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The decrease in the number of STIs may be due to lack of testing

 


The number of most sexually transmitted diseases (STIs) has dropped dramatically since the Covid-19 Lockdown began.

However, it is unknown whether the reason is a decrease in sexual activity due to lockdown or a change in inspection system due to coronavirus.

Health Protection Surveillance Center figures show that the number of trichomoniasis was reduced by 35 percent compared to the same period in 2019, the number of syphilis was reduced by more than 20 percent, genital herpes was reduced by almost 20 percent, and chlamydia was reduced by 7 percent. Nearly a percent decrease, and gonorrhea decreased by more than 2 percent.

However, HIV infection has also increased significantly by more than 36%.

Health professionals say that due to the blockade of society, it is too early to determine whether the downward trend in sexually transmitted diseases is directly linked to the reduction in sexual encounters.

“The reasons for the decline in notifications for most non-HIV STIs may be multidimensional,” said a ministry spokesman.

delay

May be due to reduced sexual encounters due to lockdowns, but may be due to reduced attendance at STI clinics and GPs for diagnosis and treatment of acute infections, they said .

“Also, staff may be assigned to Covid-19 activities, which could delay notification of CIDR (computerized infection reports),” they added.

“It’s likely a combination of these factors, but not certain at this time.”

In explaining the reported increase in HIV cases, the spokesperson said it has been on a continuing trend since 2015, stating that the number of cases reported in the first 16 weeks of this year was 53 more than the same period in 2019. It was

“It’s important to monitor trends over time, as the numbers reported can fluctuate from month to month,” they said.

“Unlike many other STIs, HIV diagnosis is often done by screening when visiting an STI clinic and may reflect older infections rather than acute.”

Stephen O’Hare of HIV Ireland, an organization that defends people living with viruses, said the reduction in the number of most infectious diseases resulted in a reduction in testing or test sample analysis as resources shifted to Covid-19. Is likely to do.

I’m afraid that the numbers could spike when testing is restarted.

“If for some reason people aren’t tested, information can be delayed, and STI can spike when approaching the end of summer,” he said.

“If people aren’t tested, they may not know they’re infected, so they don’t have access to treatment and potentially spread the infection, which can lead to spikes in numbers.

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“We have a cohort of people who are regularly tested, especially those with multiple sexual partners. Pre-Covid was already under sufficient pressure on the system, but now we are steadily meeting the demand for testing. not.”

Although HIV Ireland is collaborating with St. James Hospital on its own testing system, the move to Covid-19 testing in hospitals has shown that HIV Ireland is currently unable to carry out testing.

“We fully support HSE’s efforts to manage Covid-19,” said O’Hare.

The possible reason for the surge in HIV cases detected could be due to the introduction of free access to a drug called prep last November, he said.

Applicants must be tested for HIV prior to access, which may have led to some undetected cases of HIV.

“The increase in testing may be the reason for the increase in numbers,” he said.

In the first 16 weeks of the year, the age group showing most STIs was 1,329 in 20-24 parentheses, then 902 with 25-29 parentheses, and 646 with 30-34 parentheses.

Chlamydia was the most common STI reported in the first 16 weeks of the year, with 2,506 cases followed by gonorrhea in 878 cases, genital herpes in 416 cases, and HIV in 198 cases.

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