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Current practice

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STI updates are blog posts from the BCCDC or our community partners about a variety of sexual health topics. These include program updates, clinical practice changes, new research, events, and more. We will not clutter your inbox with frequent emails, and your email address will not be used for any other purposes. 

New cervical cancer screening recommendations for BC

June 24, 2016 by Cheryl Prescott, Senior Practice Leader, Clinical Prevention Services, BCCDC

The BC Cancer Agency has released new recommendations for cervical cancer screening. Some highlights of the new recommendations are: First age for Pap testing is 25 years old (regardless of sexual debut) Subsequent screenings for normal Pap results are every 3 years Follow-up for minor abnormal Pap results is in 1 year For more details,…

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Syphilis treatment guidelines during the Bicillin shortage (2016)

April 29, 2016 by Cheryl Prescott, Senior Practice Leader, Clinical Prevention Services, BCCDC

The Public Health Agency of Canada has issued interim syphilis treatment guidelines to be used during the current Benzathine Penicillin G (Bicillin L-A) shortage.  These guidelines are available in PDF format for download under the Additional Resources section below. These interim guidelines have also been posted in Chapter 5 of the BCCDC Communicable Disease Manual….

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Introducing Nucleic Acid Testing (NAT) for Trichomonas vaginalis

December 3, 2015 by Cheryl Prescott, Senior Practice Leader, Clinical Prevention Services, BCCDC

The Public Health Microbiology Reference Laboratory at the BC Centre for Disease Control (BCCDC PHMRL) has implemented nucleic acid testing (NAT) for Trichomonas vaginalis using the FDA-approved Aptima Trichomonas vaginalis assay. The new DNA test offers both increased sensitivity and specificity as compared to microscopy. This means the test is better able to correctly identify…

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Delivering safe and sensitive care to sex workers

November 22, 2015 by Jill Chettiar, MPH / MD Candidate / Research Associate, Gender & Sexual Health Initiative, Centre for Excellence in HIV/AIDS

Background Sex workers face many barriers when it comes to accessing primary health care, and sexual and reproductive health services.  Being informed about the diversity of sex workers’ experiences can enable providers to connect with sex workers in respectful and meaningful ways that will result in their needs being met, and long-term, trusting relationships being…

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Feature blog series: Creating safer clinic spaces and experiences for trans and gender variant clients – PART 3

September 9, 2015 by Jenn De Roo, MA, RCC, Counsellor, 1-800-SEX-SENSE coordinator at Options for Sexual Health

PART 3 – Creating accessible spaces Accessibility for trans people isn’t just about gender. Trans people may also have accessibility needs that are unrelated to their gender, but that still create barriers to access. For instance, trans people may have chemical sensitivities, use a wheelchair, have bigger bodies or require non-English language services.  Having a…

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Feature blog series: Creating safer clinic spaces and experiences for trans and gender variant clients – PART 2

August 20, 2015 by Jenn De Roo, MA, RCC, Counsellor, 1-800-SEX-SENSE coordinator at Options for Sexual Health

PART 2 – Systems and Procedures Traditionally, medical systems and procedures have not considered the needs of trans clients. Some simple changes to existing protocols can make services more accessible and trans-friendly. Procedures in the waiting room Many clinics require clients to show care cards or service cards. This can put trans clients in a…

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Feature blog series: Creating safer clinic spaces and experiences for trans and gender variant clients – PART 1

August 6, 2015 by Jenn De Roo, MA, RCC, Counsellor, 1-800-SEX-SENSE coordinator at Options for Sexual Health

Sexual health clinics provide essential services, but these spaces can sometimes present accessibility challenges to trans and gender variant people. There are many things that can impact how trans and gender diverse clients experience clinic spaces.  Trans and gender diverse clients may experience significant discomfort, humiliation or trauma when interfacing with a system that doesn’t…

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New 4th generation HIV test to enhance routine detection of acute HIV infections in BC

May 27, 2015 by Darrel Cook, Research Projects Leader, Clinical Prevention Services, BCCDC

Background In 2013, the BCCDC published results of a pilot study [1] which confirmed the value of pooled nucleic acid testing (PNAT) to identify acute HIV infections in a high risk population of men who have sex with men. PNAT increased HIV diagnoses by 11.5% compared to standard 3rd generation HIV antibody screening.  This increase…

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Addressing chest binding in transgender and gender diverse clients

May 21, 2015 by Alexandra Corbet, MPH, Co-Investigator with the Binding Health Project, Boston University School of Public Health

Background Chest binding refers to the mechanical compression of breast tissue, often through the use of sports bras, ace bandages, or specialized compression garments. Binding is most commonly practiced by female-assigned-at birth or intersex individuals who identify along the transmasculine* spectrum as a means of gender expression. It is often among the first and most…

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BCCDC Non-Certified Practice STI Decision Support Tools (DSTs): 2014 review

April 29, 2015 by Cheryl Prescott, RN(C), BSN, MPH, Clinical Prevention Services Education, BCCDC

Background The BC Center for Disease Control (BCCDC) Clinical Prevention Services (CPS) STI Education and Clinical Leadership teams develop and maintain the competencies and evidenced-based nursing DSTs for STI certified and non-certified nursing practices.   The STI DST review process was initiated by BCCDC in February 2013.  A provincial working group (PWG) was established to form…

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