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The Centers for Disease Control and Prevention (CDC) published its updated ClinicalPractice Guideline for Preexposure Prophylaxis for HIV Prevention and Clinical Providers Supplement. The updated guideline and supplement reflect the latest science and are intended to help physicians effectively prescribe all FDA-approved pre-exposure prophylaxis (PrEP) medications to patients and increase PrEP use among all people who could benefit.
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To increase low-barrier access to chlamydia and gonorrhea screening in young women of color, SFDPH has launched the Don't Think, Know FREE home testing program. Free, home-based STI testing is a potentially game-changing approach for expanding access to sexual health services. This is especially critical given the significant impact COVID-19 has had on our health care delivery system, as evidenced by steep declines in STI screening in the past 1.5 years
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We reached out to our colleague John Farley, Recruitment & Community Relations Manager at the Center on Substance Use and Health (CSUH)  and asked him to share information about the Center’s current projects and recruitment activities.
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Have you visited the San Francisco City Clinic website recently?

You will find a plethora of resources for both patients and providers. Direct patients to the website for information about our services, STI basics fact sheets, and text reminder feature - a free tool  to receive an SMS reminder when it’s time to get tested or take medication. Providers can find updated screening and treatment guidelines, handouts for patients, and helpful materials to guide your practice like our congenital syphilis toolkit. The SF City Clinic website also features a new provider blog section with helpful monthly posts to inform your practice.

Due to the COVID-19 pandemic, access to sexual health services declined significantly in 2020, reflected in a 40% decline in HIV and STI testing in San Francisco.  The COVID-19 pandemic challenged us to be more innovative in how to offer these much-needed services.  In 2020, San Francisco City Clinic implemented tele-health and express visits to serve as many patients as quickly and safely as possible, and continues to offer low-cost STI testing, diagnosis, and treatment regardless of insurance status.  To make sexual health care even more accessible, SFDPH has launched a home HIV/STI testing program, TakeMeHome, which provides San Franciscans with access to FREE HIV and STI screening in the privacy of their own home.
In 2019, SFDPH was awarded with a grant to develop a local “end the HIV epidemic” plan as part of the national Ending the HIV Epidemic Initiative, which aims to reduce the number of new HIV acquisitions in the U.S. by at least 90 percent by 2030. In response, SFDPH and community partners developed the SF Ending the HIV/HCV/STI Epidemics (SF ETE) Plan as a roadmap for how SF could address this syndemic

On Tuesday, September 21st, 2021,  the Annual HIV/STI update was presented  to the San Francisco Health Commission.

The YUTHE Program is a professional development and peer education internship designed to introduce youth and young adults to the field of public health and address health disparities in San Francisco, specifically in regard to substance use and sexual health. The YUTHE program conducts sexual health workshops at local high schools and community-based organizations and provides street outreach to youth in the Bayview, Castro, Fillmore, and Visitation Valley neighborhoods. During outreach they discuss topics such as healthy relationships, STIs, and PrEP while distributing safer sex supplies and information.

California has recently experienced increases in reports of disseminated gonococcal infection (DGI), a severe complication of untreated gonorrhea. 

DGI occurs when gonorrhea invades the bloodstream and spreads to distant sites in the body, leading to clinical manifestations such as septic arthritis, polyarthralgia, tenosynovitis, petechial/pustular skin lesions, bacteremia, or, on rare occasions, endocarditis or meningitis.

Save the date for the annual San Francisco STI Update on November 4th, 2021!

This web-based, half-day morning event will include presentations from STI experts in San Francisco and cover topics such as STI epidemiology, addressing rising syphilis rates, and highlights from the new 2021 CDC STI Treatment Guidelines. Learn from the experts as our clinician panel addresses challenging cases on the fly. Lookout for more details and registration information coming soon. While all providers and program staff are welcome to register, we will be focusing on San Francisco based data and recommendations.