Sexual health in Europe

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Sexual health in Europe

• Dr Keith Radcliffe
• European Regional Director
• International Union
• against
• Sexually Transmitted Infections
• (IUSTI)

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European Union 27 countries 498 million people
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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
Austria
Finland
Poland
Denmark
Belgium
Germany
France
Italy
Spain
EU-27
Cyprus
Greece
Slovenia
Latvia
Romania
Bulgaria
Lithuania
Luxembourg
Netherlands
United Kingdom
Czech Republic
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WHO European Region
53 countries Population 881 million
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EAST
WEST
CENTRE
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STI are not under control

• Between 20002007 number of new cases of HIV has
  doubled in Europe
• Different patterns of spread
• - European Centres for Disease Prevention and
  Control

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27 unaware
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HIV in France(Bourdillon et al.
www.cns.sante.fr)

Diagnosed 72
Treated 61
Undetectable 46
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Young people

• Highest rates of STI
• Associated drug misuse
• Alcohol
• Unwanted pregnancy
• Mental health problems
• Barriers to accessing care

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Migrants

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

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Paraskevis D et al. 2009
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Men who have sex with men

• HIV transmission
• STI transmission
• Syphilis
• LGV (lymphogranuloma venereum)
• Hepatitis C
• Internet
• Drug use

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• 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

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

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• 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

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Evidence-based European STI management guidelines
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• 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

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• 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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