact: Chlamydia and gonorrhea are most common among 15-29 year olds.

  11. DISPARITIES 2 times as high! From 2003-2004, syphilis rates increased 14.3% among AI/ANs. During this period, the number cases decreased among AI/AN men, but increased among AI/AN women.

  12. Prevalence: Impact on our Northwest Tribes HIV/AIDS: AIDS has steadily increased in recent years, becoming the ninth leading killer of Native people between the ages of 15 – 44. Approximately 3,084 AI/ANs have been diagnosed with AIDS since the disease was first encountered in 1980.

  13. Prevalence: Impact on our Northwest Tribes HIV/AIDS: When compared by ethnicity, AI/AN men and women both had the third highest HIV/AIDS rate in 2004.

  14. Prevalence: Impact on our Northwest Tribes HIV/AIDS: Among AI/AN males, the HIV/AIDS case rate increased 2.4% from 2001 to 2004, the most significant increase observed among any reported racial/ethnic group. And among females, the rate increased 4.8%, an increase that was second only behind Asian/Pacific Islanders (A/PIs).

  15. Prevalence: Impact on our Northwest Tribes HIV/AIDS: In 2004, HIV was diagnosed for an estimated 206American Indians and Alaska Natives.

  16. Prevalence: Impact on our Northwest Tribes • These numbers may underestimate the true burden of disease: • Misclassification of AI/ANs in state registries • Not all Tribal clinics report cases • Many infections produce no symptoms, and cases are not diagnosed

  17. Social Impact

  18. Social Impact: Impact on our Northwest Tribes Sexually Transmitted Diseases (STDs) produce a number of physical, mental, and social consequences. Sexually transmitted infections can cause pain, infertility, cancer, and death, impacting not only the individual’s well being, but the well being of the community as a whole.

  19. Fact: 1 of every 4 sexually active teens will get an STD this year, and Native youth may be at even higher risk.

  20. Social Impact: Impact on our Northwest Tribes Studies indicate that the presence of an STD infection can make an individual 3 to 5 times more likely to acquire HIV, if exposed.

  21. Fact: Two U.S. teens are infected with HIV every hour of every day.

  22. Social Impact: Impact on our Northwest Tribes Women are biologically more susceptible to the transmission of STDs and HIV than men—and adolescent girls are more susceptible than adult women. At all ages, women are more likely than men to contract genital herpes, chlamydia or gonorrhea.

  23. Social Impact: Impact on our Northwest Tribes Elevated STD rates among American Indians and Alaska Natives put us and our youth at heightened risk for HIV transmission. Rural geography, low rates of condom use, and risky sexual norms could further contribute to an epidemic of HIV among our NW Tribes.

  24. Economic Impact

  25. Economic Impact: Impact on our Northwest Tribes In addition to the physical and social consequences of sexually transmitted diseases, STDs impose a substantial economic burden on our NW Tribes.

  26. Economic Impact: Impact on our Northwest Tribes Average direct medical expenses associated with treating each STD and the sequelae that result from untreated or inadequately treated STDs (in 2000): Chlamydia: $20 for men and $244 for women. Gonorrhea: $53 for men and $266 for women. Syphilis: $444 for men and women. Human Papilloma Virus:$1,228 for women & $27 for men. Genital Herpes:$417 for women and $511 for men, including suppressive therapy for some patients.

  27. Economic Impact: Impact on our Northwest Tribes Average direct medical expenses associated with treating each STD and the sequelae that result from untreated or inadequately treated STDs (in 2000) : HIV/AIDS:lifetime cost = $199,800 for men and women. Trichomonas vaginalis:$18 for men and women. Hepatitis B:$779 for men and women.

  28. Tribe’s Role in Prevention

  29. Tribe’s Role in Prevention There are many benefits to investing in STD and HIV Prevention. By keeping people from becoming infected, STD/HIV Prevention Programs not only save lives, but also reduce the number of people needing expensive medical treatments.

  30. Tribe’s Role in Prevention • Effective Strategies: • Provide clinic-based screening and testing services. • Increase Community Awareness. • Support community and school-based interventions.

  31. What we are doing: Coalition objectives: 1. Improve STD testing, screening, and treatment among NW tribal clinics. 2. Strengthen the capacity of tribal health advocates to provide STD prevention services to the NW tribes. 3. Increase community awareness about Sexually Transmitted Diseases. Tribal Activities….

  32. WhatYou CanDo... • Learn more about STDs/HIV and their impact on your Tribe. • Adopt a Resolution supporting your tribe’s participation in the Red Talon STD/HIV Coalition and use of the Red Talon Tribal Action Plan. • Work with local schools and educators to strengthen school-based curricula preventing STDs and teen pregnancy.

  33. WhatYou CanDo... • Work with the Tribal Clinic to improve clinic-based policies. • Encourage community awareness by participating in community observances, and by implementing the Red Talon STD/HIV Media Campaign. • Protect yourself against STDs and HIV infection. Know the risks associated with sex and drug use.

  34. WhatYou CanDo... • Get tested - and encourage others to do the same. It’s important to know your STD and HIV status to protect yourself and others. Blood, urine, and saliva test are available for different STDs. Most infections can be treated or cured! • Educate others about STD and HIV/AIDS -- They listen and learn from you. • Volunteer with your tribe’s STD/HIV Prevention Program.

  35. WhatYou CanDo... • Get medical care and support if you’re living with HIV. Effective treatments exist. • Help someone living with HIV/AIDS by being a friend. • Help end the stigma associated with HIV/AIDS.

  36. Social Impact: Impact on our Northwest Tribes As decision-makers, you play a significant role in the health and welfare of your Tribe. Your opinions are heard and respected. Your actions are observed and influence others. Your policies and decisions will shape the lives of future generations. With this power, comes responsibility... Elevated STD rates among American Indians and Alaska Natives put us and our youth at heightened risk for HIV transmission. Rural geography, low rates of condom use, and risky sexual norms could further contribute to an epidemic of HIV among our NW Tribes.

  37. Social Impact: Impact on our Northwest Tribes Know the Facts: Educate, Motivate, and Mobilize against Sexually Transmitted Diseases & HIV/AIDS! Elevated STD rates among American Indians and Alaska Natives put us and our youth at heightened risk for HIV transmission. Rural geography, low rates of condom use, and risky sexual norms could further contribute to an epidemic of HIV among our NW Tribes.

  38. Questions?

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