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The sex partners of people who have chlamydia may receive free medication for their own treatment without ever seeing a doctor, under a new health program in Kitsap County.

The initiative, pioneered in Seattle, is designed to stem the spread of chlamydia trachomatis, the germ behind the most common sexually transmitted bacterial infection in the United States.

The approach presumes that the partner of an infected person is likely to be infected, too, and puts a priority on being practical.

“Some (people) don’t have good access to medical care,” said Matthew Golden, an associate professor of medicine at the University of Washington and one of a team of infectious disease and public health specialists in the country who came up with the program.

“We’re not telling people not to see their doctor. We’re telling them to see their doctor,” Golden said. “But if that’s not happening right away, they need to be treated.”

The program, known in medical circles as “expedited partner therapy,” began June 1 in Kitsap County, where the rate of chlamydia (kluh-MID-ee-uh) among residents ages 15 to 24 has risen an average of 5 percent a year in the past decade.

Left untreated, the infection can lead to pelvic inflammatory disease in women, which may result in sterility. More rarely, chlamydia can cause infertility in men, too. Symptoms for men and women alike include discharge from the sex organs and a burning sensation while urinating. But frequently, the pathogen lurks in the body without any signs, making it possible for an infected person to pass on the disease unknowingly.

Nationally, more than 1 million chlamydial infections were reported in 2006, but the U.S. Centers for Disease Prevention and Control estimates that 19 million new infections occur each year.

In Kitsap County, 350 cases of chlamydia were reported in the first five months of the year alone — making it far and away the most commonly reported sexually transmitted infection. By comparison, there were 33 cases of herpes, 30 cases of gonorrhea and one case of syphilis in the same period.

Expedited partner therapy aims to make treatment as available and convenient as possible for chlamydia as well as for gonorrhea. It starts when a patient who has symptoms seeks a doctor’s care, or — in the case of women — is found during her annual gynecological exam to have one or both infections.

A patient with chlamydia can be treated immediately with a single dose of the antibiotic azithromycin (sold in this country under the brand name Zithromax), said Beth Phipps, a nurse epidemiologist and chlamydia project point person at the Kitsap County Health District.

Gonorrhea also may be treated instantly with a second antibiotic.

Phipps said patients may then obtain free “Partner Packs” containing antibiotics, information about the medicine and the

disease, and a pair of condoms, directly from the health district clinic in downtown Bremerton or through their own physicians, who may call in prescriptions to any of seven Rite-Aid pharmacies in the county.

The partners never have to be identified. The patient simply gives a name under which the prescription should be written, and the person picking up the prescription asks for the packet under that name. Nor does the partner need to be the one to pick it up. “The prescription could be for Joe Schmo, but Minnie Mouse can pick it up,” Phipps said.

Phipps said discretion, delicacy and confidentiality are paramount.

When she started the job, Phipps admitted, she was abashed by the questions she had to ask her clients.

“I’m asking them about their sexual practices,” said Phipps, a grandmother who has been with the health district for 13 years. “I’m asking them about the frequency, the type, male, female, both; and that, actually, to start, was hard for me. It took me two days to call my first person.”

She has since learned to conduct interviews matter-of-factly and without judgment, as casually as if she were asking what the person had for lunch.

She’s also found that people of all types are vulnerable to sexually transmitted infections. “The perception would be icky, dirty, but not necessarily,” Phipps said. “I probably talk to more people who are regular Kitsap County citizens — professional people who just had a mishap.”

Nor are they necessarily promiscuous. One woman who had been to Harrison Medical Center’s emergency department three months in a row with a recurring chlamydia infection was, Phipps found, in a steady relationship. And her partner had been treated, too.

The problem was, the couple weren’t treated for the infection at the same time. “So they were passing it back and forth,” Phipps said. The trick was to treat them simultaneously, and counsel them to abstain from sex for one week until the infections cleared.

Golden at the UW, who also directs the sexually transmitted disease control program at Public Health-Seattle & King County, said that in the search for methods to slow the spread of chlamydia, he and a colleague at the U.S. Centers for Disease Control and Prevention found in a study that about half of all physicians at least occasionally give medicine to patients to take to their partners.

Until the advent of expedited partner therapy, the practice was done informally, under the radar. In fact, in some states, it is illegal to provide prescription drugs to someone who has not been evaluated by a health-care professional, although Golden said laws are changing because of the growing popularity of the formal program and its support from federal health agencies.

In Washington, the spread of partner therapy is funded largely through a five-year, $2.5 million grant from the National Institutes of Health, Golden said. Kitsap is part of a second wave of counties to join. The approach is now available in 18 counties in the state, including Clallam, Jefferson and Pierce. All of Washington is expected to be involved by the middle of 2009.

With 261 cases per 100,000 people, Kitsap’s chlamydia incidence rate is lower than the state’s rate of 283 per 100,000, which in turn is lower than the national rate of about 348 per 100,000.

However, Phipps said she expects Kitsap’s numbers to go up before they go down because of her concentrated efforts to track down infections.

In King County, where partner therapy has been available in some fashion since 1998, Golden said, the infection rate has been stable since 2002. He said researchers should be able to tell how well the program works statewide by 2011.

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What is Herpes Zoster?

Herpes Zoster, also called herpes zoster or zoster, is a painful skin rash caused by the varicella zoster virus (VZV). VZV is the same virus that causes chickenpox. After a person recovers from chickenpox, the virus stays in the body. Usually the virus does not cause any problems; however, the virus can reappear years later, causing Herpes Zoster. Herpes zoster is not caused by the same virus that causes genital herpes, a sexually transmitted disease.

What does Herpes Zoster look like?

Herpes Zoster usually starts as a rash on one side of the face or body. The rash starts as blisters that scab after 3 to 5 days. The rash usually clears within 2 to 4 weeks.

Before the rash develops, there is often pain, itching, or tingling in the area where the rash will develop. Other symptoms of Herpes Zoster can include fever, headache, chills, and upset stomach.

Are there any long-term effects from Herpes Zoster?

Very rarely, Herpes Zoster can lead to pneumonia, hearing problems, blindness, brain inflammation (encephalitis) or death. For about 1 person in 5, severe pain can continue even after the rash clears up. This pain is called post-herpetic neuralgia. As people get older, they are more likely to develop post-herpetic neuralgia, and it is more likely to be severe.

How common is Herpes Zoster in the United States?

In the United States, there are an estimated 1 million cases of Herpes Zoster each year.

Who gets Herpes Zoster?

Anyone who has recovered from chickenpox may develop Herpes Zoster, including children. However, Herpes Zoster most commonly occurs in people 50 years old and older. The risk of getting Herpes Zoster increases as a person gets older. People who have medical conditions that keep the immune system from working properly, like cancer, leukemia, lymphoma, and human immunodeficiency virus (HIV), or people who receive immunosuppressive drugs, such as steroids and drugs given after organ transplantation are also at greater risk to get Herpes Zoster.

How often can a person get Herpes Zoster?

Most commonly, a person has only one episode of Herpes Zoster in his/her lifetime. Although rare, a second or even third case of Herpes Zoster can occur.

Can Herpes Zoster be spread to others?

Herpes Zoster cannot be passed from one person to another. However, the virus that causes Herpes Zoster, VZV, can be spread from a person with active Herpes Zoster to a person who has never had chickenpox through direct contact with the rash. The person exposed would develop chickenpox, not Herpes Zoster. The virus is not spread through sneezing, coughing or casual contact. A person with Herpes Zoster can spread the disease when the rash is in the blister-phase. Once the rash has developed crusts, the person is no longer contagious. A person is not infectious before blisters appear or with post-herpetic neuralgia (pain after the rash is gone).

What can be done to prevent the spread of Herpes Zoster?

The risk of spreading Herpes Zoster is low if the rash is covered. People with Herpes Zoster should keep the rash covered, not touch or scratch the rash, and wash their hands often to prevent the spread of VZV. Once the rash has developed crusts, the person is no longer contagious.

Is there a treatment for Herpes Zoster?

Several medicines, acyclovir (Zovirax), valacyclovir (Valtrex), and famciclovir (Famvir), are available to treat Herpes Zoster. These medications should be started as soon as possible after the rash appears and will help shorten how long the illness lasts and how severe the illness is. Pain medicine may also help with pain caused by Herpes Zoster. Call your doctor as soon as possible to discuss treatment options.

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Before a rash is visible, the patient may notice several days to a week of burning pain and sensitive skin. Shingles start as small blisters on a red base, with new blisters continuing to form for 3-5 days. The blisters follow the path of individual nerves that comes out of the spinal cord (called dermatomal pattern). The entire path of the nerve may be involved or there may be areas with blisters and areas without blisters

What is the prognosis?

For most healthy people, the lesions heal, the pain subsides within 3 to 5 weeks, and the blisters leave no scars. However, shingles is a serious threat in immunosuppressed individuals for example, those with HIV infection or who are receiving cancer treatments that can weaken their immune systems. People who receive organ transplants are also vulnerable to shingles because they are given drugs that suppress the immune system.

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Varicella zoster virus, the same virus that causes chicken pox, causes shingles. This virus is in the herpes family. After a person has had chickenpox the virus remains in their body, lying dormant or hidden in part of the nervous system. For some reason, often many years later, the virus travels back down one of the nerves to the skin, where it causes a rash in the area of skin supplied by that nerve. It’s not clear what triggers reactivation of the chickenpox virus but it may be linked to changes in the immune system. Ensuring your immune system is not weakened may help to prevent this occurring.

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Herpes zoster, colloquially known as shingles, is the reactivation of varicella zoster virus, or VZV. The virus, one of the Herpesviridae group, leads to a group of painful blisters over the area of a dermatome.

As you get older, or if your immune system gets weak, the chickenpox virus may escape from the nerve cells and cause shingles. In most cases, however, a cause for the reactivation of the virus is never found. The herpes virus that causes shingles and chicken pox is not the same as the herpes virus that causes genital herpes (which can be transmitted) and herpes mouth sores.

Shingles is medically termed Herpes zoster. Early signs of shingles include burning or shooting pain and tingling or itching, usually on one side of the body or face. The pain can be mild to severe. Blisters then form and last from one to 14 days. If shingles appears on your face, it may affect your vision or hearing

The most common location for shingles is a band, called a dermatome, spanning one side of the trunk around the waistline. Anyone who has had chickenpox is at risk for shingles. Scientists think that in the original battle with the varicella-zoster virus, some of the virus particles leave the skin blisters and move into the nervous system. When the varicella-zoster virus reactivates, the virus moves back down the long nerve fibers that extend from the sensory cell bodies to the skin. The viruses multiply, the tell-tale rash erupts, and the person now has shingles.

Shingles is another name for a condition called “herpes zoster.” Shingles, also known as herpes zoster, is a disease that affects an estimated 2 in every 10 people in their lifetime. This year, more than 500,000 people will develop shingles. It is correctly known as herpes zoster. Chickenpox or varicella is the primary infection with the virus, Herpes zoster , also called ‘varicella-zoster’. During this widespread infection, which usually occurs in childhood, virus is seeded to nerve cells in the spinal cord, usually of nerves that supply sensation to the skin. The virus remains in a resting phase in these nerve cells for years before it is reactivated and grows down the nerves to the skin to produce shingles (zoster). This can occur in childhood but is much more common in adults, especially the elderly. Shingles patients are infectious both from virus in the lesions and in some instances the nose and throat.

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An outcome of a viral infection, cold sores can manifest themselves on the skin and the nervous system and they are also called fever blisters. This highly infectious skin condition is caused by herpes virus which can lie latent in the body till it is pushed by something to get active. Sometimes people confuse these with impetigo which grows between the nose and the upper lip. The color of the impetigo fluid is like honey and it looks cloudy. Non-transmittable canker sores are actually ulcers which occur in the soft tissues of the mouth where sores do not develop.

As prophylactic step for the management of cold sore, always wash your hands well. Acyclovir (Zovirax) is a drug effective in reducing the duration of stay of this skin condition. However, treatment may include topical creams or ointments or sometimes antiviral medicines (such as acyclovir or famciclovir). If you have to manage accompanying pain, take paracetamol or take the help of witch hazel and apply on the sores. This local application medicine is a good anesthetic too. It is important to have a hearty yet balanced diet which is in no way deficit in vitamins A, C, E, zinc and iron, as this helps in boosting your immune system and combating this skin condition. You also need to do away with overtly salty, spicy or acidic foods and drinks which could harm the sores.

To prevent this skin condition, make your diet plan without salty or spicy foods. Some of the foods where you need to have only limited quantities include chocolates, peanuts, grains, peas, seeds, oatmeal and whole-wheat rich in arginine. Do completely without tea and coffee and make your diet vitamin-rich.

Rubbing ice on the infected skin for few minutes, repeated this every hour, is a very good home remedy for this skin condition. Alternatively you can apply a tea bag for few minutes on the blisters, repeating this every hour. Press a warm tea bag directly on the blisters for about half an hour.

Applying witch hazel on this skin condition has a miraculous relief effect. Take cover from sun-related cold sores by using sunscreen on the lips and arrest its recurrence.

When you mix 100ml of coconut oil, 2ml of disinfectant, and 3ml of carbolic acid you could expect fantastic results. Put this on the cold sores twice a day. Some even recommend this for other skin conditions, for example treating boils and mosquito bites.

A tried and tested home remedy for cold sores is having tea tree oil as a drink with herbal sage and violet. These ingredients are mixed together with a couple sage leaves and ginger powder, and put in with a cup of boiling water. If you want this skin condition to simply go away in a short span of couple of days, drink this at least 2 to 3 times a day.

When everything fails for you, 3 acidophilus pills twice a day in the morning and evening could work wonders and dry and clear up. Taking 2 pills a day would be the best option for those who suffer from this skin condition more than often. This is not a complete list of home cold sore remedies by any means but those that most commonly provide relief.

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Herpes simplex is a viral disease caused by Herpes simplex viruses; both herpes simplex virus 1 (HSV-1) and herpes simplex virus 2 (HSV-2) cause herpes simplex. Infection with the herpes virus is categorized into one of several distinct disorders based on the site of infection.

Oral herpes, the visible symptoms of which are colloquially called cold sores, infects the face and mouth. Oral herpes is the most common form of infection. Infection of the genitals, commonly known as herpes, is the second most common form of herpes. Other disorders such as herpetic whitlow, herpes gladiatorum, ocular herpes (keratitis), cerebral herpes infection encephalitis, Mollaret’s meningitis, neonatal herpes, and possibly Bell’s palsy are all caused by herpes simplex viruses.

Herpes viruses cycle between periods of active disease—presenting as blisters containing infectious virus particles—that last 2–21 days, followed by a remission period, during which the sores disappear. Genital herpes, however, is often asymptomatic, though viral shedding may still occur. After initial infection, the viruses move to sensory nerves, where they reside as life-long, latent viruses. Causes of recurrence are uncertain, though some potential triggers have been identified. Over time episodes of active disease reduce in frequency.

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The sexual revolution that took place in the 1960s turned herpes into an epidemic. Not many people had heard of genital herpes in those days. The New England Journal of Medicine reports that 1 in 5 Americans over the age of 2, that’s approximately 45 million people, have genital herpes, a 30% increase since the 1970s. Millions more have other types of herpes such as cold sores. There are alternative treatments that can help you greatly control herpes naturally.

Once herpes is contracted, the virus has no known cure and virus particles remain in the body. herpes lives silently in nerve endings deep within the base of the brain or spinal cord. Current medical therapy consists of prescription drugs such as Zovirax (acyclovir), Valtrex and Famivr. These prescription drugs suppress replication of the virus to reduce outbreaks. These drugs aren’t always effective against HSV-1 (cold sores) and about 5% to 10% of people with HSV-2 (genital herpes) don’t respond well to them.

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Cold sore home remedies for herpes, highlighted in this article, are powerful time-proven ways of successfully eliminating those unsightly sores. Do not spend another dime on your cold sores until you check out these amazing cold sore home remedies.

Cold sore home remedies usually are more effective than store-bought treatments. And they are quite a bit cheaper, if not totally free. Drug companies want you to continue spending money on their products. But now you do not need to - with your own cold sore home remedies listed here.

Many home remedies for cold sores have come to light thanks to the information sharing capabilities of the Internet. Most are quite easy and work great. Some, however, must be used in a certain way for the results you desire.

Listed below, you will discover some of the best of these herpes cold sore home remedies that you can count on to consistently clear your cold sores. Also, now you will know exactly how to get the best results for your specific needs.

Maybe you are using one of them now with success. Good. But you may find much better or faster relief by trying something different or combining one of these with your current remedy.

LYSINE
The herpes virus that causes cold sores reproduces by using arginine stored in the cells. Lysine replaces arginine and makes herpes reproduction impossible. During an outbreak, sufferers can take up to 8000 mg. daily of supplemental lysine. Between cold sores, as a preventative, 500 to 1000 mg. daily is common.

FLOUNDER
Many have reported eating one pound of steamed flounder in a single day and totally wiping out their cold sores. The key here - flounder is extremely high in lysine. Flounder has about 14,000 mg. (14 grams) of body-ready lysine per pound.

ALOE VERA
A live plant is best and very easy to grow in your home. Nip off a bit of the leaf and use the sap on your sore. You can put the unused portion in a plastic bag in the refrigerator for future applications. This is an awesome first-aid plant to have around your home.

BAKING SODA
The herpes virus cannot replicate in an alkaline environment. A paste of baking soda, when applied, will raise the pH and often stop or slow down the virus activity.

ZINC
Known as the healing mineral, zinc is powerful against cold sores. Your daily multi-vitamin usually includes a small amount of zinc. For better therapy, you can suck on zinc lozenges. Applying zinc directly to the sore helps if you use zinc sulfate or gluconate.

HYDROGEN PEROXIDE
This works great for cleansing cold sores. Use a cotton ball or tissue. Works as well as alcohol, but also bathes the sore in oxygen. This not only stops the virus cold, but greatly speeds healing. Peroxide is excellent to use from the very start.

HONEY
No germ or fungus can survive in honey. Antiviral, antifungal, antibiotic - honey is excellent to put on your sore when nothing else works. Honey has been used thousands of years for treating wounds.

GARLIC
Down through the ages, garlic has been one of the most powerful and well-proven remedies for any illness caused by virus, bacteria or fungus. Garlic is both an internal and external remedy for cold sores. Fresh is best. Cut a clove and rub the fresh oil on the cold sore. Use fresh garlic cloves in your salad.

TEA BAGS
Take a used tea bag when wet and hold it on your cold sores. This will help in killing the virus. Tea leaves contain an antiviral.

These are but a small sampling of the many amazing cold sore home remedies for herpes. They may seem simple, but they are very powerful - often beating commercial treatments.

You are an individual and, as such, may find that not every remedy works for you. For best success, it is wise to combine several remedies. In this way, you will quickly create your own best-performing herpes cold sore home remedies.

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Physical causes

Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.

Psychological causes

These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma. Peyronie’s disease is a condition in which a plaque, or hard lump, forms on the penis. The plaque may develop on the upper (more common) or lower side of the penis, in the layers that contain erectile tissue. The plaque often begins as a localized area of irritation and swelling (inflammation), and can develop into a hardened scar. The scarring reduces the elasticity of the penis in the area affected.

Men’s Sexual health problems are often quite difficult to address. Speaking to your GP can be hard and you may find talking with your partner difficult too. However, many sexual difficulties are cause by stress or anxiety or a lack of self confidence. You may find that you are less interested in sex if you are over tired, depressed, stressed or anxious about your relationship. Many things can cause impotence, including having atherosclerosis (hardening of the arteries), high blood pressure, diabetes, depression and other mental illnesses, pelvic surgery, kidney failure, multiple sclerosis, stroke, some types of epilepsy, and alcoholism.

Some men who take medicines for heart disease or drugs that can affect the central nervous system, such as hormonal medicines or heroin and cocaine, are at-risk for impotence.

Impotence

Impotence is the medical phrase used for the inability to have or sustain an erection. This is a common problem and may be experienced by almost all men at some time in their life. It is usually only temporary though and is often caused by many of the issues listed above. Too much alcohol or emotional problems can also be a factor.

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