Bolton Sexual Health If you or your organisation have any news or Local and National Support information that you think would be relevant services Network Newsletter and would like to be included in our next issue
360 Young People Drug & Alcohol Service
or on our website then please contact Natalie Alternatively, if you have any questions or re-quire any further information about any of the articles or information included in this issue, please also contact Natalie Rennie Email: natalie.rennie@bolton.gov.uk
New dry blood spot HIV postal testing kits from R U Clear?
Bolton joint top in Greater Manchester for chlamydia screening targets; achieving 27.5%
Inside this issue:
A new report finds that Parents want support with Sex and Relationships education
Bolton Centre for Sexual & Reproductive Health
Phone this number and you will be offered an appointment with 48 hours at a selection of
Bolton College Drop-in—nearly 12 months on sex and relationship
The Exit Team, Support for young people affected by sexual exploitation
Since September 2010, NHS children and this is well docu-
Bolton have been commission- mented. We believe that ac-
ing a young people’s sexual cess to high quality, confiden-
www.brook.org.uk, young people’s sexual health advice service
health drop in four further edu- tial and young people friendly
www.ruthinking.co.uk, young people’s sexual health advice
cation campus’ across the bor- contraceptive services is a key
www.talktofrank.com, advice and support on substance misuse
www.youngminds.org.uk, young people’s mental health support
Why? . . . . .This service was cess to services for termination When and Where?. . . . .
developed to improve sexual of pregnancy for young wom-
Monday 12-2 Bolton sixth
www.bpas.org.uk, pregnancy options advice and support
health outcomes for young peo- en is also an important issue
form college, Deane Road
www.fpa.org.uk, all types of advice, support and guidance on sexual health
ple and reduce teenage pregnan- and whilst Government’s T u e s d a y 1 1 . 4 5 - 1 . 1 5 Special Points of Interest
www.lgf.org.uk or 0845 3 30 30 30, support to LGB groups
cy. NHS Bolton commissioners Teenage Pregnancy Strategy
Horwich campus
felt this could be achieved (1999) has a primary focus on Wednesday 11-3, Deane R o l l i n g C h l a my d i a S c r e e n i n g through the delivery of a young preventing unintended teenage Rd campus Up and Coming Professional Training
Friday 12-2.30 Farnworth once a month at the Town Hall in
clinic. We know from various parents and reducing second
Contraception & STIs - 20th Octo-
evidence base that young people conceptions.
This years successes . . . . .
do not easily access mainstream Improved sexual health for 254 young people registered
Health Training Programme, contact R U Ready? - 9th & 10th October
particularly chlamydia. In All males discussed with
The following courses are scheduled available on request through Natalie Ren-
Blackburn and offers opportuni- England, up to 1 in 10 young
from August through to December. The nie for groups of 6 or more.
ties for sexual health assessment people under 25 years is infect-
in order to improve the sexual ed with chlamydia and other
health and well being of young STI rates are continuing to
all Bolton employees FREE of charge Assessing the Needs of LGBT
young people both in terms of agement of STIs to reduce the
Service Users-6th September 09.30
and socialisation and wellbeing. sion and/or longer term com-
Condom Promotion - 22nd Sep-
41% of young people ac- information about these courses contact
What does the service ‘Getting it Right’ Attitudes & Values - 6th October provide? . . . . . . . . . . . .
health and social consequences Condom promotion and
R U Clear? HIV & Syphilis new dry blood spot testing R U Clear are now offering a dry blood spot Manchester New Gonorrhoea strain resists drugs
testing for HIV and syphilis. R U clear claim
tions: It may take up to 3 months for a commissioning this service, but would like
Doctors have found a new ‘superbug’ form
the test is of a high standard and if taken
new infection to give a positive result.to make it clear that HIV testing, support,
of gonorrhoea’ that is resistant to a range of
include pain or tenderness in the lower ab-
from attendees respond to different antibiot-
correctly is as accurate as any blood test
advice and counselling continues to be
results will be received within 2 weeks of
antibiotics, it has been announced. Several
dominal area and bleeding between periods,
taken in any clinic for HIV and syphilis.
available in Bolton through your own GP
newspapers have reported on the first case
results can be sent by post, phone or text
or for over 19’s by telephoning Bolton
of the strain, which was recently discovered
have a discharge from the penis which may
R U Clear state that with early diagnosis
Centre for sexual and reproductive health
All contact will be totally confidential.
be green, yellow or white in colour. They
on 01204 390771. If you are under 19 you
No test is 100% accurate so rarely the test
that the strain has resistance against a range
may also have pain on passing urine, inflam-
Currently, it is not known how best to treat
control and the immune system may give a false result.
can contact the Parallel on 01204 462444
of antibiotic drugs, including those com-
mation of the foreskin or (in a small propor-
this new strain, although The Independent
healthy. People on HIV treatment can live a
monly used to cure the sexually transmitted
tion of cases) pain and tenderness of the
reported that the Japanese case was cured
long and healthy, active life. However if
For more information please call 0800 046
after a second course of the same antibiotic.
HIV is diagnosed late, treatment may be less
It is possible that alternative combinations
effective and therefore affect quality of life
The strain, called H041, was investigated by
of drugs and higher doses of current antibi-
NHS Bolton in partnership with other
a Swedish research team lead by Dr Magnus
otics may cure infections with the strain.
Unemo from the Swedish Institute for Infec-
Data in the conference abstract stated that
tious Disease Control. Dr Unemo reportedly
told the Daily Mirror that “the drug-resistant
Parents Want Support with Sex and Relationship Education
was four to eight times more resistant to
strain could spread around the world in 10
treat the condition as early as possible.
ceftriaxone than other strains of this bacte-
years”. Researchers are now trying to under-
Gonorrhoea is treated with a single dose
involve parents in SRE. The Sex Education
stand why this strain is resistant to existing
of antibiotics, based on the local report-
Education Forum, part of leading children’s
sex education are key limiting factors. In the
treatments and how to stop it from spread-
The researchers say that it is crucial to mon-
charity the National Children’s Bureau,
experience that schools are often afraid of
the site of infection. Usually one of the
itor the spread of antibiotic-resistant gonor-
concludes that parents are very supportive of
parental reactions but the key is to have an
rhoea. Ultimately, new drugs will need to be
Details of the new strain are being presented
developed to treat it. As with all strains of
sex and relationships education (SRE) –
at a conference of the International Society
gonorrhoea and STIs, prevention is better
“Most parents gives the ‘birds and bees’
for Sexually Transmitted Disease Research.
than cure, and it is important to take steps
talk when they feel ready not when the child
The evidence briefing ‘Parents and SRE’
Further research into H041 is sure to follow.
such as using a condom when having sex in
While UK strains can currently be treated,
order to reduce the transmission of infec-
is ready, which seems really weird and par-
c a n b e a c c e s s e d f r o m h t t p : / /
this news highlights the importance of prac-
Children and young people themselves are
ents get embarrassed and tend to give up!”
tising safer sex, such as using condoms.
clear that parents are an important source of
S E F p a r e n t s e v i d e n c e b r i e f i n g . p d f
While antibiotics currently provide an effec-
These are taken either in pill form or by
Does this mean I can’t be treated if I
information about sex and relationships –
tive treatment for gonorrhoea infections,
There are also big gender differences in
(NCB are aware of a problem with this file,
yet the research shows that many parents
family communications; with fathers less
affecting users of Internet Explorer. If you
underestimate just how much their children
likely than mothers to talk to their children
Dr David Livermore, director of the antibi-
want to communicate with them. In fact, one
about sex and relationships, and boys more
either update your version of Adobe PDF
otic resistance monitoring laboratory at the
survey revealed that two-thirds of parents
Reader or open the document using another
said that the cephalosporin antibiotics used
believed their teenagers have no desire to
Gonorrhoea is a sexually transmitted infec-
are still effective for treating gonorrhoea.
Jane Lees, Chair of the Sex Education
tion (STI) caused by a bacteria called Neis-
What is different about this new strain?
seria gonorrhoeae. The bacteria can cause
Forum said: ‘The majority of parents want
However, it is important to prevent this new
In this accessible summary of literature, the
Testing of the new H041 strain has revealed
strain from Japan from spreading further.
vagina. It can be passed on to others through
briefing examines factors that enable or limit
that it is resistant to ceftriaxone, one of the
with school SRE. This need is not currently
sexual contact and sharing sex toys (if not
three preferred antibiotic treatments. Analy-
partners is important to prevent the spread of
being met – while there are some examples
sis at the Swedish Reference library for
all types of gonorrhoea. As the infection can
children and finds that embarrassment, lack
each time). The bacteria can also live in
of good practice many schools are failing to
Pathogenic Neisseria also found it to be
be symptomless the only way to know if you
other areas of the body, including inside the
resistant to all other types of cephalosporins
cells of the cervix, the urethra (the tube
(a class of antibiotic that includes Cefix-
ime), as well as the majority of 30 antimi-
throat and, very occasionally, the eyes.
Testing is straightforward for both men and
Bolton’s Condom Promotion Scheme
crobials tested. The researchers were able to
women: men are usually tested using a urine
show that the new bacteria strain possessed
Symptoms of gonorrhoea will usually show
a new gene variant that enabled it to be re-
The team are pleased to unveil Bolton’s new
using a urine sample or using a swab from
if anyone requires extra copies of anything,
up within two weeks of infection, although
the cervix. Testing can either be performed
by a person’s GP or they can attend a sexual
and new branding is now visible on all Bol-
months after a person has become infected.
There have been no reported cases of this
health clinic, also known as a genito-urinary
strength to strength which is a direct result
GUM clinic, a person’s details will not be
of participating agencies hard efforts and
surveillance programme to detect cases of
passed on to their GP unless they request it.
commitment to improving young people’s
antibiotic-resistant gonorrhoea should they
Council, St Helen’s Road depot for all their
access to free contraception, support and
This information has been provided by NHS
gramme regularly examines samples from a
THANKYOU from Bolton’s sexual health
from the vagina that may be green or yellow
received their newly branded materials, but
Bolton Sexual Health Network Newsletter
Recensione a Roberto ALESSE, La dirigenza dello Stato tra politica e amministrazione . Prefazione di Augusto Cerri, Giappichelli, Torino, 2006, pp. XX-163. di Nicola Lupo Nell’arco degli ultimi quindici anni la disciplina della dirigenza pubblica e, più in generale, del lavoro pubblico è stata oggetto di profonde modifiche e di frequenti ripensamenti da parte del legislatore. La colloca
Corporate Citizenship Guideline # 3 Business Ethics – Bribes, Gifts & Entertainment 1. Purpose This guideline is intended to give guidance with respect to certain aspects of business ethics in accordance with the Policy on Corporate Citizenship (CC) and rules stipulated in Article 6 of the Novartis Code of Conduct (CoC). Additional aspects of business ethics, including conflicts