HIV / AIDS / STDsEducation in Public Schools

Rebecca J. King

WVDE-OSSHP

No Child Left Behind =Policy 2520.5 –

Health Content Standards and Objectives

Creation of HCSO Purpose Location Content Utilization

Health Education Content Standards of Learning

K-12

Policy 2520.5

Standard 1: Health Promotion and Disease Prevention (HE.S.1)Standard 1: Health Promotion and Disease Prevention (HE.S.1)Students will:Students will:

comprehend concepts related to health promotion and disease comprehend concepts related to health promotion and disease prevention.prevention.

Standard 2: Health Information and Services (HE.S.2)Standard 2: Health Information and Services (HE.S.2)Students will:Students will:

demonstrate the ability to access valid health information and demonstrate the ability to access valid health information and health-promoting products and services.health-promoting products and services.

Standard 3: Health Behaviors (HE.S.3)Standard 3: Health Behaviors (HE.S.3)Students will:Students will:

demonstrate the ability to practice health-enhancing behaviors demonstrate the ability to practice health-enhancing behaviors and reduce health risks.and reduce health risks.

Standard 4: Culture, Media, and Technology (HE.S.4)Standard 4: Culture, Media, and Technology (HE.S.4)Students will:Students will:

analyze the influence of culture, media, technology, and other analyze the influence of culture, media, technology, and other factors on health.factors on health.

Standard 5: Communication (HE.S.5)Standard 5: Communication (HE.S.5)Students will:Students will:

demonstrate the ability to use interpersonal communication demonstrate the ability to use interpersonal communication skills to enhance health.skills to enhance health.

Standard 6: Goal Setting and Decision Making (HE.S.6)Standard 6: Goal Setting and Decision Making (HE.S.6)Students will:Students will:

demonstrate the ability to use goal-setting and decision-making demonstrate the ability to use goal-setting and decision-making skills to enhance health.skills to enhance health.

Standard 7: Advocacy (HE.S.7)Standard 7: Advocacy (HE.S.7)Students will:Students will:

demonstrate the ability to advocate for personal, demonstrate the ability to advocate for personal, family, and community health.family, and community health.

Requirements by Law: W.Va. Code §18-2-9

Health Education in grades 6-12 including AIDS/STDs and substance abuse.

An opportunity for parents or guardians to examine course curriculum in HIV/AIDS/STDs.

Parent or guardian may exempt child from participation with written notice in writing to school principle.

Violations of provision shall be guilty of misdemeanor and removed from current position…

Requirements by Law: W.Va. Code §18-5-15d

Training programs on prevention, transmission, spread and treatment of AIDS shall be provided by county boards as in-service for all school personnel.

County boards shall encourage attendance of parents/guardians at these programs and notify such parents to the fullest extent practicable, including written and publication form.

West Virginia Board of Education

Policy 2422.4- AIDS Education Policy.

Policy 2422.45- Exclusion of Students from Instruction.

New Policy 2422.4. to merge above policies.

Policy 2420.5-Health Education Content Standards Objectives.

Are West Virginia Children at Risk for HIV/AIDS/STDs?

Look for yourself.

BEHAVIORS END

NEXT SLIDE

0

20

40

60

80

100

Total Males Females 9th 10th 11th 12th

52.0 49.2

54.9

35.1

45.4

59.7

74.5

West Virginia High School Survey

Percentage of students who ever had sexual intercourse

Q58 - Weighted Data

BEHAVIORS END

NEXT SLIDE

55.5

58

53.1

54.8

57.9

51.3

52

49.2

54.9

44

46

48

50

52

54

56

58

1997 1999 2003

TOTAL

MALE

FEMALE

WOW! A total of 52% of

West Virginia children in grades 9th-12th have experienced sexual intercourse.

This puts them at risk for

HIV/AIDS/STDs.

West Virginia 2004HIV/AIDS Rates

Exceptionally low rates of HIV/AIDS among children.

Increases at ages 13-19 with 5% HIV cases, total HIV/AIDS at 2% then ages 20-29 with a total of 23%. WOW! Prevention is the KEY!

National Trends for HIV/AIDS

26% cases in ages 13-24

Males-MSM/IUD

Females-Heterosexual

Number of Cases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

Number of Cases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

Number of Cases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

Number of Cases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

FemaleMale

AIDS in 13- to 19 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=4,428

34 35 5377

126136181162 152

578

412392398371

298311

1993 definition change

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Year of ReportBefore1985

0

100

200

300

400

500

600

700

340372

2000 2001

Num

ber

of C

ases

0

1000

2000

3000

4000

AIDS in 20- to 24 -Year-Olds, by Sex and Year of Report, through December 2001, United States

N=28,665

1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1998 1999 2000 20011996 1997

Year of Report1985Before

297 364

642

969

1499 14881673

1502 1503

2653

3862

2424

1843

2169

1482 14931341 1461

1993 definition change

FemaleMale

Num

ber

of C

ases

** Includes patients whose medical record review is pending; patfollow-up or declined interview; and patients with other or undetermined modes of exposure

Estimated* AIDS Incidence in Male Adolescents and Young Adults, by Exposure Category,

Diagnosed through December 2001, United States

Men who have sex with menInjection drug useMen who have sex with menand inject drugs

HemophiliaHeterosexual contactTransfusion recipientOther/undetermined**

Total

1,066253

150769186103136

2,663

%4010

629745

100

N20-24 years

N13-19 years

13,4642,867

2,217696

1,409126107

20,887

%6414

113711

100

Exposure category

** Includes patients whose medical record review is pending; patients who died, were lost to*Data adjusted for reporting delays and redistribution of risk for cases initially reported without risk

Young Adults, by Exposure Category, Diagnosed through December 2001, United States

Men who have sex with menInjection drug useMen who have sex with menand inject drugs

HemophiliaHeterosexual contactTransfusion recipientOther/undetermined**

Total

1,066253

150769186103136

2,663

%4010

629745

100

N20-24 years

N13-19 years

13,4642,867

2,217696

1,409126107

20,887

%6414

113711

100

Exposure category

** Includes patients whose medical record review is pending; patfollow-up or declined interview; and patients with other or undetermined modes of exposure

Estimated* AIDS Incidence in Male Adolescents and Young Adults, by Exposure Category,

Diagnosed through December 2001, United States

Men who have sex with menInjection drug useMen who have sex with menand inject drugs

HemophiliaHeterosexual contactTransfusion recipientOther/undetermined**

Total

1,066253

150769186103136

2,663

%4010

629745

100

N20-24 years

N13-19 years

13,4642,867

2,217696

1,409126107

20,887

%6414

113711

100

Exposure category

** Includes patients whose medical record review is pending; patients who died, were lost to*Data adjusted for reporting delays and redistribution of risk for cases initially reported without risk

Young Adults, by Exposure Category, Diagnosed through December 2001, United States

Men who have sex with menInjection drug useMen who have sex with menand inject drugs

HemophiliaHeterosexual contactTransfusion recipientOther/undetermined**

Total

1,066253

150769186103136

2,663

%4010

629745

100

N20-24 years

N13-19 years

13,4642,867

2,217696

1,409126107

20,887

%6414

113711

100

Exposure category

Injection drug useHemophiliaHeterosexual contactTransfusion recipientOther/undetermined**

Total

N13-19 years 20-24 years

Exposure Category

38418

1,321111158

1,992

%

191

6668

100

N

2,55929

5,86415785

8,383

%

29<16721

100

Estimated* AIDS Incidence in Female Adolescents and Young Adults, by Exposure Category,

Diagnosed through December 2001, United States

** Includes patients whose medical record review is pending; patients who died, were lost tofollow-up or declined interview; and patients with other or undetermined modes of exposure

*Data adjusted for reporting delays and redistribution of risk for cases initially reported without risk

Injection drug useHemophiliaHeterosexual contactTransfusion recipientOther/undetermined**

Total

N13-19 years 20-24 years

Exposure Category

38418

1,321111158

1,992

%

191

6668

100

N

2,55929

5,86415785

8,383

%

29<16721

100

Estimated* AIDS Incidence in Female Adolescents and Young Adults, by Exposure Category,

Diagnosed through December 2001, United States

** Includes patients whose medical record review is pending; patients who died, were lost tofollow-up or declined interview; and patients with other or undetermined modes of exposure

*Data adjusted for reporting delays and redistribution of risk for cases initially reported without risk

Adolescents 13-19 Years of Age Living with HIVInfection* and AIDS, Reported through 2001

HIV AIDS

NJDEMDDC

CTRIMA

N=1926** N=1822**

8

2

4

3

41

3

2

0

00

0

3

5

6

1

18

1413

28340

9

66

16

22

9

18

29

12237321

30

70

5

7

12

44

1

1

16

19

15

6

51

2041

36

1466

53

90

45

343

64

67

108

5116

53

5

16

4

13542

73

34

53

521

287

1

4

185

25

0

0

ConfidentialHIV Reporting***

RequiredPediatric only

0 01212

1

1

Guam

U.S. Virgin Islands Puerto Rico

489

* For areas with confidential HIV infection surveillance. Includes 57 residents of areas without HIV infection surveillance but who were reported by areas with HIV infection surveillance.

**Totals include cases missing state of residence data. Data based on age as of December 31, 2001.***HIV cases reported by patient name

Adolescents 13-19 Years of Age Living with HIVInfection* and AIDS, Reported through 2001

HIV AIDS

NJDEMDDC

CTRIMA

N=1926** N=1822**

8

2

4

3

41

3

2

0

00

0

3

5

6

1

18

1413

28340

9

66

16

22

9

18

29

12237321

30

70

5

7

12

44

1

1

16

19

15

6

51

2041

36

1466

53

90

45

343

64

67

108

5116

53

5

16

4

13542

73

34

53

521

287

1

4

185

25

0

0

ConfidentialHIV Reporting***

RequiredPediatric only

0 01212

1

1

Guam

U.S. Virgin Islands Puerto Rico

489

* For areas with confidential HIV infection surveillance. Includes 57 residents of areas without HIV infection surveillance but who were reported by areas with HIV infection surveillance.

**Totals include cases missing state of residence data. Data based on age as of December 31, 2001.***HIV cases reported by patient name

Other STDs. . .

½ of all reported STDs in America during 2000 occurred

among youth ages 15-24 based on CDC data!

Chlamydia

WV ranks #49 in rates by states. EXCELLENT!

Rates total 143.5 per 100,000.

WV ranks #50 in rates by ages

15-24 at 2.8 per 100,000 cases.

C hlam ydia — R ates b y sta te : U nited S ta tes and ou tlyin g areas, 2003

N ote : T he to ta l rate o f ch lam ydia for th e U nited S tates and ou tlying areas (G uam , P uerto R ico and V irg in Is lands) w as 301 .3 p er 100 ,000 pop u lation .

Rate per 100,000population

<=150.0150.1-300.0>300.0

VT 171.9 NH 126.7 MA 175.8 RI 280.4 CT 271.4 NJ 188.2 DE 375.9 MD 308.4

Guam 344.0

Puerto Rico 71.1 Virgin Is. 378.1

(n= 3)(n= 26)(n= 24)

316.7

605.8

234.9289.9

334.4 289.3

253.6

416.9

440.2

176.4

383.3 277.2

221.0

266.9195.0

467.8

156.8

324.1

213.4

424.6

327.4

280.1

274.1268.2

403.2

298.7

314.7

261.0

372.3

315.2

218.3

302.3

356.0

342.7

351.5

317.7

168.1

266.5

276.8

143.5

329.7

192.5

C hlam ydia — P ositivity am on g 15 - to 24-year-old w om en tested in fam ily p lanning c lin ics b y sta te : U nited S ta tes and ou tlyin g areas, 200 3

N ote : In c ludes states and ou tlying a reas that reported ch lam ydia positivity d ata on at least 500 w o m en aged 15 -24 years screen ed during 2003 .

SO U R C E: R egional In fertility P reven tion P rojects ; O ffice o f P opu la tion A ffa irs ; Loca l and S ta te S TD C ontrol P rogram s; C enters fo r D iseas e C ontrol and Prevention

Positivity (%)

<4.04.0-4.9>=5.0

VT 4.2 NH 4.2 MA 5.2 RI 5.6 CT 5.4 NJ 8.1 DE 5.9 MD 5.9 DC 4.7

Puerto Rico 5.6 Virgin Is. 18.9

(n= 2)(n= 9)(n= 42)

6.8

6.6

6.7 6.2

6.0 6.4

4.7

9.4

8.4

5.5

7.3 7.2

4.5

5.6 3.7

9.2

4.0

7.0

5.0

9.4

6.8

5.5

4.7 4.6

7.6

6.4

5.9

5.8

7.7

5.4

4.2

5.8

7.0

6.4

6.8

8.7

5.3

6.7

7.0

2.8

8.4

5.9

Gonorrhea

WV ranks 3rd in U.S. in 2002

2.8 per 100,000

In 2002 WV Public Health District #6 (Hancock, Brooke, Ohio, Wetzel and Marshall counties) reported 46/63 cases in ages 15-24~73%!

Syphilis

17 cases in 2004

Low rates but on the rise.

Hepatitis B & C

Mercer County rates increased 50% from 2003 to 2004 initiating a public-awareness campaign and attracting the attention of CDC. Possibly increase in aggressive tracking and reporting.

HPV 60% of US population infected.

No state specific data.

Over 30 distinct types.

Estimated 20 million people in US have genital HPV.

Infection rate of 5.5 million per year.

Pregnancy Prevention

46.8 per 1,000 females age 15-19 in WV during 2002.

US total 51.1 per 1,000

(lowest state rate 24.4/1,000).

Decrease of 14.9% from 1991-1998

West Virginia Public Schools TEACH . . . Comprehensive health education

that is skills based.

Abstinence-Based Sex Education tailored to the needs of the Community.

Evidence Based Curriculum- CDC Recommendations:

Be Proud, Be Responsible Reducing the Risk Get Real about AIDS StreetSmart Focus on Kids Becoming a Responsible Teen

(BART)

Medically Accurate and

Updated Information…

WV Health Textbooks

Heath Textbook Adoption Committee

Textbook Supplements

FREE Support Materials

Get More with Paternity lesson

BPH pamphlets

HIV/AIDS PEER Education –BPH/ARC

Steps to Prevention:

Build Capacity of Health Educators.

Educate school employees, parents/guardians and the community for consistent reinforcement to students.

Evidence Based Research.

Health Text Books with medically accurate and updated health information.

Steps to Prevention:

Comprehensive Abstinence-based sex education.

Age/Developmentally Appropriate.

High Risk Population in WV

(low socioeconomic, exceptional children, substance abusers, HS drop-outs, African American and Latino).

Steps to Prevention: HEAP

Health Advocacy

Access/Knowledge to health care

Collaborative and Integrated Health Services (SBHC, Primary Care Provider, Mental Health, and Dental).

CSHP

HIV/AIDS/STD INITIATIVES IN WEST VIRGINIA

Health Content Standards and Objectives HIV Law/Policy Professional Development Technical Assistance Statewide On-line HIV/AIDS/STDs Training in FUTURE Get More Curriculum Wise Guys Curriculum-BPH-PP 40 Assets-BPH-Adolescent Health Peer Education facilitation for HIV//AIDS Programs by BPH-HIV/AIDS

Division Be Proud, Be Responsible Alignment of Curricula with Health Content Standard Objectives Role out Quarterly Student/Faculty Awareness CDC New Initiatives-Target HIV Positive Population Testing-Onsite with counseling National HIV Testing Day-June 27th of every year National AIDS day-December 1st of every year

Have A GREAT Summer!

&

THANK YOU!