Abstract



RISE IN SYPHILIS ASSOCIATED WITH ‘CHEMSEX’ AND HIV PREP

Daniel Richardson

Brighton & Sussex University Hospitals NHS Trust, Brighton, UK

Brighton & Sussex Medical School, Brighton, UK

The complex interplay and ecology of sexual behaviour; social lives and behaviour including information technology; health interventions, particularly HIV prevention strategies and sexually transmitted infections are poorly understood. In this session I will describe the syndemic(s) of infectious syphilis in MSM, HIV PrEP and Chemsex and attempt to discuss how we as clinicians can support MSM involved in these syndemics to improve their (sexual) wellbeing and health. Rates of infectious syphilis have increased more than 1000% in parts of Europe and other urbanised settings in MSM over the past 20 years. At the same time we have seen incredible advances in HIV prevention (eg HIV PrEP), changes in sexual behaviour in MSM including using mobile phone apps to meet each other, and using novel recreational substances such as crystal methamphetamine, mephedrone and Gamma-hydroxybutyrate during sexual activity including group sex (Chemsex). The complex interplay between these phenomena is poorly understood. It is important that we continue to increase access to HIV PrEP as limiting the access with increase HIV transmission. It is important that we provide bespoke services and support for MSM using chemsex drugs. Syphilis PrEP is a novel prevention strategy which is currently under review.


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34 IUSTI Congress - European Congres on Sexually transmitted Infections and HIV/AIDS
TAMING THE TIDE of STIs & HIV
Bucharest, September 3-5,