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Sexual health in Europe

Sexual health in Europe. Dr Keith Radcliffe European Regional Director International Union against Sexually Transmitted Infections (IUSTI). European Union 27 countries 498 million people. GDP per inhabitant: the spread of wealth in the EU.

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Sexual health in Europe

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  1. Sexual health in Europe Dr Keith Radcliffe European Regional Director International Union against Sexually Transmitted Infections (IUSTI)

  2. European Union 27 countries 498 million people

  3. GDP per inhabitant: the spread of wealth in the EU GDP per inhabitants in Purchasing Power Standards, 2007 Index where the average of the 27 EU-countries is 100 280 144 131 129 127 123 121 118 117 113 113 104 102 100 94 89 87 79 77 75 67 66 63 58 56 53 38 37 Malta Ireland Sweden Portugal Estonia Hungary Slovakia Poland Austria Finland France Latvia Romania Bulgaria Spain EU-27 Cyprus Greece Belgium Germany Italy Denmark Slovenia Lithuania Luxembourg Netherlands United Kingdom Czech Republic

  4. WHO European Region 53 countries Population 881 million

  5. EAST WEST CENTRE

  6. Between 2000–2007 number of new cases of HIV has doubled in Europe Different patterns of spread - European Centres for Disease Prevention and Control STI are not under control

  7. 27% unaware

  8. HIV in France(Bourdillon et al. www.cns.sante.fr) Diagnosed 72% Treated 61% Undetectable 46%

  9. Highest rates of STI Associated drug misuse Alcohol Unwanted pregnancy Mental health problems Barriers to accessing care Young people

  10. Major risk group for HIV Barriers to HIV testing Fear Language Stigmatisation Immigration status Internal migration Sex workers - trafficking Migrants

  11. Paraskevis D et al. 2009

  12. HIV transmission STI transmission Syphilis LGV (lymphogranuloma venereum) Hepatitis C Internet Drug use Men who have sex with men

  13. International Union against STI • Founded 1923 • Charity based in London • Global with 5 autonomous branches • European Branch of the IUSTI • Non-profit association registered in Estonia • WHO European Region

  14. Objectives • To promote high standards in diagnosis, treatment and prevention of STI • To raise awareness of the importance of STI • To improve public health

  15. Scientific conferences • Annually • Bring together all agencies • WHO European Regional Office • European Centres for Disease Prevention and Control • Research and development projects • Partner notification in Europe Dr Nicola Low, University of Bern • Eastern European Network of Sexual and Reproductive Health Dr Marius Domeika, University of Uppsala

  16. Evidence-based European STI management guidelines

  17. Professional issues • “Fog in Channel, Continent cut off” • Dermato-venereology • Skin disease • STI • UK, Ireland & Malta - specialty of genito-urinary medicine (GUM) • STI • HIV • Sexual health e.g. contraception, psychosexual medicine

  18. Professional issues • Dermatology dominates venereology • Larger • More financially rewarding • More commercial interest (excluding HIV) • Professional advocacy adversely affected • Low priority for national governments

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