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Director of Public Health Annual Report 2011 - NHS North Somerset

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<strong>Director</strong> <strong>of</strong> <strong>Public</strong> <strong>Health</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />

What are we doing about it?<br />

A number <strong>of</strong> steps are being taken in <strong>North</strong><br />

<strong>Somerset</strong> to reduce the level <strong>of</strong> sexually<br />

transmitted infections in the community. As<br />

well as being part <strong>of</strong> the National Chlamydia<br />

Screening Programme, there are actions<br />

aimed at sexual health promotion and<br />

improving access to services.<br />

<strong>Health</strong> Promotion<br />

It is essential that action is taken to prevent<br />

sexually transmitted infections, including HIV,<br />

occurring in the first place to reduce both<br />

human and financial costs. <strong>North</strong> <strong>Somerset</strong><br />

has a programme <strong>of</strong> sexual health promotion<br />

aimed at increasing awareness <strong>of</strong> the signs<br />

and symptoms <strong>of</strong> sexually transmitted<br />

infections, and encouraging safer sex. This<br />

includes:<br />

● Free condoms given to those attending ‘No<br />

Worries!’ Teenage <strong>Health</strong> Service, Weston<br />

Integrated Sexual <strong>Health</strong> (WISH) Centre, the<br />

Terrence Higgins Trust, the Youth Services,<br />

Youth Offending Service and some GP<br />

practices and pharmacies.<br />

● Training <strong>of</strong> Local Authority and <strong>NHS</strong> staff in<br />

relation to sexually transmitted infections<br />

and HIV, including the ‘No Regrets’<br />

programme aimed at providing young<br />

people with the skills to delay sexual<br />

activities and training to foster carers.<br />

● <strong>Public</strong>ity campaigns to improve awareness<br />

<strong>of</strong> chlamydia and HIV, including club<br />

promotion evenings, a sexual health bus for<br />

young people, bus campaigns, radio adverts<br />

and a quarterly newsletter for young<br />

people and pr<strong>of</strong>essionals.<br />

● Terrence Higgins Trust provides online<br />

advice on internet sites for men who have<br />

sex with men, such as Gaydar and delivers<br />

national prevention campaigns locally.<br />

Access to services<br />

It is important that those with a sexually<br />

transmitted infection are diagnosed and<br />

treated quickly. This reduces the risk <strong>of</strong><br />

serious illness to themselves and the chance<br />

that infection will be spread to others. All <strong>of</strong><br />

<strong>North</strong> <strong>Somerset</strong> patients attending the<br />

Weston Integrated Sexual <strong>Health</strong> (WISH)<br />

Zoe’s Story<br />

Zoe (not her real name) is 17 and<br />

started on the contraceptive pill three<br />

years ago to control her periods which<br />

were painful, heavy and erratic. She<br />

has a boyfriend now and needs contra -<br />

ception. In the last two months she has<br />

had migraine like headaches.<br />

Zoe went to her GP and discussed stop -<br />

ping the pill and alternative options.<br />

She was interested in having a contra -<br />

ceptive implant, and went away to<br />

rethink. She then booked an appointment<br />

with a GP trained to fit<br />

an implant.<br />

Before she left, the GP asked her to<br />

do a chlamydia test which came back<br />

positive. She went back to the GP with<br />

her partner and the GP provided treat -<br />

ment for them both to run concurrently.<br />

She had no other contacts. He had had<br />

a previous girlfriend and because she<br />

lives away from the area he agreed that<br />

the chlamydia screening team could<br />

contact her.<br />

6

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