STD Awareness: Confronting Sky-High STD Rates

For the past five years, Americans have been breaking records left and right — a good thing when we’re talking about athletic feats or scientific breakthroughs, but not so great when we’re shattering records for catching sexually transmitted diseases (STDs). Chlamydia, gonorrhea, and syphilis are all on the upswing, with a combined 2.3 million cases in 2017 — and those are just the cases that were reported. Since most people with these infections don’t know they have them, the real number is thought to be much higher. The United States has the dubious honor of boasting the highest STD rates of all industrialized countries — though rates are also climbing in England and Western Europe.

The good news is that these three STDs are preventable and curable. Sexually active people can dramatically reduce their risk by using condoms and dental dams, or by being in mutually monogamous relationships in which partners test negative for these infections. And, because many STDs don’t show symptoms, it’s important for them to receive regular STD screening to ensure infections are caught and cured before they can do any damage.

But there’s also bad news. First, while the symptoms of these infections can be awful, they compel you to seek prompt treatment — making these awful symptoms a good thing, in a weird way. Unfortunately, most people with these infections don’t have symptoms, allowing the bacteria that cause them to spread silently from person to person. If not caught, chlamydia and gonorrhea can lead to chronic pain and fertility problems, and syphilis can lead to organ damage and even death. These infections can also increase HIV risk and be passed to a baby during childbirth. Continue reading

STD Awareness: Is Mouthwash a Match for Gonorrhea’s Superpowers?

Since the 1930s, we’ve enjoyed around eight decades of easily cured gonorrhea — at least in places with easy access to antibiotics — but experts fear those days are numbered. In the past year or so, cases of untreatable gonorrhea have occasionally made headlines.

Thanks to the powers of evolution, some bacteria have acquired the multiple genes necessary to withstand the onslaught of the pills and shots administered by doctors. Gonococci, the bacteria that cause gonorrhea, are starting to win this “arms race” with humans, whose antibiotic arsenals are losing effectiveness. And with gonorrhea on the rise, gonococci may be evolving at an ever-quickening clip.


In 1879, Listerine claimed to cure gonorrhea. Today, scientists are finally testing that claim. We await the results.


Oral Gonorrhea: The Silent Scourge

Many experts believe oral gonorrhea is a key driver of antibiotic resistance. These infections usually don’t cause symptoms, and without symptoms people usually don’t seek treatment. Without treatment, gonococci can hang out in a throat for up to three months.

After transmission by oral sex — and possibly even by kissing  — gonococci can set up camp in the throat, which is an ideal environment for acquiring antibiotic resistance. They might not be causing symptoms, but they’re not sitting there twiddling their thumbs, either. If there’s one thing gonococci love to do, it’s collecting genes like some of us collect trading cards, and the throat is a gathering place for closely related bacteria species that hand out antibiotic-resistance genes for their expanding collections.

Gonococci can easily scavenge DNA from their surroundings — say, from a dead bacterium — and patch long segments of these genes into their own DNA, creating genetic hybrids between themselves and other organisms. Last month, scientists from Indiana University caught this phenomenon on video for the first time.

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STD Awareness: UK Announces “Worst-Ever” Case of Gonorrhea

In late March, the BBC reported a story that was widely repeated in headlines across the world: “Man has ‘world’s worst’ super-gonorrhoea.”

The article told the story of a British man whose symptoms started in early 2018, about a month after he had picked up the bug during a visit to Southeast Asia. Once back home, his doctors were unable to cure it with the standard combination of azithromycin and ceftriaxone — “the first time the infection cannot be cured with first choice antibiotics,” the author wrote.


In most of the world, we don’t have a good picture of antibiotic resistance in gonorrhea.


Actually, a similar case of multidrug-resistant gonorrhea had been documented in the United Kingdom in late 2014, as noted in the New England Journal of Medicine. It was the first verified case to fail to be cured by the azithromycin/ceftriaxone combo — the infection didn’t go away until after the patient was given a double dose of both antibiotics, but by then it had been 112 days and the infection could have cleared on its own. By July 2017, the World Health Organization (WHO) had noted that there had been multiple documented cases of gonorrhea that were “untreatable by all known antibiotics.”

What was different about the man in the BBC story was that his case of ceftriaxone-resistant gonorrhea had a higher level of azithromycin resistance than those that came before. While it may not have truly been the first case of multidrug-resistant gonorrhea that couldn’t be treated with the standard dual therapy of azithromycin and ceftriaxone, it was the “most serious.” Continue reading

STD Awareness: STI vs. STD … What’s the Difference?

When it comes to sexually transmitted diseases, the terminology can be confusing. Some people use the phrase “STD,” some people insist “STI” is the proper set of initials, and every once in a while you might catch someone using the term “VD.” Over the years, the parlance has changed. What’s the deal?

VD: Venereal Disease

Blaming women for STDs (aka VD) is an age-old tradition.

“Venereal disease” has been in use since at least the 1600s (the Oxford English Dictionary cites a 1667 publication referring to a “a lusty robust Souldier dangerously infected with the Venereal Disease”). Around a century ago, Americans flirted with heavily euphemistic expressions, such as “social diseases,” but mostly, “venereal disease” was the terminology of choice for the better part of four centuries — slightly less euphemistic, as “venereal” was derived from Venus, the Roman goddess of love, sex, and fertility. Additionally, since at least the 1920s it was frequently shortened to “VD.” Those of us of a certain age might still remember hushed talk of VD among our grandparents, parents, or peers.

Around the 1930s, public health experts started wondering if referring to VD as a separate category of disease stigmatized these infections and those who carried them, dampening motivation to fight them with the same fervor with which the community battled other infectious diseases like influenza, smallpox, and scarlet fever. In 1936, Nels A. Nelson proposed replacing “venereal disease” with “genito-infectious diseases,” but that never caught on — you haven’t heard of GIDs, right? Continue reading

Pro-Choice Friday News Rundown

  • For the last month and a half, the cruel degenerates of the Trump administration have tried to block Jane Doe, a pregnant, undocumented 17-year-old, from obtaining an abortion. This has honestly been such a heartbreaking story to follow. A little background on her story: Jane (from Central America) attempted to cross the U.S. border into Texas by herself. Before she left, according to reports, she allegedly watched her parents beat her older sister after learning she was pregnant, hitting her with cables and firewood until she miscarried. After being apprehended by immigration officials and taken to a refugee shelter, Jane Doe learned she, too, was pregnant. Unfortunately, because she’s a minor without parental consent, she needed to petition a judge in order to terminate her pregnancy. With the help of an attorney, she obtained permission from the judge but was then refused transport to the medical facility by the Office of Refugee Resettlement — now run by a controlling, anti-choice zealot installed by the Trump administration. For the last seven weeks, she has been at the mercy of these cretins, with her pregnancy advancing against her will. After myriad legal steps, she was finally granted an abortion on Wednesday morning. In summing up this story, I must highlight the words of the author of this piece: “It’s sickening that a helpless teenager, who traveled unknown miles seeking safety, has been denied medical treatment because the U.S. government sees her fetus — and not her — as ‘a child in our care’ deserving of full legal protection.” Sickening indeed. (Broadly)
  • Congresswoman Pramila Jayapal (D-WA) let Scott Lloyd (the current director of the Office of Refugee Resettlement) have it on the matter of Jane Doe. Get ’em Pramila! (The Opposition)
  • Speaking of Scott Lloyd, this utter asshat has suggested in multiple opinion articles that women receiving contraception through federal funding should have to sign a “pledge” promising not to have an abortion and that the Supreme Court’s rulings on abortion infringe on men’s “right to procreation.” Is this punk serious?? (Buzzfeed)
  • Vice interviewed Jane Doe about her ordeal and what it’s been like to have her body be at the mercy of the U.S. government. (Vice)
  • Jane Doe also wrote a powerful open letter that I think should be required reading for everyone. I hope with every fiber of my being that this brave girl will have a bright future. (Jane’s Due Process)
  • This list of the “most sexually diseased states in the U.S.” puts Arizona at No. 19. Obviously it’s not great to be in the Top 20 but at least we’re not No. 1. That distinction goes to Alaska! (Backgroundcheck.org)
  • I have to be honest about how personally devastating it is to type this sentence: “Never in its history has the nation’s family planning safety net been in such jeopardy as it is today.” (American Journal of Public Health)
  • And to compound upon that, please be aware that the GOP is now looking to potentially ban abortion at 6 weeks — which is well before many women even KNOW they’re pregnant. Ugghhhh! (Refinery 29)
  • Speaking of the GOP, ever wonder when they’ll just cop to the fact that they just plain don’t think women should be sexually active? (Marie Claire)
  • I’ve talked about maternal mortality quite a bit in these rundowns over the years, but this even surprised me — “Data collection on maternal deaths is so flawed and under-funded that the federal government no longer even publishes an official death rate.” (ProPublica)
  • I’m not sure if we have any readers in Massachusetts but if so — beware of the fake clinic trying to trick you into believing they provide abortions. It’s a cruel trick and they must be stopped. (Rewire)

Pro-Choice Friday News Rundown

  • Earlier this week, the tools in Congress voted to ban abortion at 20 weeks. They totally, ignorantly ignored the fact that many fetal anomalies cannot be discovered until past that period in a woman’s gestation. Alexis Miller, who was overjoyed to be pregnant, is one of those women and her story of needing a late abortion is powerful. (Time)
  • More Congressional tomfoolery to report on this subject. These morons justified their vote to criminalize abortion after 20 weeks by using the awful mass shooting that took place a few days ago in Las Vegas to illustrate how much they value life and “have” to protect it. Really? How about passing some restrictions on guns, then? How many 5-, 6-, and 7-year-old children died in Sandy Hook? Why do these lawmakers value an unborn fetus the size of a kidney bean more than they do living, breathing human beings??? (Think Progress)
  • Studies indicate that black women have fewer sexual partners and are more likely to use condoms than white women from similar economic backgrounds. And they are not members of the highest-risk demographic: gay and bisexual men. So why are black women in Philadelphia at a higher risk of contracting HIV than their white counterparts? (Philly.com)
  • One thing I never hear anti-abortion folk (who cling to the term “pro-life”) cry over? The fact that the U.S. infant mortality rate among black babies is more than twice as high as it is for white babies. How can you be “pro-life” and never put your advocacy efforts toward helping born children survive? It’s baffling, isn’t it? Luckily, some people DO care, and many cities are turning to doulas to help these babies survive. (WaPo)
  • Anyway, while the folks in the House were passing an abortion ban because they care so much about babies, children, and “life” … they let the Children’s Health Insurance Plan expire, potentially leaving millions of poor children without any health insurance. I guess it’s OK if already-born children suffer and die since technically they’re out of the womb? (HuffPo)
  • Republican hypocrite Tim Murphy, who is SO pro-life he’s never fostered or adopted any children in need, is resigning from Congress after the news that he urged his mistress to have an abortion became public. Murphy, a House Pro-Life Caucus member, voted this week to restrict abortion AGAIN and has a lengthy record of similar votes. The hypocrisy, while not at all stunning, is infuriating. This wretched human being has done everything in his legislative power to take away women’s choices and dominion over their bodies under the guise of valuing life. Yet when a life that HE helped create threatened to disrupt his double life, he was all too willing to terminate it. Good riddance to this trash legislator. Pennsylvania deserves better. (Politico)
  • Could male birth control finally be on the horizon, like, for real?! Maybe! The creators of a male birth control gel (which will be applied on the shoulders, of all places!) designed to inhibit sperm production — while maintaining healthy testosterone levels in the bloodstream — will soon start recruiting 420 couples from around the world to enroll in a new clinical trial. (Scientific American)
  • Rewire has a heartbreaking write-up on the first victim who lost her life due to the Hyde Amendment. Rest in grace, Rosie Jimenez. (Rewire)
  • STDs are at an ALL-TIME HIGH in this country right now! (Time)
  • The Ontario government has introduced groundbreaking legislation that will create protest-free buffer zones around abortion clinics, the homes of doctors and staff, and even pharmacies and offices that provide pills used to terminate pregnancy. Yasss Canada! Kudos to you! (Toronto Star)

STD Awareness: “Sounding the Alarm” Over Another Antibiotic-Resistant STD

In 2012, the New England Journal of Medicine ominously stated, “It’s time to sound the alarm.” What followed was a description of the evolution of gonorrhea to all antibiotics we have used to treat it, including the last ones we had left. They closed the article with a warning: “The threat of untreatable gonorrhea is emerging rapidly.”

This summer, just five years after that alarm bell was sounded, the New England Journal of Medicine’s prediction came true. Reports of untreatable gonorrhea surfaced, shared in a World Health Organization press release: “Data from 77 countries show that antibiotic resistance is making gonorrhoea — a common sexually-transmitted infection — much harder, and sometimes impossible, to treat.”


An STD most people haven’t even heard of is rapidly evolving antibiotic resistance.


So maybe we should listen when a medical journal talks about the need to “sound the alarm.”

Sexually Transmitted Diseases, the medical journal of the American Sexually Transmitted Diseases Association, did just that in an editorial called “Mycoplasma genitalium on the Loose: Time to Sound the Alarm,” which accompanied two studies detailing antibiotic resistance in a little-known STD called mycoplasma genitalium, or MG for short.

“Let me get this straight,” you might be saying. “First you’re telling me there’s an STD called MG, which most people haven’t even heard of, and now you’re telling me I already need to worry about antibiotic resistance?” Continue reading