STI Prevention: Using Epidemiology to Inform Policy and Program 



 
 November 21, 2009

 
Course Syllabus


 

Prerequisites


Course Description

Considers features of sexually transmitted diseases relevant to their control, reviewing the natural history of the infections and laboratory diagnosis. Emphasizes public health practice control measures, including policy, behavior intervention, and medical screening/treatment intervention of sexually transmitted diseases.


Course Goal

To increase public health practitioners’ awareness of the scope of the STI problem and to demonstrate the application of biology, epidemiology, and behavioral aspects of STIs to the development of policy and program.


Course Objectives

Upon completion of this course, you will be able to:

  • Describe the etiology of common STIs
  • Define the epidemiology of selected STIs
  • Identify the clinical presentations of STIs and their sequelae
  • Explain the theoretical and practical issues related to the design and implementation of STI control interventions
  • Describe the social, policy, and political issues encountered in developing and implementing STI control interventions
  • Develop a presentation illustrating the importance of STI epidemiology to policy and program development

Course Topics

  • Gonorrhea
  • Chlamydia infections
  • Pelvic inflammatory disease
  • Vaginitis syndromes
  • Syphilis
  • Herpes simplex infections
  • Chancroid and other GUD
  • Human papillomavirus infections and cancer
  • HIV and STI interactions
  • Intervention and control approaches
  • STI surveillance
  • STI control and contraception
  • STI infections in pregnancy
  • Diagnostic methods
  • Social networks
  • International STI control
  • STI in adolescents
  • Social networks
  • STI and policy projects
  • Current epidemiological issues
  • Ethical issues

Course Format

This course is divided into four modules:

  1. The Basics—The goal is to introduce you to the course, the role of public health in STI prevention, and the epidemiology and control of STIs. There will also be a brief introduction to policy and program. The key concepts presented in this section lay the foundation and establishes a common language for the remainder of the course.
  2. STI-Specific Epidemiology and Biology—The goal is to gain appreciation of the epidemiologic and biological aspects of STIs that enable the development of prevention and control policy and program. Students are not expected to develop clinical or epidemiologic expertise, but rather to recognize STI infection patterns and manifestations (i.e., get a “virtual feel”) that inform policy and program.
  3. STI Policy and Program in Various Contexts—STI policy and programs exist in the context of human behavior. The goal of this module is to gain appreciation of the aspects of human behavior that enable the development of behavioral intervention programs in populations with varying risks of STI acquisitions and disease progression. Examples of successful behavioral intervention programs will be presented.
  4. Summary: Development of STI Policy and Program—The module ties together the skills and concepts taught in the course. The goal is to integrate knowledge of STI epidemiology, biology, and behavior into viable control policies and programs.

Exams and Grading Policy

Project (65%): This will be a briefing memo with an annotated bibliography and a three-minute slide presentation. Your presentation will be presented by you during one of the LiveTalk sessions at the end of the class (see schedule).
 
Midterm Exam (25%):
This will be an open-book exam consisting of several different question-style formats: multiple choice, true/false, and short answer. The exam will be taken online and you will not need a proctor.
 
Participation (10%):
Attendance and participation in LiveTalk and BBS discussions; lecture attendance.

 

Required Readings and Course References

There is no required text for this class. All the readings for this course are available through the website in the Online Library. Readings from CDC and other websites, which do not have copyright, are available either directly from the website, or through the library.

An eco-friendly suggestion: Nearly all materials can be saved to your computer. For PDF files (Acrobat), click the floppy disk icon that appears at the upper left side of the task bar. For other file types, you can click File>Save As. We suggest you make a file folder for the references in this course.

For materials in the Online Library:

  • The links are provided for the references. If a journal article does not download, go to the "e-journal" section at the WelchWeb menu and directly identify the journal reference.
  • New England Journal of Medicine references are available gratis six months after publication at http://www.nejm.org. The website will require a free registration process, even if you are downloading material through the Welch server.
  • In some cases, we have provided links or references to chapters in books such as Harrison’s Principles of Internal Medicine online. These are accessible in the "e-books" section of the Welch web site.
  • The main journals for the STI community are as follows:

    • Sexually Transmitted Diseases (published by the American STD Association), and
    • Sexually Transmitted Infections (published by the British Association for Sexual Health and HIV [BASHH]), and the
    • International Journal of STD and AIDS.

    Full text of all of these are available online from Welch. We encourage you to join the ASTDA and/or BASHH. Both have deeply discounted rates for students.

  • The definitive textbook in the field, Sexually Transmitted Diseases (Holmes, McGraw Hill. 1999) is a useful comprehensive reference, and is available at the Welch Library and in other medical school libraries.

Contact Information

The TAs for this course are Sheree Schwartz and Andrea Swartzendruber (STI380@jhsph.edu). Ms. Schwartz and Ms. Swartzendruber are your primary resources for any questions dealing with the course.

Primary Faculty

Jonathan Zenilman, MD
Professor of Medicine
Chief, Infectious Diseases Division
Johns Hopkins Bayview Medical Center
4940 Eastern Avenue  B-3 North
Baltimore, MD 21224
Email: jzenilm1@jhmi.edu  
Phone: 410-550-9080
Fax: 410-550-1169
 
Assistant: Lin Rucker: 
Email: brucker2@jhmi.edu

Corresponding Faculty

Terry Hogan, MPH
Administrator, Region III STD/HIV Prevention Training Center
Bayview Medical Campus
Mason F Lord Building, Center Tower, 4th Floor
Baltimore, MD 21224
Office: 410-550-6251
Fax: 410-550-2328
Voicemail: 410-545-1547
Cell phone: 410-446-6814

Email: mhogan2@jhmi.edu

Teaching Assistants

Sheree Schwartz, MPH
Johns Hopkins School of Public Health
Email: STI380@jhsph.edu

Andrea Swartzendruber, MPH
Johns Hopkins School of Public Health
Email: STI380@jhsph.edu 

 


Help

Concerns
Contact
Concerns about course topics and assignments
Technical concerns about the functionality and operation of course Web pages (before emailing, please make sure that you can replicate the problem)
  • DEHelp, the central help system for all tech support inquiries related to DED courses

Technical help on weekends
  • JHSPH User Support: 410-955-3781
Concerns about your Internet connection
  • Your Internet service provider (e.g., AT&T, Erols, etc.)
Concerns about your personal software
  • Your software vendor


Schedule

The Course Schedule outlines all the important course dates and deadlines but does not contain links to access course material. The Course Content page (password protected) is setup like the schedule page but provides access to course material.


Ethical Conduct

The academic ethics code, as discussed in the Policy and Procedure Memorandum for Students, March 31, 2002, will be adhered to in this class.


Disability Support Services

If you are a student with a documented disability who requires an academic accommodation, please contact Betty H. Addison in the Office of Career Services and Disability Support: dss@jhsph.edu, 410-955-3034, or Room E-1140.


 

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Copyright to individual contributions may be retained by contributing authors.