cover of episode Should we be worried by the rise of STIs?

Should we be worried by the rise of STIs?

2025/1/2
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The Hard Shoulder Highlights

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Dr. Derek Friedman
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专注于电动车和能源领域的播客主持人和内容创作者。
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主持人:爱尔兰2024年性传播感染(STI)数据显示令人担忧的上升趋势,爱尔兰无法实现到2030年消除性病的目标。 Dr. Derek Friedman:当前的性传播感染(STI)统计数据仅来自诊所和免费检测服务,社区中存在大量未报告的感染病例。由于性行为普遍存在,且缺乏医疗保健和健康意识,实现到2030年消除性病的目标极不可能实现。许多性传播感染(STI)没有症状,因此定期检查非常重要。与不认识的人发生性行为、在酒精或毒品影响下发生性行为以及不使用安全套等高危性行为的人群需要进行检查。使用安全套是预防性传播感染(STI)的关键。 关于天主教负罪感导致爱尔兰人对性传播感染(STI)检测的抵触,Dr. Friedman认为这种说法并不完全准确,他认为更多的是其他宗教信仰的人,特别是穆斯林,由于性行为与他们的信仰相冲突而感到负罪感。 淋病和梅毒的病例在过去十年中急剧增加,这些疾病是可以治愈的,但如果不及时治疗,会产生严重的长期后果。梅毒的症状可能不明显,因此即使没有症状也应进行检测。淋病的症状也可能不明显,尤其是在女性中,通常存在于咽喉中。 有过多个性伴侣、发生过无保护性行为或饮酒过量的人群应该进行性传播感染(STI)检测。 Dr. Derek Friedman: 当前性传播感染(STI)的统计数据只反映了部分情况,因为数据主要来自诊所和SH24免费检测服务,而社区中还有很多未被报告的感染病例。爱尔兰未能实现到2030年消除性病的目标,这并不令人意外,因为全球范围内都存在类似的情况,尤其是在缺乏性健康医疗保健和健康意识的地区。许多性传播感染(STI)没有症状,因此定期检查非常重要。高危性行为,例如与不认识的人发生性行为、在酒精或毒品影响下发生性行为以及不使用安全套,都增加了感染风险。使用安全套是预防性传播感染(STI)的关键。 关于天主教负罪感导致人们不愿进行性传播感染(STI)检测的说法,我不完全认同。我认为,更多的是其他宗教信仰的人,特别是穆斯林,由于性行为与他们的信仰相冲突而感到负罪感。 近十年来,淋病和梅毒的病例急剧增加,这令人担忧。虽然这些疾病是可以治愈的,但如果不及时治疗,会造成严重的长期健康后果,尤其对梅毒而言。梅毒如果不治疗,会对身体造成严重损害。梅毒的症状可能不明显,淋病的症状也可能不明显,尤其是在女性中,通常存在于咽喉中。因此,即使没有症状,也应该进行检测。 应该进行性传播感染(STI)检测的人群包括:有过多个性伴侣的人、发生过无保护性行为的人、以及由于饮酒过量而无法回忆起性行为细节的人。

Deep Dive

Key Insights

Why are STIs on the rise in Ireland, and what challenges does this pose for public health?

STIs are on the rise in Ireland due to factors like casual sex, lack of awareness, and insufficient healthcare facilities. The country is not on track to eliminate sexual diseases by 2030, as infections like gonorrhea and syphilis have seen significant increases over the past 5-8 years. These infections, while treatable, can have severe long-term consequences if undiagnosed, including damage to the brain, heart, liver, and other organs.

What role does community awareness play in combating STIs?

Community awareness is crucial in combating STIs, as many infections go unnoticed and unreported. Public discussions, like those on radio programs, help educate people about the importance of regular testing and safe sex practices. Dr. Derek Freedman emphasizes that infections are often silent, with no symptoms, making testing essential for early detection and treatment.

Who should get tested for STIs, and under what circumstances?

Anyone who engages in risky sexual behavior, such as having multiple partners, unprotected sex, or sex under the influence of alcohol or drugs, should get tested. Dr. Freedman highlights that infections like gonorrhea and syphilis are increasingly common, particularly among young girls, and stresses the importance of knowing one's sexual partners and using protection like condoms.

What are the long-term consequences of untreated syphilis?

Untreated syphilis can lead to severe long-term consequences, including damage to the brain, heart, liver, lungs, skin, and bones. Historically, syphilis was a major cause of death, but antibiotics have made it treatable. However, without testing and treatment, the infection can progress silently, causing irreversible harm.

Why is gonorrhea particularly concerning in Ireland today?

Gonorrhea is concerning due to a significant rise in cases, with Dr. Freedman noting that he now sees in a month what he used to see in a year. The infection is increasingly found in the throat and back passage, and it is particularly worrying among young girls. While gonorrhea in the penis is usually symptomatic, infections in other areas can go unnoticed without testing.

What misconceptions exist about STI testing in Ireland?

A common misconception is that Catholic guilt discourages Irish people from getting tested. Dr. Freedman disagrees, stating that this notion was dispelled decades ago. Instead, he observes that individuals from other religious backgrounds, such as Muslims, may feel guilt due to cultural or religious stigmas around certain types of sexual activity.

Chapters
The number of STIs in Ireland is increasing, which is concerning given the country's goal to eliminate these diseases by 2030. The statistics only reflect reported cases from clinics and testing services, and a significant portion of infections go unreported.
  • Increase in STIs in Ireland
  • Ireland is not on track to eliminate sexual diseases by 2030
  • Statistics only represent reported cases from clinics and SH24

Shownotes Transcript

Sexually Transmitted Infections, or STIs, were on the rise in 2024 – showing worrying signs. It follows a huge uptick the year before, with Ireland not set to reach its target of eliminating sexual diseases by 2030.

Joining Adrian Kennedy to discuss the increase is Dr. Derek Freedman – a Specialist Consultant in Sexual Health and Sexually Transmitted Diseases based in Ranelagh.