PEP for HIV Exposure? A New Widget's Maiden Voyage

Post-exposure prophylaxis, or PEP for short, is a course of anti-retroviral drugs that can reduce the risk of HIV sero-conversion after an exposure if taken in a timely manner. The guidelines for administering PEP have changed over time, and for doctors deciding when to go for it hasn't always been clear.

Now there's a widget to help!

The New York Times reported today about the release of a new tool to 200 emergency room doctors in New York State. The tool "walks users through a screening process to determine whether they are candidates for treatment, provides specific information about the 28-day course of antiretroviral drugs, and even links to consent forms in 22 languages, including Creole, Laotian and Yoruba."

The tool can be easily updated by the health department with changes in recommendations and statistics so that the doctors can always have the latest to go on. And with the critical window for PEP at less than 72 hours, its time that decision making is made easier. I'd be happy to see an evaluation of this trial period, and if successful, expansion to others states. Perhaps there are other health care decision making models that can be digitized. We'll see.

Internet-based Prevention Protocols Wiki - Style!

The National Guidelines for Internet Interventions have found their home on a wiki managed by consultant Stephan Adelson. The materials, the culmination of several long years of collecting, re-writing, updating and finessing, include documents and guidelines critical to those of us in public health using technology to prevent STDs and HIV.

Finally, all the good stuff together again in one place! Kind of like your dream version of the holidays. You have your Turkey (Executive Summary), your mashed potatoes (Guidelines for working with a variety of hook-up sites) and a variety of pies (freshly baked internet partner services guidelines) AND (hot off the rack Internet outreach guidelines).

And, most importantly, this wiki will not go down in history (like Columbus!)

HIV and STD guessing games

I have two tidbits today:

The first is that in the UK you can now send in a picture of your STD symptoms using your cell phone or a digital camera and have a doctor look at them. In response you will receive advice, or if it's really obvious, a prescription via email. There's a fee...but if you're choosing this route over inaction it seems best to use a high res camera, rather than your cellphone camera!

Another new guessing game (with a much different purpose) is the mtvU project Pos or not. The site presents photos of people and a little information about them. Then you are supposed to guess whether or not the person is HIV+. After guessing you get see if you were right. After several guesses you are given a zip code search box so that you can find a testing site in your area. Perhaps not being able to guess others' status reminds us that we don't always know our own.

Underwear Design Contest launches!

What if your underwear really did have the last word? Too many of us miss the opportunity to talk to our partners about STD/HIV prevention and other ways of maintaining a rockin' sex life.

inBrief is an underwear design contest where you get to design your own STD/HIV prevention slogan or sexual health motto on a pair of boxers, underpants or a T-Shirt. The winning design gets a 1000 bucks and we'll make a dozen pairs of your design! You have until May 15th!

We've partnered with Brickfish to run this contest because (they rock) each entry can be shared in multiple ways. You can email entries, blog them, and bookmark them. This way, sexual health messages can take on a course of their own! Brickfish even maps how viral the entries become and you can follow their progress.


Cyrene, of Fresh Focus Video Contest fame made us this sweet animation. (Check out her previous work, "Sex Monsters"). Feel free to re-post this video. Click 'share' for the embed code. Or, steal our press release.

And now...start making undies.

Youth Radio covers sexual health issues

Youth Radio offers media training to youth ages 14-17 to promote young people's intellectual and creative growth. Involved youth have access to industry professionals and get to participate in the production of award winning programming.

Youth Radio programming covers just about everything of interest to young adults. Here is a small taste of some of their STD, HIV and Sex Ed programming.

Get Tested

Shooting Down HPV

Latinos and AIDS

Changing the Course of Sex Education

To get involved as a youth check out these options.
To learn about supporting Youth Radio and their new expanded offices check out the Support Us page. A $200 donation provides field staff with recording equipment, and $50 provides teachers with supplies for after school tutoring.

Stay tuned to find out how Youth Radio may work with ISIS to report on the Sex::Tech conference.

STDtest.org will challenge STD & HIV testing norms

The Robert Wood Johnson Foundation recently threw a wrench in their grantmaking process with the advent of the Changemakers supported open source competition titled: Disruptive Innovations in Health and Health Care: Solutions people want.

ISIS has entered a proposal to expand STDtest.org to include gonorrhea, chlamydia, HIV and herpes in addition to syphilis. STDtest.org will allow people to receive FREE STD and HIV testing by printing out a lap slip, going to a local test site and then retrieving results online. HIV results will be given over the phone. The service smashes barriers to sexual health care that many people experience...those who cannot afford basic tests or those who rather not speak to a doctor about their history will have access to the tests they need in order to know their STD and HIV status.

Please comment on the ISIS / STDtest.org proposal to keep the dialog going and attract attention to this crucial "disruption technology."

So far there are 150 amazing entries from 23 countries all aimed at transforming health care and health care delivery through technology. The entry period ends tomorrow (last chance to comment on the entries), followed by a four period week period where the finalists are narrowed down to 12. Then there will be a two week period ending Aug 29 with the announcement of the winners. $5,000 will be given to three winners, with the potential of 5 million dollars for the project(s) with the most potential impact.

Help make STDtest.org a winner!

Join us at Sex::Tech in 2008

ISIS is excited to announce the first conference focusing on technology and HIV/STD prevention for youth! Co-hosted by SFSU's National Sexuality Resource Center (NSRC) and Institute for Next Generation Internet (INGI).

When: January 22-23, 2008 Downtown San Francisco
Why: To re-focus technology based prevention efforts for youth in exciting new ways!
Who: Sex::Tech 2008 will bring together young people as well as public health professionals, researchers, teachers, writers, tech industry folks and many more!

We are currently accepting abstracts and workshop proposals.

The conference is limited to 300 attendees, so make your move and register now! To guarantee a youthful presence, we're offering full-time students and people 25 and younger the stellar registration rate of 20 bucks!

Visit SXTechconference.org for full details, and tell a friend about Sex::Tech using our e-card feature.

Ask the Experts -National HIV Testing Day

National HIV testing day is June 27th. The Kaiser Family Foundation and Kaisernetwork.org will host an "Ask the Experts" webcast to discuss the revised HIV testing recommendations, public education campaigns, and new data from NASTAD.

When: Tuesday, June 26th, 3PM ET
Where: On their website
Who: There will be four panelists -

• Jill Braden Balderas, M.P.H. - Managing Editor for Kaisernetwork.org - Moderator

• Bernard Branson, M.D. - Associate Director, Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV, STD and TB Prevention Centers for Disease Control and Prevention

• Jennifer Cates, M.A., M.P.A. - Vice President, Director of HIV Policy Kaiser Family Foundation

• Murray Penner - Deputy Executive Director, Domestic Programs NASTAD

Ask questions before the program starts (or during if you get a late blooming idea) by emailing Ask @ Kaisernetwork dot org.

Games for Change & Interactive Nights Out

I've been reading Ian Bogost's live blog from the Games for Change Festival, taking place in New York yesterday and today.

Day 1
Day 2

Being in the sexual health/STD & HIV prevention world, I'm naturally searching for games and ideas with that sort of slant. This live blog is super helpful for getting an idea of the gaming-for-social-good groups and what their collective thoughts/disagreements look like.

Update: my other reliable videogame resource is also writing about this. Please see Sexy Videogameland and Gamasutra for more thoughtful coverage of Games for Change.

On a semi related note: earlier today I was forwarded this link (thanks Rachel) to a program/game called Interactive Nights Out 1 and 2. The synopsis begins as follows:

"Interactive Nights Out 1™ (INO1™) helps 17-25 year-olds make informed choices about HIV/AIDS, STDs, pregnancy, relationships, alcohol and other drugs. Players become the lead character in both male and female-centered movies, make choices for the characters, and witness the consequences of their decisions."

Has anyone played this yet? The mega roadblock for me is that you have to buy a license. The conditions of use are a bit stiff at $3,200. The idea seems to be that an organization buys it and installs it on a common computer at a convenient location for youth?

Adult Industry Medical - Testing the talent

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inSPOT adds FL, NYC, MN, Seattle and Toronto

We've been busy at ISIS that last few months replicating inSPOTs, our peer to peer online partner notification system for STIs and HIV.

New to the list are Florida, New York City, Minnesota, Seattle and Toronto.

For those of you unfamiliar with inSPOT, the service has two main features.
1. If you test positive for an STI or HIV, you can send an e-card, anonymous or not, to your partner(s) who you may have exposed.
2. The e-card recipient is linked directly to a map of local clinics and detailed information about the infectious agent that they may have been exposed to.

What does it take to make an inSPOT you ask?

• We verify every clinic's hours of operation, location, services, fees, populations served, insurance details and tests offered by phone to make sure that it is up to date and reliable for e-card recipients (or anyone who uses inSPOT to locate a clinic).
• We create a custom map searchable by zip code/postal code, county/province and by region.
• We compile an area specific resource list for each new area.
• Other tech-y details of course
  

Will the list keep growing?

• There are 5 more in the pipes. Your area may be next.

It is important to understand that the e-cards can be used by anyone in any jurisdiction. For the recipient not located in a city/state there are alternative ways to find clinics in your area.

In CA, the California Family Health Council (CFHC) list title X clinics searchable by zip code. Title X is the only federal program devoted to provision of family planning and reproduction health care. Title X clinics provide patient education and counseling; breast and pelvic exams; STD, HIV and cervical cancer screenings; and pregnancy counseling and diagnosis.

For STI testing outside of CA, if title X status doesn't matter to you, or if you rather talk to a person call the CDC hotline:

(800) 342-2437 or (800) 227-8922 for English,

(800) 344-7432 for Spanish or

(800) 243-7889 for TTY service.

The wait isn't that long and I got three reliable clinic referrals when I called.

For HIV testing:
HIVTest.org is the CDCs HIV testing clinic finder. Searchable by city, county, state, zip code, and type of testing offered (oral, anonymous, confidential, free). Very comprehensive.

Dotmen.net - man hunting tools of the future

The STOP AIDS Project, a San Francisco fixture since 1985, is dedicated to preventing HIV transmission among gay and bisexual men. Yesterday marked the launch of their new website Dotmen.net.

Feeding off their recent realignment towards a more structural approach, Dotmen.net provides tools for finessing your online hunt, tips for staying safe when hooking up (including from identity theft and muggings), and commentary about trends and language in the hookup world.

Hookinguponline.org, an older ISIS project, is decidedly less gadget based, and offers hookup safety gems in brief a slide show. The site was an adaptation from image-based print materials, which speaks to the image based presentation.

Regardless of approach, both sites aim to help folks who hookup online make better choices. For the more tech savvy crowd, increased search capability could help you find the sharpest needle in the haystack. For the cruisers without a minute to spare, Hookinguponline.org has all the tidbits you need to keep you on your toes.

Online Clinic Listings - STD, HIV, contraception, etc.

If you need an HIV test, STD screening or contraception and family planning services where can you go? Many of us are familiar with what's in our own neighborhoods and where we can go, but in rural areas it's not always that easy. It can be even more challenging if you are seeking confidential services.

Here are some resources we know of. If you have a search tool you use let us know so we can add to this list for clinic sleuths nationwide.

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The California Family Health Council (CFHC) list title X clinics searchable by zip code. Title X is the only federal program devoted to provision of family planning and reproduction health care. Title X clinics provide patient education and counseling; breast and pelvic exams; STD, HIV and cervical cancer screenings; and pregnancy counseling and diagnosis.

HIVTest.org is the CDCs HIV testing clinic finder. Searchable by city, county, state, zip code, and type of testing offered (oral, anonymous, confidential, free).

InSPOT.org, the peer-to-peer STD and HIV notification system has clinic search functionality. Each city or state has a map with clickable regions. Shown above is Minnesota, the latest to launch. InSPOT clinics are searchable three ways.

HIV/AIDS Video Game

Kaiser Family Foundation and mtvU are offering $75,000 in development and marketing support and a $5,000 prize to a college student who can pitch the best HIV/AIDS awareness viral video game (application here).

"Successfull ideas must:

1. Raise awareness about the prevalence of HIV/AIDS among 15-24 year olds in the United States and educate about key methods of prevention and risk reduction.
2. Identify ways to stop the spread of HIV/AIDS, with a focus on personal action.
3. Address the silence, stigma and discrimination surrounding HIV/AIDS.
4. Be interactive and able to live and be spread online.

Keep the following in consideration:

1. Be hopeful and empowering.
2. Entertain and engage the audience.
3. Not stigmatize or stereotype high risk groups.
4. Be unique and not afraid to push the envelope.
5. Be original to entrants and not have been released commercially in order to be eligible for consideration in this contest."

To my knowledge, no video game has been shown to be an effective public health intervention. By taking advantage of the target audience, and harnessing their promotion powers (read: ability to click send) there may be a shot at creating some buzz. If the problem with most interventions aimed at youth has been that no one sees it, the viral approach a la "Where the Hell is Matt" or "Darfur is Dying" or any Snakes on a Plane hubbub is a good start, as well as partnering with MTV. Anything that says, in not as many words, "from your health department" will never be cool enough to share.

A game that could visualize kids' social/sexual networks with a creative HIV transmission dynamics overlay would keep my attention. But a 15 year old...? Who knows.