GBD: Public Health Responses to HIV and STIs

Question 1

Reproductive ill health accounts for what percent of the global disease burden?

Answer 1

at least 15% - 20% for W; 14% for M

Question 2

Which STIs are notifiable in Victoria?

Answer 2

Chlamydia, gonorrhoea, syphyllis, HIV

Question 3

What are the signs and symptoms of a primary HIV infection?

Answer 3

fever, sore throat, rash

Question 4

Why is HIV most transmissible during the first few months of infection?

Answer 4

Don’t know they are infected so continue to have unprotected sex; higher viral load (peak at 6wks - most infectious); HIV at transmission is more biologically transmissible than late in infection

Question 5

Diagnosis of HIV+ reduces unprotected anal intercourse by

Answer 5

30-40%

Question 6

What clinic factors promote HIV testing?

Answer 6

Seeing a nurse rather than a doctor, not having a long wait

Question 7

T/F most primary HIV infection is asymptomatic

Answer 7

False; over 80% symptomatic with sore throat, fever, rash

Question 8

HIV and STI testing needs to be conducted

Answer 8

6 weeks after the relationship began/6 weeks since last exposure