A University of Cincinnati researcher is recommending pediatric hospital emergency rooms consider screening for sexually transmitted infections (STI) teenage and young adult patients who visit for other acute care issues.
Mark Eckman, MD, professor and director of the UC Division of General Internal Medicine, conducted a computer analysis that simulated outcomes for screening pediatric emergency room patients ages 15-21 for sexually transmitted infections. It will add costs to hospital budgets but Eckman says it also helps combat future health complications of STIs for young people.
Using a hypothetical population that included 10,000 emergency room visits Eckman looked at a 3.6% prevalence of chlamydia and gonorrhea—the same amount generally found in the nation’s young adult population—and the impact of targeted screening, universal screening and no screening. Under the scenario 360 STI cases would be present.
Targeted screening resulted in the detection and successful treatment of 95 of 360 STI cases (26.4%) at a cost of $313,063 and universally offered screening identified and treated 112 of 360 STI cases at a cost of $515,503. If no screening were done, 76 of 360 cases (21.1%) would be found at a cost of $190,409.
The study’s results in its entirety were recently published in the Journal of American Medical Association Pediatrics.
“Untreated chlamydia or gonorrhea can in women lead to pelvic inflammatory disease and ectopic pregnancies because of scarring in the fallopian tubes, while men can face epididymitis,” says Eckman, also a UC Health physician. “Women and men could face infertility if these sexually transmitted infections are not treated.”
Nationally, adolescents and young adults represent 25% of the sexually active population, but comprise 50% of all diagnosed sexually transmitted infection cases. Of the 20 million new cases of sexually transmitted infections each year 10 million occur among adolescents and young adults.
Low screening rates for adolescents diagnosed with PID in the nation’s emergency departments
Mark H. Eckman et al, Cost-effectiveness of Sexually Transmitted Infection Screening for Adolescents and Young Adults in the Pediatric Emergency Department, JAMA Pediatrics (2020). DOI: 10.1001/jamapediatrics.2020.3571
Physician advocates screening teen emergency room patients for sexually transmitted infections (2020, November 4)
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“We need to have the Affordable Care Act, whether in its current structure or it’s been changed or corrected or fixed or being added onto,” Rivera said. “We need to have something for the folks of the United States of America. For us not to have affordable, quality healthcare, and be the richest nation in the world, that’s kind of disappointing.”
On Monday, Rivera spoke at length about the importance of voting in Tuesday’s election, as well as democracy writ large. He said it’s been “really cool” to hear players discuss current affairs, and he noted that the spectrum of political ideologies in the locker room was “huge.” The enthusiasm for engagement was echoed in a Monday blog post by team president Jason Wright, who wrote the team believed in “big, meaningful and comprehensive community activities versus a collection of small one-off ventures.”
“For example, we will continue to have a robust set of activities around social justice because the players on our team and our employees care about those issues,” he added. “Voting is one component, but there is much more we can and will do.”
Rivera reiterated Monday the importance of participation in democracy, saying that the thing that bothers him most is when people don’t vote. In past years, Rivera has gotten up early to be one of the first people at the polls. He loves the “I voted” stickers. This year, he and his wife Stephanie and daughter Courtney filled out their ballots and put them in the mailbox. On Tuesday, he said he plans to turn the television on around 5 p.m. and click between local and national stations to monitor elections.
“People always ask me: ‘Who did you vote for?’” the coach said. “I always tell them, ‘I voted American.’ I believe I voted for who I believe is going to be the best person for us.”
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This season, the coach has been limited at times by chemotherapy and other treatments. He’s thought about others in the same fight during his time in the hospital, those who might not have a five-year contract worth millions.
“After seeing what I went through, and knowing what the cost has to be, you worry about the folks that can’t afford what I had,” he said. “I almost don’t want to say it’s unfair, but it is. These folks deserve every opportunity [to receive quality healthcare]. It just kind of struck a chord with me.”
On Monday, the coach mentioned an upcoming fundraiser for Inova Health System, the Northern Virginia hospital company where
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“That’s a very encouraging thing to hear the people are seeking help,” Shapiro said, adding that it’s “scary and really concerning” that there might not be enough help to go around.
Shapiro and other advocates are becoming more vocal about funding for mental health and issues that affect it, reflecting a desire to follow the example of activists who fought taboos against HIV and other conditions to win support in the halls of power.
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Inseparable Action aims to help build that political power. It helped pass California’s new law making it harder for insurers to deny mental healthcare and is at work on an agenda of reforms Congress can pass and ones the president can make without its approval. Those include more strongly enforcing the equality of mental and medical benefits and rolling out the new 9-8-8 emergency number for mental health crises. While Smith personally supports Joe Biden’s campaign and has raised money for it, a second Trump administration could also act on any of those proposals. “There are things that need to happen no matter who the president is,” Smith said.
Groups that support people with mental illness are raising their voices as well. Fountain House, a community center in New York for people with serious mental illness, helps its members build social, vocational, and educational skills by teaching them to run the center itself. It can also help members advocate for their political
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The statewide Everyone Eats program offers restaurants financial support to cook healthy meals for the community, said Sue Minter, executive director of Capstone Community Action on Thursday.… Read More