S. Evan Cooper 🦠
@scooper-id.bsky.social
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ID/HIV/Primary Care Doc, Runner, Pokémon Trainer, Cat Dad, Actual Dad, and probably other things, too.
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scooper-id.bsky.social
PAHO Director Dr. Jarbas Barbosa said all three countries were at risk of missing the deadlines, which would deprive the Americas of its measles-free status and set back the wider goal of a measles-free world by 2030. Falling vaccination rates were to blame for the spread of the disease.
scooper-id.bsky.social
To be considered measles-free, a country where an outbreak occurred must return to zero cases within 12 months. Notably, that deadline expires at the end of this month for Canada, while the United States has until January and Mexico until February.
scooper-id.bsky.social
The Americas region is at risk of losing its measles-free status as the highly infectious disease continues to spread in Canada, Mexico and the US.
scooper-id.bsky.social
If HPV vaccine coverage increased to 90% globally, more than twice as many cases could be prevented (7,462 annually at 90% efficacy). Even with conservative assumptions of 50% efficacy, 1,987 additional cases could be averted.
scooper-id.bsky.social
Geographically, the burden was highest in Africa, where HIV accounted for up to 30% of cases compared with just 5% worldwide.
scooper-id.bsky.social
Pooled results indicated a significantly increased risk for HPV-related noncervical cancers among patients with HIV and AIDS, including anal cancer, vaginal cancer, vulvar cancer, penile cancer, and oropharyngeal cancer.
scooper-id.bsky.social
A systematic review and meta-analysis of 25 studies found that patients with HIV and AIDS exhibit an increased risk of developing human papillomavirus (HPV)-related noncervical cancers, particularly anal cancer.
scooper-id.bsky.social
Patients With HIV/AIDS Have Increased Risk For HPV-Related Noncervical Cancers, (Review)
#IDSky #MedSky

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Reposted by S. Evan Cooper 🦠
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Stress-Free Eric Adams Spends Day Bribing Pigeons In Central Park
Stress-Free Eric Adams Spends Day Bribing Pigeons In Central Park
scooper-id.bsky.social
They also completed in-person encounters and underwent HIV viral load testing more frequently in the same period. However, patients with persistent viremia more commonly received care at a dedicated HIV clinic.
scooper-id.bsky.social
Further analysis indicated continued engagement in HIV care was associated with higher likelihood of achieving virologic suppression. Patients who achieved suppression more commonly reported 5 or more outpatient visits in the past year than those with persistent viremia.
scooper-id.bsky.social
Patients who subsequently achieved virologic suppression initially had lower overall median viral loads but reported lower rates of ART use in the period before detection.
scooper-id.bsky.social
Compared with patients who had persistent viremia, patients who achieved virologic suppression were more likely to be older and less likely to have hepatitis B surface antigen positivity.
scooper-id.bsky.social
Among patients with HIV infection, older age, timely antiretroviral therapy (ART) initiation or modification after detectable viremia, and continued engagement in HIV care are associated with a higher likelihood of achieving virologic suppression.
scooper-id.bsky.social
In contrast, the New Mexico Department of Health on Sep 26 declared that the state’s measles outbreak, which began on February 14, is over. The state’s last cases were reported from Santa Fe County on August 14. The state recorded 100 cases, marking New Mexico’s first measles outbreak since 1996.
scooper-id.bsky.social
An MDH official said the 3 new cases involve unvaccinated children ages 5 - 17 years old from the same family in Dakota County.” Meanwhile, California’s Orange County Health Care Agency announced Monday a confirmed infection in a toddler who recently traveled domestically.
scooper-id.bsky.social
Several states have reported new measles cases as part of a record rise in cases since the United States achieved elimination status in 2000. The Minnesota Department of Health (MDH) recorded 3 new cases, pushing the state’s total to 8 for the year.
scooper-id.bsky.social
Other factors linked to higher STI prevalence included lower education level and identifying as Black or multiracial. Across patient groups, transgender women and cisgender MSM had the highest rates of any STI (25.8% and 24.6%).
scooper-id.bsky.social
During the study, 3344 patients were screened for chlamydia, 3335 for gonorrhea, and 2953 for syphilis. Researchers observed that patients in sexual and gender minority groups had significantly higher STI rates than those who identified as heterosexual (eg, syphilis: 18.01% and 7.27%).
scooper-id.bsky.social
Sexual and gender minority groups, particularly cisgender men who have sex with men (MSM) and transgender women, experience disproportionately high rates of extragenital chlamydia, gonorrhea, and syphilis, highlighting the need for expanded, cost-effective screening options.