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STI & HIV 101 for students - S Copy

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Transcript of STI & HIV 101 for students - S Copy

What is AIDS?
HIV + Opportunistic Infection = AIDS
How does HIV Become AIDS?
How Does HIV Cause AIDS?
HIV infects and destroys an individual's white blood cells
HIV then weakens a person's immune system to the point that they can no longer fight off

common infections
These are called opportunistic infections because they only come about when a certain opportunity arises
This infection becomes deadly, resulting in AIDS
How is HIV Transmitted?
1. HIV must be present in bodily fluid.

Such as semen, breast milk, vaginal fluid, blood, and rectal secretions.

2. Direct access to the blood stream.

Through rips/tears, cuts, mucous membranes, open sores, or needle use for example.


Risky behaviour.

Such as unprotected sex, unsafe body art, sharing needles, or breast feeding.
Transmission Misconceptions
Presented by:
Stephanie Tellier
Human Immunodeficiency Virus

The AIDS Committee of Windsor
H- Humans can get infected
I- It attacks your immune system
V- It's a virus
Aquired = You get it after exposure to HIV
Immuno = Attacks immune system
Deficiency = It cannot perform it's job
Syndrome = Group of related symptoms
HIV is NOT Transmitted by casual contact
the virus dies quickly outside the body
the virus is also easily killed by soap and common disinfectants such as bleach

You CANNOT contract HIV by...
donating blood
mosquito bites
sitting on a toilet
hand shaking
sharing utensils
spending time in the same space with someone living with HIV/AIDS
This concludes HIV 101

Any Questions?
What We Do
Client Services
Support Services for People Living With HIV/AIDS (PHAs)
Food & Nutrition Programs: weekly hot lunch, food bank
Social Events
Education & Outreach
Educational presentations & forums to service providers
Sexual health supplies and resources to service providers & students
Education booths at events and health fairs

Harm Reduction
Needle Exchange
Informal Counseling
Safer Sex Supplies
Educational Resources
Monthly Outreach
HIV 101:
Knowing the Basics
Canadian Statistics
What You Need to Know
34 million people living with HIV/AIDS worldwide (2010)

Approximately 71, 300 people living with HIV/AIDS in Canada (2011)

An estimated 17, 980 people living with HIV remained undiagnosed in 2011
This represents 25% of the estimated number of people living with HIV in Canada
What Can You Do?
1. Start Talking: share educational information about HIV/AIDS & other STIs (Sexually Transmitted Infections) with family, friends & community members

2. Reduce Risky Behaviour: for example, do not engage in sexual relations when your judgement is impaired; use a lubricated latex, or polyurethane condoms when engaging in oral, vaginal, or anal sex

3. Get Tested: whether you are in an open, or monogamous relationship, get tested for STIs at regular intervals & recommend your family, friends & community members do the same
Testing Procedures/Options
1. Anonymous HIV Tests
The name, or identity of the person being tested is not requested, recorded, or reported
The test is ordered using a code known only to the person being tested

2. Confidential HIV Tests
The practitioner ordering the test knows the name, or identity of the person being tested, but orders the test using a code

The practitioner orders the test using the person's name
Teen Health Centre
1585 Ouellette Ave.
(519) 253-8481

Windsor Essex County Health Unit
1005 Ouellette Ave.
(519) 258-2146
AIDS Committee of Windsor
511 Pelissier Street
(519) 973-0222

HIV Care Program
Tecumseh/Byng Clinic
2085 Tecumseh road East.
(519) 254-6115

STI Testing in Windsor
The HIV epidemic in Canada is concentrated in specific populations:
Gay men & other men who have sex with men (MSM) represent
50% of all people living with HIV in Canada
Those who use injection drugs (IDU) represent
20% of all people living with HIV in Canada
People whose HIV status was attributed to heterosexual sex represent
33% of all people living with HIV in Canada
People whose HIV status could not be attributed to sex, or injection drug use represent less than
1% of all people living with HIV in Canada
People from the Aboriginal community represent
9% of all people living with HIV in Canada
Women represent
23% of all people living with HIV in Canada
Of that 33%, 15% were from a country where HIV is endemic (primarily countries in sub-Saharan Africa & the Caribbean)
Local Statistics
In Ontario: approximately 29, 787 people living with HIV/AIDS (2008)
Young adults (aged 20-29) accounted for approximately 25% of all people diagnosed with HIV/AIDS (2008)

710 known cases of people living with HIV/AIDS in Windsor-Essex & Chatham Kent (2008)
25% remain undiagnosed
What is HIV?
What is HIV?
What is an STI?
½ & ¼ have no symptoms
Burning sensation during urination
Pain in your lower abdomen
oral, vaginal or anal sex, or from mother to baby through birth
Treatment = C: Antibiotic pill G: Shot & antibiotic pill
Chlamydia & Gonorrhea
What's the Difference?

Chlamydia – Milky discharge
Gonorrhea – yellowish or green discharge
Few weeks-3mo: Large painless chancre sore
Up to 10 weeks later: Flu symptoms, sore throat, hair loss, rash on hands/feet
2-10 years: If untreated can lead to brain damage, blindness, heart disease

oral, vaginal, or anal sex
contact with syphilis sores or rashes
mother to baby before or during birth


Treatment = Series of 3 antibiotic shots. Extremely painful
Flu-like symptoms, swollen glands and headaches
Decreased appetite, fever, muscle aches in the lower back, buttocks, thighs, or knees
Swelling and tenderness in the groin
May have tingling sensation, discomfort, or itching on the area prior to an outbreak
Thereafter, clusters of tiny painful blister-like sores appear on the skin

Both strains can infect the mouth and genitals

Treatment = Antiviral medication

Not curable
Strains of the virus can cause cervical cancer, anal and penile cancer, as well as genital warts

Genital warts: flesh-colored, soft bumps on the skin that may look like the surface of a cauliflower
Can appear on mouth, on the lips, tongue, and palate, or in the throat.
May be so small that you do not notice them for 6 weeks to 6 months
Painless, may itch

Vaginal, anal or oral sex, and skin to skin contact

Treatment = Freezing or burning off

Prevention= Vaccine
Human Papilloma Virus
Most people show no symptoms for years
Fatigue, aches, dry/itchy skin, confusion, trouble concentrating, poor appetite, nausea, jaundice, discoloured urine & stool
Unprotected sex, injection drug use and unsafe body art are high risk behaviours for contracting Hep B or C
Can lead to cirrhosis of the liver, cancer, and death if untreated

Hepatitis B & C
Herpes Simplex 2/Genital Herpes
Herpes Simplex 1 & 2:
What's the Difference?
Herpes Simplex 1/Cold Sores
Herpes Simplex 2 causes cold sores on the genitals and rectal area
Strain of virus transmitted sexually through:
Vaginal, anal or oral sex
Skin to skin
During pregnancy and during birth
Herpes Simplex 1 causes cold sores around the mouth and nose
Virus may be found in saliva, can also be transferred by hands from people shedding the virus
The AIDS Committee of Windsor is a registered charity that provides support, education and outreach services for people at risk of, affected by, or living with HIV/AIDS within Windsor-Essex & Chatham-Kent.
S.O. I.T. D.R.I.P.S.



Pain, including pain during urination
What happens if I decide to take
an anonymous HIV test?


Bacteria (Curable)
What is an STI?
Virus (Not Curable)

Hepatitis B & C
Viral Infections (not curable)
Hepatitis B & C
Hep B
Transmission: through sexual contact involving the anus, mouth, or vagina; blood to blood contact; from mother to baby during pregnancy
Hep C
Transmission: primarily through blood to blood contact
Can live outside the body for up to 4 days
No Vaccine, in 25% of people the virus goes away on its own
Treatment: similar to chemotherapy
What's the Difference?
What can you do as a service provider?
Within yourself:
Look beyond a person's "disease"
Treat each person with respect and dignity
Recognize that PHA's may face additional barriers
Examine your own biases around HIV/AIDS
Continue learning, reduce stigma by being knowledgeable
Maintain confidentiality and non-judgment

Outside of yourself:
Ask questions relevant to holistic care
Work with other service providers to ensure all client's needs are met
Advocate for staff training and policy changes within your organization
Offer culturally appropriate services & safe spaces
Ensure access to information & resources
African, Caribbean & Black Community Strategy Program
to ACB populations & organizations that serve ACB clients
Caribbean Health Day
for migrant workers in Leamington
Planning committee for
Newcomer Health Access Day
with Multicultural Council
Let's Get Talking Youth Initiative
--incorporating sexual health information with art forms
African, Caribbean, & Black Youth Research project with
Gay Men's Sexual Health Program
to gay & bi men and men who have sex with men (MSM), and organizations that serve them
Young & Proud
--weekly support group for LGBT youth and allies
Online outreach
to Gay, bi, & MSM
HIV Testing
Women & HIV Community Development Program
to service providers that work with women affected by, at -risk, or living with HIV/AIDS
Work with
to improve the social determinants of health for women:
Homeless Coalition, Windsor-Essex Sex Workers Action Group, Take Back the Night, Pathway to Potential
Assist in planning
awareness events
HIV Testing campaign, Homelessness Awareness Week, International Women's Day
Health Promotion
World AIDS Day Youth Conference
Educational Presentations to elementary & secondary schools, colleges, service providers, and community groups
Speaker's Bureau
--individuals with lived experience
HIV Testing Campaign
STI & HIV 101 for Service Providers...
Many STI's may not show symptoms; it is important to GET TESTED REGULARLY
Some items on this list may be normal for your body, so you should be concerned if there are any CHANGES
Symptoms may also be indicative of other medical issues, not necessarily an STI
...and experience HIV at rates about 3.6x higher than other Canadians (2008)
Additional Resources
A public health site with information to help you avoid the risk of an STI and find the nearest sexual health centre for counseling and testing
STIs; Ask an Expert; Find a Clinic; Myths & Facts; and Prevention, Testing & Treatment

Canada's source for HIV and Hepatitis C information
The Basics, Prevention, Treatment, and Healthy Living

The Canadian HIV/AIDS Legal Network promotes the human rights of people living with and vulnerable to HIV/AIDS. Find information about HIV/AIDS law.
Up-to-date Canadian information and education on sexual health
Birth Control, STIs, and Sexual Health

HIV & AIDS Legal Clinic Ontario provides free legal services to people living with HIV/AIDS in Ontario
Safe Space
Group Guidelines

Be respectful of whoever is speaking
one person speaks at a time
all opinions are welcome
What is said here, stays here
Participation is encouraged, but not mandatory.
We value diversity, and hearing about different experiences
If you feel overwhelmed or uncomfortable, please ask someone to leave the room with you, and return when you feel better.
People living with HIV/AIDS (PHAs) can show no symptoms of having the virus
Some PHAs may experience no symptoms for a long time, while others may experience symptoms very quickly

HIV is preventable!
Abstinence is the best prevention against HIV
Condoms are also a good prevention against HIV

An HIV+ person DOES NOT have to disclose
his/her status before having vaginal intercourse where a condom is used and the person living with HIV has a 'low' HIV viral load at the time of sex.
Low HIV viral load = 1,500 copies or less of HIV per milliliter of blood

HIV is not a death sentence
It is a chronic condition
With early detection and proper medical treatment individuals with HIV can live a long, healthy life
Full transcript