A decade ago, there was still only five treatment options for gonorrhea, and even then, they had to try one, then another, and another before finding one that worked. On this day in 2017, CDC finally admitted what many of us already knew, gonorrhea was now wearing a SuperGonorrhea cape, and not 1 of the 5 known treatments had any effect on this STD.
Adolescents are disproportionately affected by STIs and STDs. Young people ages 15 to 24 represent 25 percent of the sexually active population, but acquire half of all new STIs and STDs.
This year alone, 10,000,000 young people, 13 years-of-age to 23, will contract one (1) or more STI or STD.
35 percent of teens ages 14 to 19 have Human papillomavirus (HPV).
Girls age 15 to 19 have the highest rates of Gonorrhea and the second highest rate of Chlamydia of any age group.
Chlamydia is a result of homosexual sex. Chlamydia isn’t the most dangerous sexually transmitted disease, but it is the most common in the U.S. However, Chlamydia can do serious, lasting damage to a woman’s reproductive system, in addition to potentially causing fatal complications to a fetus during pregnancy.
Gonorrhea is particularly concerning for disease specialists due to the emergence of antibiotic resistant strains of Gonorrhea, and continues to climb at an alarming rate.
Syphilis is already higher than anytime in the last 30 years, and continues to climb at an alarming rate.
Syphilis in pregnancy is the second leading cause of stillbirth globally, and also results in prematurity, low birthweight, neonatal death, and infections in newborns.
First, it must be said that HIV/AIDS stats are possibly as much as 50% or even higher, due to the fact that it is unknown how many cases go unreported, and there is no list compiled for Children newborn to 13 – 15 years-of-age.
HIV remains a leading cause of death worldwide and the leading cause of death globally among women of reproductive age.
Misguided beliefs about the disease, and sexual violence have contributed to these high rates. Women under the age of 40 including pregnant women are most affected.
Apparently, our government is operating in a plethora of sexual promiscuity and unsafe practices (but we already knew that). The data shows Washington DC also has the highest rate of gonorrhea, syphilis and HIV patients in the country.
However, our Dear Allies, the UK, seems content to be doing their best to keeping step with Our Dear Law Makers, and, by the way, Our Climate Change Brow Beaters in NATO, France, would just love to loudly protest their standing, although, as is their way of doing things, I’m pretty sure it would be well after the chance of doing something a bit easier to change things, as was the “Hitler entering The Rhineland Armed” fiasco.
Russia doesn’t seem to be wrapping up before hitting the sheets either, as it’s in the top five European countries for seven out of the eight diseases studied.
It’s probably because they’re not Putin any effort into progressing the federation’s conservative base.
WARNING! An upcoming Marvel Studios movie will include a homosexual superhero and a same-sex kiss in the film The Eternals, set to hit theaters on November 6.
One Million Moms needs your help to make sure as many people as possible are aware of Marvel pushing the LGBTQ agenda on families in the upcoming superhero movie The Eternals, which will be distributed by Walt Disney Studios.
1MM wants parents to be forewarned so they are not caught off guard with this upcoming Marvel film. This would surprise most conservative families since it would be unexpected so 1MM needs your help in getting the word out to as many people as possible.
Marvel has decided to be politically correct instead of providing family friendly programming. Marvel should stick to entertaining, not pushing an agenda.
Please share this with your friends and family to make sure they are aware of the gay superhero character in The Eternals and not blindsided by it. As moms, we all want to know when Marvel is attempting to desensitize our family by normalizing the LGBTQ lifestyle.
Medical Professionals – Trauma: How to address Child Physical Abuse
Arne H. Graff, M.D., is the division chair of Child Abuse Pediatrics at Mayo Clinic’s campus in Rochester, Minnesota. His desire is to equip providers for potential child physical abuse (CPA) cases, helping them feel as comfortable as possible and removing the fear of reporting. He offers perspective on CPA and what trauma professionals’ responsibilities are in this scenario.
How did you get into the child abuse field?
While I was working in North Dakota, a physician at Sanford Medical Center in Fargo talked me into working with him in a volunteer clinic. While there, I ran into enough child abuse cases that I realized I needed to get out of it or get better. So I did a fellowship in child abuse pediatrics.
Is child abuse common in Minnesota?
Around 84,000 reported cases of child maltreatment are reported each year in Minnesota, according to the Minnesota Department of Human Services and documented in the Child Maltreatment Report for 2017. Minnesota has as high an incidence as some other states, like California, but doesn’t see as large of numbers due to population differences between Minnesota and the other states.
There are about 1,500 identified maltreatment deaths in Minnesota each year, but this is assumed underreported due to the difficulty in identifying many of the deaths as clearly caused by maltreatment. In Rochester, Minnesota, and the immediate region, we have around 400 reported maltreatment cases each year.
(1,500÷365=4.1 Child Maltreatment deaths per day just in Minnesota, so how can so many distort the numbers by saying there has ever been 5 Child Maltreatment deaths each day in the last 100 years and possibly the last 150 years)
Which children are at highest risk of abuse?
A young child or infant is at highest risk.
Are any children overlooked for abuse?
Yes — teenagers. I don’t want us as providers to just focus on little kids. Teens have a similar CPA pattern as other children. It’s important you consider whether abuse is occurring if you see a 15-year-old with an injury that doesn’t align with the history. Don’t assume because they’re teenagers, they aren’t experiencing abuse.
Who abuses children?
People who have access to children hurt children: parents, child care providers, grandparents and school personnel. Anyone has the capacity to hurt children.
That said, it’s important to know that 82% of abusers are ages 18 to 44, and 80% of CPA is inflicted by parents, according to data from Child Welfare Information Gateway.
Is denial of mechanism of injury common in these cases? If so, any advice?
Since we don’t know how often abuse is missed, we can’t guess at how often it’s denied. Personal experience is that even with serious injuries, denial is common. Considering that one of the caregivers may not have knowledge of events that occurred with his or her partner, denial can be a normal answer. Therefore, asking about domestic as well as pet violence is important, and also interviewing caregivers separately. By emphasizing mandated reporting requirements and indicating concern about their child, we hopefully will maintain a working relationship with the family.
Any tips for assessing a child’s injury?
Every injury presented must be consistent with the child’s medical history and developmental ability. If it doesn’t line up, ask why. It doesn’t mean there’s abuse occurring, but it does mean something’s going on that doesn’t make sense.
Our job is to consider the injury’s cause — medical, accidental and then nonaccidental trauma — as well as medical history and mechanics. It’s not our job to immediately assume, if we don’t like how it looks, that somebody’s abused the child. We have to start with ruling out other options, especially with a nonverbal child.
In 30% to 40% of cases we see, we have to say we can’t determine if an injury was abuse or accidental, and we need to consider potential options for the injury.
How should I determine which tests are needed?
First, it’s important to know that exams have limits. You can’t determine abuse simply by physical exam. However, being financially responsible means to not shotgun and do every test available.
If you need to consult on a potential CPA case, my colleague Donald (Chris) C. Derauf, M.D., and I are available 24/7 every day for curbside consults at no cost. We do 300 to 400 of these a year. You may call us through the MATC to discuss what you’re seeing in a case, and we can advise on screening. We are your resource and encourage people to call and bounce things off us.
How do I figure out who did it?
You and I don’t care. It’s not our job. Our primary role is to prove it’s not abuse and look at accidental injuries or other conditions that may have caused the injury. Also, our job is not to rule out people who may have abused the child, or determine reason or intent — leave that to the legal system.
How can I help stop CPA?
If you can recognize CPA early through a sentinel event — a case where injuries in children nonmobile or under age 4 can’t be explained by a simple accident, such as significant bruising to the head or neck — you can make a difference. For these children, consider the injury to be caused by someone. Bruising in a nonmobile child should be a red flag if not immediately explained by multiple people.
Sentinel injuries, without witnessed accident, carry high risk of further injury or death. According to an article by Sheets and others in the April 2013 issue of Pediatrics, 27% of kids who’ve been seen by a provider and demonstrated to have had a sentinel event will return with serious injuries or dead.
What’s my responsibility?
These are critical steps for providers in potential CPA cases:
Identify other possible injury causes.
Recognize these things are serious. Once considering CPA as a potential cause, you are a mandated reporter. It doesn’t have to be proved, just suspected. You can’t simply write in your notes that you’re concerned and not report. You must contact child protective services about a safety plan and tell them why there’s concern.
Conduct testing in a timely manner; it’s important for safety and complete diagnosis.
Remember multiple types of abuse can coexist. Do a complete exam for neglect; don’t just focus on a bruise.
Don’t send the family home until all test results come through, or the child potentially may be going into an unsafe environment. While you’re doing your work, child protective services (CPS) will develop a safety plan. We can’t send the family out until this plan is finished and documented by the physician.
Make a complete description of the injury, including photos.
Any suggested approach with the family if CPA is suspected?
Since it’s not our role to decide who did it, I usually use this approach and advise providers to consider it. I say to the caregiver present: “With this type of injury, without a known medical problem causing it or a witnessed accident, I am concerned someone may have hurt your child. Because of this, I am a mandated reporter and have already spoken with child protective services. They will want to talk with you about safety plans for your child. I also want to recommend some tests that may better tell us why the injury occurred and if there are other injuries present we cannot see on the exam.”
It’s important to help families understand that just because the child looks happy and OK, it doesn’t rule out other injuries.
Any pitfalls you’d suggest avoiding with CPA?
We fail to recognize our blinders. If you’re homeless or a minority, statistics say CPA cases are overreported, according to a 2011 publication in Journal of the National Medical Association. However, studies indicate if you’re white middle class and present with an infant to the emergency room, people don’t even think about abuse. Also, if we know members of the family personally, there’s a tendency to say, “They are nice people. They wouldn’t do this.”
If we think there might be abuse, we need to get CPS involved, period. Letting our biases influence who we report puts kids at risk. Remember, reporting may help services be put in place to assist the family.
Which patients who’ve survived potential CPA need transfer for further work-up?
The work-up needs to be completed at the time the concern is raised. Depending on the child’s age, it may include:
A dilated eye exam by an eye expert, to be completed within 48 hours
A skeletal survey immediately and again in two to three weeks
A head CT if under age 1 or obvious head trauma
If testing can’t be completed, transfer to a larger center is indicated. If testing can be done and a safety plan put in place, the child may be evaluated at the local site only and be watched overnight or be sent home, depending on tests and exam.
Resource: MayoClinic.org This publication can be seen HERE complete with links.
Former Pine Ridge doctor sentenced for Child Sex Abuse
RAPID CITY, SD – A former Indian Health Service pediatrician was sentenced Monday for sexually abusing Native American children while on the Pine Ridge reservation in South Dakota.
Stanley Patrick Weber, 71, of Spearfish was sentenced in federal court to five consecutive life sentences for five aggravated sexual abuse charges, the U.S. Attorney’s Office said. Weber also was sentenced to 15 years on each of three counts of sexual abuse of a minor.
Weber was sentenced last year to 18 years in prison for similar crimes against boys on the Blackfeet Indian Reservation in Montana. His sentences in South Dakota all will be served consecutively to each other and also consecutive to his Montana sentence, the U.S. Attorney’s Office said.
Weber also was ordered to pay $800,000 in fines. The government says evidence at his trial showed that Weber sexually abused multiple Native American children between 1999 and 2011 while he was employed as an IHS pediatrician at Pine Ridge.
U.S. Attorney for South Dakota Ron Parsons said the sentence ensures that Weber “will never roam free again.”
DA Wants Re-Hearing for Social Workers
in Child Abuse Death of
Revised with previously filtered content
LOS ANGELES COUNTY, CA – Los Angeles County prosecutors are asking a state appellate court panel to reconsider its ruling that directed a lower court to dismiss charges against four social workers who were accused of failing to protect an 8-year-old Antelope Valley boy who was killed in May 2013.
“An autopsy showed that the boy had a fractured skull, several broken ribs and burns over much of his body. His teacher testified that she called Rodriguez multiple times to report that Gabriel told her that his mother punched him and shot him in the face with a BB gun.”
Prosecutors petitioned the three-justice panel from California’s 2nd District Court of Appeal to either re-hear or modify its opinion in the case of social workers Stefanie Rodriguez, 34, and Patricia Clement, 69, and two supervisors, Kevin Bom, 40, and Gregory Merritt, 64. The four were charged in March 2016 with one felony count each of child abuse and falsifying public records in connection with Gabriel Fernandez’s death.
Isauro Aguirre — the boyfriend of the child’s mother — was sentenced to death in June 2018 after being convicted of first-degree murder. Jurors found true the special circumstance allegation of murder involving the infliction of torture.
In a Jan. 6 ruling, the appellate court panel found that there was no probable cause to hold the two social workers and their supervisors on the charges and ruled that the trial court should have granted the defense’s motion to dismiss the case against them.
Associate Justice Victoria Gerrard Chaney concurred that the four could not be charged with child abuse, but wrote a dissenting opinion arguing that they could be prosecuted as public officers under the relevant government code section.
“Allowing a social worker to evade liability for falsifying a public document would incentivize social workers to put their own interests in avoiding liability for their misdeeds above the purpose of the state’s child welfare statutory scheme, which is child safety,” Chaney wrote.
“The petitioners’ actions here prevented the system from working in whatever way it might have had they done their jobs honestly, and offers no incentive for either DCFS or individual social workers to work to reform and repair the parts of the system that may fail the children it is intended to protect,” she added. “We have, in effect, encouraged DCFS and its social workers to cover their tracks if they stumble on the cracks in the system.”
In their petition for reconsideration of the decision on the social workers’ case, prosecutors wrote, “If facts known to petitioners suggested Gabriel’s caretakers would harm him, petitioners had a duty to control Pearl and Isauro, to protect Gabriel and to prevent Pearl and Isauro from murdering him. If petitioners weren’t supposed to protect Gabriel from his killers, who was? …. It was their duty to supervise and control Pearl and Isauro’s conduct when it came to how Pearl and Isauro treated Gabriel.”
An autopsy showed that the boy had a fractured skull, several broken ribs and burns over much of his body. His teacher testified that she called Rodriguez multiple times to report that Gabriel told her that his mother punched him and shot him in the face with a BB gun.
Defense attorneys argued that the abuse and torture escalated months after a file on the boy had been closed and that there was insufficient evidence to take him away from his mother.
A Feb. 18 pretrial hearing is scheduled in the case, which was effectively put on hold during the appellate court proceedings.