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Efforts to tackle gonorrhoea treatment resistance may be working

Public Health EnglandNew data Public Health England (PHE) data suggest there has been a slowdown in emerging gonorrhoea resistance to first-line treatments in 2012. Experts believe significant public health efforts, coupled with a successful recent switch in prescribing guidelines, have been effective in targeting previously circulating strains that were less responsive to treatment. However, a worrying picture of ongoing gonorrhoea transmission and co-infection continues to emerge.

Today’s findings show, for the second year, cefixime resistance risk declined in England and Wales – with around a 50 per cent drop in tests showing decreased susceptibility to this second-line treatment in 2012. Further, azithromycin resistance only increased from 0.5 to 0.7 per cent of laboratory tests, and very little drift towards potential resistance to ceftriaxone was seen.

However, the report also gives cause for concern, as analyses found a fifth of all diagnoses in 2012 were repeat cases and around four in ten cases had chlamydia as well as gonorrhoea. Over a quarter of people with gonorrhoea also had HIV, reaching 40 per cent amongst men who have sex with men (MSM). Total new gonorrhoea diagnoses in England jumped 21 per cent to 25,525 cases in 2012, reported earlier this year.

Professor Cathy Ison
Professor Cathy Ison

Professor Cathy Ison, leading the PHE gonorrhoea resistance surveillance programme, said:

“Whilst the resistance data are better than expected, they can only represent a temporary reprieve. We must continue to be vigilant as multidrug resistant gonorrhoea strains are being identified across the world and there are limited antibiotics in the pipeline. An ongoing focus on prompt gonorrhoea diagnosis, adherence to prescribing guidelines and the effective identification and management of potential treatment failures, is crucial.”

Dr Gwenda HughesDr Gwenda Hughes, PHE head of sexually transmitted infections surveillance, said:

“Reducing gonorrhoea transmission is also essential, because for every case we prevent we eliminate the associated risk of treatment failure. However, in 2012 we saw another large rise in new gonorrhoea diagnoses, and are particularly concerned about the high infection rates amongst men who have sex with men, and young adults in some urban areas. These findings reinforce the importance of continued sexual health promotion work and maintaining easy access to sexual health services and testing in England.”

In February 2013, the first Gonorrhoea Resistance Action Plan for England and Wales was published, to support public health control of gonorrhoea and gonorrhoea resistance. Following this, the government’s five year antimicrobial resistance strategy was published in September 2013, setting out national and international action on treatment, education and monitoring.

To combat the continuing high rates of STI transmission in England, and the growing risk of gonorrhoea treatment resistance it is also essential that individuals:

· Always use a condom when having sex with casual and new partners

· Reduce the number of sexual partners and avoid overlapping sexual relationships

· Get a regular STI check-up if having unprotected sex with new or casual partners.

VINTAGE CHRISTMAS FAIR : Middle Farm, Firle near Lewes

Vintage Christmas FairThere will be a Vintage Christmas Fair at Middle Farm, Firle near Lewes on November 23 & 24.

The two-day event features stylish Jazz music, a Christmas choir and the infamous Vintage bar running an Aspen après ski winter theme.

There will be a good selection and variety of unique vintage and antique stalls, some brilliant kids entertainment, puppet show, and the lovely hay and play barn.

Tickets are £4.00 per head. There is no charge for children under 3 years old.

Ample free parking is available and the car park and farm shop buildings are all within easy walking distance of each other, with good access facilities for the elderly and disabled.

WHAT: Vintage Christmas Fair

WHERE: Middle Farm, Firle, near Lewes

WHEN: November 23 & 24

TIMES: Saturday 10.00am-4.00pm: Sunday 10.00am-4.00pm

For Facebook, CLICK HERE:  

Mr Gay QA

Queens ArmsThe annual Mr Gay QA contest takes place at the Queens Arms on Wednesday, November 27 and is open to all ages. all sizes and all types.

To enter you can pick up an entry form behind the bar at the Queens Arms or EMAIL: andyqueensarms@yahoo.co.uk

The winner will receive £100 and the Mr Gay QA trophy. There will be local celebrity judges.

WHAT: Mr Gay QA

WHERE: The Queens Arms

WHEN: Wednesday, November 27

TIME: 9pm

 

LETTER TO EDITOR : Nice ‘n’ Naughty

Nice N NaughtyNice ‘n’ Naughty are a visible and active member of the Kemp Town and Brighton Communities, and we have never felt any negativity towards us as a Licensed Adult Retailer. However, recently our Bangor branch came under criticism as it was believed it may be selling ‘violent hardcore pornography’ and material ‘demeaning to women’.

I would appreciate you printing our response to Councillor Marshall, as we feel these claims are unjustified. The Adult Industry will always inspire debate and discussion, however, these broad stroke claims we feel are unfair. As supporters of local charities and interest groups across all our branches, we would like the chance to explain our side of the story – That we are a responsible, ethical and lawful business that is as much a part of the High Street as any other shop.

The opinions of the Adult Industry are rarely heard to defend itself against criticism, and as an active charity donator, event sponsor and community member we feel we should have the same voice as any other High Street store.

“Nice ‘n’ Naughty would like to respond to the comments made by Councillor Marshall at last night’s successful sex establishment license renewal for our store, located at 27 High Street, Bangor. We are grateful to Councillor Marshall for raising the concern that Nice ‘n’ Naughty stores could sell violent hardcore pornography that is demeaning to women since there is often confusion as to what types of material are available in licensed sex shops.

“At each of our 12 licensed stores, we are carefully regulated and perhaps an object of greater scrutiny, than for example, an unlicensed premises who sell adult material. We are acutely aware of our responsibilities and staff are trained to ensure only adults gain access to the premises. Any pornographic products found within each store can only be viewed by adults who choose to enter them. Once inside customers may purchase a variety of items ranging from massage oils and lingerie on one end of the spectrum, to sex toys on the other. However I assume by Councillor Marshall’s comments that she is referring to the extensive range of over 500  R18 certified DVDs available in store. Customers often use the word hardcore to denote R18 classification.

“Before we can sell an adult DVD, it is subject to classification by the British Board of Film Sensors (BBFC), much in the same way as any movie.  DVDs classified as R ( restricted) 18 may only be supplied in licensed sex shops and supplied to adults of not less than 18 years of age. The category is primarily for explicit works of consensual sex or strong fetish material involving adults. During the classification process, the BBFC state that certain types of material are not acceptable and films containing such material will fail classification. Included in prohibited material is anything that indicates withdrawal of consent, or any infliction of pain or acts that may cause lasting physical harm. At the more extreme end the classification prohibits penetration by an object associated with violence or likely to cause harm. On this basis, it would be impossible for us to supply an R18 DVD that was in any way violent, since it would not pass the stringent classification of the BBFC. We are unsure what shops or products Councillor Marshall may have previously encountered or when, but the classification laws are quite explicit on this point. Nice ‘n’ Naughty would however be delighted to invite her to our premises in order to allay any concerns.

“In terms of being demeaning, the BBFC is equally as clear, stating that any humiliation or abuse which does not form part of clearly consenting role play is not acceptable. They go on to say that strong physical or verbal abuse, even if consensual, is unlikely to be accepted. As such the content of the certified R18 titles sold by Nice ‘n’ Naughty, is neither violent nor demeaning and would strongly refute the allegation.

“But of course there is the wider point that some may feel any sexual activity portrayed in a DVD is demeaning to women. I do understand and empathize with this view. However it is not born out of fact. Over 60% of customers visiting our stores are women who clearly do not feel demeaned by our products. Similarly almost 30% of adult DVDs sold in store are purchased by women. Clearly many women have no objection to R18 media.

“There is also the issue of social responsibility, in that Nice ‘n’ Naughty attempts to  control who may purchase the material in store.  This is a considerable improvement on the position taken by the leading internet providers, whose search engines in the main allow unrestricted access to a variety of hard core material, some of which may never have been classified. Hence whilst it is easy to tarnish the role of a licensed sex shop, it at least offers a regulated alternative to the plethora of downloadable pornographic  material.

“Nice ‘n’ Naughty would urge Councillor Marshall to visit our store and gain a closer understanding of the challenges we face and the control we exercise.

Trish Murray, Nice ‘n’ Naughty

 

 

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