STI Podcast

Today we will focus on the alternative treatments of early Syphilis. Worldwide many of us have experienced a shortage of gold standard treatment benzathine benzylpenicillin injections for syphilis. It is time we look for alternative antibiotic treatments and prevention strategies for syphilis. In conversation with Prof Jeffery Klausner, Professor of Medicine, Infectious Diseases and Public Health at the Keck School of Medicine of the University of Southern California, we will discuss a new study published in the Lancet in 2024. Mitja O. et al compared oral linezolid with benzathine penicillin G for treatment of early syphilis in adults (Trep-AB Study) in Spain, which is a prospective, open-label, non-inferiority, randomised controlled trial. Acknowledgement for his valuable contributions to the content of the podcast: Dr Oriol Mitjà, Skin Neglected Tropical Diseases and Sexually Transmitted Infections Section, Fundació Lluita Contra les Infeccions, Barcelona, Spain. Related link: https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(23)00683-7/fulltext

In our final episode in honour of the World AIDS Day we have a conversation with Assistant Prof. Rajasuriar, who coordinates the translational research program in HIV immunology and Ageing at the Centre of Excellence for Research in AIDS (CERiA) in Kuala Lumpur, Malaysia. Today, thanks to effective HIV antiretroviral therapy, people living with HIV can live long and healthy lives. According to the latest data from the Centers for Disease Control and Prevention (CDC), in 2021, of the nearly 1.1 million people living with diagnosed HIV in the United States and dependent areas, over 53% were aged 50 or older. Hosted by: Dr Fabiola Martin, the BMJ STI Podcast editor and Sexual Health Specialist based in Australia and Senior Clinical Lecturer at School of Public Health at University of Queensland. Growing older with HIV in the Treat-All Era Reena Rajasuriar 1 , Heidi M Crane 2 , Aggrey S Semeere 3 PMID: 36176021 PMCID: PMC9522984 DOI: 10.1002/jia2.25997 https://onlinelibrary.wiley.com/doi/10.1002/jia2.25997  Integrated care for older people (‎ICOPE)‎: guidance for person-centred assessment and pathways in primary carehttps://www.who.int/publications-detail-redirect/WHO-FWC-ALC-19.1

Today we are honouring the World AIDS Day on 1st December in 2023, by focusing on young people who live with HIV. Adolescents and young people represent a significant share of people living with HIV worldwide. In 2022 alone, 255,000-760,000 young people between the ages of 10 to 24 were newly infected with HIV, of whom 35,000-250,000 were adolescents between the ages of 10 and 19. In conversation with Prof Natella Rakhmanina, who is a Professor of Paediatrics at the George Washington University and the Director of the HIV Program at Children's National Hospital, we will discover the pro & cons of long-acting antiretrovirals to mange HIV infection in young people. Hosted by: Dr Fabiola Martin, the BMJ STI Podcast editor and Sexual Health Specialist based in Australia and lecturer at School of Public Health at University of Queensland.

Welcome to the 4th episode of the 2023 BMJ Sexually Transmitted Infections Podcast Series. This year the International AIDS Society Conference was held for the first time in Brisbane Australia in July 2023. It was wonderful to learn about many new research findings, community perspectives and to connect with old friends and make new ones. Today we will provide you with some of the many clinical, vaccine and policy research highlights of this conference and share our subjective perspectives. We were joined by: Dr Ming Lee, a sexual health & HIV physician and UK MRC Clinical Research Training Fellow at Imperial College London, London, UK, Prof Damian Purcell, Head of the Molecular Virology Laboratory in the Department of Microbiology and Immunology at the Peter Doherty Institute, University of Melbourne, Melbourne, Australia, Dr Meg Doherty, Director of Global HIV, Hepatitis and Sexually Transmitted Infection Programmes at World Health Organization, Heath Quarter. Hosted by: Dr Fabiola Martin, the BMJ STI Podcast editor and Sexual Health Specialist based in Australia and lecturer at School of Public Health at University of Queensland.

In honour of World Hepatitis Day, today we focus on the Hepatitis B virus (HBV), a virus that can be transmitted through contact with infected blood and from mother to child during labour. HBV can also be transmitted sexually. It infects liver cells and causes both acute and chronic infections, which can be severe. Since HBV was discovered in 1965, we have made great progress in reducing the burden of infections and disease through prevention and antiviral treatment, but much is left to do. The World Health Organization has called for enhanced efforts along four main pathways: i) increasing awareness of HBV infection, ii) promoting prevention strategies, iii) expanding access to testing and treatment; and iv) improving surveillance, data collection and research. Today we will discuss these topics with a focus on the European Region with our three guests: - Dr. Erika Duffell, Public Health Physician, the European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden - Prof. Anna Maria Geretti, Editor in Chief, STI journal; Professor & Consultant in Infectious Diseases & Virology, Fondazione PTV, University of Rome Tor Vergata, Rome, Italy; North Middlesex University Hospital and King’s College London, London, United Kingdom - Prof.  Simon de Lusignan, Senior Academic General Practitioner (GP) and Director of the Royal College of GPs Research & Surveillance Centre, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom Hosted by: Dr. Fabiola Martin, Sexual Health, HIV, HTLV specialist, BMJ STI Podcast Editor, Brisbane, Australia    Relevant papers: Hepatitis B virus infection in general practice across England: An analysis of the Royal College of General Practitioners Research and Surveillance Centre real-world database https://www.journalofinfection.com/article/S0163-4453(23)00130-5/ Impact of maternal HIV–HBV coinfection on pregnancy outcomes in an underdeveloped rural area of southwest China https://sti.bmj.com/content/96/7/509 Prevalence of hepatitis B immunity and infection in home self-sampling HIV service users https://sti.bmj.com/content/98/4/286 Hepatitis A and B vaccination in gbMSM in Ireland: findings from the European MSM Internet Survey 2017 (EMIS-2017) https://sti.bmj.com/content/99/5/337 Hepatitis A and B vaccine uptake and immunisation among men who have sex with men seeking PrEP: a substudy of the ANRS IPERGAY trial https://sti.bmj.com/content/99/2/140 Hepatitis A, hepatitis B and HPV vaccine needs and coverage in MSM initiating HIV PrEP in a sexual health clinic in Paris https://sti.bmj.com/content/99/5/361

Neisseria gonorrhoeae, in short NG, is a ubiquitous sexually transmitted bacteria that can cause both localised and systemic disease if left untreated. NG may also be transmitted vertically from mother to baby. Over the last years, we have seen a rise in the number of people diagnosed with gonorrhoea, alongside growing rates of antibiotic resistance. New research makes us hopeful that a vaccine may soon become available to provide global, large scale benefits. In this podcast, we explore this possibility with three experts in the field: Prof Kate Seib (1), Dr Claire Dewsnap (2) and Dr Silvia Nozza (3).   Would you like to know more about the topic? Please read the paper we recently published in STI: "Prior Neisseria meningitidis (Nm) proctitis does not prevent Neisseria gonorrhoeae (Ng) proctitis among men who have sex with men (MSM)": https://sti.bmj.com/content/99/3/215   (1) NHMRC Leadership Fellow and Associate Director for Research, Institute for Glycomics, Griffith University, Gold Coast, Australia    (2) President of the British HIV Association for HIV & Sexual Health (BASHH) and Consultant in Genitourinary Medicine, Sheffield Teaching Hospital, Sheffield, UK   (3) Consultant in Infectious Diseases, Head of Prevention Unit, San Raffaele Hospital (IRCCS), Milan, Italy

Welcome back to the 2023 BMJ STI Podcasts. Today we will focus on the worsening Syphilis epidemic worldwide. Syphilis is a bacteria that infects humans, and is transmitted horizontally through close sexual contact and vertically to unborn babies and neonates. It can cause acute and severe illness in those affected, such as neurosyphilis, and have tragic consequences for mother and baby. With the discovery of penicillin, access to testing, and especially public health interventions such as regular testing of asymptomatic, sexually active people and routine antenatal testing, we thought we could start focusing on eradicating Syphilis one day. Alas, over the last decade we have seen what seems an unstoppable rise of syphilis incidence world-wide. In conversation with Prof Clare Nourse, Prof. James Ward and Dr Angelica Espinosa Miranda we explore the issue at hand focusing on Australia and South America.

Today we talk about transmission, diagnosis and management of MPox. We will also review the UK community and the World Health’s Organization's perspective on this virus. Please note that after the recording of this podcast the WHO implemented a change of the name of the virus to MPox. Dr Fabiola Martin, STI's Podcast editor, interviews Dr Liesbeth Van Gestel, ID physician and clinical researcher at the Tropical Institute of Antwerp, Belgium; Mr Simon Collins, director and co-founder of HIV iBase London, UK; as well as Dr Meg Doherty, the World Health Organisation’s Director of Global HIV, Hepatitis and STIs Programmes. For more information, please read the STI recently published articles: one from Vanhamel and co-authors tracking the transmission of the virus in the early phases of the outbreak in Belgium (https://sti.bmj.com/content/early/2022/11/17/sextrans-2022-055601), and a second from Heskin and colleagues reporting on the rapid response of sexual health services to the outbreak in the UK (https://sti.bmj.com/content/early/2022/12/14/sextrans-2022-055558?rss=1).

In this double-interview podcast, the Editor-in-Chief of the STI journal, Professor Anna Maria Geretti, brings you some of the highlights from the HIV Glasgow 2022 conference. In the first interview (starting at 1:00), Professor Geretti interviews Jean-Michel Molina*, who discusses HIV and STI prevention. The second interview (starting at 12:30) is with Professor Miłosz Parczewski**. They discuss the effects of the war in Ukraine on the country’s healthcare system, in particular on the prevalence of STIs. *Professor of Infectious Diseases University of Paris, France and Head of the Infectious Diseases Department, Saint-Louis Hospital and Lariboisière Hospital Paris, France. **Clinical specialist and Professor of Infectious Diseases Pomeranian Medical University, Szczecin, Poland. Associate Editor on STI and newly elected Vice President of the European AIDS Clinical Society. To hear more episodes of the STI Podcast, please subscribe: https://podcasts.apple.com/gb/podcast/sti-podcast/id356342980

Today we talk with the principal investigators of the DoxyPEP trial which was prematurely terminated due to its amazing success: participants receiving a stat dose of Doxycycline 200mg in less than 72 hours after condom-less sex were 63% less likely to develop a bacterial STI compared to participants in the control arm. Prof Annie Leutkemeyer based in San Francisco (UCSF) and Prof Connie Celum, based in Seattle (WA)join Dr Fabiola Martin, STI's Podcast editor, in this short interview. Please listen to a recent podcast on the wider subject of Bacterial STIs: https://soundcloud.com/bmjpodcasts/management-of-bacterial-stis?in=bmjpodcasts/sets/sti Related links: https://www.aidsmap.com/news/jul-2022/taking-antibiotic-after-sex-cuts-stis-two-thirds-doxypep-study-finds academic.oup.com/cid/article/70/6/1247/5557867 www.ncbi.nlm.nih.gov/pmc/articles/PMC8360665/ To hear more episodes of the STI Podcast, please subscribe: https://podcasts.apple.com/gb/podcast/sti-podcast/id356342980

Today we focus on presumptive and prophylactic management of bacterial STIs, talking with Dr Manoji Gunathilake, Head of sexual health services in Darwin, Australia, and Assistant Prof Will Nutland, the director of the NGO, the Love Tank, in London, UK. Related links: STI Guidelines Australia: https://sti.guidelines.org.au/ The Love Tank: http://thelovetank.info/ GRASP report: data to June 2021 https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1033882/GRASP_2020_Report.pdf Taking antibiotic after sex cuts STIs by two-thirds, ‘DoxyPEP’ study finds - www.aidsmap.com/news/jul-2022/tak…xypep-study-finds Doxycycline PEP significantly reduces STIs in people at high risk of infections - i-base.info/htb/43528

In this podcast, we interview Professor Joel Palefsky about the ANCHOR study. Sexually Transmitted Infections' Editorial Fellow, Dr Ming Lee, speaks to the journal Editor in Chief, Professor Anna Maria Geretti, and Professor Palefsky, chief investigator of the randomised controlled trial, about the study which investigated treatment of anal high-grade squamous intraepithelial lesions (HSIL) to prevent progression to anal cancer. The study was stopped early following an interim analysis showing a clear benefit in reducing the risk of progression to anal cancer by 57 %, and the findings were recently published in the New England Journal of Medicine. Professor Palefsky also discusses how screening for anal cancer could be improved. Related link about the ANCHOR study: https://www.nejm.org/doi/10.1056/NEJMoa2201048?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

Thank you for joining us for the HTLV2022 Conference review. Dr Fabiola Martin speaks to Joanna Curteis, the Australian patient representative, Dr Carolina Rosadas, researcher associate at National Centre for Human Retrovirology, Imperial College London, who specialises in HTLV-1 vertical transmission and Prof Damian Purcell. Damian's research group investigates the HIV-1 and HTLV-1 human retroviruses that cause AIDS and leukaemia/inflammatory pathogenesis respectively at Doherty Institute, Melbourne. We also discuss the Global Call to Action towards the elimination of HTLV-1 and an important message from the World Health Organisation delivered by Dr Meg Doherty. Related blog post: https://blogs.bmj.com/sti/2022/07/06/ichr-2022/ Related links: https://www.htlvnet.com https://www.htlvaware.com HTLV Channel https://www.youtube.com/channel/UCI6aLSTtk7chXMeybJ92Fhw Follow @HTLVChannel National Centre for Human Retrovirology http://www.htlv.eu/ WHO HTLV technical report https://apps.who.int/iris/handle/10665/339773

In this podcast, we focus on the bacterial genitourinary pathogen Mycoplasma genitalium (MGEN). We have known this pathogen for a long-time but only in recent years we have been testing and treating more frequently for this bacteria. In this conversation with Dr Fabiola Martin, STI's Podcast editor, Dr Emma Sweeney, Prof Catriona Bradshaw and Prof Nicola Low provide a clinical and research update on MGEN. Dr Emma Sweeney is a Postdoctoral researcher, The University of Queensland Centre for Clinical Research, Brisbane, Australia. Prof Catriona Bradshaw is a Clinician researcher based at Melbourne Sexual Health Centre, Melbourne, Australia. Prof Nicola Low is an Infectious disease epidemiologist, leading the Sexual and Reproductive Health Research Group at the Institute of Social and Preventive Medicine, University of Bern, Switzerland. Read the blog post: https://blogs.bmj.com/sti/2022/04/06/mgen/ Some relevant papers published by STI: Adverse pregnancy and perinatal outcomes, 2022, Frenzer C, Egli-Gany D, Vallely L, et al. https://sti.bmj.com/content/early/2022/03/28/sextrans-2021-055352 Prevalence in different populations, 2018, Baumann L, Cina M, Egli-Gany D, et al. https://sti.bmj.com/content/94/4/255 Persistence, concordance, complications in non-pregnant people, 2019, Cina M, Baumann L, Egli-Gany D, et al. https://sti.bmj.com/content/95/5/328

Today we focus on NATSAL and NATSAL COVID. These are Britain’s National Surveys of Sexual Attitudes and Lifestyles. NATSAL has been undertaken every 10 years since 1990 and is a key data source for sexual and reproductive health policy development. However, the COVID-19 pandemic disrupted many aspects of sexual lifestyles, prompting the initiation of the NATSAL-COVID study with the aim of understanding the impact of COVID-19 on sexual behaviour and service use. Professor Cath Mercer and Professor Nigel Field join us to discuss the results of this study. All the findings relate to the first four months of lockdown in Britain, which started in March 2020. Related blog: https://blogs.bmj.com/sti/2022/02/23/natsal-covid-sex-love-and-lockdown/ Relevant Natsal-COVID papers: - STI paper on sexual behaviour during the pandemic: https://sti.bmj.com/content/early/2021/12/14/sextrans-2021-055210 - Paper in Lancet PH on sexual health services: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(21)00253-X - Paper in BMJ Open on sex outside of the household: https://bmjopen.bmj.com/content/12/2/e055284 - Natsal-COVID wave 1 method paper: https://wellcomeopenresearch.org/articles/6-209

On the World HTLV Day (10th November), we focus on how the Human T leukaemia virus affects people, and review new developments in HTLV treatment and vaccination medicine. HTLV is a retrovirus similar to HIV which incorporates its DNA indefinitely into the human CD4 T lymphocytes. It is predominantly transmitted through condomless sex, but also from mother-to-child and through contact with HTLV positive blood. Unlike HIV, HTLV causes severe disease only in about 5% of PLHTLV, so it is easy for HTLV transmission to go unnoticed. The two dominant HTLV associated diseases are Adult T cell leukaemia (ATL) and HTLV-1 associated myelopathy (HAM/TSP). Participants: STI's Podcast Editor, Dr Fabiola Martin, interview Ms Kristy Blakeborough, Lived experience and UK patient rep; Prof Yoshihisa Yamano, Neurologist St Marianna University Japan; A/P Keith Chappell, University of Queensland. Read the blog post: https://blogs.bmj.com/sti/2021/11/10/world_htlv_day/ Other relevant links: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2818%2930974-7/fulltext https://gvn.org/who/ https://pubmed.ncbi.nlm.nih.gov/27965813/ https://pubmed.ncbi.nlm.nih.gov/33250897/ https://www.htlvaware.com

In this podcast we discuss the reported impact of HIV infection on people who are hospitalised with COVID-19, by reviewing three publications: 1. Outcomes of COVID-19 Related Hospitalization Among People With HIV in the ISARIC WHO Clinical Characterization Protocol: A Prospective Observational Study. Clinical Infectious Diseases, 23 October 2020 (https://www.who.int/publications/i/item/WHO-2019-nCoV-Clinical-HIV-2021). 2.Epidemiology and outcomes of COVID-19 in HIV-infected individuals: a systematic review and meta-analysis.Nature, Scientific Reports, 18 March 2021 (https://www.nature.com/articles/s41598-021-85359-3). 3. Clinical features and prognostic factors of COVID-19 in people living with HIV hospitalized with suspected or confirmed SARS has just been released. WHO Global Clinical Platform, 15 July 2021 (https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa1605/5937133). STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; and Associated Research Professor Dr Paddy Ssentongo, from the Penn State University, Pennsylvania, USA. Read the blog post: https://blogs.bmj.com/sti/2021/09/16/c19-plwh-revisited/

Two women die a week in consequence of domestic violence and abuse in the UK. It is increasingly recognised that enquiry by healthcare practitioners can enable pathways to earlier intervention and support. Editor-in-Chief of Sexually Transmitted Infections, Jackie Cassell, is joined by two specialists in the field to discuss the special issue of the journal on domestic and intimate partner violence, published in March 2018: http://sti.bmj.com/content/94/2. Neha Pathak (Wellcome Trust Clinical PhD Fellow, Institute for Epidemiology & Healthcare, University College London) and Gene Feder (University of Bristol, Centre for Academic Primary Care) discuss the various forms of the abuse and how healthcare practitioners can intervene. Related papers discussed in this podcast: - Highlights from this issue - http://sti.bmj.com/content/94/2/79 - Editorial: Routine enquiry for domestic violence and abuse in sexual health settings - http://sti.bmj.com/content/94/2/81 - Improving the healthcare response to domestic violence and abuse in sexual health clinics: feasibility study of a training, support and referral intervention - http://sti.bmj.com/content/94/2/83 - Assessing for domestic violence in sexual health environments: a qualitative study - http://sti.bmj.com/content/94/2/88 - Sexual relationships, intimate partner violence and STI partner notification in Cape Town, South Africa: an observational study - http://sti.bmj.com/content/94/2/144

Dr James Bingham, regarded by many as a father figure of the modern speciality, tells Lt Col Ngozi Dufty about the beginning of the field of venereal disease in the UK and how the origins of the sexual health service developed in consequence of the need to protect the health of the military troops first, and then the general population as a result. This interview is one of two podcasts published by the Sexually Transmitted Infections journal to signal the Centenary of the Venereal Disease Act 1917. Read all the articles here: http://sti.bmj.com/pages/bashh-centenary-of-the-venereal-disease-act-1917.

Dr. George Kinghorn, genitourinary medicine physician with 35 years' experience, talks to Dr. Maryam Shahmanesh (Consultant and Senior Lecturer at the University College London and Mortimer Market Centre) about the “dramatic changes” introduced in the treatment of STIs with the Venereal Disease Act 1917. Professor George Kinghorn also analyses how the effects of the easier access to travel, the introduction of the contraceptive pill and the decriminalisation of homosexuality lead to a “rapid increase in the number of sexually transmitted infections” in the last 40 years and which translated into an increasing need for specialists. Commenting on the particular case of the UK, Dr Kinghorn advocates the need for specialised services in the NHS, saying that an “urgent access to [STI clinics] services is essential to preserve low-cost control of STIs”. He also looks to the main future challenges in this medical field. The interview is one of two podcasts published by the Sexually Transmitted Infections journal to signal the Centenary of the Venereal Disease Act 1917. Read all the articles here: http://sti.bmj.com/pages/bashh-centenary-of-the-venereal-disease-act-1917.

How can burdens and trends of gonorrhoea and syphilis be estimated using surveillance data routinely collected in low- and middle-income countries? Eline Korenromp, epidemiologist from the Avenir Health, Geneva, Switzerland, tells STI Editor Jackie Cassell how the Spectrum-STI tool, developed at request of the World Health Organization, facilitates standardised, country-level estimation of trends in adult prevalence of sexually transmitted infections. The Spectrum-STI is an epidemiological framework which facilitates data review, validation and strategic analysis, prioritisation of data collection needs and surveillance strengthening by national experts. It has so far been applied in Zimbabwe, Morocco and Mongolia. Read the full details of the study, “Estimating prevalence trends in adult gonorrhoea and syphilis in low- and middle-income countries with the Spectrum-STI model: results for Zimbabwe and Morocco from 1995 to 2016”, on the STI website (http://dx.doi.org/10.1136/sextrans-2016-052953).

Audit vs. Quality Improvement Methodology. How to undertake quality improvement and integrate it into GUM and HIV services? Hanna Bos, from the Municipal Health Service of Deventer, The Netherlands, discusses with Anna Hartley, one of the authors of a article, which explores the premise that true quality improvement methodology is poorly understood and poorly used in the NHS. Dr. Hartley, from the Ambrose King Centre, Barts Health NHS Trust, London, UK, brings some examples to the discussion to illustrate why audits alone cannot bring about continual improvement. "How to integrate quality improvement into GUM and HIV services" is the title of the study that can be found here: http://sti.bmj.com/content/early/2016/08/22/sextrans-2016-052732.

In this podcast, Jackie Cassell, the Editor in Chief of STI, talks to Anatole Menon-Johansson, from the Department of Sexual Health, Guy's & St Thomas’ NHS Foundation Trust, London, UK, about partner notification technologies. The STI blog post "Improving Partner Notification with a new online tool from SXT Health CIC [Community Interest Company]" is the starting point for a broad conversation about why is partner notification on STIs so important, what's the tool about and what the future holds in the digital era. Read the blog post here: http://blogs.bmj.com/sti/2016/05/05/improving-partner-notification-with-a-new-online-tool-from-sxt-health-cic-from-anatole-menon-johansson/. On the STI website: - Claudia Estcourt study on Accelerated Partner Treatment for primary care: http://sti.bmj.com/content/91/8/548.full.pdf+html?sid=17d93526-4a85-4ae6-a34b-7a603dd67873. - Hannelore Götz study of an online partner notification tool: "Initial evaluation of use of an online partner notification tool for STI, called ‘suggest a test’: a cross sectional pilot study", http://sti.bmj.com/content/90/3/195.abstract.

In this podcast we explore the management of STI outbreaks. Ian Simms, of the HIV & STI Department, Public Health England, interviews two authors who have managed STI outbreaks. Kirsty Foster, of the Public Health England North East, investigated an outbreak of gonorrhoea in young heterosexual adults in that area of the UK. Read the full letter here: http://sti.bmj.com/content/92/5/364.full. Giri Shankar, of the Health Protection Team, Public Health England, talks about hepatitis B in the East of the country. He studied and managed an outbreak of the infection in men who have sex with men but identify as heterosexual. Read the full text here: http://sti.bmj.com/content/early/2016/01/04/sextrans-2015-052490.full. The STI Outbreaks issue, which was published in August 2016, was guest edited by Gwenda Hughes and Ian Simms. It includes articles that explore epidemics, clusters, changes in antibiotic resistance, changes in behaviours that increase the chance of outbreaks, as well as considering how we respond to and describe outbreaks. Here is the Outbreak special issue, with editorial material and field reports on the control of STI outbreaks: http://sti.bmj.com/content/92/5.toc.

What do we know about sexual behaviour when travelling? Are backpackers and gap year travellers a special group? These are some of the questions Christopher Lewis, from the University of Birmingham, and Dr Clare Tanton, from the UCL's Centre for Sexual Health and HIV research, answer in this podcast. They are the authors of two recent studies published at sti.bmj.com. Read the full studies: 'Sexual behaviour of backpackers who visit Koh Tao and Koh Phangan, Thailand: a cross-sectional study', by Dr Christopher Lewis, is accessible here: http://sti.bmj.com/content/early/2016/04/19/sextrans-2015-052301.full. 'Forming new sex partnerships while overseas: findings from the third British National Survey of Sexual Attitudes & Lifestyles (Natsal-3)', by Dr Clare Tanton is available here: http://sti.bmj.com/content/early/2016/04/19/sextrans-2015-052459.full. Read the related STI Editorial: 'The Holy Grail of prevention of sexually transmitted infections in travelers' by Dr. Alberto Matteelli (http://sti.bmj.com/content/early/2016/04/19/sextrans-2016-052573.full). For more information on these issues, please visit the NHS page about sex on holiday: http://www.nhs.uk/livewell/sexualhealth/pages/sexonholiday.aspx. Find your nearest 'Sexual health information and support services': http://www.nhs.uk/service-search/sexual-health-information-and-support/locationsearch/734.

In this podcast, Dr Khalil Ghanem discusses ocular syphilis with the authors of two studies. Dr Susan Tuddenham, from the Johns Hopkins University in Baltimore, Maryland, USA, is the author of 'Increasing Case Reports of Ocular Syphilis in the United States: An Opportunity to Address Important Unanswered Questions', accessible here: http://goo.gl/cPcbLM and Dr Motoyuki Tsuboi, from the AIDS Clinical Center, National Center for Global Health and Medicine, Tokyo, Japan, is the author of 'Prognosis of ocular syphilis in HIV-infected patients in the antiretroviral therapy era': http://goo.gl/giAx9s .

A lot has changed since the last study among shipboard populations has been conducted, about 20 years ago. What is the health of shipboard military personnel and why is it important to study their sexual health? How is life in a deployment? How can the findings of this study apply to civilian populations? In this podcast, Judith Harbertson of San Diego State University and US Military HIV Research Program talks to Tom Nadarzynski, Brighton and Sussex Medical School, about these questions and the main conclusions of the study. Read the related article: Sexually transmitted infections and sexual behaviour of deploying shipboard US military personnel: a cross-sectional analysis goo.gl/5GPm2D

In this podcast Dr Katy Turner talks to Dr Vincent Cornelisse about his recently published paper "Summer Heat: A cross-sectional analysis of seasonal differences in sexual behaviour and sexually transmissible diseases in Melbourne, Australia". They discuss the seasonal differences in sexual activity and disease transmission across different sexual pairings and the seasons. Full text: http://sti.bmj.com/content/early/2015/11/05/sextrans-2015-052225.full?sid=1b9dd132-b40c-4e25-afb6-995380d28d03

In this podcast Dr Katy Turner talks to Dr Jane Hocking at the ISSTDR conference in Brisbane, Australia. They discuss Dr Hocking's preliminary results from a Chlamydia screening trial across Australia and the logistics for testing and collecting data across such a large area.

In this podcast Dr Katy Turner talks to PhD student Hayley Denison at the ISSTDR conference in Brisbane. They discuss the differences studying for a PhD in New Zealand compared to the UK and how social media has helped people keep up to date at conferences.

How does drug use feed into STI transmission in men who have sex with men? What kinds of behaviours happen, and how can clinicians discuss these issues with men and best help them? In this podcast Adam Bourne, London School of Hygiene & Tropical Medicine, and David Stuart, substance use lead at the 56 Dean Street sexual health clinic, discuss the issues and offer their advice. Read the related article: Illicit drug use in sexual settings (‘chemsex’) and HIV/STI transmission risk behaviour among gay men in South London: findings from a qualitative study http://goo.gl/u6xubb

Simon Barton, Clinical Director, HIV & Sexual Health, Chelsea & Westminster Hospital, London, talks to Joseph D Tucker, International Diagnostics Centre, Keppel Street, London, about his editorial on how the history of syphilis cures provides some guidance on preparing for a HIV cure. More information about the working group can be found here http://searchiv.web.unc.edu/ Read the full editorial: http://sti.bmj.com/content/91/1/2.full

Nicola Low, Professor of Epidemiology and Public Health at the Institute of Social and Preventive Medicine, University of Bern, Switzerland, talks to Tom Edge, writer of the Channel 4 sitcom Scrotal Recall, a drama where a young man explores his past relationships via contact tracing after discovering he has chlamydia. Tom discusses the medicine and research behind the writing, and the tensions between storytelling and science.

Prevalence studies indicate approximately 10% of patients in HIV clinics may be infected with Neisseria gonorrhoeae (NG) and/or Chlamydia trachomatis (CT) at any given time, and a study recently published in STI by Burchell and colleagues reveals that a modest increase in testing in their clinic did not improve detection of CT and NG. Khalil Ghanem, STI associate editor, asks Stephen Berry, Division of Infectious Diseases, Johns Hopkins University School of Medicine, to comment on the paper and what can be done to improve detection of NG and CT. Read Dr Berry's full editorial: http://goo.gl/ABefHz Read Burchell et al's paper: Modest rise in chlamydia and gonorrhoea testing did not increase case detection in a clinical HIV cohort in Ontario, Canada http://goo.gl/JPsp2e

STI associate editor Katy Turner talks to Kyle Jones, Infection & Population Health, University College London, about his studying examining who in the UK pays for sex.

Jennifer Smith, STI associate editor, talks to Matthew Schabath, H. Lee Moffitt Cancer Center & Research Institute, US, about his paper: Alcohol consumption and prevalence of human papillomavirus infection among US men in the HIM (HPV in Men) Study http://goo.gl/kVaHcm

Dr Clare Tanton, UCL's Centre for Sexual Health and HIV research, and Soazig Clifton, NatCen Social Research, both researchers on The National Survey of Sexual Attitudes and Lifestyles (http://natsal.ac.uk) join us to discuss the survey, how it was carried out, and some of the reaction to their findings.Read the papers online:What's new about Natsal-3: http://goo.gl/IDaRYNConsistency in reporting sensitive sexual behaviours in Britain: http://goo.gl/Zu5qzcMethodology of Natsal-3: http://goo.gl/y85Aw6

Barbara Van Der Pol, Associate Professor of Medicine, University of Alabama at Birmingham, and Dermot Hurly and Monika Buehrer-Skinner, both Anton Breinl Centre for Public Health and Tropical Medicine, James Cook University, have a conversation about issues related to chlamydia point-of-care tests and the need to continually assess the performance of these assays in real-use settings.Read the full paper here: bit.ly/1nizXj5

To go alongside this month's special STI issue on Trichomonas vaginalis, Dr Scott McClelland, Departments of Medicine, Epidemiology, and Global Health, University of Washington, and Prof Sharon Hillier, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, talk about our current understanding of the condition, and future clinical and academic directions. View all the content from the special issue here: http://sti.bmj.com/content/89/6.toc

Mark Lawton, Mayura Nathan, and David Asboe, the authors of a recent editorial in STI, discuss why they think it's time to include young MSM in the national vaccination programme for HPV.Read the full editorial: http://sti.bmj.com/content/89/5/342.full

Seán Cassidy, doctor in GU medicine at Guys and St Thomas's NHS Foundation Trust, and social media editor for STI, talks to Jonathan Ross, a professor of Sexual Health and HIV based at University Hospitals Birmingham NHS Foundation Trust.

Seán Cassidy, doctor in GU medicine at Guys and St Thomas's NHS Foundation Trust, and social media editor for STI, talks to Katie Turner, a National Institute of Health Research (NIHR) fellow, based in the Department of Social Medicine at the University of Bristol.

Seán Cassidy, doctor in GU medicine at Guys and St Thomas's NHS Foundation Trust, and social media editor for STI, talks to Marita Van De Laar, Head of Program for HIV and Sexually Transmitted and Blood-Borne Infections in the Office of the Chief Scientist of the European Centre for Disease Prevention and Control (EDCD)

Seán Cassidy, doctor in GU medicine at Guys and St Thomas's NHS Foundation Trust, and social media editor for STI, talks to Myron Cohen, Associate Vice Chancellor for Global Health and Director for the Center for Infectious Diseases at the University of North Carolina.

In the UK, it is estimated that 24% of HIV positive patients are unaware of their infection. This figure is derived from statistical modelling, but how often do people who are identified as having been unaware of their infection are actually just non-disclosing instead? In this podcast Gary Brooks talks to Ann Sullivan from Chelsea and Westminster Hospital NHS Foundation Trust, about her research into this phenomenon.Read the full paper online: http://tinyurl.com/bdccuwd

The 2008 UK National Guidelines for HIV testing recommended HIV testing should be offered to all general medical admissions aged 16–60 years in high prevalence areas, and that this should be evaluated to ensure this was effective in diagnosing previously undiagnosed HIV. In this podcast, Gary Brook talks to Adrian Palfreeman, University Hospitals Leicester, about his evaluation in the city.

Katy Turner (NIHR research fellow, School of Social and Community Medicine, Bristol University) talks to Elizabeth Carlin (consultant in Genitourinary Medicine, Nottingham University Hospitals) about the possibilities, limitations and practicalities of using recent infection testing algorithm (RITA) tests to detect HIV.Read the article online: http://tinyurl.com/b3tp9wu

Peter Greenhouse (consultant in sexual health at Bristol Sexual Health Centre and Western) talks to Christopher Carne (consultant in the Department of Genitourinary Medicine, Addenbrookes Hospital, Cambridge University) about his recent case-controlled study looking at semen abnormalities in genitourinary medicine clinic attendees.Read the article online: http://tinyurl.com/bgrvx8e

William Wong (Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong, China) and Till Bärnighausen (Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, USA) discuss March’s STI HIV/AIDS themed issue.They talk about patient perspectives of ART, the future of providing treatment in different countries and contexts, and political and donor commitment to treating the disease.Read the special issue online: http://tinyurl.com/aeaoygx

Dr Alan Tang from Royal Berkshire NHS Foundation Trust, discusses approaches to setting up and running a prison based sexual health service with Éamonn O’Moore, unit director for Thames Valley Health Protection Unit of the HPA.Read the article online: http://tinyurl.com/b6s2nv6

King Holmes (director, Center for AIDS and STD, University of Washington; past president of the IUSTI) talks to Patricia Garcia (dean of the School of Public Health, Universidad Peruana Cayetano Heredia, Peru; regional director for IUSTI in Latin America and the Carribbean) about the progress in treating STIs in Latin America and the Caribbean.Professor Garcia discusses what a recent survey by The Latin American and Caribbean Association for the Control of Sexually Transmitted Infections (ALAC-ITS) revealed about STI programmes in the region, including rapid needle testing in Brazil and Peru’s national AIDS STI programme.

Dr Colm O’Mahony (consultant at the Countess of Chester Hospital NHS Foundation Trust, UK) talks to Professor Christopher Fairley (director of the Melbourne Sexual Health Centre, University of Melbourne, Australia) about the near disappearance of genital warts in Australia’s young women following the start of their human papillomavirus (HPV) vaccination programme.They also discuss the UK’s decision to provide Cervarix, rather than Gardasil, through its HPV programme.

Catherine Ison and Gwenda Hughes, Health Protection Agency UK, and Craig Tipple, Imperial College London, discuss strategies for the surveillance and treatment of antibiotic resistance bacteria.Read the article online: http://tinyurl.com/bfdnnf7

Michael Waugh discusses with David Goldmeier how to recognise sexual addiction in the sexual health clinic.Read the article online: http://tinyurl.com/bahzwkv

In this STI podcast, Andy Winter (consultant in sexual health and HIV, NHS Greater Glasgow and Clyde, UK) talks to Gary Brook (Central Middlesex Hospital, London, UK) about the effectiveness of electronic records in chlamydia and gonorrhoea treatment and partner notification.Read the article online: http://tinyurl.com/b6edcd6

Cath Mercer, an associate editor with STI, asks Lisa Langhaug (Centre for Sexual Health and HIV Research, London, UK) about her work investigating the best way to ask Zimbabwean youth about their sexual health.Read the article online: http://tinyurl.com/9wbsegt

Khalil Ghanem (associate editor on STI) talks to James Blanchard(University of Manitoba) Charlotte Watts (London School of Hygiene andTropical Medicine) and Sevgi Aral (Center(s) for Disease Control) about thephenomenon of emergent properties, and how it relates to STI control.

In this episode of the STI podcast, Richard Crosby from the University of Kentucky talks to Mary Ott from Indiana University about her research on condom use, and attitudes towards, in 14-16 year-old boys.Read the article online: http://tinyurl.com/atc2rah

Cathy Ison (director of the Sexually Transmitted Bacteria Reference Laboratory, HPA) talks to David Barlow (consultant physician at the Department of Genito-Urinary Medicine, St Thomas’ Hospital) about the future of treating and testing for gonorrhoea.

Gary Brook and Khalil Ghanem discuss a case report of syphilis uncovering drug resistance in HIV published in the journal STI.

Anatole Mennon-Johansson and John Richens discuss the advantages and disadvantages of computer assisted interviewing in sexual health clinics.

Professor Graham Hart (Director of the UCL Centre for Sexual Health and HIV Research, UCL STI editorial board member) talks to Dr Stefan Baral (Center for Public Health and Human Rights, Johns Hopkins) about his research into bisexual concurrency, bisexual partnerships, and HIV among Southern African men who have sex with men.

In this podcast we’ll be looking at chronic candida glabrata infection, discussing the reliability of STI testing on the internet, and looking at the set of standards set for all UK STI clinics.Firstly, David White and Janet Wilson discuss the formulation of treatment for chronic non-albicans vaginal candidiasis.Also, there has been an explosion in the number of websites offering STI testing - Charlotte Kent and Charlotte Gaydos discuss the relative merits of this, and the possible future of internet testing.Finally, the UK has published standards of care for all STI clinics. Christopher Fairley and Celia Skinner discuss the implementation of the document, and the merits of the approach.See also;Prevalence and management of non-albicans vaginal candidiasis - http://tinyurl.com/azmqcf4Utilising the internet to test for sexually transmitted infections: results of a survey and accuracy testing - http://tinyurl.com/b7f7apwNational Standards for the Management of Sexually Transmitted Infections: will they have an impact? - http://tinyurl.com/bdshuy7

In this second STI podcast, Michael Waugh (FRCP, FRCPI) talks to William Yarber (Senior research fellow, The Kinsey Institute) about his paper on the impact of condom fit.

In this first STI podcast, Jackie Cassell (STI editor, Professor of clinical epidemiology) talks to Ashok Alexander (Director, Avahan India AIDS Initiative, Bill and Melinda Gates foundation) about the work that has been carried out to fight AIDS and HIV in India.

On World Hepatitis Day 2021, we discover how Australian patients, patient advocates and health care providers are working together to reach the WHO elimination targets for chronic Hepatitis C virus infection. Professor Gail Matthews, Infectious Diseases Physician and Program Head of Therapeutic Research and Vaccine Program at The Kirby Institute, Ms Carrie Fowlie, CEO of Hepatitis Australia, and Ms Lisa Carter, Patient advocate and peer educator at Hepatitis SA, join Dr Fabiola Martin to discuss the many different approaches needed to eliminate hepatitis C. Related blog post: https://blogs.bmj.com/sti/2021/07/27/world-hepatitis-day-2021/

July 2021 marks 40 years from the first reports of a 'strange disease' soon to be known as HIV/Aids. In this "very special edition" themed Sexual Diversity and the City, the STI & HIV 2021 World Congress is inviting people from all walks of life, with some being able to participate for free. Listen to all the details in this conversation of STI's Social Media Editor Harrison Austin with Henry de Vries, Professor of skin infections at the University of Amsterdam and President of the Congress, and Mark Vermeulen, Executive Director of Aidsfonds – Soa Aids Nederland. Sexually Transmitted Infections (https://sti.bmj.com/) is the official journal of the STI & HIV 2021 World Congress, held as a virtual event on 14-17 July. The mission is to address diversity, health, and sexuality in the urban context. This bi-annual meeting is organised by the International Society for STD Research (ISSTDR) in collaboration with the International Union against STI World (IUSTI World) and is dedicated to STI in its broadest sense. https://www.stihiv2021.org/

Today we focus on the challenges and success stories of HPV vaccine uptake, specifically in Italy and Australia. The HPV vaccine rollout has translated into a significant reduction in the prevalence of cervical and anal cancers. Since its discovery, many different strategies have been used to increase and maintain its uptake in school children, both girls and boys. STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; Prof Carlo Giaquinto, Director of the Paediatric Infectious Diseases Unit at the Department of Woman's and Child's Health of the University of Padova Prof; and Ian Frazer, Clinical immunologist and scientist, The University of Queensland Diamantina Institute, Brisbane, Australia. Read the related blog post: https://blogs.bmj.com/sti/2021/06/04/hpv-vaccine-uptake-achievements-and-challenges/ Related content from STI: https://sti.bmj.com/content/early/2020/09/02/sextrans-2020-054428 https://sti.bmj.com/content/95/5/386 https://sti.bmj.com/content/95/8/608 https://sti.bmj.com/content/early/2020/12/23/sextrans-2020-054726

Thousands of people are currently being vaccinated against COVID-19 worldwide. In this podcast, we discuss if the authorised vaccines are useful to people who live with HIV. STI's Podcast Editor, Dr Fabiola Martin, interviews Prof Anna Maria Garretti, Diseases at the Policlinico Tor Vergata, University of Rome Tor Vergata, Chair of the British HIV Association Vaccination Guidelines Panel, and Editor in Chief of the STI Journal; Dr Laura Waters, Sexual Health and HIV specialist at The Mortimer Market Centre, London, and chair of BHIVA; and Mr Simon Collins, HIV patient advocate and editor of the HIV Treatment Bulletin at the i-Base. Read the related blog post: https://blogs.bmj.com/sti/2021/04/23/2021episode3/ Related article: https://www.bhiva.org/SARS-CoV-2-vaccine-advice-for-adults-living-with-HIV-plain-english-version-update

In this podcast, we explore how the HIV endemic has evolved over time in Indonesia and is tracking against UNAIDS 90:90:90 treatment for all goals. We discuss the impact the COVID-19 pandemic has had on the already stressed health care system in Indonesia. Dr Fabiola Martin interviews Dr Keerti Gedela, Consultant physician and researcher in HIV and sexual health medicine, Chelsea & Westminster NHS Trust, London, and Dr Hendry Luis, general physician with an interest in HIV and Sexual Health Medicine, working at the Bali Peduli Foundation, Indonesia. Read the related blog post: https://blogs.bmj.com/sti/?p=1476&preview=true Listen to our podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify.

In this podcast, we focus on why health care services need to adapt and provide inclusive and non-discriminating services for people independent of their gender or sexual preferences. Dr Fabiola Martin interviews Dr Jae Sevelius, Associate Professor at the University of California San Francisco, USA, and Dr Graham Neilsen, Sexual Health Specialist at Royal Brisbane Women's Hospital and Stonewall Medical Centre, Brisbane, Australia. They also discuss gender affirmation and healthcare empowerment research and actions taken to improve provide inclusive health care provision.

In the third episode to honor World AIDS Day, on the 1st December, we are discussing the U=U message with Professor Paul Volberding, University of California San Francisco. We touch on the recently published multicentre study: Undetectable equals untransmittable (U = U): awareness and associations with health outcomes among people living with HIV in 25 countries discuss by Okoli et al. Read the open-access paper on the Sexually Transmitted Infections website: http://dx.doi.org/10.1136/sextrans-2020-054551 . Please subscribe to the STI podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify to get the latest episode onto your device.

In the second episode to honor World AIDS Day, on the 1st December, we are discussing the U=U message with Brent Allen, HIV patient representative. He explains why U=U means so much to people who live with HIV and those who are HIV negative. Read the related paper: Undetectable equals untransmittable (U = U): Awareness and associations with health outcomes among people living with HIV in 25 countries. Read the open-access paper on the Sexually Transmitted Infections website: http://dx.doi.org/10.1136/sextrans-2020-054551 . Please subscribe to the STI podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify to get the latest episode onto your device.

To honor World AIDS Day, on the 1st December, we are bringing you three special interviews over the next few days. In this first episode, we are discussing the U=U message with Chinyere Okoli, clinical pharmacist at ViiV Health care and principle investigator of the study: Undetectable equals untransmittable (U = U): Awareness and associations with health outcomes among people living with HIV in 25 countries. Read the open-access paper on the Sexually Transmitted Infections website: http://dx.doi.org/10.1136/sextrans-2020-054551 . Please subscribe to the STI podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify to get the latest episode onto your device.

Dr Fabiola Martin talks to Dr John McSorely about the rapid adjustments applied to UK's sexual health care services as a response to COVID-19 pandemic lockdown and deployment of sexual health care providers to support other health care services. They discuss implemented service innovations such as 'Digital First' and 'Telehealth'. Dr John McSorley is a Consultant Physician in Sexual Health and HIV Medicine and President of BASHH (https://www.bashh.org/bashh-groups/board-and-trustees/elected-officers-and-representatives/dr-john-mcsorley/). To read more about this subject, please visit the STI section about COVID-19: https://sti.bmj.com/pages/collections/covid19/ and read the related blog post: https://blogs.bmj.com/sti/2020/10/12/sexual-health-and-covid-19/

The original content of this podcast was removed in September 2022 after a participant withdrew their consent. This was the first in a series of podcasts on HIV and COVID-19 co-infection, and was recorded at a time when vaccines and treatments were not yet available. You can find later episodes on HIV and COVID-19 co-infection on the Sexually Transmitted Infections channel: - https://soundcloud.com/bmjpodcasts/covid-19-vaccine-and-people-who-live-with-hiv?in=bmjpodcasts/sets/sti - https://soundcloud.com/bmjpodcasts/impact-of-hiv-infection-on-covid-19-clinical-outcome?in=bmjpodcasts/sets/sti There's also a blog post with further information and resources: - https://blogs.bmj.com/sti/2020/06/04/hiv-covid-19-podcast/