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Gonorrhea, one of the most common sexually transmitted diseases in the United States, is increasingly showing resistance to one of the last known effective antibiotic treatments, leading researchers from the Centers for Disease Control to “sound the alarm” about potentially untreatable forms of the disease.

“During the past three years, the wily gonococcus has become less susceptible to our last line of antimicrobial defense, threatening our ability to cure gonorrhea,” Gail Bolan, director of the CDC’s sexually transmitted disease prevention program, wrote in The New England Journal of Medicine last week.

<Antibiotic-resistant bacteria found in 37 states>

According to the CDC, gonorrhea has a long history of developing immunity to antibiotics, but doctors have always had a stronger medicine up their sleeves to treat patients. Not anymore–about 1.7 percent of gonorrhea is now resistant to cephalosporins, the last line of defense against gonorrhea. That might not seem like much, but it’s a 17-fold increase since 2006, when about one tenth of one percent of gonorrhea was believed to have resistance to cephalosporins.

According to Bolan, the strains are showing up most often in the western states, where 3.6 percent of gonorrhea has shown resistance to cephalosporins, and in men who have sex with men, with nearly 5 percent of gonorrhea showing resistance.

The disease has been estimated to affect 600,000 Americans annually, causing burning with urination,abdominal pain, itching, and genital discharge.

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Baton Rouge area second, New Orleans third in nation in AIDS

The Baton Rouge metropolitan area ranks second in the nation in AIDS case rates, and New Orleans is No. 3, according to 2008 statistics released recently by the federal Centers for Disease Control and Prevention.

Miami ranks No. 1 in the nation, according to CDC data.

Sunday's Advocate reported that last year, the Baton Rouge metro area ranked No. 3 in the nation for AIDS case rates, according to the 2007 data.
The CDC uses the U.S. Census Bureau's Metropolitan Statistical Area to define the Baton Rouge metro area. It consists of nine parishes: East and West Baton Rouge, Ascension, Iberville, Pointe Coupee, East and West Feliciana, Livingston and St. Helena.

HIV/AIDS in the United States
The number of people living with HIV infection in the United States (HIV prevalence) is higher than ever before.  CDC has estimated that more than 1 million (1,106,400) adults and adolescents were living with HIV infection in the United States at the end of 2006, the most recent year for which national prevalence estimates are available. This represents an increase of approximately 11% from the previous estimate in 2003 <1>. The increase may be due to:
Louisiana is ranked fourth in the nation for its rate of AIDS cases, according to the 2008 data.
DeAnn Gruber, interim administrative director of the state Office of Public Health's HIV/AIDS Program, said the ranking is nothing new and that the Baton Rouge metro area has ranked in the top 10 for its percentage of AIDS cases for a decade now.
"Late testing is a major factor," Gruber said when asked why the Baton Rouge metro area ranks so high.
Mayor-President Kip Holden said the HIV and AIDS problem in the Baton Rouge metro area is a "monumental health problem."

"We have been consistently ranked in the top five and it's a major problem here at home that continues to rear its ugly head," Holden said.

Jim Llorens, one of Holden's assistant chief administrative officers, called the problem a "community issue" and not something that any one agency can deal with alone.

"We need to make sure people are aware that testing is critical. This (HIV/AIDS) is something we take very seriously," Llorens said.  Shirley Lolis, executive director of the Baton Rouge Black Alcoholism Council Metro Health, has been working for more than 20 years in HIV/AIDS prevention in communities in and around Baton Rouge.MORE

Most-at-risk populations(WHO)

 Focusing attention on population groups who may be most at risk of HIV infection through their behaviour, such as sex workers and their clients, injecting drug users, men who have sex with men and prisoners, is an important priority for the health sector. Promoting condom use and appropriately managing sexually transmitted infections are essential to prevent the sexual transmission of HIV.

Tags: #, usa, cdc, HIV/Aids, Louisana, WHO