April 14-20 is Sexually Transmitted Infections (STI) Awareness Week. This provides an opportunity to raise awareness about sexually transmitted infections (STIs) and how they impact our lives.

According to the Centers for Disease Control and Prevention (CDC), sexually transmitted infections, commonly referred to as sexually transmitted diseases (STDs), are very common. STIs spread through anal, oral, and vaginal sex, and are caused by a virus, bacteria, fungus, or parasite. Sometimes, STIs only create minor symptoms, or they don't cause any symptoms at all. As a result, it is easy to get infected without realizing it. For this reason, if you are having sex, it is important that you get tested for STIs.

Locally, according to the New York State Communicable Disease Electronic Surveillance System (CDESS), in 2023, Genesee County had an increased number of chlamydia, gonorrhea, and syphilis cases, compared to 2022 and Orleans County experienced an increase in gonorrhea during this same time period.

A variety of symptoms, including none at all, may occur with STIs. As a result, STIs can be spread unknowingly and this is why it is important to get tested. Delayed treatment can cause serious health effects. STI symptoms could be: 

• Sores or pimples in the oral or rectal cavity, as well as on the genitalia
• Painful urination
• Unusual or smelly discharge
• Unusual bleeding
• Discomfort during intercourse
• Aches in the lower abdomen
• High temperature
• Rash on the hands, feet, or trunk

Taking the time to learn about STIs, safe-sex practices, and how to make educated decisions is important in prevention. Here are some ways to prevent STIs:

• The best defense against STI infection is to avoid all forms of sex (oral, vaginal, and anal).
• Talk to your healthcare provider about getting vaccinated against Hepatitis B and HPV. Receiving both vaccines can prevent several kinds of cancer. HPV is the most common STI in the country, affecting over 79 million people.
• Limit sexual partners. The more sexual partners a person has the more at risk of getting an STI.
• Discuss your partner(s)’ STI status.
• Use condoms and or other forms of protection.

“As indicated or needed, make sure you routinely test for STIs,” stated Brenden Bedard, Director of Community Health Services for the Genesee and Orleans County Health Departments (GO Health). “Untreated STIs can have effects such as infection, miscarriage, infertility, and an increased risk of cancer. By engaging in preventative measures, you are protecting yourself and your sexual partners.” 

Learn how to prevent STIs for both you and your partner(s). Get help today.

If you are interested in STI testing or want more information:

• Visit the Centers for Disease Control and Prevention Sexually Transmitted Diseases - Information from CDC.
• Talk with your healthcare provider about testing and how to further prevent STIs.
• If diagnosed with an STI, do not have sex until you and your partner(s) have completed treatment, otherwise, reinfection will occur.
• If diagnosed with chlamydia, gonorrhea, or trichomoniasis, talk to your provider about Expedited Partner Therapy (EPT). EPT gives providers the option to treat your sexual partners without requiring an examination.

For more information about GO Health programs and services, visit GOHealthNY.org or contact your local health department at:

• Genesee County: 585-344-2580 ext. 5555 
• Orleans County: 585-589-3278

Follow GO Health on Facebook, Instagram, and X at GOHealthNY.

Dear Governor Cuomo,

We have been made aware of a proposed amendment to Section 2164 of the New York Public Health Law, which would add the human papillomavirus (HPV) vaccination to the list of mandatory immunizations for all children attending public schools. We are aware that a number of our colleagues in other school districts have written to you to voice their opposition to this proposed amendment. The Board of Education and Superintendent of the Oakfield-Alabama Central School District also strongly and vehemently oppose this proposed addition. 

HPV is spread by intimate sexual contact and therefore is not an epidemic infectious disease among school-aged children. Vaccines previously mandated for universal use are those which protect the public's health against agents easily communicated, responsible for epidemics, or causing significant morbidity or mortality among those passively exposed to the illness. HPV is not an agent in that category.

Further, the American Medical Association Journal of Ethics (January, 2007) reasons that the HPV vaccine does not meet the high threshold for mandating. According to the American Medical Association:

“Most infections are harmless, and screening methods (Pap smear and HPV testing) are available to identify individuals who are at risk of cervical cancer, which occurs 10 to 20 years following initial infection. Treatment of precursor lesions by minor surgical procedures is completely effective in preventing cervical cancer. Thus, there is no compelling public health rationale for mandating HPV vaccine in school-aged children.”

The proposed legislation adds HPV to the current list of mandated immunizations for school-aged children and decrees that schools not permit any child to be admitted or to attend school without proof of the HPV vaccination. The only options available for parents are to home school their children or move to a state without mandated immunizations. Mandating the vaccine for school-aged children and denying children admission to school if they don’t comply seems particularly onerous, especially for a disease that is not communicable in the classroom and/or school environment.

We urge you not to dismiss the concerns of those worried about both the rationale for mandating HPV vaccinations and the serious governmental overreach that interferes with the parental ability to make informed medical choices for their children. Please use your influence to reject this amendment.

In education,

Matthew Lamb, President, Board of Education

John C. Fisgus, Superintendent of Schools

Oakfield-Alabama Central School District