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Owego 1 Owego Apalachin Central School District Business Office 36 Talcott Street Owego, New York 13827 Randy Pryor Business Official Phone: (607) 687-6215 Fax: (607) 687-6313 Nov. 21, 2011 NYCLU 125 Broad Street, 19th Floor N ew York, NY 10004 Dear Ms Alexis Kateron, Esq: Attached you will find documents fulfilling your FOIL request for" all records concerning lessons on the topics of gender identity, sexual anatomy, sexual behaviors, sexual decision-making, healthy relationships, etc ... ". Sincerely, a~6{s¡ (J RandyPOr Owego 2 Owego Apalachin Middle School I . Personal Development Grade 8 Owego 3 ¡,I" ft ¡:-/I :1... ,:&' ir ( (!III l' , -,¡ ¡: I '-""' t I ~( I ¡, '~~ otall '>'~"'T .. _-I~,. , .' -" "- , .-"",. .-, ".' r ""n' " "~.\ ..., ...., .;',,,..,, .'....... "",- .- " :J' .:"-t ( •.....:.r:-.. .. ,. l· '",,-.~i . ¡.~ ,.;:" '- ~---,.,- . .. "....... ._ .... " .... " ••. c. ~ L ... "~ ">.'" .• "'~"'"' '"''''''~k.~~'"''' ......_.".",._.,.•• __ __.""" £·::-:-:e.L ..... " ¡ h~ .",J _ ""-~".! .. j Owego 4 /fi) ---r-' Vr" ",-r~ [)-- (l ">' ) f' ¡;1:;', <.> ) .I ! ",_J< " J /' .---' ,,';~~ /I'l -) ' \, <, ", .-" , .', '''"'':-..- ?(,", J'I/,/ -- ,."..~"'I""" ","! I ,:. \ ..) "'-,._"' ..... .../ "',r'/' ,/'"-----'.' ." \ ;rl i } ':'-_.) e, I~-' _.>~ )) '\"{' . /1.",' .....,,;,~. , -. ';, l,' ,.: I ~.' I r-"" ' ..... ,.: , ............ --..,.,-, l, .' .: / -."-=-_ ....~~~ ' , '- _ ..,:: 1~:~'/~' ~~ I I ,"_~""~~M"':::~r./r:~ ., .. ' "'.. /1'11' ::: ...",t , I "~~ "'.......... ..,"" ..,..... ,.... ."" .. ~ oi ".'0" ' ....... :, r<.• .....,,,.,,,' .".,' oJ , ... , ...." •.• .,.i ~"~. ~"',.- ''''"'''''-''' ..,.. -, .,....~'1.-":--~ .. ..... , ,-C' " ~: " r' ,,·.... N'V"'- ... .-~""'~"-, '', ....,.~ , - - ". " . ;'""~'~"'-'-"''''' -v. -l ,>' "~""' ... "-""" '., """"'-"~""-. ,f " fl / t' ,'(" ,y': .: ":;. ISBN O~02-280441-2 -v ·~.c" ~ 99701 ' ' .. ,., '~" ._-' oP '-~.,' Macmillan/McGraw-Hill zz 9 780022 8 A Division ofTheMcGrawHiUCompanies ".' ''''''''''' 804411 .v- <' .•...-""0." ./ '- ,-..,,"'- Owego 5 ---------- .. Credits Cover Design and Illustration: Devost Design èover photo: Photobise Photos: All photographs are-by Macmillan/McGraw-Hili and Dave Mager for MMH, except as noted be/ow. (MMH); Roman Sapecki; Lew Lause; Ken Karp for MMH; Front Matter: Sl: Bob Daemmrich/The Image Works; 52: Richard Hutchings/Photo Edit; 53: mr. Tony Freeman/Photo Edit; te. Michael Newman/Photo Edit; 54: Blair Seitz/Photo Researchers; 57: David YoungWolff/Photo Edit; 58: Bob Daemmrlch/Stock Boston; 511:Dennis O'Ciair/Stone; 512:Jonathan Nourok/Photo Edit; 515:David Young-Wolff/PhotoEd It; 516:Jeff Greenberg/Visuals Unlimited .. illustrations: Jennifer King,Dave Odell Unit 10 outlines emergency care procedures that reflect the standard of knowledge and accepted practices in the United. States at the time this book was published. It is the teacher's responsibility to stay informed of changes in emergency care procedures in order to teach current accepted practices. The teacher can also recommend that students gain complete, comprehensive training from courses offered by the American Red Cross. RFB&D~ leaming through listening Students with print disabilities may be eligible to obtain an accessible, audio version of the pupil edition of this textbook. Please call Recording for the Blind & Dyslexic at 1-800-221-4792 for complete information. Macmillan/McGraw-Hill tz A Division ofTheMcGraw·HiUCompanies Macmillan/McGraw-Hili A Division of The McGraw-Hili Companies Published by Macmillan/McGraw-HilI, of McGraw-Hili Education, a division ofThe McGraw-Hili Companies, Inc., Two Penn Plaza, New York, New York, 10121. Copyright © 2003 by Macmillan/McGraw-HilI. All rights reserved. No part of this publication may be reproduced or distributed' in any form or by any means, or stored in a database or retrieval system, without the prior written consent of The McGraw-Hili Companies, Inc., Including, but not limited to, network storage or transmission, or .broadcast for distance learning. . Printedïn the United States of America ISBN0-02-280441-2/8 3 4 5 6 7 8 9 055/027 07 06 05 04 03 Owego 6 all ( ,~ Teacher's Lesson Plan Binder GRADE \ .... __ .. ) 8 ~ -Macmillan tnIlIi McGraw-Hili NewYork Farmington Owego 7 Credits Cover Design and illustration: Devost Design Cover Photo': photoDisc Photos: All photographs are by Macmillan/McGraw-Hill (MMH); Roman Sapecki; Lew Lause; Ken Karp for MMH; and Dave Mager for MMH, except as noted below, Front Matter: Sl: Bob Daemmrich/The Image Works; S2: Richard Hutchings/Photo Edit; S3: mr; Tony Freeman/Photo Edit; tco Michael Newman/Photo Edit; S4: Blair Seitz/Photo Researchers; S7: David YoungWolff/Photo Edit; S8: Bob Daemmrich/Stock Boston; S11:Dennis O'Ciair/Stone; S12:Jonathan Nourok/Photo Edit; S15:David Young-Wolff/PhotoEdit; S16:Jeff Greenberg/Visuals Unlimited, illustrations: Jennifer King, Dave Odell , Unit 10 outlines emergency care procedures that reflect the standard of knowledge and accepted practices in the United States at the time this book was published, It is the teacher's responsibility to stay informed of changes in emergency care procedures in order to teach currently accepted practices. The teacher also can recommend that students gain complete, comprehensive training from courses offered by the American Red Cross. Macmillan/McGraw-Hill 'ZZ A Division of The McGraw·'Hill Companies Published by Macmillan/McGraw-Hill, of McGraw-Hill Education, a division ofThe McGraw-Hill Companies, Inc., Two Penn Plaza, New York, New York 10121. A 2003 printing by Macmillan/McGraw-Hill. Copyright © 1999 by Macmillan/McGraw-Hill. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the proper written permission of the publisher. Purchasers of this program have the publisher's permission to reproduce pages intended for use with students and/or family members. Printed In the United States of America 3 4 5 6 7 8 9 028 07 06 05 04 03 c Owego 8 Lesson 11 Lesson 12 Moving Toward Maturity The Amazing Body Lesson Plan 12: lesson Plan 11: My Body: Greatest Hits l01 Lesson 11 Review: Answer Key Blackline Master: Fami/y 705 708 Hea/th News/etter Blackline Master: The Centra/ Nervous System 709 Blackline Master: The Peripheral 7 70 Nervous System Blackline Master: Five Ways to Care for Your Nervous System 117 Lesson 12 Review: Answer Key Blackline Master: The Endocrine System ,729 131 Blackline Master: 2 Ways to Care for Your Endocrine System : 132 Blackline Master: The Fema/e Reproductive System 133 Blackline Master: The Ma/e Reproductive System 134 Lesson 13 Blackline Master: The Circulatory System Blackline Master: The Heart Blackline Master: Six Ways to Care for Your Circulatory System 112 713 The Respiratory System 714 175 116 Blackline Master: The Ske/etal System .. 117 Blackline Master: Five Ways to Care for Your Ske/eta/ System 118 Blackline Master: The Muscu/ar System Book Bag Baby 71 g Blackline Master: Six Ways to Care for Your Muscular System ; 720 Blackline Master: The Integumentary System 727 Blackline Master: Seven Ways to Care for Your Integumentary System 722 Blackline Master: The Digestive System 723 Blackline Master: The Urinary System 724 Blackline Master: Four Ways to Care for . Your Digestive System and Your Urinary System , 125 135 . Lesson 13 Review: Answer Key 138 Blackline Master: Positioning of the Baby During the Birth Process Blackline Master: Five Ways to Care for Your Respiratory System Learning About Pregnancy and Childbirth Lesson Plan 13: Blackline Master: \, - Clocking Growth .•••••••••••••••••••••••••• 126 140 Lesson14 Understanding the Stages in the Life Cycle Lesson Plan 14: Steps Toward Maturity •••••••••••••••••• 141 Lesson 14 Review: Answer Key 145 Blackline Master: Deve/opmental Tasks of Ado/escence 146 Blackline Master: Ways to Help You Learn 147 Lesson 15 Aging, Dying, and Death lesson Plan 15: Looking Ahead •••••••••••••••••••••••••••••. 148 Lesson 15 Review: Answer Key Blackline Master: Ten Secrets of Hea/thful Aging Unit 3 Review: Answer Key Copyright by Meeks Heit Publishing Company 151 152 153 v Owego 9 Lesson 16 Lesson 19 Power Eating Weight...Conscious and Wise '"c;.•.•• Lesson Plan 16: Nutrient Match~Up 1SS Lesson Plan 19: . Wise About Weight 182 759 Lesson 19 Review: Answer Key 185 167 Blackline Master: Range for Desirable ·Weight Gain (females) 186 Blackline Master: The Six Basic Classes of Nutrients 762 Blackline Master: Range for Desirable Weight Gain (males) 187 Blackline Master: Vitamins 763 Blackline Master: Minerals 164 Blackline Master: Activities and Calories .....•...................... 188 765 Blackline Master: Losing Weight Lesson 16 Review: Answer Kev ~ Blackline Master: Family Health Newsletter Blackline Master: The Food Guide Pyramid Steps for Gaining and 789 Lesson 17 Lesson 20 Eating for Health Being Confident with Your Body Image Lesson Plan 17: Foodball·•••••••••••••••••••••••••••••••••••••••• 166 Lesson 17 Review: Answer Key Blackline Master: Guidelines 169 The Dietary 771 Blackline Master: Six Ways to Reduce Cholestero/ in Your Body 172. Blackline Master: Guide/ines to Reduce the Risk of Cancer ; 773 Lesson Plan 20: Collage of Confidence •••••••••••••••••• 190 Lesson 20 Review: Answer Key 793 Blackline Master: Anorexia Nervosa 794 Blackline Master: Bulimia 195 Blackline Master: .Obesity 196 Unit 4 Review: Answer Key 197 Lesson 18 The Cautious Consumer Lesson Plan 18: Nutrition Categories ••••••••• +••• ++••• ~.174 Lesson 18 Review: Answer Key 177' Blackline Master: Food Labels 778 Blackline Master: Fast Food Chart 179 Blackline Master: The Restaurant Guide 180 Blackline Master: 181 vi Nutrition Facts Copyright by Meeks Heit Publishing Company \- Owego 10 ~" .- ..:. .. . I .' ....,",". on, 't.!'". t.~:" As you read this introduction, you will learn about the seven health standards. A health standard is something you must know and be able to do to be healthy. These are the health standards. Comprehend Health Facts Access Valid Health Information, Products, and Services -~ -, i ,I ¡ ~ ,¡il Make Health Behavior Contracts .1)\ Analyze Influences on Health -.~:;;¡ " .,.;'. Communicate ;' ;;. '.:'i'. ..'~ -«. ¡'Y", " ;i ,- ,.. "-, in Healthful Ways Make Responsible Decisions Owego 11 ·-~.::t;-:'AiO-~- .,~ .. ,,, .. , »<> .",¿¡.~¡ '-Ù ... s- I I I I i I I Students will ~-.} comprehend , concepts related ~ to health promotion and I disease I I :V:~f:';: "-'1 "Jr I :~;l~-~';· .' i ! prevention. , "T , .:'! statement about health. Health facts help you know what you need to do to be healthy. This textbook is organized into ten units to help you find health facts easily. For example, one unit is called Nutrition. It has health facts about nutrition and diet. These health facts help you know how to plan a healthful diet. Suppose you want to reduce your risk of heart disease. You will learn health facts about the relationship between diet and heart disease. You will learnthat broiled chicken is more healthful than fried chicken . -c!, ·.~l ::"-~'i',;.".-._' 2. Ask questions if you do not comprehend health facts. As you study health facts, you might have ;'. u questions. For example, you might ask, "Why is broiled chicken more healthful than fried chicken?" The answer is that fats from frying chicken can build up on artery walls. This reduces blood flow. This answer gives you a better understanding of health facts. ·.t,"'E·;·'-.'~·>·>'-' tt~!,~:>.:" ,~;l;:!:' 1. Study and learn health facts. A health fact is a true .;~; .. ,'.-)~'.',:,. C,----\ '~. .". { '---../ ards \ ) Owego 12 ....._~ .. ~ .... 3. Answer questions to show you comprehend health facts. Your teacher or someone else might ask a question to learn what you understand. For example, you might be asked, "Is broiled fish or fried fish more healthful for the heart?" Your answer should be broiled fish. You comprehend health facts. You understand that eating fried foods increases the fats you eat. These fats can build up on your artery walls. 4. Use health facts tIO practice me skîlls, A life skill is a healthful action that is learned and practiced for a lifetime. This textbook contains a listoflife skills. Each lesson in the book begins with one ormore life skills. This is one of the life skills: I will Plan a healthful diet that reduces the risk of disease. Suppose you want to practice this life skill. You rely on health facts. You know that eating fried foods increases the risk of heart disease. You also know that broiled foods do not have as much fat. You order a broiled chicken sandwich rather than a fried chicken sandwich at a fast food restaurant. fl Practicing Health Standards' 53 Owego 13 :"""'.':..•""·r~"···"~''''''.'''·'' ,'~.""~""".'.' ."" '"=""- -""'''-'' ,., ""M'" t""".,.~ •.•"."....... --'~:':'-,'~':' '''.~.:~••"., ..",••'" ~., - ••""'." ' ,.~., -~.•~...,.."".••.•.. """'M~!~ 'i J Students will demonstrate the ,;~ )1 ;,~ valid health k '5 ;tl information and ~¡{ health-promoting ';1;; .. L, ..<"' "" .. ,. ability to access ~.~~ ,~:¡ (J ;,<;1 y~ . products and ,'l ); ·;:'-;:t". ',.");.'. '.~"~' ';¡'~rl::i:::'~::;'~ ,J -s ".~ 'Jl t•••. ,.. :,.~ •;~;-:-: . •.· : '. "·-".';'l\·, ::~.;"':";~~:'-.:-,~ :-.r. :~:,':~!'.,~ services. 1. Identify health Intormatlcn, products, and services you need. Suppose you aregoing to be in the sun and want to protect against skin cancer. You need health information. You need to know about harmful rays from the sun. You need health products. A health product is something that is produced and used for health. If you are going to be in the sun, you need sunscreen lotion. You need health services. A health service is the help provided by a health care provider or health care facility. A health care provider is a trained professional who provides people with health care. Some health care providers are dentists, doctors, pharmacists, and police officers. A health care facility is a place where people receive health care. A hospital and a mental health clinic are health care facilities. 2. locate health information, products, and services. Suppose you need health information. Use Some Sources of Health-Related Information. Suppose you need health products. You can get health products from a health care provider. You might purchase health products at a store. Most likely, your parents or guardian get you health products. Suppose you need health services. You might find health services in the telephone directory. Most likely, your parents or guardian help you get health services. " ¡", ( -. \ :'i$",··;,.!·V;,:M ...;,:;;''''~· l, Owego 14 o;. "0-.":-·,. .'. '. __ : < ~.. - Some Sources of HeaBth~Related Information Health care professionals, such as your physician or dentist Centers torDisease Control and Prevention (CDC) National Health Information Center Professional organizations, such as the American Red Cross, American Heart Association, American Cancer Society, American Medical Association, American Association for Health Education Books, such as this textbook Medical journals Computer products and services such as CD~ROMs and the World Wide Web Your health teacher Videos and television programs You might have to get help for an emergency. An emergency is a serious situation that occurs without warning and calls for quick action. Learn the emergency telephone numbers in your area. There might be a 9-1-1 emergency number to get help from the fire department, police, and emergency medical services. If not, dial the operator (the number O). How to Make an Emergency Telephone Call • Remain calm and give your name. • Tell the exact place of the emergency. • Tell what happened, the number of people involved, and what has already been done. • Give the number of the telephone you are using. • Listen to what you aretold to do. Write down directions if necessary. • Do not hang up until you are told to do so. • Stay with the personar persons needing help until emergency care arrives. Practicing Health Standards SS Owego 15 '"~''' •. ~~~~ :.~.. ~ ~~~~~~.,~~~~~~~~.~. 3. Evaluate health information, products, and services. Sometimes you need help deciding if the health information you got is reliable. Use A Guide to Evaluating Health-Related Information. Sometimes you need help evaluating health products and health services. Use Questions to Help Evaluate Health Products and Services. Nutl'Îtion Facts Ö,"':. $110 114 cup (6Ig) £S'N~91; Pllr C~n\i\hlCr about 7 ~r,\G~n!~cr se':ll.~e_...... ,._..... ,_ ~~\5_-..,.,~~Ø~lIr tJ~IIID' ¡,\OÙ;.I OÙ::::.·.·.·:·::·.·.:§S S.di"!" 2.80",.9. . ~~, M._.r~1 TotClI~arb. 3g ."' hhel l.ess 1!!~~l1q".~~~~ "/4 tt?1~~'ír¡:: p~~~~~\:~s Îhån·lg· ··.... .:.'.·~.:l.;rst,.~.~.i.!.,.::~~ I:~~"" ; (l6~,~ • Vit~m!nG10~ ... ~!' f:;,l~:::;,;:;:::;:;~;;::;;~~t¿;f~.~~~~~~~i~;"· \':;~;!~ ;¡!~~!'!I ~tln ; ·'·Y;':,~!-(;'~,"l ':-",:,.,: 'j",.: .. What is the source of the information? What are the qualifications of the researcher, author, speaker, organization, or group providing the information? • Is the information based on current research and scientific knowledge or is it the opinion of certain individuals or groups? .. Have reputable health care professionals evaluated the information and accepted it? .. Is the purpose of sharing the information to inform you or to convince you that you need to buy a specific product or service? .. Is the information provided in a way that educates you without trying to appeal to your emotions? .. Are you able to get additional information if you request it? .. Does the information make realistic claims? " . ,~ , ¥~ III f~ , ~ .,~ I I I I C ....• l- A Guide to Evaluating Health ..Related Information ··~"''cl¡~,;;i,:~ ~;¡':~'-. Questions to Help Evaluate Health Products and Services • Do I really need the product or service? • Do I understand what the product or service does and 110W to use it? • Is the product or service safe? .. Is the product or service worth the price? • Is the product or service of high quality? • What can I do about the product or service if I am not satisfied? • What do consumer agencies have to say about the product or service? (,.. s Owego 16 ~' . . l;: 4. Take action when health tntormatíon is misleading. Take action when y€'lU are not satisfied with health products and services. You might hear, read, or see inaccurate health information. Suppose you are not satisfied with health products or health services. You might write a letter of complaint or contact a federal agency. Federal Agencies to Help 'Iou with a Complaint • The Food and Drug Administration (FDA) checks and enforces the safety of food, drugs, medical devices, and cosmetics. The FDA has the authority to recall products. A product recall is an order to take a product off the market because of safety concerns. The FDA Consumer Affairs Information Line is 1-800-532-4440. GI The Federal Trade Commission (FTC) checks advertising practices. The FTC can stop certain advertisements or force an advertiser to chanqe the wording in advertisements. GI· The Consumer Product Safety Commission (CPSC) establishes and enforces product safety standards. The CPSC has the authority to recall products. GI The United States Postal Service (USPS) protects the public when products and services are sold through the mail. Contact your local post office or call the Postal Grime Hotline at 1-800-654-8896. 0:~ Owego 17 ""'--'~~:--""''',:,,">.' "'." .....~":":'."".,.,. •.~."!"-'.".-,-"¡,.~" .•'1...."""1.""r-' "":-"~-"'.'.~" "'~~"""~~'~."-'''''''''''''''''''~'.''':'. '.,. ~'_.~'~" o~ ••• ,.,.,·..,,,,".~ .... ~,, ••,.,,..,., .. "C'- ,. ....,' O','" ~"." ""' __ "~'." '.'~'»' ¡P I " :, :.; Students will demonstrate the '~ ability to practice 1/1' W· f.! " ?nl¿'_-"j;";~,1",;:':;'" ... "'.",""'" ,',' health-enhancing '.\~ ~ -a behaviors and '. Use a health behavior contract to practice healthful behavior and reduce health risks. A healthful behavior is an action that • promotes health; . • prevents illness, injury, and premature death; • and improves the quality of the environment. .:¡ :í~ reduce health ·ä risks. " ,,,,,,¡:¿:;:;-.;;¡:-:,., •. 'J. A health behavior contract is a written plan to develop the habit of practicing a life skill. When you practice life skills, you reduce health risks. ,N 1. Tell the life skill you want to practice. Decide on a j;'r.:.V, ,'li ·"'.·'.Æ,';": ./', ",~ life skill. For example, you might want to manage stress. Stress is the body's reaction to the demands of daily living. Too much stress is a health risk. You practice healthful behavior when you make a health behavior contract for this life skill: I will follow a Plan to manage stress. ;,1 ú \~: e 'Ii .\~ (, 2. Write a few statements describing how the life skill will affect your health. Explain how practicing this life skill helps you to reduce health risks. Write a few statements about these health risks. me 3. Design a specific plan to practice the skill and él way to record your progress in making the skBUa habit. Tell what you will do to practice the life skill. Choose actions and write them on your plan. Then make a calendar or other way to record what you do. Set a time frame. me 4. Descrübe the results you got when you tried the plan. After the end of the time frame, review how well you did. Did you follow the plan you made? Did anything get in the way? What did you enjoy about the pian? How might you improve the plan? c ards Owego 18 __ Date: Name: Life skill: _ I will follow a plan to manage stress. Effect on My Health: If I manage stress, I will be less likely to have a headache and stomachache. I will keep my body strong. Then I will be better able to resist colds and flu. I will be less likely to have an accident. My Plan: I will deal with stressors. I will talk to my parents or guardian about the cause of stress. I will protect my health. I will take a brisk walk each day. I will keep a journal for a week. I will staple my journal to this health behavior contract. I will record the stressors I experience and tell if I spoke to my parents or guardian about them. I will keep a record of the days on which I tooka brisk walk. How My Plan Worked: (Complete after one week). I talked with my parents about stressers on two days. I took a brisk walk on three days. I feel better when I talk with my parents and take a brisk walk. I will take these actions more often. Practicing Health Standards S9 Owego 19 ,'" ., ., 'j¡' _,:i' ,,:..: -,~..;;¡; ';~~'.~~'~~.';'~ "':.;-,;~:;i:.'~~~'~ ., :,,·c··· .. ·..'· " "' .. ,. J""··" · .. ·, .. ··.. "··,,,· .. ·.··,·'.':".· .. ,,c·,'.; .. · '".",'"., ..".... ,.": .., .. ":, .. ,,,,, ..,, ..,,,,,,,,,.,., .. ,,,,,! • ¡ • i ¡ I .. Students will Students will analyze the influence of culture, media, technology, and other factors on health. analyze the influence of culture, media, technology, and other factors on , i health. i I .,) : (. I I I l' I : .j;;;;,.;.,-(.' ....',., 1. Identify people and things that might influence you. Be aware of people and things that influence you. For example, what people influence you? Your parents or guardian? Other family members? Friends? Heroes from television or sports? What things influence you? Do the media influence you? Media are the various forms of mass communication. Are you influenced by ads on TV? On radio? In magazines or newspapers? Does technology influence you? Technology is the use of high-tech equipment to communicate information. Are you influenced by computer games? Ads or articles on the World Wide Web? CD-ROMs? Videos? Does culture influence you? Culture is the arts, beliefs, and customs that make up a way oflife for a group' of people at a certain time. Do family customs influence you? ( 2. Evaluate the effects the influence might have on health. Use the Guidelines for Analyzing Influences on Health", Answer Yes or No to each question. Note: All six questions might not apply. Guidelines for Analyzing Influences on Health® 1. Does this influence promote healthful behavior? 2. Does this influence promote safe behavior? 3. Does this influence promote legal behavior? 4. Does this influence promote behavior that shows respect for myself and others? 5. Does this influence promote behavior that follows the guidelines of responsible adults, such as my parents or guardian? 6. Does this influence promote behavior that shows good character? \, () Owego 20 3. Choose positive influences on health. Review your answers to the six questions. Did you answer YES to the questions that applied? If so, the influence has a positive effect on health. For example, you might see a TV ad that encourages teens to be drug-free. You use the six questions to evaluate the effects of this TV ad on you. You answer YES to all six questions. It is a wise use of your time to view this ad. 4. Protect yourself 'from negative influences on health. Did you answer NO to one or more of the six questions? If so, the influence might have a negative effect on health. For example, you might listen to a song on the radio. The lyrics might encourage violence and include bad words. Your NO answers to the questions indicate this is a negative influence. It does not mean that you will be violent or use bad words. But you still must protect yourself from the potential that it might. Avoid listening to this song. Change the radio channel. Do not buy the CD that has this song on it. Owego 21 .. "','.'" 1"';'\": <:~¿:"'\.'¡;'-,' t'~:~ ::-i.(..~y.::' .:-,\i.:'~ ..t;.i:~-4~!":'~~:-£·~:'.';'~_~}'~.:·_ß "'!""",'--""--'~~'.-" ",._>, ••,."",-', ',.,.:., •.,': . .,.... ,.,ó' •.• ,,,'~~'.".';' ~'-">"'I"';-"I:-;•• '~"! ;'.,.". j ( '~ Students will demonstrate the ability to use interpersonal ;.J ., J communication skills to enhance "ll "."., •• ;; ••••••• , :,,1 :~ Communication is the sharing of feelings, thoughts, and information with another person. How well do you communicate with others? Are you able to say NO to an action? Are you able to leave a situation? Are you able to settle disagreements without fighting? These are skills you can use. Use Resistance Skins health. ,I What would you do if someone asked you to do something that was harmful? Unsafe? Illegal? Disrespectful? That did not follow the guidelines of responsible adults? That did not show good character? You can use resistance skills. Resistance skills, or refusal skills, are skills that are used to say NO to an action or to leave a situation. ,;;I "..:."•.•. "7·",, .. ( 1. Say NO in a firm voice. 2. Give reasons for saying NO. 3. Be certain your behavior matches your words. 4. Avoid situations in which there will be pressure to make wrong decisions. 5. Avoid being with people who make wrong decisions. 6. Resist pressure to do something illegal. 7. Influence others to make responsible decisions rather than wrong decisions. o dards Owego 22 I '. ~~;" Use Conflict Resolution SkUls Have you ever had a conflict or disagreement with someone? Did communication break down? Did you settle the disagreement without fighting? Did you settle the disagreement in a responsible way? Conflict resolution skills are steps that can be taken to settle a disagreement in a responsible way. 1. Remain calm. 2. Discuss the ground rules with the other person. e Do not blame. • Do not use put-downs. e Do not interrupt CI Do not use threats. -. 3. Describe the conflict. e Tell what you think happened. • Be honest about what you have said or done to cause the conflict. o Use l-messages to express your feelings about the conflict. o Allow the other person to describe what (s)he thinks happened. • Listen without interrupting .. • Respond to the other person's feelings. 4. Brainstorm a list of possible solutions. 5. Use the six questions from The Responsible Decision-Making Model" to evaluate each possible solution. It Will the solution lead to actions that are healthful? e Will the solution lead to actions that are safe? • Will the solution lead to actions that are legal? e Will the solution lead to actions that show respect for you and others? o Will the solution lead to actions that follow the guidelines of responsible adults, such as your parents or guardian? .iII Will the solution lead to actions that show good character? 6. Agree on a solution. .. Keep your word and follow the solution on which you agreed . .7. Ask a trusted adult for help if you cannot agree on a solution. Practicing Health Standards S13 Owego 23 "..¡ ~ '.l',: .,' ; " ~"~'.':, 't:';.::/!';(-;~:;:'1 !/ ( Students will demonstrate the ability to use goal-setting and decision-making / skills that enhance health. The Responsible Decision-Making Model= is a series of steps to follow to ensure that decisions lead to actions that promote health; protect safety; follow laws; show respect for self and others; follow guidelines set by responsible adults, such as a person's parents or guardian; and demonstrate good character. 1. Describe the situation that requires a decision. 2. List possible decisions you might make. 3. Share the list of possible decisions with a trusted adult. ú <~ ,,~ 4. Evaluate the consequences of each decision. Ask yourself the following questions: j;::, Will this decision result in actions that II are healthful? I!l are safe? are legal? ( I) Øl show respect for myself and others? " follow the guidelines of responsible parents or guardian? II demonstrate good character? ,J'';.' ¡.:.,").,t, 'l~~:f;' Note: All six questions Write or say "Does not to this situation. If you questions, the decision adults, such as my might not apply to each situation. apply" if a question does not apply answer NO to any of the six is a wrong one. 5. Decide which decision is responsible appropriate. and most 6. Act on your decision and evaluate the results. ( Standards ~j " 't¡t. Owego 24 .' . ."- :., ...... ""':'''~''' .... , ,.~-'''". "'' '"' '! ,I Students will ' 1. Choose an action for which you will advocate. demonstrate the A health advocate is a person who promotes health for self and others. Consider actions that protect and promote health. For example, cigarette smoke contains a drug called nicotine. Nicotine raises blood pressure and increases heart rate. People who smoke might become addicted to nicotine. It is very difficult for them to quit smoking. It is best never to try smoking. You have chosen to advocate for NO smoking . ability to advocate for personal! family, and community health. .2. Tell others about your commitment to advocate. A health advocate is willing to make a commitment. This involves being able to tell others where you stand. You are willing to say, "I am against cigarette smoking." "I will be a health advocate and encourage others not to smoke." "I will encourage others to avoid breathing cigarette smoke." 3. Match your words with your actions. Show others that you believe what you say. For example, suppose you are with friends at a restaurant. You must wait 15 minutes to be seated in the nonsmoking section. There are seats available in the smoking section. You wait rather than sitting in the smoking section. 4. Encourage others to choose healthful actions. Think of ways ..... YWE /37:, EAlS ". .•. · . ~." .. '.' "b.~ ~¡¡w~W ~ ,4 tf ~,,~ 1 .'NS~/~~ ~ GS·/~~Utr"~.;,~ !..~ '. / I you encourage others and promote your cause. You might make a poster encouraging others not to smoke. You might collect money for the American Cancer Society. You might write a letter or email a child you know. You might tell the child why you do not smoke. You might encourage the child to pledge not to smoke. Practicing Health Standards S15 Owego 25 >·c: ..:;·,,;,';.;·'· ':::'''~'1.;" ..~:: ,<:;'·\;:;,:",;:~,. cr'/ """ ;.vv, ¡..... , '.,./ r ~ ,It :" ( ·> r Each health standard is important. To be successful, you will need to practice each of the health standards. This textbook includes several activities that will help you practice the health standards. With practice, you can master all seven health standards. When you master all seven health standards, you will reach your goalTotally Awesome" Health. 'll 'w"",,,,;," ,; â A ;.~ '~ ;íJ .;¡ ,:_1 '~ ~Ü '~a ,j '\ ~~'\rt~-'è<!'", .'.", ,':' ~~.¡ ...'.... _~" . .'ó','.::\ ~, .f:' '" " \ , Owego 26 .Student Workbook - .~ Achieving Health Literacy .~ .. • • • • • • I I, I • I I • • I I • • • I I. .- • I • • I Owego 27 -,ti ~ .. 0' ISBN 1-886693-82-X , 9 781886 I 693821 Owego 28 ... I , I I , ~~ ;1 .'~ ... "'" ... ": ":' "'?A'r'W'J~ . .MeeksHelt Publishing Company ~q i I c 't~ , ® Student Workbook Achieving Health Literacy Owego 29 '. Everyday Learning Corporation Editorial, Sales, and Customer Service Office P.O. Box 812960 Chicago, IL 60681 Director of Editorial: Julie De Ville'rs Managing Editor: Ginger Panico Project Editors: Heather L. Allen, Teri A. Curtis Illustrator: Deborah Rubenstein Director of Graphics: Elizabeth S. Kim Graphics Associate: DanniElena Wolfe Hernández Art Consultant: Jim Brower Director of Production: Sally Meckling Copyright 1999 by Everyday Learning Corporation. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, • or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the proper written permission of the publisher. Worksheets may be reproduced for individual classroom use only. Materials cannot be reproduced without written permission from Everyday Learning Corporation. Unit 10 outlines emergency care procedures that reflect the standard of knowledge and accepted practices in the United States at the time this book was published. It is the teacher's responsibility to stay informed of changes in emergency care' procedures in order to teach current accepted practices. The teacher also can recommend that students gain complete, comprehensive training from courses offered by the American Red Cross. ' Printed in the United States of America. 9 MZ04 03 .;6693~,§~~0')L • .~"._. ( ;:.~,; o:' ,.' Owego 30 Table of Contents Ci ,~ I Unit 2 I Family and Social Health Mental and Emotional Health il ii The Totally . Awesome®Teen • A Healthy Puzzle (Reinforcement) • Risky Business (Enrichment) lesson f\J\ lesson s: , 1 2 .3 4 5 6 8 Successful Stress Management :{."i!Sl-¡~~.' , • The' Fantastic Family (Reinforcement) • The Changing Face of the family (Enrichment) 13 .. 14 Strengthening Family Relationships I • Safety Versus Secrecy (Reinforcement) • love Isn't Supposed to Hurt (Enrichment) 15 16 Fabulous ,Friendships • Making Your Own'Decisions (Reinforcement) • A Balancing Act (Enrichment) 17 18 m D ,. Stress-No-More (Reinforcement) • D'D epresslOn angers. I',(Ennchment) 11 12 Family Relationships lesson .7 , on .Fantastic , lesson Confident Communication • Reading Anger like a Book (Reinforcement) • Hold the Phone! (Enrichment) , • Relationship Words (Reinforcement) • A Matter of Manners (Enrichment) n. Superb Mental Fitness • Personality Puzzle (Reinforcement) • The Addiction Trap (Enrichment) lesson I Empowered Decision- Making, • J us t Say "N o.I" (Reinforcement) • A (Decidedly Difficult) Code (Enrichment) Extraordinary Relationships Preparing for I Future Relationships 9 . 10 • I Abstain! (Reinforcement) • The Respect Check (Enrichment) 19 20 ~~, Copyright by Meeks Heit Publishing Company iii Owego 31 I Unit 41 Nutrition I Unit 3 I Growth and Development m The Amazing . Body' • Pumped Up About Circulation (Reinforcement) • A System of Systems (Enrichmerit) ~ Lesson .. 21 22 Moving Toward Maturity (Reinforcement) (Enrichment) 23 24 m • "I'll Buy a Vowel" (Reinforcement) • Nine Magic Months (Enrichment) 25 26 iii • All the World's a Stage (Reinforcement) • Teen Tasks (Enrichment) 27 28 1m • What Should I Say? What Can I Do? .(Reinforcement) ~Jëalin>gwith· Dying and Death " ."~;(' . m • The Consumer Quiz (Reinforcement) • What's in a label? (Enrichment) 35 36 • m • To Nibble or Not (Reinforcement) • A Healthful Weight (Enrichment) 37 38 m (Enrichment) 29 30 • My Body (and Proud of It) (Reinforcement) • The Puzzle of Disorders (Enrichment) 39 .40 , .... ' " , l' "'.;~ .'. IVi 33 34 Being Confident with I Your Body Image Aging, Dying, . and Death ~>~~~~~>:~:.~.,'\,_ ..::-~'!':i.:i,,-:A~·!~!H • Free to Choose (Reinforcement) • Diet Deflects Disease (Enrichment) Weight-Conscious • and Wise Understanding the Stages in the Life Cycle i 31 32 The Cautious : Consumer Learning About Pregnancy and Childbirth , • It's Good for You (R~inforcement) • A Power Menu (Enrichment) iDEating for Health .' • Wonderful Woman, Marvelous Man • Change As You Grow • mpower I Eating Copyright bY'Meeks Heit Publishing Company . • Owego 32 /2 , •, I Unit' 5 I Pers~'nal He~l~hand Physical Activity I Unit 6 I Alcohol, Tobacco, and Other Drugs m iii Having a Neat and Clean Appearance • Healthy, My Eye! (Reinforcement) • let's Hear It for Ears! (Enrichment) fil The Responsible • Use of Drugs .41 42 • A Responsible Crossword • OTC Drugs (Enrichment) fiJI Having Medical and Dental Checkups • Two Mouth Messages ffi f"~', \\, (Enrichment) 43 44 Being Energized with Physical Activity • The Hazards of Nicotine • Tobacco Fact or Fiction? 45 .46 Ii " Designing a Physical Fitness Plan • A Guide to Physical Fitness • Physical Fitness TImes Five (Reinforcement) (Enrichment) 'f ,~~;".'J'" I~ ~~,., (Reinforcement) (Enrichment) 53 54 m 47 .48 55 56 . Controlled Drugs and Illegal Drug Use • Drug-Crostic (Reinforcement) • An Offer You Can Refuse (Enrichment) 57 58 Intervention and I Treatment • A Progression to Dependency (Reinforcement) .. 59 • The Warning Signs of Drug Abuse (Enrichment) BO Preve~ting. an.d Treating Athletic Iniuríes . • A Crossword for Prevention (Reinforcement) • Principle Pointers (Enrichment) v , Choosing Not to . Drink Alcohol mA .Ri fl 51 52 Tobacco-Free : Lifestyle • An Athletic Acrostic (Reinforcement) • The Energized Top Ten (Enrichment) J ~ • The Danger of Drink (Reinforcement) • Alcohol and You (Enrichment) • Sink Your Teeth into This Chart (Reinforcement) (Reinforcement) 49 50 . ril Res!stance Skills for SayIng NO to Drugs • A life Without Drugs (Reinforcement) • Everything's Under Control (Enrichment) Copyright by Meeks Heit Publishing Company B1 B2 v Owego 33 I Unit 7 I Com"!uniçable and Chrome DIseases iD Common Communicable , sson J 63 64 : Consumer • The Good, the Bad and the Wrong (Reinforcement) • A Wealth of Information Sexually Transmitted Diseases • Just the STO Facts, Ma'am (Reinforcement) • No STOs for Me! (Enrichment) m. m 65 66 HIV Infection and AIDS • HIVand AIDS (Reinforcement) • How HIV Is Spread (Enrichment) m • Being an Informed Diseases • The Perils of Pathogens (Reinforcement) • Diagnosing Disease (Enrichment) 1ft I Unit 81 Consumer and Community Health 67 6B im 75 ; 76 (Enrichment) Being a Cautious '. Consumer .' Comparison Shopping (Reinforcement) • The Consumer Complains (Enrichment) ifiiSpending J 77 .7B . I Time and Money- • A Balancing Act (Reinforcement) • lime-Wise (Enrichment) Cardiovascular 79 BO • Diseases • A Cardiovascular Crossword • Sick at Heart (Enrichment) (Reinforcement) 69 70 J Planning for Health Care • The Search for Health Care (Reinforcement) • Health Pros, Health Places (Enrichment) mcancer • Cancer Caution (Reinforcement) • Types and Treatments Tables (Enrichment) 71 72 B1 B2 mVolunteering J , iii Health Causes • Volunteering (Reinforcement) • Health Career Possibilities (Enrichment) Chronic Health , mi Conditions B3 84 I • Chronic Conditions Word Search • Helping to Cope (Enrichment) (Reinforcement) , 73 .74 I) , vi , ! , I Copyright by Meeks Heit Publishing Company I I Owego 34 .ti I Uni¡ 9 I Enviionmental Health IUnit 1 O I Injury Prevention .and Safety iii Respect for . iDPréventing the Environment 1 • Ozone or No-Zone? (Reinforcement) • Environmental Acrostic (Enrichment) 85 86 mpollution 87 88 m ·~,.;.s~. Turning False to True (Reinforcement) • Environment Encouragement (Enrichment) J' 89 ........ 90 the Environment • Camping Etiquett~ (Reinforcement) • Creating 'Positive Images (Enrichment) 91 92 I 95 96 Staying Safe During Extreme Weather Conditions and Natural Disasters • X-treme X-Word (Reinforcement) • Tracking a Hurricane (Enrichment) m mAPpreciating J. • Creating a Safety Sign (Reinforcement) • A Big Risk (Enrichment) im Protecting the Environment ~ 93 94 Staying Safe at Home ¡: • The Air in There (Reinforcement) • Plastic, Peels, and Pollution (Enrichment) «~· • A Nonviolent Search (Reinforcement) • Violent Behaviors (Enrichment) Lesson J J :J Violence J 97 98 Having First Aid Skills • The Burning Uuestion (Reinforcement) • Ready or Not (Enrichment) 99 100 ,-",/ Copyright by Meeks Heit Publishing Company VII Owego 35 '1. Transparency Book Owego 36 Everyday Learning Corporation Editorial, Sales, and Customer Service Office P.O.-Box 812960 Chicago, IL 60681 ~ Director of Editorial: Julie De Villers Managing Editor: Heather L. Allen Project Editors: Ginger Panico, Teri A. Curtis Director' of Illustration: Deborah Rubenstein Director of Graphics: Elizabeth S. Kim Graphics Associate: DanniElena Wolfe Hernández Art Consultant: Jim Brower Director of Production: Sally Meckling Copyright 1999 by Everyday Learning Corporation. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the proper written permission of the publisher. t) These transparencies are designed for educators who use Totally Awesome® Health. When using a transparency, show the full transparency so that the copyright at the bottom of the page is displayed. Unit 10 outlines emergency care procedures that reflect the standard of knowledge and accepted practices in the United States at the time this book was published. It is the teacher's responsibility to stay informed of changes in emergency care procedures in order to teach current accepted practices. The teacher also can recommend that students gain complete, comprehensive training from courses offered by the American Red Cross. Printed in the United States of America. 5 6 7 8 9 MZ 04 Ó3 02;: ISBN 1-886693.-81.-1 . ~ ~. ·eJ Owego 37 e\ ISBN 1-886693~81-1. 9 781886 693814 Owego 38 · ""' . '", ..MeeksHeit Publishing Company ® (~ ,~ \ Transparency Book "" Owego 39 • Fast Food Chart ................................• Lesson 18 • Activities and Calories ........•......•...........• Lesson 19 ( r' • Checking Symptoms : • The Top Ten Reasons for Being Energized with Physical Activity Lesson 22 .•'. , ..•.. Lesson 23 • The Five Areas of Health-Related Fitness Lesson 24 • Types of Exercise to Develop Physical Fitness Lesson 24 • Lifetime Sports and Physical Activities .. , Lesson 24 • Physical Fitness Health Behavior Contract. ..........•.. Lesson 24 • Tips for Recognizing Problem Drinking Lesson 27 ' • Sidestepping Secondhand Smoke .. , ', .. , Lesson 28 • Using Resistarice Skills When Pressured to Use Drugs Lesson 31 • Ten Reasons to Avoid Infection with STOs Lesson 33 • How HIV Is Spread Lesson 34 , , . , .........•..... • Preventing HIV Infection and AIDS ..........•........ Lesson 34 • Preventing Cardiovascular Diseases ..........•....... Lesson 35 • Preventing Cancer , ; Lesson 36 • Guidelines for Choosing Healthful Entertainment , Lesson 39 • Media Literacy: Ask Questions ...................•.. ( Lesson 39 ., Protective Factors That Help Reduce Your Risk of Violence .. Lesson 47 • Ways to Resist Belonging to a Gang .........••....... Lesson 47 • Self-Protection Strategies When in Social Situations Lesson 47 • Rescue Breathing for Adults and Older Children Lesson SO • Cardiopulmonary Resuscitation Steps for Adults and Older Children , Lesson 50 • Universal Precautions , , .•....... Lesson 50 {y IV Copyright by Meeks Heit Publishing Company i Owego 40 .~ '~ , Table 'of Contents • The Well ness Scale •........•......•.•. o • Health Behavior Contract ....•.•. o ••••• o •••••• o •••••• o • The Responsible Decision-Making ModelTM.•.. o ••• ' Lesson 1 ••••• Lesson 2 ••••••••• • The Model for Using Resistance Skills .....••......•.... Lesson 2 • Why Vou Need Good Character .............• o Lesson 3 •••••••• • Addictive Behaviors Common in Teens........•....•.... Lesson 3 • General Adaptation Syndrome (GAS) ... Lesson 5 • A Loving Person ...•....... o o ••••••••••••••• •••••••••••••••••• o • People Pleaser ...•.................... • Decision-Making with Friends .....•....... o •••••••••• o •• • o • o Lesson 9 ••••••• Lesson 10 • Ten Reasons to Choose Abstinence ••...... 00 • Ten Choices that Support Abstinence .•... • The Heart ... e o ••••• " o o ••••••••••••••• • The Respiratory System .. o • o •• o o ••• • o • o li ••••••• o • o o • o •••• • The Digestive System •..... • The Endocrine System .•... " ••••••••••••••• o ••••••• ; ... Lesson 11 o o o ••••• o .' •• o o o o ••• ••• o ~ • The Dietary Guidelines. o • o • o ••• o : o • o o •••••• o o • o o •• o •• •• o o o o •• Lesson 11 •••• Lesson 11 ••••• o o • o o • o. • o • o o •••• ••• •••• o o •• •••••• • Positioning of the Baby During the Birth Process • ••• o o • The Male Reproductive System ..• o Lesson 11 •• Lesson 11 •••••••••• o • The Food Guide Pyramid .... Lesson 10 ••••• ••••••••••••••••••• o • The Female Reproductive System Lesson 10 •••• • The Skeletal System ...............•.....••... • The Muscular System .. Lesson 6 Lesson 9 • Resisting Pressure to Become Sexually Active ~ Lesson 1 o o o Copyright by Meeks Heit Publishing Company Lesson 12 Lesson 13 , o • Lesson 12 Lesson 12 •• ••••• o o o •• tessentë Lesson 11 iii Owego 41 Assessment Book Achieving Health Literacy . ~, ,", .. ' a I l I I I I ID , . , . ! l . , · I I ., , I •I • , I • , • · , I I J II I I ! . I , · . l • . • I • • .I • , I , I • I • I . I II .I • I , . I. . I • , • I l , I I I I , I ., . · • • • • I I , I' , f I Owego 42 I I I Everyday Editorial, P.O. Box Chicago, Learning Corporation Sales, and Customer Service 812960 IL 60681 • i I I / I / / I I I , 'II Director of Editorial: Julie DeVillers Managing Editor: Ginger Panico Project Editors: Heather L. Allen, Teri A. Curtis Director of Illustration: Deborah Rubenstein Director of Graphics: Elizabeth S. Kim Graphics Associate: DanniElena Wolfe Hernández Art Consultant: Jim Brower Director of Production: . Sally Meckling I I / I / I I I / / / / I I Copyright 1999 by Everyday Learning Corporation / / All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the proper written permission of the publisher. " Unit 10 outlines emergency care procedures that reflect the standard of knowledge and accepted practices in the United States at the time this book was published. It is the teacher's responsibility to stay informed of changes in emergency care procedures in order to teach current accepted practices. The teacher also can recommend that students gain complete, comprehensive training from courses offered by the American Red Cross. / / I e) : I I / I I / / r I Printed in the United States of America / 3 4 5 6 7 8 9 BB 04 03 02 " ISBN: 1-886693-75-7 • ,/ Lt. Owego 43 ,I I f: \ ............................. _- Table of Contents , ~ ~ • Howto Use the Assessment Book ~! t1;t'.i ¡ ~¡ I ¡',', -i i ;· viii • Lesson 5 Test 24 • Unit 1 Test 27 Masters I I, fl Health Behavior Contract Unit 2: lesson and Unit Tests xi Family and Sodal Health ; • Health Behavior Inventory xii The Responsible Decision-Makinq Modal' ........xvi I l I Lesson 6 Test 30 • Lesson 7 Test Lesson 8 Test fl 33 36 '" Lesson 9 Test 39 • Lesson 1OTest 42 • Unit 2 Test .45 ft fl ! i I ! Portfolio Assessment ¡ I l I , Unit 1: Risky Dice 2 Unit 2: Friendship Is Serious Business . 4 • Unit 3: ' Create a Clogged Artery 4 Unit 4: Power Lunch Special 5 ft I I , Et I I ¡ I .~ , \li • Unit 5: The Top Ten List of Physical Activities 6 49 Unit 6: A Map of Your School's Safe and Drug-Free School Zone .7 Unit 7: Cancer Warning Signs Hangtag , 8 I ! : Unit 3: lesson and Unit Tests Growth and Development • Lesson 11 Test Lesson 12 Test .48 52 ft Lesson 13 Test 55 (I Lesson 14 Test 58 Lesson 15 Test Unit 3 Test 61 64 (I fl ! I Unit 8: Consumer Complaint Folder 9 • Unit 9: Environment Postcard 1O • Unit 10: Expect Respect Rap J1 fl fl ill Unit 4: lesson and Unit Tests Nutrition ' • Lesson 16 Test Unit 1: lesson and Unit Tests Mental and Emotional Health ~'.., ·"-,T";;. "'.~ • Lesson 1 Test 12 • Lesson 2 Test 15 • Lesson 3 Test CD Lesson 4 Test 18 21 67 • Lesson 17 Test • Lesson 18 Test fl Lesson 19 Test • Lesson 20 Test Unit 4 Test II Copyright. by Meeks' Heit Publishing Company " : .70 73 76 79 82 iii Owego 44 I , : Unit 5: Lesson and Unit Tests Unit 8: lesson and Unit Tests Consumer and Community Health . Personal Health and Physical Activity 1• • I¡ 1 I I " ! , i , (} Lesson 21 Test 85 • Lesson 38 Test 145 ¡ • Lesson 22 Test 61 Lesson 23 Test 88 91 • Lesson 39 Test ct Lesson 40 Test 148 151 : li Lesson 24 Test 94 e Lesson 25 Test 97 • Lesson 41 Test Lësson 42 Test 154 157 • Unit 5 Test 100 Et fl Unit 6: lesson and Unit Tests Alcohol, Tobacco, and Other Drugs • Lesson 26 Test • Lesson 27 Test Lesson 28 Test 11&' • Lesson 29 Test : • Lesson 30 Test Lesson 31 Test Unit 8 Test , i 160 Unit 9: Lesson and Unit Tests Environmental Health ...103 • Lesson 43 Test " Lesson 44Test 163 166 106 109 " Lesson 45 Test Lesson 46 Test 169 172 • Unit 9 Test 175 112 I III I ! ~ I ! , , 115 118 \li • Unit 6 Test 121 Unit 7: lesson and Unit Tests ! I • tesson 47 Test Lesson 48 Test €t Communicable and Chronic Diseases , Unit 10: lesson and Unit Tests Injury Prevention and Safety I I ! ! I 178 181 I I ! I • Lesson 49 Test Lesson 50 Test fl 184 187 • Unit 1OTest 191 ¡ I ! I • Lesson 32 Test Lesson 33 Test \li 124 127 • Lesson 34Test 130 • Lesson 35 Test 133 I I ! • Lesson 36 Test 136 I • Lesson 37 Test 139 I " • Unit 7 Test · 142 I ! I ; : o: I I IV I I Copyright by Meeks Heit P:u.blishing Company ¡ : I ! ¡ Owego 45 ' .., .': ,>' 'Answér,:Keys~foi'::tlle'"L~sson,and Unit Tests , "," • " ~ -' • < , I i ! Unit 4 Unit 1· j Nutrition Mental and Emotional Health , \ I i • Lesson 1 Answer Key 194 " Lesson 16 Answer Key 205 • Lesson 2 Answer Key 194 • Lesson 17 Answer Key 205 • Lesson 3 Answer Key ..: 195 • Lesson 4 Answer Key 195 • Lesson 18 Answer Key • Lesson 19 Answer Key 206 207 • Lesson 5 Answer Key • Unit 1 Test Answer Key 196 197 . • Lesson 20 Answer Key 207 • Unit 4 Test Answer Key 208 ¡ I I I i j : l l i l I l i I : : ! \ I \ I \ I t- l \ l '\~/ l I I Unit 2 Unit 5 Family and Soda I Health Personal Health and Physical Activity • Lesson 6 Answer Key 197 • Lesson 7 Answer Key o Lesson 8 Answer Key 198 199 • Lesson 9 Answer Key Lesson 10 Answer Key 199 200 Unit 2 Test Answer Key 200 fl I!l ! l Lesson 21 Answer Key 208 • Lesson 22 Answer Key e Lesson 23 Answer Key 209 210 Lesson 24 Answer Key 210 • Lesson 25 Answer Key • Unit 5 Test Answer Key 211 212 II ID ! \ Unit 3 I Unit 6 Growth and Development ! I I i ! I • Lesson 11 Answer' Key ..~ " Lesson 12 Answer Key 201 ..202 • Lesson 13 Answer Key 202 • Lesson 14 Answer Key 203 • Lesson 15 Answer Key 204 • Unit 3 Test Answer Key 204 I ! r>. ,ti~ Alcohol, Tobacco, and Other Drugs Lesson 26 Answer Key 212 • Lesson 27 Answer Key Lesson 28 Answer Key :.213 214 • Lesson 29 Answer Key 214 • Lesson 30 Answer Key 215 • Lesson 31 Answer Key 216 • Unit 6 Test Answer Key 216 ø fl I l ! Copyright by Meeks Heit Publishing Company l I v Owego 46 , i , ... "i ..., .r- ;,- "ft: • " £'; .' ," • -,s'" ti ,~,'~ 'f ""7~, =. ~-- d.,J,". ¡ ¡'\~~ -s.s ~;¡~'i"-'.:~i'~ ~~.s-:.,'j-í~·I'Ç.:' '" "1"(";' ,,', " ':: "l' í;-...-;-'i':l&:~ZJ.¡t:"5:i¡~""~;;';f'7~f:>-ÜA~~J.{~rj·~:,~~~'10'i[7-':"'~~r.~1f1".,..b-;-(~f",'i¡$):~I .. ""~"I'li"'.,l'm;"¡\ '!Il,;:,i¡Í¥\¡'\i"';;;:""<~1" ''';''''','¡C:,,-'' ";"" I, "..:~:: ',:''",,";~":" ,",nS'1f:e"~,:'_~~!lM~ç",~fc,~~~.I~~,~~~,~~;P;;~~~~j;.~~P!~ "è' I i Unit 1 Unit 9 Communicable and Chronic Diseases Environmental Health GI l : Lesson 43 Answer Key 225 , I • Lesson 32 Answer Key 217 • Lesson 44 Answer Key 226 • Lesson 33Answer Key 218 • Lesson 34 Answer Key \) Lesson 35 Answer Key 218 219 • Lesson 45 Answer Key o Lesson 46 Answer Key 226 227 • Unit 9 Test Answer Key 228 • Lesson 36 Answer Key 220 • Lesson 37 Answer Key 220 • Unit 7 Test Answer Key 221 222 • Lesson 40 Answer Key Lesson 41 Answer Key iii 223 223 • Lesson 42 Answer Key o Unit 8 Test Answer Key 224 225 . , i I I · ! I, Injury Prevention and Safety Consumer and Community Health • Lesson 39 Answer Key I I llnitIû Unit 8 222 I I • Lesson 47 Answer Key Lesson 48 Answer Key • Lesson 38 Answer Key I , I I fl 228 229 , • Lesson 49 Answer Key Lesson 50 Answer Key Øl 230 230 I I I • Unit 10Test Answer Key 231 , I I , I i I " I I I I I ·1 I '. I I I I I' I 'f j:':,\r,~~ .. J ~~,-.;' ,":: _~_, .:- : ..: ¢/~\: l;, ~~ .'). ,"'~ ·:r.~:" <~ ~t/:.~/~\~,,,{~,~·"·,\Iy"<'::'·"'; ''f~~'"¡" ~~~~~~At~,;:~r~"'A4~~$"~,;[~{':~ ..r;Mt¡~J; I I I <;. ',~ ': A~[.I,~;'At~,r,. ~éys' f,ó'[ th.e",:Stu(l~~t. ~~;rI(~q~.I,:} '~';;:~~{~,~~;'::~;~!~:~~iLl¡ \ "~ . - c.. .~ _ ~.., 1 ~. • ,,' _ , , .' , I I Unit 1 Unit 2 Mental and Emotional Health Family and Social Health I I ,I • Lesson 1 Answer Key ø Lesson 2 Answer Key 232 232 • Lesson 3 Answer Key 233 • Lesson 8 Answer Key 235 • Lesson 4 Answer'Key 233 • Lesson 9 Answer Key 236 • Lesson 10 Answer Key 236 • Lesson 5 Answar Key 234 • Lesson 6 Answer Key 234 • Lesson 7 Answer Key 235 I. ! , I I I l i Copyright by Meeks Heit Publishing Company ,l ¡ ! I vi í' I I ~:) .: I ,I , Owego 47 , ,I 1 ,I ¡, I I ,. I I , It Ii , ".: \ : ,,o, '~',': 'Answe,~K~ys fofthe 'Student .Wo'rl<bool< , ¡ I ~¡ ,Unit 7 Unit 3 '~: ; Communicable and, Chronic Diseases Growth and Development ~ I ~~ t:C"-I • Lesson 11 Answer • Lesson 12 Answer • Lesscnlâ Answer • Lesson 14 Answer • Lesson 15 Answer I" '¥' I ' I;' 1< ! 1 I \ 1 , I i I! I I, ¡ I I \ • Lesson 16 Answer • Lesson 17 Answer Lesson 18 Answer • Lesson 19 Answer • Lesson 20 Answer .' (I 239 240 240 241 241 fl Personal Health and Physical Activity I' I • Lesson Lesson • Lesson fl Lesson Lesson I I fl I I i I fl I 21 Answer 22 Answer, 23 Answer 24 Answer 25 Answer Key Key Key Key Key 242 242 243 243 244 I I Lesson Lesson • Lesson Lesson CI Lesson fl fl Tobacco, and Other Drugs Lesson Lesson Lesson Lesson Lesson • Lesson It iii fl (!~ t"· "J fl fl 26 Answer 27 Answer 28 Answer 29 Answer 30 Answer 31 Answer Key Key ' Key Key Key Key 38 Answer 39 Answer 40 Answer 41 Answer 42 Answer Key Key Key Key Key 250 251 251 252 252 Unit 9 Environmental Health Lesson fl Lesson • Lesson e Lesson 1\1 43 Answer 44 Answer 45 Answer 46 Answer Key Key Key Key 253 253 254 254 Unit 10 Alcohol, I I 247 248 248 249 249 250 Consumer and Community Health Unil6 : ; I¡ Key Key Key Key Key Key Unit 8 fl Unit5 ' , I I Key Key Key Key Key fl I , • Lesson 32 Answer • Lesson 33 Answer • Lesson 34 Answer Lesson 35 Answer • Lesson 36 Answer • Lesson 37 Answer ,i :I I 237 237 238 238 239 Nutrition " I; I Key Key Key Key Key Unit 4 i ¡ ' .:,: Injury Prevention and Safety 244 245 245 246 246 247 e fl fl fl Lesson Lesson Lesson Lesson 47 Answer 48 Answer 49 Answer 50 Answer Copyright by Meeks Heit Publishing Company Key Key Key Key 255 255 256 256 vii Owego 48 ITEM NO. 93757 ISBN 1-886693-75-7 " ISBN 1-886693-75-7 9 781886 I 693753 Im EVERYDAY! r.mmmmï • Owego 49 ....... . " ) ,:· . ,'. ··u". . ' .. :' .. ' ." -, 1 '.;' . ." .' .' :. ' ."./ . I:· ...... , ' •• " ,'. .' "~o " . " '. . .. : . ";'. :" , '¡ - ' .. ,.:!:.' '''''" .. ,. ',;.. ' ,ö." i I C , . .g'U. eIADI. PIR!OIltAI DIVllOPM Ilt, ·P4AM!_~ ¡ " ., ... ,.,., ..... " .. , ,', "l' ;.:,' ,'. .: . . . .:: '.," . " 1:~' , .;' ., .)i . .. .' r~~,.i. :', ............................. .......... " ';i .:.... ".... . .... ,,'I 1'111(1)- Owego 50 ,l : ; lill The·En·· Syste I r:" ,. I !JJA.AÑ O ~ .... - .,ifr'~~' Pituitary Gland' Parathyroid Glands . T,hyroid Gland '" Adrenal Glands '~... A) ? .. l , .- "./ . v' ~.'~ . -"'~. .". , . . 'II' Pancreas ¡j) Ovaries {female) Testes (male) (} l\ .\ Copyright by Meeks Heit Publishing Company 131 Owego 51 ! .Ó¡ I •• Way t .... r fr ...... our ndo rin t.'; It l.'. .,.Y",' ave regular , medical checkup . .. t ;J'" 'Keep Jist f. question . to ask . ( '.vour phy ician -. " , . , . , , ;: ' > . , ' " :•••:.: .•.• "." " •• ~: . , ~:, ";.~ '.' ::, ,~ • ~ "', . • ' • .'; .'::" .' •• " . •• .' .':, ' .', "h , . " ' . ' (. ," 132 J ". ' • . ' ;. Copyright by Meeks Heit Publishing Company , , Owego 52 ... , ..• Name Grovrlh and Developm,ent . ~- . Movmg Toward Maturity Date IUnit 3\ \ J m .' i i ) ( : ; : Change As Vou Grow , \ _A number of physical changes take place during puberty. Fifteen of these changes are listed below. Some occur only in females. Write "F" on the lines in front of these. Others occur only in måles. Write "M" on the lines in front of these. Still others occur in both males and females. Write "F &M" on the lines in front of these. L Enlargement of reproductive , i organs 2. Increase in height of 2-8 inches 3. Deepening 4. Enlargement of voice of breasts 5. Growth of pubic hair 6. Increase in height of 4-12 inches 7. Increase in perspiration 8. Broadening i ., ! of shoulders 9. Onset of menstruation ____ 10. Formation ____ 11. Onset of sperm development ____ 12. Growth of facial hair ___ 13. Widening ·of hips _--- 14. Increase in muscle mass ___ of mature eggs - 15. Growth of underarm hair The hormones responsible for the changes that take place during puberty are secreted by glands belonging to the endocrine system. Name two things you can do to care for your endocrine System. 1. l l l 2. ( I ; I ( I -. -i i I l l 24 Copyright by Meeks Heit Publishing Company l I Owego 53 ,-o .' •. i~~,,,\: II ./ Name: .. Date: . HEALTH> GENETICSr GROWTH, AND DEVELOPMENT> PUBERTY FILL IN THE CHART Complete the following chart by placing each term below into the correct column. Decide if it is Te.levant to girls, boys, or both. EGG RELEASED STARTS AGES 12"13 EMOTIONAL CHANGES GENITALS ENLARGE BREASTS DEVELOP SPERM PRODUCED AWKWARDNESS DEEPER VOICE MENSTRUATION LARYNX ENLARGES PUBIC HAIR starts ages 10-11 BOYS BOTH GiRLS Pituitary gland sends out hormones , ~ , ....................................................... .............................................. - ........ ...................................................... Testes produce testosterone ...................................................... Underarm hair ...................................................... Hips widen ....................................................... Facial hair and body hair ...................................................... ..................................................... ....................................................... Growth 'spurt starts earlier and ends quickly Puberty lasts several years .................................. ................... , Muscles become more developed ...................................................... I Growth spurt starts later but lasts longer 1999-2011 BrainPOP. All rights reserved. Visit us at http://www.brainpop.com Owego 54 '". ~~' e t "n ® "~"'. '.".'"' Name: ........................................... .. ' i r" , ') Date: ............................................. . HEALTH> GENETICS, GROWTH, AND DEVELOPMENT> PUBERTY ) E f INE Can you explain the terms below in your own words? . PUBERTY:' ........................................................................................................................................................................... • • • , ~ •• - " ' •••••••••••••••••••••••••••• '•• o' ••••• 0'0 o., ••••••••••• •••••• " ••••••••••••••• 0'0 . , ••••••••••••••••••••••••• , •••••••••• HORMONES: ............................... ~ o·, •••••••••••.•••••••.•••••••• .................................................................................................................................................................................. plTUIT ARV GLAND: ................................................................................................................................................................. . , _. ) ..................................................................................................................................................................................... L _ARIES: ••••••••• ,••••••••••••.••••••••••••••••••••••••••••••• " ••••••••••• , •. , •••••••••••••••••••••••• , •••••••••••••••.••••••••••••••••••••••••••••••••••.•.•••••••• ............................................................................................. , •••.•• ·.l ••• ••••••••••• . , ESTROGEN AND PROGESTERONE: .............................................................................. ..... ...... ... .... ........ .. .. ... . , , , ~ , . , , . , ' tESTES: ............................................ , , ................................................................ , , , , " . , , . , TESTOSTERONE: . ~ ~ .' ................................................................. Choose an additional , , , • • • .. • • • • • • • •• • • • , , ' I •••••• , ••••••••••••••••••••••••••••••••••••••••••••••••• . . , term from the movie to define . ................................................................................................. • • • .. • • ,' ·•• •••••• , •••••••••• 1999- ZOll BralnPOP. All rights reserved. •••••••••••••••••••••••••••••••••••••••••••••• , '•••••••••••••• ~ 0' ••••••••••• Visit us at http://www.bralnpop.com Owego 55 I~, • ~,n ® ~ " III ,HEALTH) Name: ........................................... Date: ............................................ GENETICS, GROWTH, AND DEVELOPMENT) PUBERTY .T,~CHART Puberty begins when our bodies begin to increase the production of certain hormones. Write the names of the hormones below the drawings and then bralusterm some of the resulting physical or emotional changes that occur in boys and girls during puberty. GIRLS BOYS ..................................................................................... • • • • • • • • • • • • • • • • • • o.l •••••••• O.l , •••• I ••••••••••••••••• O.l ••••••••••••••• '.' . • • • • • • • • • • . • ••••••••••••••••••••••••••••••••••••••••••••• O.l ••••••••• ...................................................................................... . .................................................................................... . ••••.••••••••••••••••••.•••••••••••••••••••••••• ••••••••••••••••••••••••••••••••••••••••••••••••••••••.••••••••••••••••.••••••••••••• , ••••••• I ••••••• •••••••·•••••••••••••• 0·0 •••••••• , .• I •••••••••••• ~ . . - ........................................................................................ . .......................... ,............................................................ . ............................................................................... . . ,.............................................................. . . ................................................................................... . . ..................................................................................... . . ... . . ..................................................................................... . . ..................................................................................... . . ................................................................................... . . " , ,...... ,.............. . ' 1999-2011 BrainPOP. All rights reserved. Visit us at http://www.brainpop.com . Owego 56 , I - • if" r TÆt!' Ilù! " Name: I .......................................... ,:il b.~ @ ~I\! ~J?- ~ ~! I ¡j,i%, ~ij' <:;r~ Date: ...9~~~~~[J4L~.9.n............ r ¡P' \¡;;l~ HEALTH> BODY SYSTEMS> REPRODUCTIVE SYSTEM sABEL THE' MALE SEX ORGAN'S: ..................................... .................................... ...................................... . ...... . . " ., r .-' are the male genitals outside the body? ................................................................................................................................................................................... ~ABELTHE FEMALE SEX ORGANS . ...................................... .................................... ; . . . ................................... y" "t is the name for the female process of releasing one ovum each month? .......................... . : 1999-2011 BrainPOP. All rights reserved. Visit us at http://www.brainpop.com Owego 57 I ::~1~:~~~i~i~(!:m~'~~" o !~.:L. ''''::l'n ó,¡', II ® i: Name: • III ! ~ AS . Date: ...9~~ºQ~r..HL~.9.n ...~........ HEALTH> BODY SYSTEMS> REPRODUCTIVE SYSTEM .·ORDER OF EVENTS Describe the male and female reproductive processes that take place before fe'rtilization. MALE ••••••••••••••••••••••••• ö •••••••• ·••••• FEMALE ••·••••••••••••••••••••••••••••.•••••••••••••• • ••••••••••••••••••••••••••••••••.•••••••••••••••••••••••••••••••••••••••••••••••••• ....................................................................................... . . ...................................................................................... . . ............................. . . . . . . ,.................... , ....................................................................................... ................................................................................... • • • • • • • • • • • • • • • • • •.• • • • .. • • • • • • •.• • .. • • • •• • • • • • • • • • • • ..................................................... •••••••.•••••••••.•••••••••••.•.•••••••••••••••••••••••••••••••••• • • • • • • • • • • • • • • • " • • • • • • • • • • • • • • • • • ,............................... I· ••••••• ··,·········· • • w· ••••••••••••••••••• . ••••.•.•.•••••••••••••••••.•••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••• .................................................................................... . ................................................ " . . I ••••••••• , . .................................................................................... ••••••••••••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••• ~ . . - •••• ,...................................... . . . .......,........................................................................... . . ..................................................................................... . . ..,................................................................................. . . ... ,................................................................................ . . ................................................................................... . . ..................................................................................... . . , 1999-2011 BrainPOP. All rights reserved. Visit us at http://w.Ww.brainpop.com Owego 58 . ~~ III Il"~ l,"i,. n I Name: . . , .~ Date: ...Q~~~~~r.JAL~.9.n i .. I i I ! HEALTH> BODY SYSTEMS> REPRODUCTIVE SYSTEM : i i I I D.EFINE i ¡ ·Can you explain the terms below in your own words? , PENIS: ....................................................................................................................... . , i TESTICLE: I I .................................................................................................................... o ••••••••••••••••••• ••••••••••·••••••••••••••••••• .•••••••••••••••• . SCROTUM: ................................................................................................................................. . , I I ! 'SPERM DUCT: .......... ~', , r~"'sTATE " , '.' ' . ' . , I OVARY: ................................................................ , . , . OVUM: ........................................................................................................................................ , , , . FALLOPIAN TUBE: ........................................................................................................................................ , . .UTERUS: ••.•••••••••••••••••••••••••••••••••••••••••••••••••••••.•••••• , ••••••••••••••••••••••••••• " 1 ••• ,Choose an additional • ••••••••••••••••••••••••••••••••••••••••••••••••••••••• ' •• , ••••• ··., •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• , ..:, •••••••••••••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• •• 1 /1 GLAND: ................................................................................................................................................. PERIOD: I , I ••••••••••••••••••••••••••••••••••••••.•••••••••••••••••••••••••••• term from the movie to define. o- ••••••••••••.•••••••••••••••••••••••••••••••••••••••• .......................................................................................... , ••••••••••••••••••••.••••••••••••••••••••••••••••••••••• . , 1999- 2011BralnPOP. All rights reserved. Visit us at http://www.brainpop.com I Owego 59 The· Mal e,produ ·Sys em &I . .. Vas deferens I .. \ ·)4)!J/.): R~~<t~\ ¡Y;fI , \,:t / !}¡~Îl '\ Prostate ~I \ Bladder . ~ : I ., \ " . " i .' ,.. , I Cowper's .' gland Urethta<" . Bladder I Prostate Testes Penis Pubic bone Scrotum Cowper's gland Urethra -~ .• ":'''\~'~~''''m''' :,:-¡.... ,... ~~~ ..':""":"':'...:.:.;....-;:1:. ill, ,'. , . Penis -- .. . ill :: .' '" ;¡ • :, " .' . ';il . .:.:~,~: Vas deferens Scrotum Testes' 134 Epididymis Copyright by Meeks Heit Publishing Company ( . '. Owego 60 I-, -T,he" .'",epr Sy I =-; Fallopian - ........ -~ ~ ~~~-~~~~-~-~~~~' l\ rr ~ ·'<%0' ~ •• ".... ", -v,"u ...........~, ,'~ , ',\, ~ @,~ ,: ~ r -'" '41) "'.:.. :-.: I \ \-; ,Cervix ~ . , 'Egg II '~~ "--"'--' Vagina ~~ ''--I '" '-""OlIO - Ovary ---./ Copyright by Meeks Heit Publishing Company 133 .I ¡ ' . Owego 61 ' Name '-, , " ---~---------, :. .~ • Date Growth and Development IUnit 3\ - MOvingTOWarrlMaturitylfj Wonderful Woman, Marvelous an Label the 'parts of the female and male reproductive systems. Then fill in the charts beneath each illustration. ~ ~ '1\ -=- ~I.ç:- ~ >ø.- 's::::- ---" ~ ~1::'~' I:~:'M~!) ,,/Ol, ,,; .. ¡) , , ~ Iflt ... '.lo • • ;1, : :: , ~::, ~~: '..,.,.. Ways to Care for the Ways to Care for the Male Reproductive System Fernale Reproductive System. L L 2. 2. - 3. 3. 4. 4. 5. 5. 6. 6. 7. Copyright by Meeks Heit Publishing Company , 23 Owego 62 -: I l, ¡ I I • I,mplantation Fertilization and implantation occur after an egg is' . released from the ovary. I ¡ ,o, I, \I \' , .Ó: .','" ..__----------.-.0 . ." . ':". .'-" ,?" " . ',:" .:. Cell division As the zygote travels down the' fallopian tube toward the uterus, it divides many times. I I ! , Fertilization l,' Only one sperm can fertilize an egg. Implantation About six days after fertilization, • the zygote burrows into the lining of the uterus. I \, . I I l' l: L L. uickwrite Practicing Healthful Behaviors What actions can a .l :. pregnant female take to, protect her health and the health of her, unborn child? I:' I" -, I t. Copyright © GlencOe/McGraw-Hm GLENCOE HEALTH' TEACBING TRANSPARENCIES I .. _--~-~~_._- ._- ------- - ..... _-- --_ .. ---, - _ .• -------- . .: · r,' Owego 63 -..,.- ',': · ~:. -- . ..-..... Pool of " ;. í:( :-'" mother's blood ... .':'~ " }' :': .: . ..'-: t,' Uterine wall '-,. .- :="~..,'": -' Uterine wall - . ..... ,. .. "- Mother's blood vessels . ? <:' ': Placenta " :1 !""- • . -, " ...~~~\.> . .,~ . '~{I{" .!:- : ·.Al';~f:c ..' : I~l,-'. ~f;¥J ~;[fll =, • ~~'>,':.I:';:Œ!B .ti-i .. "-: 1.:' :. ' .Ór ':f'~. '&:~~' ....(.~~~ : r, ~ ':";' .,~~ .. "\.!!J~&, ~ -\: - 1~ .. ;~ .:.7l,4ù;~ , -'7'':' ;~ .;.t,~'; Ti' ':'I, ¡r"~ ~tri~J, . .'[,11\. .' ~1~~1 , Î\' ,1\\1 ~" '.' . .' ~-,\ ..,:i~))î, • '.~•••,••,.':.:. -. ,"<'" ., . . ~~.'., " ·:-.' ~ . ~ -.: " • <,,,, £" ~::; i ':: ", • ,¡ ~'l~;' .;. ~ • i. - - . ~. :J~f{,· 'ï ¡' I I .< ¡i:" ,~~.:j/ 'f.!i ,,,- ~~~f;," ,::;,.:..... . ..:::s;: -, -;-"';: ' ' - ¡ ,ï~·,/ ~\~' :.¡~ ~.~""- ;. '. ,~\~~l'<l'~;¥ll •. "~;,,:o.':'i~' r .. ';,: .,.. ,d' ~,'~¡R~"'i,i~ <~ --:;.; ¡': ~~ :;:~:; fi ii .:';.-.:i}':: -: ..dl .0 •. ...... .. t." ."0;... ~ ~, .. : ,(,p[ ... '\ ·,'L . ....: .. 'w' . 'w,':: \ . .. . ,';~ .' ¡.'-.., ;. , "'.:: ..<~:\... _¡'la .. : " . \ ,- ~J'--.:.;' t .... -' ~¡ :Umbilical cord . .' Fetus's áitfJ.rje~ . and veins <ö:-:::·: : ~ '. . " '. . jJ . Vagina. .. , '. ........ ..Chapter21-6 .' •.•• -'--...<1., .-------'-----, '"", . T'-O,.- .-T'-'I'. J1~~ _. a· .ta t. Owego 64 Unit 3 .. Growth and Development ,~ . ) i ,Development of the, Baby, Conception Through 'Birth First Trimester Second Trimester Third Trimester End of 1 st month Endot 4th month Heart, brain, nerves, and lungs form. ø iii CD End of 7th month Skin is developing. ., Eyes open. Fetus kicks its legs and moves its arms. • II Legs and arms move often. Weight is about 3 pounds. Length is about 15 inches. (il Digestive system forms. e Eyes and ears can be seen. Q) Weight is about 6-7 ounces. • Length is 1/3 inch. o Length is about 4-5 inches . End of 8th month The baby is called an embryo. End of 5th month .e ti'} End of 2nd month e Arms, fingers, legs, and toes form. Heart becomes four chambers. ~ Head becomes larger. @ Facial characteristics appear. J \') Length is 1,inch. End of 3rd month First external signs of sex appear. <:II e Some movement begins. e Weight is about 1.5 ounces. $ , Almost all organs are complète. CI Fine hair develops. " Eyelashes and nails appear. o Weight is about 4 pounds. ê, Rate of growth slows. e Length is about 18 inches. G Weight is about 1 pound. End of 9th month $ Length is about 9-10 inches. End of 6th month CD The baby is called a fetus. o • Fetus responds to noise and pressure with movement «I Heartbeat increases. \I Fetus moves vigorously. CI Weight is about 1.5 pounds. GI II Skin is smooth and polished. @ Eyes are slate-colored, • II Birth weight is about 6-9 pounds. Birth length is about 19-21 inches. Length is about 11.5 -12.5, inches. ' Length is about 1.5 inches. Lesson 13 • Learning About Pregnancy and Childbirth 133 Owego 65 Positionin BabyD i Bir h .....~•••••••••,~;. ..." ..... ~~ . :.... :.".'. , . " .' ;. w" " '"." ...... . '. .. ',: ...... ~t ~. :;::"'~'.'~ 16rTI' ".- ~.~,." '.. ' ....-..::::.::; "" :."\\ I . .' ..... /' ....~:.:::;::>.... '¡c• '~,.~. ~",:.;'. ~! .. ........... lL Baby begins . " ," "- ... ; .... /.¡ descent . 3 ..Baby begins to emerge '. '. I. .., "',. <..' ~1'.... :... ,,: .. '''-'-'"~:~::'''.''. ,'~¡. ..::: .\\ '." ·~z "~:1~:.';".\ ::: ',', ~ \ .' J~ ~:p;!;.!! - I{ .. ..... . ...". ~~,' ' ,,,... :;~ ...:.:~ . '. ~"'-. ~ ~ ';"," ...:.J[, 2~ Baby in position I .' ~ .. ,<.\' ~.:.:{ to emerge '. .... '\ -. .~," 6. Placenta . separates -"" \ ,. 4.0ne shoulder ,-;""c,.,' ~\··,I:< '.::: ~. delivered .. 'l o. ........ f ~ ..... , • I l ~'I ~".;, ~ l" ,t' ~"~'¡.~:~ ~~ ...:.,..::'. S..Second .shoulder .delivered 140' '" Copyright by Meeks Heit Publismng Company from uterine wall Owego 66 Why is Teen Parenthood Risky? Babies born to Teen Parents: sOften do not receive adequate nourishment !li Often do not receive adequate prenatal care II Risk being born prematurely and have low birth weights ~ Are more likely to be abused by their parents 8 Are less likely to have adequate medical and dental care as children Teen Mothers: Risk anemia during pregnancy e Risk toxemia during pregnancy e Risk premature bird o Are more likely to drop out of school • Are less likely to meet their career goals o Have limited social opportunities Are more likely to have low incomes It Are more likely to abuse their children It @ Teen Fathers: ID @ 9 Ii o œ Have to pay child support and may be financially stressed Are more likely to drop out of school because they have to work Might have to change career plans Often lack contact with their children Are more likely to abuse their children Are less likely to meet their career goals Owego 67 Name: _ TEEN SEx-THE RISKS Teenagers who decide to have sex face greater risks than any other age group. Teen Pregnancy &·Birth .. >- Pregnancy presents significant health risks to a woman of any.age. Pregnant teenagers face added risks because their bodies are still developing. Other . problems may happen because the pregnant teen denies or ignores her situation, which keeps her from getting proper care. . .. . Teen mothers have a higher rate of anemia and hypertension (high blood pressure) » during pregnancy. Babies of teen mothers are more likely to be born prematurely and/or suffer from' );> i low birth weight. I ) i >- Babies of teen mothers also face a greater risk of mental retardation, brain damage );> Teen mothers are more likely to have premature labor. );> Babies born to teen mothers are more likely to be stillborn, or dead at birth. and injury at birth. ! Young People and Sexually Transinitted Infections (STIs) . );> Young people between the ages of 15 and 25 are at the highest risk of contracting an STI. . » Each year, one out of four sexually active teens becomes infected. );>. Using drugs or atcoboííncrcaees a young person's risk of contracting an STI. );>' Every year, about three million cases of STIs occur among teenagers. - ; , '-. _. HUMAN R.ELATIONS MEDIA ED ABSTINENCE FIRST (VERSION B) Owego 68 Name: ....,..- ---- - --_.- -_.- --¡;:AGT SHEET--2·--. --.:_,-- _:_:,'--~ _ , " I .:.~.. ''', :". " THE BÈ.NEFiTS OF ABSTINENCE Continuous abstinence means choosing not to håve sexual intercourse. Continuous abstinence ... ,I -- );;> is the only 100% effective method of pregnancy prevention. );;> offers total protection from sexually transmitted diseases (STIs), including RN. );;> is completely free. );;> has no medical or hormonal side effects. . is supported by many people of different faiths as the best choice for unmarried people. is practiced by the majority of people under the age of 18. is an option available to anyone, even people who have had sex in the past. is much safer than periodic abstinence, or not having sex some of the time. has been linked to a young person's self esteem and success in later relationships, Abstaining from sex is easier than you think. It helps if you can talk openly with your partner about your decision. Any worthy relationship is based on respect. If you sense that your partner doesn't respect your feelings, think carefully about what that says about your relationship. Set your own goals and stick to them, even if it means avoiding situations that could make things tricky. _ .: - HUMAN RELATIONS MEDIA DJ- ABSTINENCE FIRST (VERSION S) Ii Owego 69 Owego 70 •• " ·Disease- au lng 'Pathoge s. . .i Ii . .' :', ~~ 2i .\:ö~\t~ s Viru (j¡tlii;~ œ <~:i:r~\¿Ií~}'·¡',Ba et ria:·' Rik 'j BI tt ra _c- ..~. III ungl " ~ ~.'" , ':;;;~:f~~: .. ";JI~. ~:; . \ l[ ,l:. :¡::'r.:.. . . ~. ".: 'I ... ~" -, Copyright by Meeks Heit Publishing Company . 315 Owego 71 I How t· e Defen I I .•..gain .¡ . 316 Copyright by Meeks Heit Publishing Company Owego 72 I. Sexually Transmitted I Diseases/Infections Wha t is an STO/STI? An sTo/STI is a sexually transmitted disease/infection. Recently, people have come to prefer the using the term "sexually transmitted infection" instead of "sexually transmitted disease." We will refer to them here as sexually transmitted infections (STIs). How do you get an STI? STIs are primarily transmitted during sexual activity and spread through vaginal, anal, and oral sex. A few STIs can be spread through contact with blood that is infected (HIVand hepatitis B). Can I get an STI through oral sex? Yes you can. Studies on oral sex have shown that you can contract syphilis, gonorrhea, HIV, HPV, genital herpes, Chlamydia, and possibly hepatitis CZ This is why we define sexual activity as oral, anal, and vaginal sex. While some may say it's a "safe alternative," oral sex does not protect you from the physical consequences of STis. How many people have STis? It is estimated that in the United States 19 million STI infections occur on a yearly basis. To put that in perspective, if we took everyone from the state of Minnesota, North Dakota, South Dakota, Nebraska, and Iowa, we would still be short 1.2 million people! And that's only how many people are infected every year, not the people who were previously infected. For teenagers year. alone, approximately 1 in 4 sexually active teens contracts an STI every Will they ever go away? It depends on the type of STI. Bacterial and parasitic infections, like Chlamydia, can be treated·with oral antibiotics. Viral infections, such as Genital Herpes, HIV,or HPV· cannot be cured Owego 73 Do condoms prevent getting one? '¡ Condoms can reduce the transmission of an STI, but they cannot prevent transmission fully. Remember, the only 100% way of preventing a sexually transrnitted infection is through abstinence. Emotional Effects of Sexual Activity Most people think only 'of the physical consequences of sex; but even if a physical consequence is not experienced, you will most likely experience some sort of emotional pain. When you have sex with someone, there is an' emotional bond that takes place. When that bond is broken, damage is done and it hurts. Sorne emotional effects of a broken sexual relationship include feeling: used cheap abandoned " alone suicidal " depressed guilty or regretful " angry and hurt e " jealous empty e et O) .. I i ! ! IlO Link between Gl " CIl : 13· I : suicide and depression and sexually active teens: Sexually active girls are more than three times more likely to be depressed than girls who are not. Boys who are sexually active are more than twice as likely to be depressed as those who are not Sexually active girls are nearly three times more likely to attempt suicide than girls who. are not sexually active. Sexually active teenage boys are eight times more likely to attempt suicide than boys who are not sexually active. ' Owego 74 '-, I '. I STO FACTS V"hat Are Some Common STD's? I) ö el e " e • Chlamydia ß Gonorrhea ~ Syphilis Genital Warts (HPV) V Herpes V Hepatitis B V HIVV B ' ~J.- cflCti ( ( r~fec¡"W¡y.r' f 1_ '---\ \ C p /øH 5 What Are the Common Signs & Symptoms of an STD? The most important thing to know about STD's is that people may not have any symptoms (asymptomatic). People without symptoms may still have an STD. This means that can transmit the STDto a partner even if they feel and look fine. Possible Signs of an STD in women and men: _ Sores, bumps or blisters near sex organs, - Need to urinate often rectum or mouth - Night sweats _ Burning & pain when urinating or having - Flu-like feelings a bowel movement - Swelling in the groin - Itching around sex organs (around sex organs) _ Swelling ör redness in the throat - Pain during sex possible Signs of an STD in women: _ An unusual discharge or smell from the vagina _ Pain in the pelvic area - the area between the belly button and sex organs _ Burning or itching around the vagina _ Bleeding from the vagina that is not a regular period Possible signs of STD in men: _ Drip or discharge from the penis Owego 75 Sexually Transmitted ,--------"-' Diseases---- ,- ( Chlamydia ' " • An STD caused by bacteria that produce inflammation of the reproductive organs Transmission: Intimate sexual contact with infected person Signs and symptoms in males: ' o An inflammation of the epididymis and urethra, a clear, thin mucous discharge, burning feeling during urination Signs and symptoin~ in females: ' ell Inflammation of the vagina and cervix, unusual discharge from the vagina (There may not be any signs or symptoms) Diagnosis: Detection by physician Treatment: Antibiotics Gonorrhea An STD caused by bacteria that produce a discharge from the urethra e and/or vagina Transmission: Intimate sexual contact with an infected person Signs in males: • Wbite, milky discharge from the urethra two to nine days after infection, burning sensation during urination Signs in females: Discharge from the vagina, burning sensation during urination, sometimes, females have no signs of infection Diagnosis: Made by physician Treatment: Antibiotics Q ( ) Nongonococcal urethritis {NGU} An STD caused by bacteria that produce an infection and inflammation el eifthe urethra ' Transmission: , • Intimate contact with an infected person, spread from infected mother to baby during delivery Signs and symptoms in males: ID An inflammation of the epididymis and urethra, a clear, thin mucous discharge, burning feeling during urination, frequent urination Signs and symptoms in females: • Itching and burning during urination (There may not be any signs or symptoms) Diagnosis: Through a culture of the discharge Treatment:' Antibiotics Syphilis ' , , • An STD caused by spirochetes that cause .a chancre, skin rash, and damage to body organs Transmission: Intimat(3 contact with an infected person, spread from infected mother to baby Signs and symptoms in male: Chancre; skin rash Signs "and symptoms in females: Chancre; skin rash Diagnosis: Through a cul ture of the discharge; blood test Treatment: Antibiotics ;I ( Copyright by Meeks Heit Publishing Company 323 Owego 76 ~STDs Continued GenHaiherpes i . " I ') I ' .. An STD caused by a virus that produces cold sores or fever blisters in I I the genital area and/or mouth Transmission: • Intimate contact with an infected person I Signs and symptoms in females aruimales: , i I ~ Blisters in the genital area, open sores, tiredness, fever, headache, pain and swelling, burning during urination Diagnosis: Inspection and culture of fluid from the blisters Treatment: A'prescription drug helps relieve symptoms on a short-term 'basis Genital warts • Dry wartlike Transmission: Intimate fj I II growths caused by a virus contact with an infected person Signs and symptoms in males and females: ' Warts that resemble a small cauliflower, through a culture of the discharge; iii 'blood test Treatment: N o treatment for the virus Topical medication or laser surgery for removal of the warts o $ Ca'ndidiasis An STD caused by fungi that produce itching and burning Transmission:, Intimate contact with an infected person " Signs and symptoms in females: White, foul-smelling discharge and itching Signs and symptoms in males: Itching and burning during urination Diagnosis: Examination by physician and lab test ' , Treatment: Special creams, tablets or suppository (f Trichomoniasis An STD caused by protozoa that infect the vagina, urethra, or prostate Transmission: \I Intimate contact with an infected person, direct contact with infected towels or linens ,Signs and symptom!?in males and females: ' II A greenish-yellow vaginal discharge that has an odor, itching, pain, or burning during urination ' .• Many males and females have no symptoms Diagnosis: Examination of discharge Treatment: Prescription drug et Pubic Lice ,. An infestation Transmission: with pubic, or crab, lice Intimate contact with an infected person, direct contact with infested clothing, bed linens or towels Signs and symptoms in males and females: Little black spots; itching Diagnosis: Inspection by physician Treatment: Prescription or over-the-counter drug lit' c 324 Copyright by Meeks Heit Publishing Company Owego 77 Na.me___________ lD ate I .. m l Communicable and Chronic Di.seases Unit 7\ · •... a. . Sexually Transmitted DisBase~ . Justthe STO Facts, Mfl am Information about six STDs, their" signs and symptoms, and their treatment make up the chart below. Fill in the blanks to complete the chart. Treatment Signs and Symptoms in Males and Females sm M: inflammation of epididymis and ure- Antibiotics for weeks or in morning, thra, with urination; F: inflammation of and Gonorrhea Nongonococcal urethritis , might be discharge from , M: days after to urethra infection; F: discharge; M & F: might during urination have M: painful and frequent ; F: might have during urination M&F: a Antibiotics, although some to strains are antibiotics with and , then appearance of , then damage to M & F: clusters of small painful , that turn into tiredness,feve~headaChe,pabn,swelling Antibiotics N o known cure, but there is a drug that ._._._ of Trichomoniasis M: may have pain and burning during ; F: migP.thave discharge with odor ( -. Copyright by Meeks Heit Publishing Company 65 Owego 78 ·t: Reasonsto Avoid) ~Infection with T 1~. I want to live a long, productive, and healthful life. 2!1i I ,want 3 ..I want to keep my body healthy. my reproductive organs to ~ function as they should. 4. ·1want to keep my body free of recurring symptoms of ,STOs. ':Sa I want to maintain self ..respect. 6m I want to avoid unnecessary medical expenses. I want to be able to tell a future rnarrlaqe 7~ partner that I have neverbeen infected with an STD. '8 D .9. m i want to have a healthful marriage without recurring symptoms of an STD . I want to remain fertile so that I have the option of being a parent. .:, 10. Ido not wantto . infect my offspring with an STD. Copyright by Meeks Heit Publishing Company 325 Owego 79 " .. ... Name. • Date ) " I , I Il Cammunicable and Chronic Diseases Unit 7. ,'. Sexually Transmitted Diseases ; ( i 1 ,, " i ,:No STDs for Me!' .. I I I I Your textbook identifies ten reasons to avoid infection with STDs; A clue for each reason is given in the lefthand' column below. Write the reason on the lines across i I I I from each clue. ! I 1. The kind of life you want to live I I i 2. The way you want to keep your ! I body I I I 3. The way you want your repro- I ductive organs to function 4. What you want to keep your , body free' of ( 5. The way you want to feel about i,\ yourself 6. What you want to do about medical expenses I I 7. What you want to be able to tell I I ".~ a future marriage partner I I 8. The kind of sexual relationship you want to have in the future. : 9. Why you want to remain fertile ,- 10. What you do not want to do to an offspring I 66 Copyright by Meeks Heit Publishing Company - . ," Owego 80 '---'''. HIV/AIDS "l ;=ACT O R MYTH ''I I Directions: Read the following statements about HIVand décide whether each statement is a fact or a myth. Write fact or myth on the line in front of each 'statement. _~ __ , - 2. You can get HIV from attending school with a classmate who is infected. ____ 3. HIV can be found in most body flulds, ____ 4. You can get HIV from toilet seats. ____ 5. No known cases of HIV infection have been transmitted through tears or saliva. ____ 6. HIV can-be transmitted vaginal secretions. ______ 7. HIV infection can' be prevented. .....,....,. 8. HIV can be transmitted practices. through blood, semen and through unsafe sexual ____ 9. Abstinence & safer sex practices help prevent HIV .lnfectlon, ____ 10. HIV can be spread by sharing contaminated ---- 11. Infected mothers can transmit babies. needles. HIV to their unborn I I 1. You can get HIV by drinking 'from someone's glass. .......... _~_ ___ I Owego 81 What is HIV? . HIV (human immunodeficiency ') virus) is the virus that causes AIDS. This virus may be passed from one person to another when infected blood, semen, or vaginal secretions come in contact with an uninfected person's broken skin or mucous membranes*. In addition, infected pregnant women can pass HIV to their baby during pregnancy or delivery, as well as through breast-feeding. People with HIV have what is called HIV infection. Some of these people will develop AIDS as a result of their HtV infection. Can I get HIV from casual contact? (shaking hands, toilet seats¡ sneezing)) No. HIV is not trar:¡smitted by day-ta-day contact in the workplace, schools, or social settings, HIV is not transmitted through shaking hands, hugging, or a casual kiss. You cannot become infected from a toilet seat, a drinking fountåin, a door knob, dishes, drinking glasses, food, or pets. HIV IS not an airborne or food-borne virus, and it does not live long outside the body. HIV can be found in the blood, semen, or vaginal fluid of an infected person. The three main ways HIV is transmitted are: o through having sex (anal, vaginal¡ or oral) with someone infected with HIV so through sharing needles and syringes with someone who nas " HIV through exposure (in the case of infants) to HIV before or during birth, or through breast feeding HIV is most commonly transmitted through specific sexual behaviors (anal, vaginal, or oral sex) or needle. sharing with an infected person. An HIV-infected woman can pass the virus to her baby before or during childbirth or after birth through breastfeeding. Although the risk is extremely low in the United Stats¡ it Is also possible to acquire HIV . through t(ansfusions of infected blood or blood products. Owego 82 What are the symptoms of HIV The only way to know if you are infected is to be tested for HIV infection. You cannot rely on symptoms to know whether or not you are Infected with HIV. Many people who are infected with HIV do not have any symptoms at all for many years. The following may be warning signs of infection with HIV: • rapid weight loss <I dry cough I) recurring fever or profuse night sweats et profound and unexplained fatigue • swollen lymph glands in the armpits, groin, or neck .. diarrhea that lasts for more than a week ø white spots Oí unusual blemishes on the tongue, in the mouth¡ or in the throat GI pneumonia II red, brown, pink, or purplish blotches on or under the skin or inside the mouth, <I nose, or eyelids memory loss, depression, and other neurological disorders However, no one should assume they are infected if they have any of these symptoms. Each of these symptoms can be related to other illnesses. Again, the only way to determine whether you are infected is to be tested for HIV infection. Similarly, you cannot rely on symptoms to establish that a person has AIDS. The symptoms of AIDS are similar to the symptoms of many , ' other illnesses. AIDS is a medical diagnosis made by a doctor based on specific criteria established by the CDC. How long after possible exposure can I get tested? Most people will develop detectable antibodies within two to eight weeks (the average is 25 days). Ninety seven percent will develop antibodies in the first three months following the time of their infection. In very rare cases, it can take up to six months to develop antibodies to HIV. Owego 83 What is AIDS? ') AIDS stands for Acq'uired Immunodeficiency Syndrome. Acquired - means that the disease is not hereditary but develops after birth from contact with a disease causing agent (in this case, HIV). 'Immunodeficiency - means that the disease is characterized by a weakening of the immune system. Syndrome - refers to a qroupof characterize symptoms that collectively indicate or a disease. In the case of AIDS this can include the , development of certain infections and/or cancers¡ as well as a decrease in the number of certain cells in a person's immune system. What causes AIDS? AIDS is caused by infection with a virus called human immunodeficiency virus (HIV). This virus is passed from one person to another through blood-to-blood and sexual contact. In addition¡ infected pregnant women can pass HIV to their babies during pregnancy or delivery¡ as well as through breast feeding. People with HIV have what is called HIV infection. Some of these people will develop AIDS as a result of their HIV infection. How does HIV cause AIDS? HIV destroys a certain kind of blood cell (CD4+ T cells) which is crucial to the normal function of the human immune system. In fact, loss of these cells in people with HIV is an extremely development powerful predictor of the of AIDS. Studies of thousands of people have revealed that most people infected with HIV carry the virus for years before enough damage is done to the immune system for AIDS to develop. However¡ sensitive tests have shown a strong connection between the amount of HIV in the blood and the decline in CD4+ T cells and the development anti-retroviral of AIDS. Reducing the amount of virus in the body with therapies can dramatically person's immune system. slow the destruction of a Owego 84 _. ,¡ I . \ i I .com'municable and Chronic Diseases Unit , Name , , ' . A -dte \ 7'1 ii HIV Infection and AIDS I I i - ' _--- mv ,AIDS semen l i I l human immUnodeficiency virus opportunistic blood pathogens' I \ I I is a pathogen that destroys infection-fighting T cells in the body. The initials stand for . sick to the healthy through body fluids like _____ , and, in a few cases, , mv is spread from the ' ---. Once in the system, the virus attaches itself to the new host's ------produce its own material. Eventually, it will r I Complete the following paragraph using the 'words listed below. vaginal secretions genetic '. \ HIVand AIDS destroy noncommunicable immune system helper T,cells breast milk i I \ mv ----, where it will the helper T cells it has invaded. As T cells are killed, their number falls. This leaves the ---_____ weaker, unable to fight off . When this happens, the body is less able to 'fight off infection and disease. This is how mv causes . AIDS is present in a person when infections and diseases are found in the system. There is no cure for AIDS. So it is iropo!tant to avoid the risk behaviors, that would expose your body to the cause of AIDS- . ,J Copyright by Meeks Heit Publishing Company 67 Owego 85 Owego 86 , '. " ", ') ( owHIV , r I \ i i Having sexual contact with an infected person. oSharing needles or syringes to .inject drugs. Sharing needles for tattooing or ear-piercing or piercing other . body parts, . . e GI· . ( Having contact with the blood or . other body fluids, mucous membranes, or'broken skin of an infe.cted persono G .. =Havlng a blood transfusion with infected blood or blood products. . II! . Having an organ transplant. Being born to a female infected wi·th HIVe e. ( 332 . Copyright by Meeks Heit Publishing Company ! Owego 87 ( ) w I II I II r.., hugging; G closed mouth kissing; e touchínq, holding, or shaking, hands; e couqhinq or sneezing; IlD sharínq food or eat.ing utensils; sharing towels or 'combs; having casual contact with friends; ~ sharing bathroom facilities or water'fountains; " -,sharing ~ pen or pencil; .~being bitten by insects; ~ donatina blood; eating food prepared or served by @ @ (I f), someone else; l_ .. l ~ attendin·g school; œ using a telephone or computer used. 'by,'someone else;. • swimming in a pool; o using. sports andsvm eq.uipment.· M I M Copyright by Meeks Heit Publishing Company 333 Owego 88 Preventing .1 ·H·· 1\/ I f and AI .' .• I 11 I I ti r: ~~ Practice abstinence. ~Change your behavior if you have been sexually active. ~Choose not to use drugs, ~Seek treatment if addicted to harmful drugs. ~ ;1 ~Get permission from your parents or guardian before having ears or other body parts pierced. Never .share needles with others. , ; -,~~ Avoid contact with the blood and other body fluids, mucous mern... branes, or broken skin of another. per-son. Copyright by MeeksHeit Publishing Company 335 Owego 89 .- '... Name -------------------------, ) ,""- , I Communicable andChronic Diseases Unit71 HIV Infection and AIDS , . ~ ,J: Date How HIV Is Spread Many people have mistaken ideas about how mv is spread. Twenty ways that HIV mayor may not be spread are listed below. Write Y on the line in front of each way thatIDV is spread. Write N on the line in front of each way mv is not spread. On the lines below, list three ways in which health care workers can protect themselves, from contracting mv. .' 1. ,Attending school 2. Donating blood 3. Injecting steroids with a contaminated needle 4. Using a computer used by someone else -, 5. 6. 7. 8. Swimming in a pool Having an organ transplant Sharing a pen or a pencil Coughing or sneezing ,- 9. Sharing needles 'for tattooing, just once __ ___ 10. Sharing towels or combs. 11. Hugging' , 12. Sharing a needle for ear-piercing, just one hole in one ear 13. 'Having sexual contact with an infected person 14. Using a telephone used by som.eone with mv ___ ___ 15. Having a blood transfusion 16. Using someone else's sports and gym equipment __ 17. Sharing food or eating utensils 18. Helping someone take care of a cut or a nosebleed 19. Being bitten by insects 20. Having casual contact with friends 1. 2. 3. 68 ------------------------------------~--~----------~( Copyright by Medes Heit Publishing Company Owego 90 Teacher: Joan Beck Lesson Tapie: Your Sex Role Course: 8th Grade Health Unit Tapie: Personal Development objectívets) with connection to standards: • Compare sex vs. sexuality • Analyze sex roles Anticipatory Set: • Review results from Family & Social Health Exam . Lesson content: • Sex vs. Sexuality • Sex roles in society . Presentation (strategies, multiple intelligences, methods, activities ... ) • Ask students to sit with a partner and come to the desk to pick up a piece of poster paper and a few markers • Instruct students to largely write the word sex, leave a space and then the word sexuality. Students should then be given time to define each term to the best of their ability. Emphasize the use of appropriate terminology only • Review answers, correct misconceptions • Now ask students to turn the paper over to the blank side. Ask students to think about what their role is as a male or female. • Ask them what the following means: "Girls are sugar and spice 7 everything nice" "Boys are snips and snails & puppy dog tales" • Why are girls dressed in pink? How are they supposed to dress? What are the traditional jobs for women today? • Why are boys dressed in blue? How do they dress? What are the traditional jobs for men today? • Now think about what you believe how males and females should act, dress, ect.. today. List or draw your answers ... • Debrief udent Evaluation: • Class discussion • Drawings Owego 91 Lesson Closure: • Next Class: Puberty in detail! Owego 92 Teacher: Joan Beck Lesson Topic: Puberty ! Course: 8th Grade Health Unit Topic: Personal Development Objectlvefs) with connection to standards: • Describe the functions of the endocrine system and its role in puberty • Explain ways to care for your endocrine system • Identify physical characteristics that occur during puberty Anticipatory Set: • Ask students the following questions: Howald are you? Are you still considered a child? What happens during the early teen years? How do kids know its happening? Lesson content: • Functions & Care of the Endocrine system • Physical changes that occur during puberty Presentation (strategies, multiple intelligences, methods, activities ... ) • Distribute personal development packets to each student. Instruct students to write their name on the front. • Show "The Endocrine System" from Brainpop on WebMax (Internet I Favorites I WebMaxLogln I jbeck, media / Brainpop / Health/Endocrine • • • • • System Quickly review the two handouts concerning the Endocrine System Ask students to individually complete "Change as You Grow" as a pre-test to puberty * They can check their answers after the puberty clip Next show the Brainpop segment on "Puberty" Ask students to individually complete the Activity Page on Puberty in their packet Using the Smartboard File "Brainpop Puberty Activity Chart review correct answers. Instruct students to make changes on their charts Student Evaluation: • Discussion • Completion of worksheet **** If time have students work together as a group to complete the vocabulary page Owego 93 -sson Closure: • Orally review major changes that occur during puberty • Next Class: Male Anatomy & Physiology of Reproduction Web connections ft WebMax ~ Brainpop - Endocrine System & Puberty Owego 94 • I will recognile habits that prot~d female reproductive health$ I will recognÎle habits thaAtprot~ct male reproductive health~ Vocabulary* fl endocrine system reproductive system * A complete listing of vocabulary words appears at the end of the lesson. To mature is to become fully grown or developed. You are maturing in many ways. Your endocrine and reproductive systems hèlp you move toward maturity. You recognize changes in your ._ body and in the ways you think and feel. Your relationships with others have new meaning because of these two body systems. The Lesson Objectives " Describe the functions of the endocrine and reproductive • systems. Explain ways to care for your endocrine and reproductive «I CI) systems. Identify physical changes that occur in puberty. Trace the path of an unfertilized egg through the female reproductive organs. " Trace the path of a sperm cell through the male reproductive organs. " Discuss how your body and your sex role can help you feel good about yourself. \ Lesson 12 • Moving Toward Maturity ~ Owego 95 Unit 3 • Growth and Development ...-'. ,,0._ he endocrine (Elv-duh-krin) system e body system that consists of glands produce hormones. A hormone is a '~mical messenger that is released into bloodstream. Hormones control many your body's activities. A gland is a group •of cells or an organ that secretes hormones. Jf The pituitary (pi-T'OOvi-tehr-ree) gland' is a gland that produces hormones that control other glands. It also produces hormones that control the growth of bones and the movement of smooth muscles. Pituitary gland Parathyroid '-------Thyroid , _--\:::::::::==~~ : ,--------'--' The Endocrine System ~ __ Adrenal glands Pancreas '------,'- Ovary \&1 ~ ¡"i 'v Testes Lesson 12". Moving Toward Maturity 117 Owego 96 Unit 3 • Growth and Development The thyroid gland is a gland that produces thyroxin. Thyroxin (thy·RAHK·sin) is a hormone that controls . metabolism. Metabolism (muh.TA.buh·li·zuhm) is the rate at which food is converted to energy in the cells. Too much thyroxin can result in high metabolism. A person might feel restless and lose weight. Too little thyroxin can result in low metabolism. A person might feel tired and gain weight. The parathyroid (pehr.uh·THY·royd) glands are four glands that control the amount of calcium and phosphorus in the body. When these glands are overactive, calcium leaves the bones and enters the blood. This causes muscle weakness. " The adrenal glands are two glands that control the body's water balance, help in the digestive process, and secrete adrenaline. Adrenaline prepares the body to react quickly during stress or in an emergency. The pancreas (PAN·kree·uhs) is a gland that produces digestive enzymes and chemicals that control blood sugar levels. The pancreas releases insulin. Insulin is a hormone that regulates the blood sugar level. The pancreas is also part of the digestive system. The ovaries (Ol+vuh-reez) are two female reproductive glands that produce egg ce!ls and estrogen. Estrogen (ES.truh-juhn) is a female sex hormone that controls the development of secondary sex characteristics during puberty. Puberty is the stage of growth and development when secondary sex characteristics appear. Puberty occurs in females usually between the ages of 8 and 15. The testes (TES·teez) are two male reproductive glands that produce sperm cells and testosterone. Testosterone (te.STAH.stuh.rohn) is a male sex hormone that controls the development of the secondary sex characteristics during puberty. Puberty occurs in males usually between the ages of 12 and 15. Both males and females might experience changes in mood during puberty. This is due to changing levels of male and female hormones. Slight changes in mood are normal. If changes in your body or your feelings bother you, discuss them with your parents, guardian, or physician. 118 Lesson 12 • Moving Toward Maturity Owego 97 Females ales Increase in height of 4-1i inches Deepening of voice Increase in perspiration Growth of facial hair Growth of llU'iderarm hair Growth of pubic hair Broadening of shoulders • Increase in musele mass • Enlaurgementof reproductive organs • Onset of sperm development .• .'Increase in height of i-B incIles • Increase in perspiration • .Growtfl of· underarm hair • G,:o~h of pubic hair - Enlargement· of breasts • Widening'of hips, • Enlargement of'r~productiveorgans -Onset of menstruation - Formation of mat~ree,ggs .¡..' Keep él list of questions to ask your physician. You might ask your physician about the changes in your body and changes in your feelings. You might ask your physician for ways to care for your body during puberty and adulthood. Your physician can explain the effects of hormones on your body. Your physician can reassure you about the changes that occur as you grow and develop. Owego 98 The Endocrine ·Systetn , r:'~ !.J'.~, .AJ}'~ .... r A - ~. ,~ ... . Pituitary Gland Parathyroid Glands Thyroid Gland I 0, Adrenal Glands - ... _- ~ __ -.:..::;..;p ... ..", Pancreas Ovaries (female) (, Testes (male) ~,- , ¿¡.J (;.:!/ () A Copyright by Meeks Heit Publishing Company 131 Owego 99 I Ways toCare for Your Endocrine System ¡, , ..Have regular medical checkups. ri:' \' '/-"jf)t/-l :-. ( . ., .' 132 Copyright by Meeks Heit Publishing Company (, Owego 100 Name _ Date _ Growth and Development ~. Moving Toward Maturity e . ' IiIO' ' ¡Yj IUntt 31 .ml' Change As You Grow A number of physical changes take place during puberty. Fifteen of these changes are listed below. Some occur only in females. Write "F" on the lines in front of these. Others occur only in males. Write "M" on the lines in front of these. Still others occur in both males and females. Write "F &M" on the lines in front of these. 1. Enlargement of reproductive organs 2. Increase in height of 2-8 inches 3. Deepening of voice 4. Enlargement of breasts 5. Growth of pubic hair 6. Increase in height of 4-12 inches 7. merease in perspiration 8. Broadening of shoulders 9. Onset of menstruation ____ 10. Formation of mature eggs ____ 11. Onset of sperm development 12. Growth of facial hair 13. Widening -of hips ____ 14. Increase in muscle mass ____ 15. Growth of underarm hair The hormones responsible for the changes that take place during puberty are secreted by glands belonging to the endocrine system. N aille two things you can do to care for your. endocrine System. 1. I I I I 2. i i ( ¡ .i I I I ¡ 24 Copyright by Meeks Heit Publishing Company ,l [ Owego 101 , ;.~ 93rain Name: lSll~~p .. .~ I @ Date: ,: '_.,ø' November ........................ 8 r 2011 .. HEALTH> GENETICS, GROWTH, AND DEVELOPMENT) ADOLESCENCE DESCRIE IT Describe some of the changes that boys and girls experience during puberty. When do these changes occur? GIRLS BOYS Ages: .......................................................................... 12-13 Ages: 10-11 MUSCLES DEVELOP BREASTS DEVELOP • ••••••••• ·.·····-·.· ••••••••••••••.••••• GAIN WEIGHT AT HIPS FACIAL HAIR GROWTH ..................................................................................... , MENSTRUATION BEGINS PUBIC HAIR GROWTH VOICE DEEPENS . , EXPLAIN IT i ••••••••••••••••••••••••••••••• PUBIC HAIR GROWTH In your own words, explain the importance of role models to adolescents. ~.~.~.~ ;9.t! ~p.9.~~~~~~~~ ~.~ ~ ~~.~~.~~~.~ ~.~.~.~.~P.~.~.~.~.Y.~.~.~.r. FIGURE OUT ................................ . WHO YOU ARE AND WHO YOU WANT TO BECOME. ROLE - - . MODELS HELP ADOLESCENTS MAKE THESE KINDS OF CHOICES • ........... . ......................................................................... . - - , THINK ABOUT IT Who is your role model? What qualities does he or she have that you admire? STUDENT ANSWERS WILL VARY • ................................................................................................................................. , , , ,., . .............................................................................................................................................................................. ............................................................................................................................................................................... .. . , 1999-2011 BralnPOP. All rights reserved. Visit us at http://www.bralnpop.com Owego 102 Owego 103 Owego 104 Owego 105 Owego 106 Owego 107 Owego 108 Owego 109 Owego 110 Owego 111 Owego 112 Owego 113 Owego 114 Owego 115 Owego 116 Owego 117 Owego 118 Owego 119 Owego 120 Owego 121 Owego 122 Owego 123 Owego 124 Owego 125 Owego 126 Owego 127 Owego 128 Owego 129 Owego 130 Owego 131 Owego 132 Owego 133 Owego 134 Owego 135 Owego 136 Owego 137 Owego 138 Owego 139 Owego 140 Owego 141 Owego 142 Owego 143 Owego 144 Owego 145 Owego 146 Owego 147 Owego 148 Owego 149 Owego 150 Owego 151 Owego 152 Owego 153 Owego 154 Owego 155 Owego 156 Owego 157 Owego 158 Owego 159 Owego 160 Owego 161 Owego 162 Owego 163 Owego 164 Owego 165 Owego 166 Owego 167 Owego 168 Owego 169 Owego 170 Owego 171 Owego 172 Owego 173 Owego 174 Owego 175 Owego 176 Owego 177 Owego 178 Owego 179 Owego 180 Owego 181 Owego 182 Owego 183 Owego 184 Owego 185 Owego 186 Owego 187 Owego 188 Owego 189 Owego 190 Owego 191 Owego 192 Owego 193 Owego 194 Owego 195 Owego 196 Owego 197 Owego 198 Owego 199 Owego 200 Owego 201 Owego 202 Owego 203 Owego 204 Owego 205 Owego 206 Owego 207 Owego 208 Owego 209 Owego 210 Owego 211 Owego 212 Owego 213 Owego 214 Owego 215 Owego 216 Owego 217 Owego 218 Owego 219 Owego 220 Owego 221 Owego 222 Owego 223 Owego 224 Owego 225 Owego 226 Owego 227 Owego 228 Owego 229 Owego 230 Owego 231 Owego 232 Owego 233 Owego 234 Owego 235 Owego 236 Owego 237 Owego 238 Owego 239 Owego 240 Owego 241 Owego 242 Owego 243 Owego 244 Owego 245 Owego 246 Owego 247 Owego 248 Owego 249 Owego 250 Owego 251 Owego 252 Owego 253 Owego 254 Owego 255 Owego 256 Owego 257 Owego 258 Owego 259 Owego 260 Owego 261 Owego 262 Owego 263 Owego 264 Owego 265 Owego 266 Owego 267 Owego 268 Owego 269 Owego 270 Owego 271 Owego 272 Owego 273 Owego 274 Owego 275 Owego 276 Owego 277 Owego 278 Owego 279 Owego 280 Owego 281 Owego 282 Owego 283 Owego 284 Owego 285 Owego 286 Owego 287 Owego 288 Owego 289 Owego 290 Owego 291 Owego 292 Owego 293 Owego 294 Owego 295 Owego 296 Owego 297 Owego 298 Owego 299 Owego 300 Owego 301 Owego 302 Owego 303 Owego 304 Owego 305 Owego 306 Owego 307 Owego 308 Owego 309 Owego 310 Owego 311 Owego 312 Owego 313 Owego 314 Owego 315 Owego 316 Owego 317 Owego 318 Owego 319 Owego 320 Owego 321 Owego 322 Owego 323 Owego 324 Owego 325 Owego 326 Owego 327 Owego 328 Owego 329 Owego 330 Owego 331 Owego 332 Owego 333 Owego 334 Owego 335 Owego 336 Owego 337 Owego 338 Owego 339 Owego 340 "y ';}g~,,\ ¡ii' l! ~¡ ~¡ :¡ , I • ~: • '1 I . ,, utside of military personnel, who should get a shot to protect themselves against smallpox? It's a tricky question, because this particular vaccine is one of medicine's most dangerous. Most people just get a blister at the injection site and maybe some swelling of the arm. About a third will feel ill enough to miss work or school. Out of 1 million people, between 15 and 60 will develop serious complications, including encephalitis (swellingof the brain). If the entire population of the United States were to be vaccinated, 250 to 500 Americans would probably die. Luckily, doctors can often tell in advance who IS most at risk. Pregnant women and small children, for example, are particularly vulnerable. So is anyone whose immune system is compromised. All told, 60 million Americans would probably be well advised to take a pass. smallpox for 25 years, thanks in large part to Dr. D. A. Henderson. He ran the World Health Organization's smallpox-eradication program and has been the chief smallpox adviser to the federal government. Henderson believes a smallpox outbreak in the United States would be "very controllable." The strategy he used in the 1960s and 1970s was to vaccinate only infected patients and people in contact with those patients, moving outward geographically in concentric circles until the virus stopped spreading. For those "vha don't get a precaution my vaccination, the smallpox vaccine still protects against the disease if given within two or three days after infection. ffl¥. .--------_ l,.'" u.. It. lM •·.H . '·t. ~'íI .",~." ":;" il';,1j!'; t,;,~"";' \H¡ ...,.·~ R.9, t.~."" ~fi;ij .. ,'~". According to a survey, two out of three Americans are willing to risk their health to protect themselves against a disease that doesn't really exist. There hasn't been an outbreak of _ .. _ , _-_ - __ -_ , . TIME -~~, ~ 11;:' .. -¡ to THINK~u - • ~~. ø'~ ..:'C_, Ô:i~~:U fi1~~~ii'class: 1. ,', .' §P[ÓS and cons of smallpox vaccinations? .2;·.• plan to prevent massive ,:'smalfpox'¡jûtbreaks in the 1960s and 1970s? Under :.. ..'Jb'~fh.Îá'ß';;~?iijllall citizens receive a vaccination if :.t~,;tíi~ti'.";;"i"'j;;,x:;iJ'~tbreakin the U.S.? Why or why not? Wh~:.,¡t,.",~JQitHenderson's ;--~;-r).· .-.,t.u.~ Owego 341 _~~,=".,..,""'.. M""'~'~''''''- '''" .•_. '" . ..~ """","'"" •• ~=""A "''*~.'''. ~ ..... """.~=.~ ,.•"" ••"...".",''''' .'L_""" .<..",~, ...,,,., ...*"" < "., ~ -+ GOAL SETIING. ~ ADVOCACY . 1. Goal Setting. Identify three things you can do to lower your risk of contracting a communicable disease. Make a plan to incorporate these strategies into your daily life. Prepare a "Staying Healthy" checklist that gives strategies you can use to reduce the number of infections. (LESSON 1) 2. Advocacy. Check with state and local governments to find out what immunizations are required for admission to schools at various levels from preschool through college. Use this information to create a public service pamphlet that identifies and describes health-related services available in the community that relate to disease prevention and health promotion. (LESSON 2) vm 3. Accessing Information. Visit health.glencoe.com to link to a site on communicable diseases. Choose one of the diseases to research, and create a poster on Áttml':<J your chosen disease. Include information about what symptoms accompany !!¡iOR'J}J~li the disease, how it is transmitted, what lasting effects it can have on the body, what the trends are, who is most at risk, whether a cure or an effective treatment is available, and whether a vaccination is under development. (LESSON 3) o ~<;''''=...""'''_.= ~.........-.....,,__ ,u~.,.... . ."""""~..._"".... • ~_ ,.ot .•,' ~",'" __ « ,,~,_"","'''''''' _,.. ",,, ,,,,,,' ,,, ""' ' ,. Jc-"''',< ~." ."'. w ,'=-' .., '~.'" ~,=».". .~,,~ "" _. '''~ ,"-", u •.• :1 I ~- - """,<-A'.'=. - ........ ",~."'." ...~-.,. ....·......... "ùo .,,"" r~ _C_k.R£.ER'------. orner'· . I' Epidemiologist Did you ever wonder why and how diseases move the way they do? Why is the incidence of a particular disease suddenly on the increase? If these questions interest you, consider a career as an epidemiologist. Epidemiology is a branch of medical science that deals with the incidence, distribution, and control of disease. Epidemiologists complete at least six years of college, studying science, human behavior, and biostatistics. People who want to become epidemiologists should be logical, patient, organized, and curious. Find out more about epidemiology and other health careers by clicking on Career Corner at health,glencoe.com, ~ health.glencoe.com lfàBEYOND '-W the Classroom ) Parent Involvement Advocacy. M.?ny.diseases and emerging infections are spread by vectors. Contact a state or local health department to determine which vector-borne diseases occur most often in the state in which you live. Choose one of these diseases, and interview a local public health official about precautions that can be taken to avoid infection. Be sure to ask what treatments are available to an infected person. Prepare a fact sheet with this information, including a picture of the vector. I I I I' I School and Community Vaccine clinics. Gather information about clinics and other public sites where free or low-cost flu vaccines are offered. Prepare a flyer that explains the need for this immunization. Include the dates, times, and locations for these vaccination opportunities. Chapter 24 Review 643 Î .. I i·l· ,d : .1 1 11 11. 1 ill'¡1 Owego 342 Date Class Name .................................................................................................................................................................................................................................................................................................................. Activity90 G.uided Reading Activity FOR USE WITH CHAPTER 24, LESSON 3 Directions: Briefly answer the following questions in the space provided. 1. Write a brief summary of the symptoms and treatments for each of the following respiratory infections. common cold influenza ------------------------------------~------------------ pneumonia ___ strepthroat ___ tuberculosis ------------------------------------------------------------ 2. What is hepatitis? How is it related to communicable diseases? 3. What is the mode of transmission for the hepatitis A virus? The hepatitis B virus? The hepatitis C virus? 172 GLENCOE HEALTH • GUlDED READJNG ACTIVITIES Copyright © Glencoe/McGraw-Hili Owego 343 Name .................................................................................................................... , G4ided Reading,iActivity 90 "" , Date Class , . (Continued) FOR USE WITH CHAPTER 24, LESSON 3 4. Describe three factors that contribute to emerging infections. Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • GUIDED READING AC11VTI'œS 173 Owego 344 Name ..................... , "., " , Class Date " . , Concept Mapping Activity 90 FOR USE WITH CHAPTER 24, LESSON 3 Common Communicable Diseases Directions: Complete the concept map below on communicable diseases. Use each of the following terms and phrases once: AIDS, common cold, cured, encephalitis, influenza, liver, Lyme disease, meningitis, pneumonia, strep throat, treated, tuberculosis. Hepatitis A, B, & C Hepatitis is inflammation of the Respiratory Infections • ------------------------• ------------------------- _________ that can be caused by chemicals, including drugs and alcohol, or by many different pathogens. • ------------------------• ------------------------• ------------------------- • A, B, and C cannot be • A and B can be with a vaccine. _ Common Communicable Diseases Other Diseases that are common to adolescents and young adults Emerging Infections Emerging infections are communicable diseases whose incidence in humans has increased within the past two decades or threatens to increase in the near future. • • mononucleosis • measles • ------------------------• ------------------------- and ------------are emerging infections. • West Nile virus 90 GLENCOE HEALTH • CONCEPT MAPPING ACTlVITIES Copyright © Glencoe/McGraw-Hili Owego 345 Name ........................................................................................................ I~_A_._c_t_._iv_i_t_y_'. _.90,..... .•.. _. ·•·__ ..R' , , Class " ~~-",I1",~Il=æ~. 'æ,:":;! ..",il:"iiilll· ,1!!lc,·-~"·,æ, :"il"",lE!:·:··ê"~"!!·· Date , . 'æ!!" ~!!~R!!Zl""U~:~':'W!ij'C:':I!!lll;H1I·:~~'~~A::æ:1IE:~:~4C~:~::~ ..~i!N[iZ·3 Directions: Use information from the lesson about common communicable diseases to complete the exercises below. 1. Circle the diseases below that are respiratory infections. hepatitis meningitis influenza Lyme disease pneumonia tuberculosis encephalitis measles cold 2. Circle the diseases that are not treated with antibiotics. tuberculosis viral pneumonia bacterial pneumonia mononucleosis influenza cold strep throat hepatitis C measles 3. Circle the ways in which someone can cut down on the risk of catching communicable diseases, keep vaccinations current wash hands often eat only vegetables abstain from sexual contact and illegal drug use avoid contact with infected people fumigate the house every three months drink plenty of beverages with caffeine avoid body piercing and tattooing tí' 4. Circle the reasons that the number of emerging infections is increasing. recycled air in high-rise apartment dwellings increased movement of infected people and animals agents of bioterrorism population movement resistance to antibiotics poor eating habits mass production and distribution of food inadequate personal hygiene by health workers strain on the earth's ecosystem Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • RETEACHING ACTNlTIES 107 Owego 346 \ .' ~ , : , i, ;-: ·í i i Use the notes you have taken in your Foldable to review what you have learned. On the ; back of your Foldable, describe an experience you have had with a communicable disease and suggest ways that you might prevent future occurrences. , ,\ \ ¡ , ,~ I O: t, I ¡ 1 I /' EXPLORING HEALTH TERMS Answer the foJlowing questions on a sheet of paper. \ Match each definition with the correct term. ,I: \, communicable disease toxin viruses l 1:\ II i I ji ~,l. i .i emerging infection lI:, , ,lli\ 'II[i: 1\ H, • '\ I t - :1 l: l: l¡ ¡', \ l i¡ the body? 2. How do pathogens spread when a person sneezes? vaccíne 3. Analyze how handwashing can help prevent communicable diseases from spreading. 4. How do mucous membranes help fight pathogens? 5. How are antibodies and antigens related? 6. Describe how vaccines work, and evaluate their impact on disease prevention .. 7. Explain how technology, such as the development of vaccines, has impacted the health status of individuals, families, communities, and the world in the prevention of communicable disease. 10. Identify three emerging infections. I l ,ti ~l 644 Chapter 24 Review J l¡ '¡ } t ¡ Î 1. What is one way that some bacteria are helpful to the human body? How do some bacteria harm 9. What healthful behaviors will reduce your risk of contracting hepatitis A, B, and C? I , ¡ 8. With what do the air sacs in the lungs fill in a person infected with pneumonia? ¡ Ii \ Use complete sentences to answer the foJlowing questions. antigen immunity lymphocyte 5. A white blood cell that attacks an invading pathogen is a(n) ---6. The state of being protected against a particular disease is _ I.: ,¡ /' RECALLING THE FACTS 4. The swelling and pain that accompany an injury such as a splinter are part of the body's ---- I \ jaundice ¡ ¡ fiJI in the blanks with the correct term. antibody immune system inflammatory response phagocyte ~ , 8. A person with pneumonia will have skin and eyes that are slightly yellow. 9. An emerging infection is an infectious disease that has become more common within the past two decades or that threatens to increase in the near future. \-11 ji' i 7. Jaundice can be a complication of the flu. pathogen vector -', bacteria 2. A substance that kills cells or interferes with their function. 3. An organism that carries and transmits pathogens to humans and other animals. 'li'I j ¡ pneumonia 1. A microscopic organism that causes disease . ~j ~ Identify each sentence as True or False. If false, replace the underlined term with the correct term. For more review questions for Chapter 24, go to health.glencoe.com. C~ ! ! I I ¡ ¡ ¡ !i , Owego 347 ;/ WRITING CRITICALLY 1. Expository. Write a health bulletin to post in the office of your school nurse that informs others of strategies for preventing common communicable diseases. In your bulletin, make sure that you first define communicable diseases and list some common communicable diseases. 2. Personal. Write a journal entry describing how you felt the last time you were sick. Describe the favorite activities that you missed because of the illness, how long it took to catch up on schoolwork, and how long it took to feel better. In your journal, discuss any prevention strategies you might have taken to avoid the illness. l, , i Read the paragraph below and then answer the questions. If you have ever had a bacterial infection, you have seen how quickly bacteria can multiply in your body. Bacteria reproduce by dividing in two in a process known as binary fission. If conditions are ideal, binary fission takes about 15 minutes. However,this time can vary from aboutíü minutes to about 24 hours. Starting with a single bacterium, how can you find out how many bacteria exist after a certain length of time? After one reproductive cycle, you have two bacteria, or 21. After two cycles, you have four, or 22. You can summarize this pattern by the formula B = 2n , where B is the number of bacteria, and n is the number of reproductive cycles. .! 1. One bacterium has a reproductive cycle of 30 minutes. How many bacteria will there be at the end of four hours? , l l @16 @120 ©256 @512 11 JI I I 2. How many bacteria exist after seven reproductive cycles? J, ®14 >, '@64 (11)128 CD It depends on the length of the reproductive cycle. 3. What would be the shape of the graph where time is plotted on the x-axls and the number of bacteria is plotted on the y-axis? Where is the slope of the line the steepest? " i , ',.:,'-.'!,. 'v " .... i ; I! ":c-·~,_,,y·:.:,··,' , tI i ./ il:; !IIII'II'IIIII Chapter 24 Review 645 1- \ Owego 348 Lesson Plan 91.â-E· ¡:¡æ, -El····-~5~' .!!!-- e!El!-!l!l. 9!!!!!l1!!eLSeeæSSø°il!l,~m_P!!lI~SlnB FOR USE WITH CHAPTER 25, LESSON 1 Single Periods: 2 Block Schedule: 1 (. denotes activities recommended for block schedule) The Risks of STis (SE pages 648-651) lESSON OBJECTIVES • Explain the relationship between alcohol and other drugs used by adolescents and the role these substances play in unsafe situations such as STDs. • Analyze the importance and benefits of abstinence as it relates to the prevention of STDs. • Analyze the effectiveness and ineffectiveness of barrier protection, including the prevention of STDs, keeping in mind the effectiveness of remaining abstinent until marriage. • Discuss abstinence from sexual activity as the only method that is 100 percent effective in preventing STDs. • Develop and analyze strategies related to the prevention of communicable diseases such as STDs. - FOCUS __ Quick Start, p. 648, TWE ___ Tying to Prior Knowledge, p. 648, TWE ___ Introducing Vocabulary, p. 648, TWE ___ Ch. 25 Vocabulary Activity¡ WKBK TEACH ___ Discussing, P: 649, TWE __ Activity, P: 649, TWE • Community Involvement Activity, p. 649, TWE __ Health Literacy, p. 650, TWE ___ Decision-Making Activity 25, TCR __ Chapter 25 Study Guide, WKBK __ Concept Mapping Activity 91, TCR • Guided Reading Activities 91, TCR __ Applying Health Skills 91, WKBK __ Reading Tutor, pp. 422-425 ___ Inclusion Strategies, pp. 92-95 ASSESS ___ Evaluating TWE the Lesson, Copyright © Glencoe/McGraw-Hili ___ ___ __ },i''!iL~,~!lgij~JJ:t'~~!t,~J¡'·,> ;Educati.oi;1Sti.ln(j~l'd~ 1.l,3.3, 6.1, 7.4 Lesson 1 Review, p. 651 Lesson Quiz 91, TCR Chapter 25 Review, pp. 670-671 RETEACHING c--__ Reteaching, P: 651, TWE ___ Reteaching Activity 91, TCR ENRICHMENT ___ Enrichment, p. 651, TWE ___ Parent Letter and Activities 25, TCR • Health Lab 25, TCR CLOSE ___ Activity¡ P: 651, TWE MULTIMEDIA OPTIONS ___ Vocabulary PuzzleMaker Software, Ch. 25 • Transparency 72 ___ Internet Activities ___ Audio Chapter Summaries • English & Spanish, Ch. 25 P: 651, GLENCOE HEAtTH • LESSON PLANS WlTH BLOCK SCHEDUliNG 91 Owego 349 The Risks of S Is \' '~',~_,';, • ~.-_:....;..:;,,-,,:._"~~;; •.;..;;;- ._',,-.• ;,..'-'~_:·c(·-·'~···'.-"~;" • ,'I .I i .\_1 -11 Id ¡'" ,I! :t j' ?¡ In this lesson, you will learn how to: 11£.. ....{! ¡: :¡¡ sexually transmitted (STOs) (p, 648) diseases ¡¡., sexually transmitted infections (STis) (p. 648) ~ epidemics ¡¡:;,. abstinence fp, 651> (p, 648> jr... ~ \l1.» Examine the role alcohol and other. drugs play in relation to HIV/AIDS and STOs. Discuss the benefits of abstinence as it relates to the prevention of STOs. Develop strategies to help prevent communicable diseases such as STOs. -,;;;-"",. '._.• -'....~ __~~<.~.-.,.~.. :.... \ i : ' f'o ill ~, " <,¡i:~J:~, ~",,' \i ~ STOs are the most common communicable diseases in the United States. Why do you think this has been called the hidden epidemic? 648 's.·-':; -..¿-~ - )-, " "Of .,- -.~, "\:' o",' .~~.~' ~~ '.:':>' ·_·.·'u~;;";:=·_"~·-_C","C"',,- -.-~' "~_!"-,-"'''< Before reading, essay describing you can prevent transmission of write a brief ways that the HIV/AIDS . Quick ~A/rJté Your health is affected by the decisions you make. Write a short paragraph about the strategies you use to avoid risk behaviors. _-=-__~ .... ,,- .. -. '1:~~~'- .~; '_~1'.""---,.¥u ...·_·"O,,~.~f,L-·.'>;l.:'.£'- "->__'~~__ '_,~¡";:.-,,' • .S '.,,~.. t¡ IiII In .c. -,¡<: ..-'..L:_=-i::"'-'~ Predict I: " :~' ..,-'_~"",' I As you read this lesson, write each new highlighted term and its definition in your notebook. fI<~ ;-','k --..F::.::-.·...'.---+.-" orne communicable diseases, such as the cold or flu, can be transmitted through actions as simple as shaking hands. Other communicable diseases are not so easily spread. Sexually transmitted diseases (STDs) , also referred to as sexually transmitted infections (STIs), are infectious' diseases spread from person to person through sexual contact. For an infection to occur, a person must have sexual contact with someone who is infected with an STD. It's also possible that one person will show symptoms of the disease, while the other will not. A person can have an infection, and pass the infection to others, without necessarily having the disease. STDs: The Hidden Epidemic hroughout T history people have been faced with epidemics, occurrences of diseases in which many people in the same place at the same time are affected. Today in the United States, we are now facing another epidemic-an epidemic of STDs. An estimated 65 million people in the United States are living with an incurable STD. Many of these cases go undiagnosed and untreated. Why? Chapter 25 SexuallyTransmitted Infections and HIV/AIDS Takethe Health Inventory for Chapter 25 at health.glencoe.com, ~ Owego 350 'I ~ Many people with STDs are asymptomatic-without symptoms. They do not seek treatment because they don't know they are infected. Individuals who don't know that they are infected can continue to transmit STDs. Some people who suspect they have an STD may be too embarrassed to seek treatment. ~ Even when STDs are diagnosed, they may not be reported to health departments so that contacts can be notified and treated. These contacts can continue to unknowingly transmit , [ I I ! ! Reading Check I i Explain Why are STDs a hidden epidemic? 'Ii ¡: ¡JI "i,! the disease to others. i, " l'! High~Risk Behavior and STDs I' In the United States teens make up one quarter of the estimated lS million new cases of STDs each year. That's more than 10,000 young people infected every day. Why are teens at particularly high risk for infection from STDs? Teens who are sexually active are.likely to participate in one or more of the following high-risk behaviors: ~ Being sexually active with more than one person. This includes having a series of sexual relationships with one person at a time. However, being sexually active with even one partner puts a person at risk. Most teens are unaware of a partner's past behavior and whether he or she already has an STD. ~ Engaging in unprotected sex. Even protected sex, or barrier protection, is not 100 percent effective in preventing the transmission of STDs, and it is not effective at all against HPV-the human papíllomavírus. Abstinence from sexual activity is the only method that is 100 percent effective in preventing STDs. I ¡¡ I i ,I· .'. Cy) Avoid high-risk behaviors by forming friendships with people who share your commitment to abstinence. Develop and analyze other strategies related to the prevention of communicable diseases such as STDs. r ; .'j ¡ I ! ¡h :11 ijl , l'li -~'--. (. \ ¡: j '2-l" t -, ~~Selecting high-risk partners. Such partners include those with a history of being sexually active with more than one person and those who have injected illegal drugs. J7¡.. ,~ '~ I :~ I I :;; s: . 'J I ,. ", J' W Using alcohÓt and other drugs. Alcohol use can lower inhibitions. In a recent survey, more than 2S percent of teens who engaged in sexual activity had been under the influence of alcohol or drug use. To reduce the risk of STDs, teens must understand the causes, consequences, and prevention of major health risk behaviors, including the transmission i 1 'ii YI of r' if, .~ IIII'I! :11111 HIV/AIDS. Lesson 1 The Risks of STis 649 il, I Owego 351 "~ The Consequences of STDs M ost people, including teens, are not fully aware of the consequences of STDs. These are serious infections that can dramatically change the course of a person's life. Reading Check Infer What is thé relationship between sexual intercourse and sexually transmitted infection? ~ Some STDs are Incueable. The pathogens that cause these STDs cannot be eliminated from the body by medical treatment, such as antibiotics. The viruses that cause genital herpes and AIDS (the human immunodeficiency virus, or HIV), for example, remain in the body for life. . ~ Some STDs cause cancer. The hepatitis B virus can cause cancer of the liver. The human papillomavirus (HPV) can cause cancer of the cervix. These STDs also cannot be cured and may last a lifetime. :i~'~: .~-' ;1",,' --'·';~'!_;I~~:.:ft?~i¿'~~~~~.~~ . - ,-- ~. The Benefits of Abstinence Practicing abstinence from sexual activity can benefit you in many ways. By encouraging your friends to abstain, you can be a positive influence on their health and well-being. • paper and pencil e number cube (one for each group) e paper cup (one for each group) • construction paper • markers 1. Roll the cube from the cup onto your desk five times and record each number. Complete the following steps at your teacher's instruction. 2. Stand if you rolled one 5. Imagine that you have just found out that you have an STD.Tell how this will affect your life now and in the future. .-'·~i,·_ ,·,1;11'.~50 Nl~\!:~ 1 ,L " Chapter25 Sexually Transmitted Infections and HIV/AIDS 3. Stand if you rolled a 5 more than once. Tell what you think and how you feel about having more than-one STD. 4. As a class, brainstorm reasons for practicing abstinence. 5. Work in small groups to cut out a sheet of construction paper as your teacher instructs. 6. Write a dlfferënt reason to practice abstinence on each of the six sides of the paper. Target the message to teens and be persuasive. 7. Fold and tape the paper to form a cube, then hang the cube from the ceiling. Imagine how you want your life to be in five years. Write it down. Be specific. Add how practicing abstinence now can help you achieve the life you want. -,W' {~I~ :",-,'.'f?,,;; _ ..... d F =~.,~~ --~ , -~ Owego 352 W¥¥4¥ PBff±& ;,,42 .j , I l :" ~ Some STDs can cause complications that affect the ability to l'eproduce, Females can develop pelvic inflammatory disease (PID), which damages reproductive organs and I II , ! , can cause sterility. Il>- Some STDs can be passed from an infected female to her child before, dnríng, or after birth, STDs can damage the bones, nervous system, and brain of a fetus. Premature births can result, and infants infected with STDs at delivery may become blind or develop pneumonia and some may die. The Importance and Benefits of Abstinence A clear cause-and-effect relationship exists between sexual intercourse in any form and sexually transmitted infection. If you have sexual contact with an infected person, you put yourself at risk of being infected with an STD. Sexual activity is the cause-an STD is the effect. An informed individual understands the role of individual responsibility regarding personal risk behaviors. Prevent exposure to STDs by practicing abstinence, the deliberate , o.-.nf¡,ne'-'~ (ALIL,_'. ~p-'~_,' ,;fl TOPIC Hepatitis B Go to health.glencoe.com for Health Updates on hepatitis B. ACTIVITY Using the information found in these articles, find the facts about the rise, in hepatitis B infection. Share your findings with the class. :;!,i¡i ¡: I ( decision to avoid hannful behaviors, including sexual activity before marriage and the use of tobacco, alcohol, and other drugs. Use refusal skills to avoid situations in which you may be at risle Choose friends who are abstinent and who support your decision to abstain. I i ! I I .."'._~'70: ~~,,~.!'f~~ l .. 5>:.~~ I l I Reviewing Facts and Vocabulary I 1. Identify three reasons why teens are at high risk for getting an STD. l 1 I 2. Explain the relationship between alcohol and other drugs and substances used by adolescents and the role these substances play in unsafe situations 1 I such as HIVjSTDs. 3. How are refusal skills related to STD prevention? Advocacy. Write an article for your school newspaper to inform students about the "STD epidemic. Include the negative consequences that can affect a person's life, as well as strategies related to the prevention of STDs that you have developed and ,I analyzed. l' Thinking Critically I 4. Analyzing. Analyze, discuss, and communicate the importance and benefits of abstinence as it relates to the prevention of STDs. 5. Evaluating. Explain and discuss why abstinence from sexual activity is the only method that is 100 percent effective in preventing STOs. I '\ Applying Health Skills ~ j,;, ili. 1- __----------------------~llI11' ", ! Cause and Effect. Make a two-column chart. On the left side, list the high-risk behaviors that can lead to infection from STDs. On the right side, list some of the consequences of STOs. .. Visit health.gtencoe.com for the Interactive Study Guide for Lesson 1. ~.. ,_ , lesson 1 The Risks of STis __ 651 I i, Owego 353 Class Name Date Guided Reading Activity Activity 9~ FOR USE WITH CHAPTER 25, LESSON 1 Directions: Briefly answer the following questions in the space provided. 1. What are sexually transmitted diseases? 2. What are epidemics? 3. List three reasons why the spread of STDs has been called a hidden epidemic. 4. Define the term asymptomatic. S. Approximately what fraction of the new cases of STDs in the United States each year are teens? Approximately how many young people are infected every day? 6. List four high-risk behaviors for infection from STDs. 7. What is abstinence? 8. What is the only method that is 100 percent effective in preventing and the sexual transmission 174 GLENCOE HEALTH· STDs of HIV? GUIDED READlNG ACTIVlTIES Copyright © Glencoe/McGraw-Hili Owego 354 Date Class Name .................................................................................................................................................................................................................................................................................................................. Guided Reading, Activity91 (Continued) FOR USE WITH CHAPTER 25, LESSON 1 9. List four ways sexually transmitted diseases can change a person's life. Give one example of each. Example Reason a. ___ b. _ c. ___ d. _ 10. Define the term infertility. 11. List six guidelines that may help a person avoid situations and behaviors that pressure him or her to engage in sexual activity."" Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • GUIDED READING ACTIVITIES 175 Owego 355 Name ................................................................................................................................. 1_·_A__c_t_iV_·_it_Y....,._~., ...;..l_.· ~, Class , Date , . ~i·· .. 1i ..·"Si·:":m:,::~·::,iæ,:_"51l!;: ._~;;, -æ:·:":!tZ·:'"m,.··~¡;,,,·~·'m" -øF:mo9llRæ~s~::æ:~:¡z: c~~~~:tSE:~~:Z1:æ:'~:;E::~:i£;jNæ1 ¥!·. Sexually Transmitted Diseases Directions: Complete the concept map below on causes and consequences of sexually transmitted diseases. Use each of the following terms once: cancer, high-risk behaviors, infertility, premature births. ~--,-------:--J I can lead to t ~ which can cause I Copyright © Glencoe/McGraw-Hili lI I I GLENCOE HEALTH • CONCEPT MAPPING ACTIVTI1ES 91 Owego 356 Lesson Plan92~_E'!i!!59'f.!al!!9".-·'Elæ!!E"- "i!- __ '_!SE,.E~~ •.seso.~I!_~.la.nœ] FOR USE WITH CHAPTER 25, LESSON 2 Single Periods: 2 Block Schedule: 1 (. denotes activities recommended for block schedule) Common STis (SE pages 652-657) lESSON OBJECTIVES • • • • Identify symptoms and treatments for some common STDs. Identify community health services for getting help with the prevention and treatment of STDs. Analyze the influence of public health policies and practices on the prevention and treatment of STDs. Analyze the harmful effects of STDs on the developing fetus. FOCUS __ Quick Start, p. 652, TWE ___ Tying to Prior Knowledge, p. 652, TWE ___ Introducing Vocabulary, P: 652, TWE ___ Ch. 25 Vocabulary Activity, WKBK TEACH ___ Explaining, P: 653, TWE ___ Visual Learning, p. 653, TWE • Cooperative Learning Activity, pp. 653, 656, TWE __ More About, p. 653, TWE ___ Critical Thinking, p. 654, TWE __ Activity, pp. 654, 655, TWE • Community Involvement Activity, pp. 654, 655, TWE ___ Reinforcing Concepts, p. 655, TWE __ Chapter 25 Study Guide, WKBK ___ Concept Mapping Activity 92, TCR ___ Cross-Curriculum Activity 25, TCR • Guided Reading Activities 92, TCR __ Applying Health Skills 92, WKBK ___ Reading Tutor, pp. 426-431 ___ Inclusion Strategies, pp. 92-95 92 GLENCOE HEALTH • LESSON PLANS WITH BLOCK SCHEDULING ¡~\;li'},{~~i~Iª,?¡'!iH~:~J!~~~M\,; 'Eid ((catiºniSta(ldâ~cI~; 1.6,1.7,3.1,6.3,7.1 ASSESS ___ Evaluating the Lesson, p. 657, TWE ___ Lesson 2 Review, p. 657 ___ Lesson Quiz 92, TCR ___ Chapter 25 Review, pp. 670-671 RETEACHING __ Reteaching, p. 657, TWE ___ Reteaching Activity 92, TCR ENRICHMENT ___ School to Work, p. 654, TWE ___ Enrichment, p. 657, TWE ___ Enrichment Activity 25, TCR • Home and Community, P: 655, TWE CLOSE ___ Activity, p. 657, TWE MULTIMEDIA OPTIONS ___ Vocabulary PuzzleMaker Software, Ch. 25 • Transparency 73 ___ Audio Chapter Summaries • English & Spanish, Ch. 25 Copyright © Glencoe/McGraw-Hili Owego 357 Common STis ,.. .•~., ,- '-''i,".c,-''-'''=''-'--- ~·'~i-·-"""· .¡v ..·· _,<.~_,7_~ :L'-;:~· "';-'''.~''''!::.~'.·,,~.;¿'-_"C.i::.O-~_·',- ·-'.i;.·...;:~~'_·_O~:- __'_. O'" II I "j : i6ti. ,'*l. ~~ •.•. 'B4Ii'.' As you read this lesson, write each new highlighted term and its definition in your notebook. 'lil '1 ;:1 lil .I':'L'\1-: ll>- "j'l '\'1 1;1\ I\i I \ :Il l¡'\ human papillomavirus (HPv) (p.652) ~ chlamydia (p. 654) ¡¡.... genital herpes (p, !I!>' gonorrhea 655) 11!>' trichomoniasis > syphilis (p. 655) (p, I Predict ~' ~~ Describe the symptoms and treatments for some common " STOs. ~ List community health services that help with the prevention and treatment of STOs. \\!.. Examine public health policies and practices regarding STOs. lJl;.' Discuss the harmful effects of STOs on the fetus. 654) (p. 655) ,:1 il,' In this lesson, you will learn how to: Scan the headings, subheadings, and photo captions. Write a short paragraph summarizing what information you believe is in this lesson. °'.11 ,.Ulet' O "",\\.J, ", vt!{(fjf!Jè Write a short paragraph listing the STDs you have heard of and what to do to avoid the risk of contracting STDs. t1è'§tf5ftJ'fiTÏ2íW\ffrñjfft1§W'>1iëff-MiWfi'1ffléfr1fft('jfj~rfiz~.'Ïø.4ij,;{,,.ft~·TjÇ'fu'&fmWWeëllWfW~#§W1+3·~1f¡P!'WrTI&tnèP,~m"\'@:æfr??Wê!'ifl;i?1.@æ~JI¥i~:wi~ W rI Learning about STOs can help you avoid the behaviors that lead to 11 .1' infection. In addition to having accurate information, what else should you know or do to avoid infection lih ;1 from STOs? "y. au. hav~ a~ready lea~ned why STDs. are referred ~o as a hidden . epidemic III the Umted States, WhICh has the highest rates of STDs in the industrialized world. The Centers for Disease Control and Prevention (CDC) reports that STDs account for more than 85 percent of the most common communicable diseases in the United States. The estimated incidence and prevalence of STDs is shown in Figure 25.1. The most important fact to remember is this: The primary means of transmíssíon of STDs is sexual activity. Teens who practice abstinence from sexual activity greatly reduce their risk of contracting STDs. Human Papillomavirus or HPV, is a virus that can cause genital warts or asymptomatic infection. BPV is considered the most common STD in the United States. The CDC estimates that 50 to 75 percent of sexually active males and females acquire BPV infection at some time during their lives. About 30 different types :~' of BPV can infect the genital area. T /'652 he human papillomavirus, Chapter25 Sexually Transmitted Infections and HIV/AIDS ø ,<="- - -. ,,- Owego 358 ~:~",,~q,,< - -1-' Most types of HPV infections are asymptomatic. A Pap test and other medical examinations may detect changes associated with HPV. There is no treatment. However, most asymptomatic BPV infections appear to be temporary and are probably cleared by the immune system. Almost all cases of cervical cancer are caused by certain types of HPV. HPV also can cause cancers of the I ,¡ i Reading Check ~\ I .. I¡ Identify How many new cases of genital herpes occur each year (Figure 25.1)? penis and anus. J ,.i i '. o:! ::! ! Genital Warts Genital warts are pink or reddish warts with cauliflowerlike tops that appear on the genitals, the vagina, or the cervix one to three months after infection from HPV. Genital warts are highly contagious and are spread by any form of sexual contact with an infected person. It may take up to three months for warts to appear, .but they often disappear, even without treatment. Diagnosis is determined by a health care worker by examination of the warts. If a pèrson suspects he or she has been infected, examination and treatment are essential, because once infected, a person has the virus for the rest of his or her life. Treatments can rid the body of the warts but not the virus. Complications of HPV and genital warts can result in cervical cancer and cancer of the penis. Infants born to females infected with HPV may develop warts in their throats, obstructing the breathing passages, which can be i I l ! , , I n i life-threatening . To reduce their risk, teens should understand that a mutually faithful, monogamous heterosexual relationship in the context of marriage is the best lifelong means of avoiding STDs. I STO Incidence (Estimated number of new cases every year) . Prevalence (Estimated number of people currently infected) Human Papillomavirus (HPV) 6.2 million 20 million Chlamydia 3 million 2 million Genital Herpes 1 million 45 million Gonorrhea 700,000 Not Available Trichomoniasis 7.4 million Not Available Syphilis 70,000 Not Available Hepatitis B 120,000 417,000 -I I i't: Source: CDC, Tracking the Hidden Epidemics. Trends in STOs in the United States, 2000. STO Treatment Guidelines, 2002 '11'11111 11 1 Lesson 2 Common STis r ~- 653 I i III Owego 359 Chlamydia is a bacterial infection that affects the reproductive organs of both males and females. Forty percent of cases are reported in teens 15 to 19 years old. Chlamydia is asymptomatic , meaning there are no visible symptoms, in 75 percent of infected females and SO percent of infected males. When symptoms are present, males may experience a discharge from the penis and burning upon urination. Females may have vaginal discharge, burning upon urination, or abdominal pain. Chlamydia is diagnosed by laboratory examination of secretions from the cervix in females and from the urethra in males. It can be treated with antibiotics , but no immunity develops, so a person can become infected again. Because chlamydia is usually asymptomatic, it often goes undetected until serious complications occur. In females who are untreated, the infection can cause pelvic inflammatory disease (PID) and lead to chronic (long-term) pelvic pain or infertility. Untreated chlamydia also can lead to ínfertilíty in males. Chlamydia can cause premature birth, and infants born to infected females may develop eye disease or pneumonia. hlamydia C !I i~i ¡llil ¡llí,1 :,,:,'11:1111 <I \" 1111 ! Genital Herpes flrii I ¡ilJII !I; r ~T'I' . i i'iII, l II I. G ('II) Mothers have a responsibility to protect their infants from exposure to STOs during pregnancy as well as during breastfeeding. W/lich STDs can be transmitted from a mother to her child during pregnancy and birth? ¡I • 1'1 f Ul I III , J~. '¡ ! L I lI! d ¡ t' ¡ :. l:, I~H ;" I:! (¡II! , I" P,¡ iF~i1 \, 'I ¡JI " f~, '¡ hi" '¡i!~ ii 'i : 'Ii ~ .! ~ Type 1 usually causes cold sores. ... Type 2 usually causes genital sores. However, both types can infect the mouth and the genitals. Nationwide, about 20 percent of the total adolescent population is infected with the virus. Genital herpes is twice as common in adults from 20 to 29 years old today as it was 20 years ago. Most individuals who have genital herpes are asymptomatic and are not aware that they are infected. Those who do show symptoms typically have blisterlike sores in the genital area that occur periodically. It is not true that the virus can be spread only when blisters are present; the virus can spread in the absence of symptoms. Diagnosis is made through laboratory tests on the fluid from the blisters. Medication can relieve the symptoms but cannot cure herpes infection-once contracted, the virus remains in the body for life. The herpes virus is potentially fatal for infants who contract the virus from their mothers at the time of delivery. The virus may also play a major role in the spread of HIV by making people who are infected with herpes more capable of transmitting or acquiring HIV. l I I' i enrtal herpes is an STD caused by the herpes simplex virus (HSV). There are two types of HSV: .._,----'-----'-'-"-- Owego 360 . Gonorrhea onorrhea is a bacterial STD that usually affects mucous memThe highest rates of gonorrhea infection are found in females from 15 to 19 years old and in males from 20 to 24 years old. Symptoms in males include a discharge from the penis and painful urination. Diagnosis in males is made by staining and examining the discharge under a microscope. Approximately SO percent of females with gonorrhea have no symptoms. Those who do may experience a vaginal discharge and pain or burning upon urination. Diagnosis in females is made by swabbing the cervix and growing the organisms in a laboratory. Gonorrhea can be treated with antibiotics. However, increased resistance to antibiotics can complicate treatment. A person can be reinfected if exposed again to the bacteria. If untreated, gonorrhea can lead to infertility in both males and females. The bacteria can also spread to the bloodstream and cause permanent damage to the joints. Females can pass the infection to their babies during childbirth. Infants born to mothers with gonorrhea can contract eye infections that cause blindness. ~ ;ç,~ :lii ~ i t,ií i .~ ~ f~1 ~ [ ! , J branes. :it i,¡ i' ~ ~ .il 'I II;. :ti Æ l'!; ! ::¡; ii ~"C''''''-'''",'''''''~"-'''''~- .. il Reading .. -'Check t'l r.!. i:f4 :¡i ."j¿ » Classify Which common STis are viruses and which are bacterial? I s.' i ;01; ff; ~ ~ a' Trichomoniasis is an STD caused by a microscopic protozoan that results in infections of the vagina, urethra, and bladder. About 7.4 million new cases of this disease are estimated to occur every year in e United States. Females may have no symptoms¡ however, the .usease may result in vaginitis, an inflammation of the vagina characterized by discharge, odor, irritation, and itching. In females trichomoniasis is diagnosed by microscopic examination of the discharge. The organisms can sometimes be seen in a Pap test. Males usually show no symptoms. When symptoms do occur in males, they include mild urethral itching or discharge and burning after urination. Since the disease is difficult to diagnose-in males, they are usually treated without laboratory testing if their partners are infected. " T richomoniasis (j) STDs are caused by bacteria, viruses, and other pathogens. This single-celled protozoan causes trichomoniasis. Why is it important for people to get tested if they think they may have an STD? ~~ ~ }2 ~ ~ ~ ~ J~~. Í( ¡ Syphilis ! ~ yphilis is an STD that attacks many parts of the body and is caused by a small bacterium called a spirochete. The first sign of infection is a painless reddish sore called a chancre (SHAN-kuhr) at the site of infection. The sore will heal on its own, but if the infection is not treated, it. spreads through the blood to other parts of the body. Eventually, the disease can damage internal organs, including the heart, liver, nervous system, and kidneys. If left untreated, the person is at risk of paralysis, convulsions, blíndrïess, and heart disease. Syphilis can be transmitted from a pregnant female to her fetus. An infant infected with syphilis may have a damaged nervous system =nd can die from the effects. S ~- \~ ,l! ii. ~ -1~ ~ ;1 m ~ ;¡ ~ I,i'li 1;11 Lesson 2 Common STis 655 .. ! Owego 361 --- ~'~ - ~-~~ l l Disease il 1\ ¡ (cause) Symptoms Treatment What Could Happen Chancroid (bacteria) Sores or bumps on the genitals Antibiotics Infection of lymph glands in groin area, sores Antibiotics In most cases no complications; can lead to PID and premature birth; risk of HIVand STOs Antiviral drugs in some cases, but no cure Chronic infection, cirrhosis of the liver, cancer of the liver :1 iii ,!1 \\.n 'l l I 90% of victims are Hepatitis B (virus) I l I l t ;j ;i l i~ 1 " Abnormal vaginal discharge, odor, pain, itching, or burning during urination ,:! Bacterial vaginasis (bacteria) :1 asymptomatic; nausea, vomiting, [aundlce, loss of appetite Hepatitis C (bloodborne infection) Often asymptomatic Antiviral drugs, but no cure Liver damage, liver disease Pubic lice (small insects) Itching, presence of lice and eggs In pubic hair Medicated soaps; washing all bedding, towels, and clothes No lasting effects :; 1-; ! '.~. \ :,I , \"" L , :~~ i,; ¡ ¡I \ r; IrJ~ ,I-'¡ Seeking Treatment Cî) revention of STDs is every individual's responsibility. Treatment is also an important personal responsibility. Fíg'ure 25.2 above lists other common STDs, along with their symptoms and the treatment that is usually prescribed for each. As you have read, STDs can cause severe, long-term health problems. By law, information about these diseases is kept confidential. Only a health care professional can prescribe the correct treatment, including antibiotics, P Early detection of STOs is important to avoid serious illness and further spread of the disease. Wily is it important for people Ilot to treat all STD Oll their OWIl? Je '~ 7 /- ~ f r' ~"'> for same STDs. Individuals also have a social obligation to prevent the spread of infection. Public health clinics sometimes help with contacting current and past partners to make sure they get any needed treatment. Ultimately, however, it is the responsibility of any person infected with au STD to notify everyone with whom he or she has had sexual contact. Informing someone else about the possibility of having an STD could save the person's life and shows that you understand how public health policies and government regulations influence health conditions. ~\;,'656 Chapter 25 Sexually Transmitted Infections and HIV/AIDS r .. 11 Owego 362 ~ii.;~~ ..~¥¥~ r----'" ". ,·AM ~------~~·~··--------------------------~---- -~-~- ...,..,.,,~,_~_"'w_,, __ ..-~ l! \1, .....~~b-"WIJ~~~~~.l:I!>;~~t_J£j~~:I;a¡¡¡.'U~~~~~'I\"ot !!' \\! I : I, ' . : 1\ ,; I ' I: ' I i I :~! l ':' I' Refusal Skills: Lines o'f DErfense :¡ I :, II I ~ Î has already explained to Kyle that she wants to remain abstinent, and until now he has respected her decision. Kyle says, "Hey, Jules, let's skip the movie tonight I and check out the party at my buddy's house. His folks are gone,' and I hear there's going to be a band!" Î Juliana responds, JIlt sounds like fun, but I don't I~ fi R I i' ,i Juliana has been dating Kyle for several months. She i .. I I ' know your buddy and it's pretty far away." "No problem, I'll protect you!" Kyle laughs. "In fact, we'll finally have a chance to spend some time alone." I Juliana is worried about what might happen. .' \ I l,,,,,,,_~~~_,,,,,,,,,,,~_,,,,,,,,,,,-,,,---,,,~~-~,=,,,,~,-,-~ __ W--'_9"""_»'".~,,~.,,"'.,.' Reviewing Facts and Vocabulary 1. Which STDs might not present noticeable symptoms? 2. An'alyze and explain the harmful effects of two common STDs on fetuses and infants. . Applying Health Skins Refusal Skills. Construct a table similar to the one on page 656. Use this table to list .reasons to say no to pressure to engage in sexual activity. 3. Where ean a person go for treatment af an STD? Thinking Critically 4. Compare and Contrast. Describe symptoms of gonorrhea and genital herpes for males and i females. 5. Analyzing. Public policies enable health officials to locate and contact sexual partners of people who have been diagnosed with an STD. How do these policies help with the prevention and \ l i I Cause and Effect. Make a two-column chart. On the left side, list the common STDs (cause) and their symptoms. On the right side, list the corresponding treatments and lasting effects. I I· treatment of STDs? I ..' ~~~~:~,;.;~; ..;~~:~,~,,,,~.,.r-,.:,,~~:,";: ill ~t~~~*~%.~~~ Lesson 2 Common STis ~ l ,I Visit lW1IÙ1.glencoe.com for the l~teraGtive Study Guide for Lesson 2. 657 Owego 363 Name ................................................................................................................................................ " , Class Date , . FOR USE WITH CHAPTER 25, LESSON 2 Directions: Briefly answer the following questions in the space provided. 1. Define the following terms. a. human papillomavirus b. chlamydia c. gonorrhea d. genital herpes e. trichomoniasis £. syphilis 2. a. STDs account for what percentage of the most common communicable diseases in the United States? b. What is the most important faet to remember about STDs? 3. a. Explain the difference between incidence and prevalence of a disease. b. Which STD has the greatest incidence in the United States? c. Which STD has the greatest known prevalence in the United States? 4. a. Can treatment rid the body of HPV? b. What types of cancer can be caused by HPV? 176 GLENCOE HEALTH • GUIDED READING ACTIVITIES Copyright © Glencoe/McGraw-Hili Owego 364 Name ................................................... , Class Date, . FOR USE WITH CHAPTER 25, LESSON 2 5. a. What percent of females infected with chlamydia are asymptomatic? What percentage of infected males are asymptomatic? b. Name one serious complication that can result from undetected chlamydia? 6. a. How can gonorrhea be treated? b. List one possible consequence of untreated gonorrhea. 7. a. Distinguish the two types of genital herpes by the type of sores they usually cause. b. Describe the relationship between the presence of symptoms of genital herpes and the spread of the disease. c. Describe ane consequence af herpes simplex virus (HSV) infection for children of infected mothers and its role in HIV. 8. Describe the symptoms apparent in the four stages of syphilis. 9. Explain why it is the responsibility of any person infected with an SYDto notify everyone with whom he or she has had sexual contact. Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • GUIDED READING AC11VffiES 177 Owego 365 º.~~.~ .. ç.!.~~.~ .~.ê.QJ~ FOR USE WITH CHAPTER 25, LESSON 2 The Causes of STOs Directions: Complete the concept map below on STDs and their causes. Use each of the following terms once: gonorrhea, protozoa, pubic lice, viruses. can be caused by I I~ I I bacteria Ir; ;,f¡M" I~ I I for example I I~ I for example for example I insects "r' for example I genital herpes trichomoniasis ''¡':;;~:;~1i~MI'l:W.Jt1; Wr@,,';;¡;'~~.¡/' 92 GLENCOE HEAL:TH • CONCEPT )'*t.~~;k¡ï MAPPING ACTlVmES ~¡:¡¡J{ , llQMª~mrt~M'Mlli.':'@~1~i',l*@l!¡¡¡N'¡{W1i.M.l Copyright © Glencoe/McGraw-Hili ! \ J Owego 366 Name ....................... , , , , Class Date . FOR USE WITH CHAPTER 25, lESSON 1 Directions: Each of the following sentences expresses a truth about sexually transmitted diseases or their prevention. Write a short paragraph in support of each statement, incorporating facts from the lesson. 1. The spread of STDs in the United States is a hidden epidemic. 2. The teen population is particularly vulnerable to infection from STDs. 3. 108 The consequences of STDs can negatively impact the rest of a person's life. GLENCOE HEALTH • RETEACHING ACTNlTIES Copyright © Glencoe/McGraw-Hili Owego 367 Name ............................................................................................... , , .. , Class Date . FOR USE WITH CHAPTER 25, LESSON 1 4. It is possible to practice abstinence, even if peer pressure urges sexual activity. 5. Abstinence enhances a teen's physical, mental, and social health. Copyright © Glencoe/McGraw-Hili GI.ENCOE HEALTH • RETEACHING ACTIVlTIES 109 Owego 368 Name ................................................................................................................................... " , Class ,., , , Date . FOR USE WITH CHAPTER 25, LESSON 2 Directions: Untreated STDs can lead to serious consequences. Knowing the fads about STDs can decrease one's chances of infection. Fill in the chart below with facts from the lesson. Disease Description Treatment warts on genitals or no symptoms Human papillomavirus Chlamydia Symptoms antibiotics bacterial infection that affects reproductive organs sterility, infertility, permanent joint damage, eye infections and blindness in infants for males, discharge from penis and painful urination Gonorrhea no symptoms for females or vaginal discharge, pain, and burning urination Genital herpes Consequences and Long-Term Effects STO caused by the herpes simplex virus no symptoms or periodic blisterlike sores in genital area antibiotics Syphilis spreads through the body damage to internal organs, paralysis, convulsions, blindness, and heart disease 110 GLENCOE HEALTH • RETEACHING ACTIVITIES Copyright © Glencoe/McGraw-Hili Owego 369 ç.!.~~.~ .~.ê.~.~ .Q.~J.~ . FOR USE WITH CHAPTER 25, LESSON 2 Directions: Untreated STDs can lead to serious consequences. Knowing the facts about STDs can decrease one's chances of infection. Fill in the chart below with facts from the lesson. Disease Description Symptoms Human papillomavirus Chlamydia Treatment warts on genitals or no symptoms bacterial infection that affects reproductive organs Gonorrhea antibiotics for males, discharge from penis and painful urination sterility, infertility, permanent joint damage, eye infections and blindness in infants no symptoms for females or vaginal discharge, pain, and burning urination Genital herpes Consequences and Long-Term Effects STD caused by the herpes simplex virus no symptoms or periodic blisterlike sores in genital area Syphilis antibiotics spreads through the body damage to internal organs, paralysis, convulsions, blindness, and heart disease 110 GLENCOE HEALTH • RETEACHING ACTIVITIES Copyright © Glencoe/McGraw-Hili Owego 370 -c Cl) ~ CI) .- o I ' I ' Ef~CI) ro ~ s.... ~ ~en ro ~ CD c Q) ~ co E e:> E Cl) .- c CI) ::J CI) ro 0« en C/) Cl) @o CI) • • en ::::J -.... -~ - l- Owego 371 STDjSTI in Teenagers • Most young people begin having sex in their mid-to-late teens, about 8 years before they marry; more than half of 17-year-olds have had intercourse. • In a single act of unprotected sex with an infected partner, a teenage woman has a 1%risk of acquiring HIV, a 30% risk of getting genital herpes and a 50% chance of contracting gonorrhea . •' Teens have higher rates of gonorrhea than do sexually active men ana women aged 20-44. • In some studies, up to 15%of sexually active teenage women have been found to be infected with the human papillomavirus, many with a strain of the virus linked to cervical cancer. Owego 372 So what does this all mean? Every year 4 million teens - about t • m4 sexually experienced teens acquire an STD. Owego 373 Signs and Symptoms See a Medical Professional if These Symptoms are Present IN VI/OMEN: » Unusual discharge or odor from the vagina » Burning or itching around the vagina » Bleeding from vagina not associated with period » Pelvic pain during sexual intercourse » Persistent unexplained pain in pelvic area IN MEN: » Pus or other discharge from the penis Owego 374 Key Points to Remember I) l) I) Many STD'S have no signs or symptoms At times, symptoms may go away even thouqh the STO is still present You may believe your medical provider is checking you for STD's during a regular physical, when, in fact they are not. During most visits you will need to specifically ask for these tests and discuss your risk with your provider. Owego 375 Complications / Consequences If • • • • • left untreated, some STD's can: Be serious and painful Cause permanent damage to reproductive organs Lead to infertility in both men and women Spread to other sex partners or needle sharing partners Infect newborns possibly leading to serious complications lor even death of the infant • Cause heart disease, blindness, arthritis, brain damage, or death • Many STD's increase susceptibility to HIV/AIDS Owego 376 Prevention Recommendations to Reduce the Spread of STD's ABSTAIN! • Total abstinence / avoidance of vaginal, oral or anal sex is the best way of preventing most STD's Owego 377 Prevention Recommendations to Reduce the Spread of STD's • Latex condoms, when used consistently and correctly, are highly effective in preventing transmission of HIV, the virus that causes AIDS. In addition, correct and consistent use of latex condoms can reduce the risk of other STD's • ABSTINENCE IS STILL BEST! Owego 378 Prevention Recommendations to Reduce the Spread of STD's • NEVER have sex with someone you suspect may have a STD • Limit your number of sexual partners • See a medical professional immediately if you suspect you have been exposed to a STO • HAVE WE MENTIONED ABSTINENCE? Owego 379 TREATMENT If You Suspect you have been exposed to a STO: .. See a medical provider for examination, tests and treatment as soon as possible .. Follow treatrnent recommendations exactly, ,as many STD's are curable with medications .. Don't use home remedies - THEY DON'T WORK • With most STD'S, partners must also be treated Owego 380 w c::: o~ ~~ Wen IZ 1-0 LL~ 0:2: WC) :2:- au en Owego 381 CHLAMYDIA • CURABLE with appropriate medication taken exactly as directed • Symptoms begin 7 - 21 days after exposure • Many people have no symptoms • Left untreated, chlamydia can lead to ectopic (tubal) pregnancy, pelvic inflammatory disease (PIO), infertility in both men and women • In pregnancy, Ican be passed to newborn and cause eve infection and pneumonia; or lead to premature delivery or low birth weight Owego 382 CHLAMYDIA STATISTICS .. There are almost 3 million new cases of chlamydia each year .. The Centers for Disease Control (CDC) recommends that sexually active females 25 and under be screened at least once per year, even if no symptoms are present • In 2003 only 30-45% of women under 25 were screened for chlamydia Owego 383 ca .-c ~ E ca -o J: Owego 384 Gonorrhea "The Clap • Gonorrhea is a curable infection caused by the bacteria Neisseria gonorrhoea. • Gonorrhea is transmitted during vaginal, anal, and oral sex (performing or receiving). • Many men infected with gonorrhea exhlbit symptoms, while most women are asymptomatic. • May cause serious eye infections in newborns Owego 385 CI) ::l -L- > ro CI.) ..c LL- o C o CD CI.) ..c I ' '+- o CI.) L- ::l I ' U -o, Owego 386 ro CD ..c LL- o C o ø .. Owego 387 ro CD ..c LL- o C o (9 Owego 388 en --I-' -- E " _. ... " ~ -c --c -c- li!! < :;'.,' .-' W ,.. ~'" lIIi Owego 389 Genital Herpes • NO CURE • Symptoms develop 2 - 30 days after exposure, ar not at all • Small painful fluid filled blisters on sex organs" mouth, or anus; or hidden inside vagina • Initial infection may be accompanied by fever, swollen glands, headache • Blisters go away but infection still present • Blisters usually return periodically-may be preceded by burning or itching Owego 390 GENITAL HERPES Transmission by: • Vaginal sex, oral sex, anal sex • Contact with infected person's lesions • Infected mother to newborn • Viral shedding may occur in absence of lesions so transmission is still possible even when there are no blisters .. In fact, most transmission occurs in absence lof sores Owego 391 en CI) o, L- CI) I Owego 392 en CD C. L.. CD I Owego 393 en CI) o, L- CI) I Owego 394 \ ¥ Cf) CI} o, L- CI} I Owego 395 ¡',•. (f) Cl) o.. s.... Cl) I Owego 396 GENITAL WARTS / HPV (Human Papillomavirus) • NO ~CURE • Most people have no symptoms • Symptoms may develop weeks or months after exposure or not at all • Soft fleshy lumps on or near sex organs or anus • Warts may be hidden inside • May be spread to others even when no warts are present Owego 397 GENITAL WARTS I HPV (Human Papillomavirus) If left untreated, can: • Be passed to newborn during childbirth; can cause warts in infants throat • Spread to other sex partners • Some strains lead to abnormal Pap Smear, increased risk of cervical, or penile cancer • Sexually active women should have annual Pap Smearl • Guardasil Vaccination Owego 398 GENITAL WARTS / HPV (Human Papillomavirus) Treatment: • Warts may go away with treatment but infection is still there • Requires special treatment by a medical professional • Drugstore treatment for other kinds of warts not helpful, and could be harmful .. The body may eventually clear the virus on it's own Owego 399 HPV STATISTICS • Over 6 million people acquire HPV each year .. By age 50, at least 80% af women will have acquired genital HPV • Most people do not develop symptoms but can still transmit it to others • Cervical cancer is linked to HPV Owego 400 > CL I Owego 401 en s..... ro I ' $ ro -c I ' Cl) (9 II > o, I Owego 402 CI) I ' s..... ro $ ro I ' -- e ID <.9 II > DI Owego 403 en I ' i- ro $ ro -c I ' CI) (9 II > o, I Owego 404 CI) I ' L- eo $ eo, I -- c '" '"' (I.) (9 II -:> ~ CL I .. .. . • .0. ... , ... . Owego 405 Pelvic Inflammatory Disease .. Pelvic inflammatory disease (PIO) .. is a general term that refers to infection of the uterus, fallopian tubes and other reproductive organs. .. It is a common and serious complication of some sexually transmitted diseases (STOs), especially chlamydia and gonorrhea. .. damages the fallopian tubes and tissues in and near the uterus and ovaries. PIO .. can lead to ?erious consequences including infertility, ectopic pregnancy, abscess formation, and chronic pelvic pain. Owego 406 è-' o~ 000 E- Ee:, ro - .: ~ CD CI) 1:: ro . CD t) CI) -- -- -~.;'?< ':-~ '--.~---' -~I ->o ID il ~ i o, ~ i I¡ I I . ~ .. - I II I ! Owego 407 SYPHILIS 1ST STAGE .. Symptoms appear 1 - 12 weeks after exposure .. A Qainless open sore on mouth, sex organs, or anus • Sores can be hidden inside, may last 1 - 5 weeks • Sores go away but infection still in blooc Owego 408 SYPHILIS 2nd STAGE .. 6 weeks to 6 months after sore .. Unusual rash anywhere on body .. Flu-like symptoms 3rd STAGE (Latent) .. No sores or rash but infection still in blood and can effect the heart, brain, and other organs over time (Heart disease, blindness, brain damage) Owego 409 SYPHILIS During pregnancy: • Stillbirths • Birth defects • Severe damage to bones, brain, lungs, liver and other organs in infected infants Owego 410 SYPHILIS TREATMENT • CURABLE with proper medication • Partners should be treated at same time • A person can be reinfected after treatment Owego 411 en --..c a. >. Cf) Owego 412 en --..c c, ~ CI) Owego 413 --..c CI) c.. ~ Cf) Owego 414 ( . CI) --- ..c a. ~ Cl) ~ s.... ro -. -c c o o Cl) Cl) i, ~~ iÍJ. , Owego 415 TRICHOMONIASIS ("TRICK") • • • • • • • • Caused by a protozoan parasite Unusual vaginal or penile discharge Pain during sexual intercourse In pregnancy: Premature delivery, eye infection in newborn Increases susceptibility to HIV Can lead to infertility in women and men CURABLE with proper treatment Partners should be treated at same time Owego 416 (J) -ro -e (J) O E O .c o -LI- Owego 417 OTHER STD'S • Vaginitis: Yeast, Trick, Bacterial • Hepatitis B (HBV): One out of 20 people in U.S. \Nill become infected at some point. HBV is 100 times more infectious than HIV. Approximately half of HBV infections are transmitted sexually • Pubic Lice ("Crabs") • Chancroid • HIV infection and AIDS Owego 418 i . ro E o u ro s.... (J) ·en -en 11"\ o o, ro ~ I (J) o « Owego 419 Chancroids • Chancroid is a highly contagious STO that is curable. • It is caused by a bacteria • Chancroid causes ulcers or sores, usually of the genitals. Swollen, painful !Y.m.Qb. glands in the groin area are often associated with chancroid. Left untreated, chancroid rnay make the transmission of HIVeasier. Owego 420 CI) -c -o s.... U c ro ..c Ü Owego 421 Hepatitis B • What is hepatitis B (HBV)? Hepatitis B is a virus that causes inflammation of the liver. • Chronic (long-lasting) hepatitis B can cause liver cell damage, which can lead to cirrhosis (scarring of the liver) and cancer. • It is estimated that 5,000 people die each year in the United States due to the complications of cirrhosis and liver cancer as a result of HBV. Owego 422 L- ID > -....J ID ..c I , C O Cf) , -I , -I ro o, ID I I li " ji.' Owego 423 Pubic Lice (Crabs) • Crabs (also known as pubic lice) are small parasites that feed on human blood. Crabs are not the same as head and body lice. • A person call get crabs during sexual contact with a person who has crabs. During the close physical contact, the crabs can move from the pubic hair of one person to the pubic hair of another. Crabs can be sexually transmitted even if there is no penetration or exchange of body fluids. Owego 424 CI.) o -.....J o -.o ::J o, • Owego 425 Scabies • Scabies is a curable skin disease caused by the parasite • Scabies is transmitted through close physical contact with a person who is infected or prolonged contact with infested linens, furniture, or clothing. • Symptoms (most common itching) usually occur within 4 to 6 weeks after infection. Symptoms will begin within 1 to 4 days in a person who has been infected with scabies before. Owego 426 1 • en CI) -..c ro u CI) Owego 427 Vaginitis • Vaginitis is a name for swelling, itching, burning or infection in the vagina that can be caused my several different germs. • The most common kinds of vaginitis are pacterial vaginasis (SV) and yeast, a fungus. • Sometimes ~richomoniasis (trich, pronounced "trick") is called vaginitis too. Trichomoniasis is caused by a parasitic protozoa called Trichomonas vaginalis. Owego 428 ¡ '., en -- I ' -c -- œ ro > Owego 429 c o -- I , o .. ., ... •• . •. " ~ C I , en ro ID >- .. '" • . • , • .~ Owego 430 FOR MORE INFORMATION • The Centers for Disease Control www.cdc.gav • Minnesota Department of Health has a great site with detailed information in a simple format www.health.state.mn.us • Healthline http://www.healthline.com • American Social health Association http://www.ashastd.org/learn/learn overview.cfm • Texas Department of State Health Services http://www.dshs.state.tx.us/hivstd/info/default.sht m Owego 431 FOR USE WITH CHAPTER 25, LESSON 3 Single Periods: 2 Block Schedule: 1 (. denotes activities recommended for block schedule) HIV and,AIDS (SE pages 658-661) LESSON OBJECTIVES • Explain how HIV affects and destroys the immune system. • Identify behaviors known to transmit HIV. • Analyze the relationship between unsafe behaviors, refusal skills, and the risk of HIV. FOCUS __ Quick Start, p. 658, TWE ___ Tying to Prior Knowledge, p. 658, TWE ___ Introducing Vocabulary, p. 658, TWE ___ Ch. 25 Vocabulary Activity, WKBK TEACH ___ ___ ___ • __ ___ ___ Visual Learning, p. 659, TWE Critical Thinking, p. 659, TWE Discussing, p. 659, TWE Cooperative Learning Activity, p. 660, TWE Chapter 25 Study Guide, WKBK Concept Mapping Activity 93, TCR Current Health Issues 25, TCR Guided Reading Activities 93, TCR Applying Health Skills 93, WKBK Reading Tutor, pp. 432-435 Inclusion Strategies, pp. 92-95 Copyright © Glencoe/McGraw-Hili __ ___ ___ • 1.3,3.3,5.6, 6.1 ASSESS ___ Evaluating the Lesson, p. 661, TWE ___ Lesson 3 Review, p. 661 ___ Lesson Quiz 93, TCR ___ Chapter 25 Review, pp. 670-671 RETEACHING __ Reteaching, p. 661, TWE ___ Reteaching Activity 93, TCR ENRICHMENT ___ Enrichment, p. 661, TWE CLOSE __ Activity, p. 661, TWE MULTIMEDIA OPTIONS ___ Vocabulary PuzzleMaker Software, Ch. 25 ii Transparency 74 ___ Audio Chapter Summaries • English & Spanish, Ch. 25 GLENCOE HEAr:m • LESSON PLANS wrrn BLOCK SCHEDULING 93 I ~ ':!. j.._.,:;';-':-~_~'.:!c:.-i:';'-,;-'.- ... Owego 432 .. ......~- HIVand AIDS "'''~''';'~:>'' ~'"" -,~-,,-,-.-:,o;~--""&-1{''¡'''>.''--- , ., As you read this lesson, write each new highlighted term and its definition in your notebook, In this lesson, you will Iearn how to: ~ Describe how HIV affects and destroys the immune system. .~ acquired immune deficiency syndrome CAlOS) Cp.658) 1>. Identify behaviors known to transmit HIV. ¡¡¡¡,.. human immunodeficiency virus CHIV)Cp.658> f,t~ ~ opportunistic Cp.659) Compare the relationships between unsafe behaviors, refusal skills, and the risk of HIV infection. infection Predict ~... Write a brief essay describing how HIVand AIDS are transmitted, based on your current knowledge . ..k. ~\.~\.J¡ ".;1' O ..UIC ~ir¡¡le Write a short paragraph describing what you know about the way your immurte system protects your body from disease. -_w.,.,.-lfTe?mi''llftt,%trWifflí%1\ll¥W'"ñføsmnNT't&?WftMf(,W'Wf têWWmMf'.'WWiWW1wæ'r"'f#'UEim"'tW~i"t>7lmfflnrrenY'nmYWS'Wi,emif·Yœ·t1F,wœ.,(!lltl?~** fM (fil, Health care workers wear goggles and disposable gloves whenever they may come in contact with body fluids. Why are these precautions taken with all patients, not just those known to be infected with HIV? I n July 1981 an outbreak of a rare form of skin cancer known as Kaposi's (KAY-puh-seez) sarcoma was reported. About a year later, the CDC labeled the disease acquired immune deficiency syndrome, or AIDS, a disease in which the immune system orthe patient i~ weakened. That year more than 1,600 cases were reported and almost 700 deaths .resulted from the newly identified disease. In 1983 the human immunodeficiency virus, or HIV, a virus that attacks the immune system, 'was confirmed as the cause. In 2003, AIDS was the sixth leading cause of death among adults from 25 to 44 years old. Teens at Risk I f":":". "'i.W'&,'.·¡¡, '.~ i n the United States the overall rate of new cases of HIV infection has fallen slightly since 1985, and new drug therapies help AIDS patients live longer. As a result, some people have a false sense that AIDS is no longer the problem it once was. However, data indicates that although new AIDS cases are declining among the population as a whole, there has been no decline in the number of diagnosed HIV infections among youth from 13 to 24 years old. In fact, teens have one of the fastest growing rates of HIV infection. Many young adults who are currently dying from AIDS were infected in their teens. ·1 I ,I II ,····'·:;1··li : Ii , 1\; : .r 658 Chapter 25 Sexually Transmitted Infections and H/VIA/DS Owego 433 ¡ :'-~- ~~, ------------ How HIV 0 ATTACKS CELLS 1. HIVattaches to cell surface. 2. Virus core enters cell and goes to nucleus. 3. Virus makes a copy of its genetic material. 4. New virus assembles at cell surface. 5. New virus breaks away from host cell. €t o Ii ~) j~ i¡ (» 'il i il i I ;, . i .J' . l :1 ¡'i [, . ¡il, I j ~. Infection with HIV can be prevented. Teens who choose abstí- ,. nence from sexual activity and from injecting drugs greatly reduce their risk of HIV infection. Teens who refrain from these activities show that they know strategies when making decisionsrelated to health needs and risks of young adults. i HIV doesn't survive well outside of the human body. How does this characteristic of HIV affect its transmission? .¡ HIVand the Human Body y ou may recall that lymphocytes are white blood cells that help your body fight pathogens. Your body contains billions of lymphocytes, which are produced in bone marrow and found in the blood, lymph nodes, appendix, tonsils, and adenoids. When HIV enters the blood, it invades certain cells of the immune system, including T cells, which help other lymphocytes identify and': destroy pathogens. The viruses take over the cells and cause them to produce new copies of themselves. The newly produced viruses break out of the cells, destroying them. The new viruses infect other cells, and then the process repeats itself, as shown in Figure 25.3. As the number of viruses increases and the number of T cells decreases, the immune system becomes less capable of preventing infections and cancer. The body becomes susceptible to common infections and to opportunistic infections, infections that occur in individuals who do not have healthy immune systems. These infections are díffícult to treat. With a weakened immune system, the infected individual suffers one illness after another. HIV infection is progressive; that is, it destroys the cells of the immune system over many months or years. Being infected with HIV does not necessarily mean that an individual has AIDS. AIDS is the advanced stage of HIV infection. {l ,r.i "~;;/ W"i!i\",j'i1\~l"'•.,,~ ,~~... , Reading ~/Cbe(k ":-¡ Explain What is the difference between AIDS and HIV? . ¡ .u-r Ji' 1IIIr:'III~, Lesson3 HIVand AIDS 659 ; ¡, ,~ Owego 434 ~ :1 '-- ==" -~c.'-!;""'>-'-",=' ,"""",.- "::"'A AI DS in Teens i At least half of all new HIV infections in the United States occur in people under 25 years of age. Although more and more teens are protecting themselves against AIDS by abstaining from sexual activity, this age group still accounts for hundreds of new cases of HIV infection each year. ,I 1 ;'11 AIDS in 13- to 19- Year-aIds I¡I!I 1:[, 700-- ill' ,I,' 600 -1993 ¡ii la 500 l3 'S i Male definition change" Female 400 j 300 E I' :Ë 200 ! 100 I: I;l~ O D~'.· - 'i!ä~... ; !l 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 ili III! Source: CDC, HIV/AIDS Surveillance in Adolescents, 2003 *In 1993 the CDC began using expanded reporting criteria, increasing numbers of reported cases. l ,\",1 Work with a small group. Brainstorm reasons that teens continue to become infected with HIV. For every reason, identify a potential solution. For example, if your group believes that using drugs is one reason, then you might identify more health education classes as a potential solution. Share your ideas with the rest of the class. Make a poster that por,trays a healthpromoting message drawn from this class discussion. Your poster should persuade teens to practice abstinence and emphasize that abstinence is the best way to prevent HIV infection. How HIV Is Transmitted he HIVorganism lives inside cells and body fluids. However, it doesn't survive well in the air or on surfaces such as toilet seats or telephones. It cannot be transmitted through food. A person is not at risk of HIV infection by working next to or being in the same classroom as a person who is infected nor by merely touching an infected person. HIV can be transmitted from an infected person to an uninfected person only in certain ways-through blood, semen, vaginal T t " ;'!1 ;l ;~ ".\ JU ':'!lIi ,:.t¡, i ;~'I ~f •, , I I 660 Chapter25 Sexually Transmitted Infections and HIV/AIDS ;zœ ri mrOM',-m~~. Owego 435 secretions, and breast milk. You can greatly reduce your chanees of HIV infection by abstaining from sexual intercourse and avoiding the use of injected drugs. "" lhe manner in which HIV' can be transmitted has been clearly identified through scientific investigations. Yet much false information still exists. HIV has NOT been shown to be spread through ~ Sexual intercourse. HIV can be transmitted during any form of sexual intercourse. During intercourse, secretions containing HIV can enter a partner's blood through tiny cuts in the body. The risks of HIV infection increase with the number of people with whom a person is or has been sexually active. Having an STD that causes sores, including chlamydia, genital herpes, gonorrhea, or syphilis, increases the risk of HIV. r· IIii: i I ¡' ! i¡ li! :,' " • insect bites. • sweat. • sneezing. • casual physical contact, such as shaking hands and hugging. ... Sharing needles. People who inject drugs and share needles are at high risk for contracting and spreading HIV. If a person who is infected with HIV injects drugs, the needle or syringe can become contaminated with that person's blood. Anyone who uses that same needle or syringe can inject HIV directly into his or her bloodstream. Injections under the skin or in the muscle also can spread HIV. ,: [, . II , I ' ! l, ¡ :; ~ Mother to baby. A pregnant female who is infected with HIV ,can pass the virus to her baby. HIV in the mother's blood can be transmitted through the umbilical cord and during deliveryBecause breast milk can contain HIV, a baby can receive HIV while nursing. ¡ :' I', I'l: II I ! I Reviewing Facts and Vocabulary 1. Describe the HIV/AIDS epidemic in the teen population. 2. How does HIVattack the immune system? 3. How is HIV transmitted? Thinking Critically 4. Synthesizing. Teens have a high rate of contracting HIV, yet more adults from 25 to 44 years old die from AIDS. What characteristic of HIV/AIDS causes this discrepancy? 5. Analyzing. Analyze the relationship between unsafe behaviors, refusal skills, and the risk of HIV. l¡ ¡ Applying Health Skills Advocacy. Prepare a script for a public service announcement on the epidemic of HIV/AIDS. Include statistics on numbers infected, diagnosis, and treatment. Be sure to include information on how people can protect themselves from getting HIV/AIDS. ~1:""''''''''',,_·,<, Analyze. Make a two-column chart. On one side, use Figure 25.3 to list the steps of the process by which HIVattacks cells. On the other side, list the ways that HIV is transmitted from an infected person to an uninfected person. l \ ~ I: ,+ i J I JI' '~""~I'II'IIII ~ Visit health.glencoe.com for the Interactive Study Guide for Lesson 3. Lesson 3 HIVand AIDS 661 ~ Owego 436 Class Name Date FOR USE WITH CHAPTER 25, LESSON 3 Directions: Briefly answer the following questions in the space provided. 1. What does the acronym AJDS stand for? What virus causes AIDS? 2. During the late 1990s, did the number of new cases of AIDS increase or decrease in the United States population as a whole? 3. What effect does abstinence from sexual activity have on the risk of contracting HIV infection? 4. Explain how HIV invades the immune system causing it to become less capable of fighting infections and cancer. 5. What are opportunistic infections? 6. Why is HIVaprogressive infection? 7. Name the four human body fluids that are known to transmit HIV from an infected person to an uninfected person. 178 GLENCOE HEALTH • GUIDED READJNG ACTIVITIES Copyright © Glencoe/McGraw-Hili Owego 437 Name .............................................................................................................................. ,." .. , , Class Date . FOR USE WITH CHAPTER 25, LESSON 3 8. List three high-risk behaviors or situations that increase the risk of HIV infection. 9. How is the risk of HIV infection related to the number of people with whom a person is sexually active? 10. Describe three ways a pregnant female who is infected with HIV can pass the virus to her baby. Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • GUlDED READING ACTlVmES 179 Owego 438 Name .................................................................................................................... , , ,., Class Date , . FOR USE WITH CHAPTER 25, LESSON 3 HIVTransmission Directions: Complete the concept map below on the transmission of HIV. Use each of the following terms and phrases once: air, blood, breast milk, casual contact, food, hard surfaces, semen, vaginal secretions. is not transmitted by , is transmitted by 'l --------------------, ,~ fi --------------------, q , r~ --------------------, and or Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • CONCEPT MAPPING ACTlVITIES 93 Owego 439 .N.§.~.~ º.~!g Ç.l.9.§.~ .. FOR USE WITH CHAPTER 25, LESSON 3 I. Directions: Read the following statements about HIVand AIDS carefully. If the statement is correct, write true. If it is false, rewrite the sentence, changing the underlined part so that the statement is true. 1. AIDS is a disease that weakens the immune system. 2. HIV, a bacteria that attacks the immune system, is the cause of AIDS. 3. Opportunistic infections occur in individuals who do not have healthy immune systems. 4. AIDS is the advanced stage of HIV infection. 5. HIV is transmitted from an infected person to an uninfected person through blood, semen, vaginal secretions, and breast milk. 6. HIV infection destroys the cells of the immune system quickly. 7. HIV can survive well outside the human body. 8. A person is not at risk of HIV infection by touching an infected person. 9. HIV can be spread through insect bites. 10. Abstinence from sexual activity and from injecting drugs greatly reduces the risk of HIV infection. Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • RETEACHING ACTIVITIES 111 Owego 440 Date Class Name FOR USE WITH CHAPTER 25, LESSON 3 II. Directions: On the lines below, list the steps showing how HIV attacks the body's cells. The first step has been provided for you. 1. HIVattaches to cell surface. 2. __ 3. __ 4. __ 5. __ 112 GLENCOE HEALTH • RETEACHlNG ACTNnTES Copyright © Glencoe/McGraw-Hili Owego 441 ( FOR USE WITH CHAPTER 25, LESSON 4 Single Periods: 2 Block Schedule: 1 (. denotes activities recommended for block schedule) Treatment for HIV and AIDS (SE pages 662-667) LESSON OBJECTIVES • . Explain how technologies such as new drug treatments have impacted the health status of individuals with HIV. • Analyze the impact of the availability of health services in the community and the world for people living with HIV/ AIDS. • Analyze the relationship between the use of refusal skills and the avoidance of unsafe situations such as sexual abstinence. 1.8,2.5,3.1,3.4,7.2 FOCUS __ Quick Start, P: 662, TWE __ Tying to Prior Knowledge, p. 662, TWE ___ Introducing Vocabulary, p. 662, TWE __ Ch. 25 Vocabulary Activity, WKBK ___ ___ TEACH __ Discussing, P: 663, TWE • Community Involvement Activity, p. 663, TWE • Health Literacy, p. 663, TWE ___ Visual Learning, p. 664, TWE ___ Critical Thinking, p. 664, TWE • Cooperative Learning Activity, p. 664, TWE __ Activity, P: 665, TWE • Exploring Issues, p. 666, TWE ii Curriculum Connections, p. 666, TWE __ Chapter 25 Study Guide, WKBK __ Concept Mapping Activity 94, TCR • Guided Reading Activities 94, TCR __ Applying Health Skills 94, WKBK __ Reading Tutor, pp. 436-440 ___ Inclusion Strategies, pp. 92-95 RETEACHING ___ Reteaching, p. 667, TWE ___ Reteaching Activity 94, TCR • __ __ Lesson Quiz 94, TCR Chapter 25 Summaries, Quizzes, and Activities, TCR Performance Assessment Activity 25, TCR Chapter 25 Review, pp. 670-671 Chapter 25 Test, TCR ENRICHMENT ___ Home and Community, p. 665, TWE ___ Enrichment, p. 667, TWE ___ Eye on the Media, p. 668 CLOSE ___ Activity, p. 667, TWE MULTIMEDIA OPTIONS ___ ___ ___ ___ Vocabulary PuzzleMaker Software, Ch. 25 Mindjogger Videoquiz, TCR Audio Chapter Summaries • English & Spanish, Ch. 25 ExamView Pro Testmaker ASSESS ___ Evaluating the Lesson, p. 667, TWE ___ Lesson 4 Review, p. 667 94 GLENCOE HEAL.TH • LESSON PLANS WiTH BLOCK SCHEDULING Copyright © Glencoe/McGraw-Hili Owego 442 .Treatment for HIVand AIDS I" ¡ ,"., '" ' ~ ': .'~~ .."." ff."'"'' .. ..,'-"~ - '-;:-,!,.T =~~ '~' ""-~-.. .~ .;:~'", 1 ¡'I,I ¡[:II Il" ¡:II '1:1: ~! II In this lesson, you will learn how to: ~ " asymptomatic ~.. symptomatic :I'~ stage (p, 662) stage Ip. 663) /l!> EIA (p. 6(3) "·!;I' > Western blot (p. 664) ¡lil ¡¡¡.. pandemic Ip, 665) Iidl ¡¡;... Examine how technology impacted the health of persons with HIV. ¡¡.. Identify world and community health services available for people living with HIV/AIDS. ~' Develop refusal skills and ways to avoid unsafe situations. 4_ .. .. .~. ...,-,,"..-e __'_.~_".~' __' "." . As you read, take notes on the stages of HIV infection and what tests are available to detect HIV. uick V/fite Write a short paragraph describing what you might do to help a friend who is afraid he or she might have HIV. 1:1 1 ,;¡I:\ ·rJH~! .,;i : _""",,'. _~ Organize Information has ~ lil , 'il _".... sæe ·.~,·"' .. E- ..... As you read this lesson, write each new highlighted term and its definition in your notebook, ¡t¡1I 1'1 .~ . ·';;·F";"·~""';;~-<·''''''':lJ'·:o''~~'9';~···'{;'''~·'_''··;·;;,'-~-":>--"'~~';·:"Y".-".·-"",,;<c. ~ewt~êl}.w@@trWêaWfw«æM*wft5if.!é%îWíœ.r{j_w.t6W,W7mFI¿:1"Wm,Wff1twprftVt?WfÆfWfW W'fmwm_ flftP i: Ii li , :1" Cf) I:.J ii:f 1'1 'I !1 Even though medicines can slow the progress of HIV infection, there is still no vaccine that prevents the disease. J ust as many STDs show no symptoms and many infected individuals don't seek treatment, the same is especially true for HIV. Infection can be ignored or overlooked for several years, during which time the virus can still be transmitted. ¡ Stages of HIV Infection T he HIV infection develops in stages over thecourse of several years. A person is considered infectious immediately after contracting the vims. Approximately half of all persons develop symptoms about three to six weeks after becoming infected with HIV. These symptoms may include fever, rash, headache, body aches, and swollen glands. In general, these symptoms disappear within a week to a month and are often mistaken for another viral infection, such as the flu. After the flulike symptoms disappear, the person enters the asymptomatic stage, a period of time during which a person infected with HIV has no symptoms. A person may show no signs of illness for 6 months to 10 years or more. However, the viruses continue to grow and the infected person can still transmit the virus to others. ·}662 Chapter 25 Sexually Transmitted Infections and HIV/AIDS Owego 443 .. ~';;':~f Symptomatic HIV Infection During the asymptomatic stage, the immune system keeps pace with HIV infection by producing billions of new cells. Eventually, though, the number of cells in the immune system declines to the point where other infections start to take over. This marks the symptomatic stage, the stage in which a person infected with HIV has symptoms as a result of a severe drop in immune cells. The symptoms may include swollen glands, weight loss, and yeast infections. ,~I I l" i , ii I; , il ! 11 i l¡ : iI ! .¡ : .~ f; An EIA test is the first step in determining whether or not an individual is HIV positive. Anyone engaging in risk behaviors should be tested for HIV. Why is it lmportent for individuals who might be exposed to HIV to be tested even though they aren't experiencing symptoms? AIDS During the latter stage of HIV infection, more serious symptoms appear until the infection meets the official definition of AIDS.This includes the presence of HIV infection, a severely damaged immune system measured by numbers of helper T cells, and the appearance at one or more opportunistic infections or illnesses. By the time AIDSdevelops, HIV has often attacked brain cells, causing difficulty in thinking and remembering. " l r! '. !¡ ¡ ·:1 'i ~ '1I 'II I Detecting HIV ndividuals who think they may have been exposed to HIV should seek testing from a health care professional immediately. Testing to determine the presence of the virus can be done by a private physician or at a hospital, a health clinic, or a local health department. Most states have laws to protect the confidentiality of test results. I EIA Test '.' The first test usually performed is an ELISA,or EIA -a test that screens for the presence of HIV antibodies in the blood. The ElA reacts to even small numbers of HIV antibodies. However, the EIA may give inaccurate results. There are two reasons for this. ¡ s I i ,~ l ! ~ ¡ , ~ i~ ~ f ~ Developing antibodies takes time-weeks or even months after initial infection. Before antibodies develop, the ElAmay give a false negative result. This means the test is negative, but the person is positive¡ there aren't enough antibodies for the test to detect. Most infected people will test positive in three to four weeks, but some take up to six months to test positive. ::;.~. ,,~ Hóvrd(j'ó' •...•...... '.,...Is~ii ....... ,.··.·¡'ø~S~~~~~~.r~!·.i·· .. vvhenthejníTlll1e' sYste~is ~t~~I~f ovèr3Öcommon ôPPº~~.Il¡~í~ illnessès,inCIUdingKâ'~b$h) sarcoma andpneúmÓcystls .. carlnll pneulllonia (PGP)~. a rare form ôf prié~olonia. ... Certain health conditions, such as hemophilia, hepatitis, and pregnancy, can cause the EIAto give a false positive reading. This means that although the test was positive, the person actually does not have the infection. I '::i Illiiii I l Lesson 4 Treatment for HIVand AIDS 663' -"""------ Owego 444 Western Blot Test Reading II I il chêck' Compare and Contrast Whans the difference between the asymptomatic stage and the symptomatic stage of HIV? ;'ií ii'I I; :'i If the EIA test is positive, it can be repeated to make sure the results are accurate. If the repeat test is also positive, other confirmation tests will be done. The Western blot, or WB, is the most common confirmation test for HIV in the United States. If done properly, this test is 100 percent accurate. If the results of all three of these tests are positive, a person is determined to have HIV. Often these individuals are referred to as HIV-positive. The Impact of the Availability of Health Services Ii; II t, hen HIV was first identified in the early 1980s, there were no treatments for HIVand few treatments for the opportunistic infections associated with the virus. In the years since then, several medications have been developed to treat HIVand to treat and prevent.the complications of opportunistic infections. More drugs and vaccines are being researched. For many people these new treatments have extended and improved the quality of life. None of the drugs, however, cures HIV/AIDS. One reason that a cure is so hard to find is that tllY.Jn~ct~_~_h.:~-y~rycells thaLt~gulat.t;Jh~ immune :r..e:;12,SJpse. In addition, several I1:ewstrains ~f the.vírus 'ila:v-eemerged since it was first discovered, making iteven harder to develop an t;.ffe-c:tIy~tr~atment. Many treatments have side effects so sëvere that some people stop treatment or take medicines only once in a while. This can lead to the development of new, drug-resistant W I, !il l I, '\ , ¡¡ Q .u ~) ~f li I \ i ¡ ~œIID~:.--~-----~~.-----'--------.-, H-ISTO~YOF HIVI AIDS , .. <>,: '~. ':, .. ':, al ':: III "~ "I 'o .~ -~ ,~'l .'.j r------~-,..c~---. 1982: The collection 1986: AIDS-causing of symptoms is virus is named HIV; named AIDS; 14 first drug treatment nations report cases for AIDS developed of AIDS 1984: 7,000 Americans have AIDS '! 1981: Clusters of previously rare diseases noticed in both Los Angeles and New York City 1988: December 1 declared annual World AIDS Day 1990: Estimated number of AIDS cases worldwide is 1 million L__ --- 1989: Several new drugs available to treat opportunistic diseases; FDA approves first drug treatments for more than trial use ¡ ;664 Chapter 25 Sexually Transmitted Infections and HIV/AIDS ----------------- zrØJ Owego 445 'll,' , , ; ~ ~ £ s: ¡ .' ~ r strains of the virus. Also, treatment can be costly, exceeding $1,000 a month. Worldwide, many infected individuals do not have access to treatment because of high costs and lack of availability. The time line shown in Figure 25.4 summarizes some of the developments in HIV/AIDS research and treatment. ~ ¡i ;~ I' I I' I: II Iiil HIV/ AIDS-A Continuing Problem ií T he number of newly reported AIDS cases in the industrialized , world is decreasing. Much of this decrease in AIDS cases results from the success of drug cocktails-combinations of drugs-that slow the progression, of HIV infection. However, research has identified new, drug-resistant strains of HIV. These strains do not respond to the drug cocktails currently used in the fight against AIDS. The combination of drug resistance and high-risk behaviors could result in HIV strains that are transmitted and spread even more widely. Despite the progress that has been made in the development of treatment options, HIV/AIDS is still a fatal disease for which there is no cure. HIV/AIDS: THE GLOBAL PICTURE _, At the end of 2002, an estimated 40 million people worldwide were infected with HIV/AIDS. This statistic means that HIV is now pandemic-a global outbreak of infectious disease. The number of people living with HIV is growing and is a health concern that requires collaborative decision making by health authorities worldwide. It is estimated that in 2002 alone,Smillion people became 'infected with HIV/AIDS worldwide. ---.----------------------------------------------- al '"_._ 1992: First combination drug therapy approved for those with advanced HIV infection 1991: Red ribbon announced as international symbol of AIDS; scientists report that drugs have .limited use because HIV develops resistance to them; 1,000,000 cases of AIDS and133,000 deaths from the . disease reported worldwide since 1982 :[ :1 CHARACTER ........... G~.~.. ~ ~~.G.~ CHICK. Responsibility. Each individual can playa role in curbing the spread of HIV by staying informed and spreading the word about this disease. Take the time to read articles about HIV/AIDS. Share information with family and friends about recent developments in treatment and research to find a cure. ..---------------------------------_o .. :..... 1994: Studies show that drug treatment greatly reduces risk of HIV transmission from an infected mother to her baby 2002: The disease is the fourth leading cause of death in the world; an estimated 40 million people around the world are Jiving with HIV/AIDS 1998: First trial of an AIDS vaccine begun using 5,000 U.S. volunteers; estimates are that 70% of all new infections and 80% of all AIDS deaths are occurring in sub-Saharan Africa Lesson 4 Treatment for HIVand AIDS 6G$'c l' II I ¡ '·i' E: ., ----------I: ~ Owego 446 r-:-~'~~~----~~~'~'~-m~--~-"~~'~4~_i~~--~~ : fi 'J t , Helping Others ~ ~ I~ ~ I§ j a l II i I ~ I 11 ,~ I l I, il ~r i i ¡: ¡ '¡l ri,-'ti I~ I \J Mitch's high school class was looking for a service project when he learned that his older brother was HIV positive. He asked what he could do to help. Mitch's brother, Chris, said there was plenty he could do, "My doctor told me there are a lot of people who can't even get out and buy food.", Mitch suggested to his classmates that they consider a local service project. "We can help people closer to home," said Mitch. UWe can deliver meals to people who are sick and can't get out of their homes to buy food." He suggested they volunteer for a local Meals on Wheels program. Some of the students were concerned about being in contact with sick people. Others worried about the time commitment. Another group of students mentioned that they didn't drive and wouldn't be able to deliver meals. i g r'''''''.'"''"'"''''"''~''.,,'''''''''ii''''_''''i''i.'',i'''''''J,I;:/.<'''.1í'#.-'',,".M"''"'''''''''''''i,~''",''",''''i'''''''''',ii,~,,,,'''''''''''i,,,,'-'''''''''''i''''""""""""",..,,,.,,,,,,,,- II, t! STAYiNG iNFORMED ABOUT HIV/AIDS Because neither a cure for AIDS nor an effective HIV vaccine is available, knowledge is the first defense against infection. New research can be found in newspapers and magazines and on television, radio, and the Internet. The CDC, state health departments, and community health services are excellent sources of information. While the Internet is a good source of information about HIV/AIDS, health-literate consumers should be wary of any information offering miracle treatments or cures. Products that have not been tested can harm or even kill people. The U.S. Food and Drug Administration sponsors a network of organizations that encourage consumer awareness to prevent fraud. By understanding the impact of high-risk behaviors and staying informed you can protect yourself and others from infection. !¡ il .\ ,! :¡ i l ¡ ,. t.\ :666 Chapter 25 Sexually Transmitted Infections and HIV/AIDS ---------- 'd I'~ Owego 447 Abstinence and HIV/AIDS During your teen years, you may feel pressure to experiment with new behaviors, such as engaging in sexual activity or using drugs. Consider that your ' actions today can change the entire course of your life. Choosing to remain abstinent shows that you are taking an active role in caring for your own health and acting ". responsibly by not jeopardizing the well-being of others. ~ A person who remains aware of consequences knows '''"'' various strategies when making decisions related to health needs and risks of young adults. Use of these refusal skills will help you avoid pressure to engage in sexual activity and use drugs: ,! i -: -. 3. Explain how technologies such as new drug treatments have impacted the health status of individuals with HIV infection as well as people's ' attitudes toward the AIDS epidemic. Thinking Critically 4. Evaluating. Why might people in the United States have better access to AIDS treatment than people in developing nations? 5. Analyzing. What is the relationship between the avoidance of unsafe situations and the use of refusal skills such as sexual abstinence? r¡ li .l<~ ........., ¡ : -,_.:~ '.. '':;';t~_'-'"'·~:- ~,-'-- ~I\' : i Each of the more than ,.' 44,000 colorful panels in 11 the AIDS Memorial Quilt memorializes the life of a person who died from AIDS. When the entire quilt was in Washington, D.C., it covered the National Mall. How does the AIDS quilt help educate the public about HIV/AIDS? ... Choose your relationships carefully. Avoid beginning a dating relationship with someone whom you know is sexually active with another person. 2. When is a Western blot test performed? i 1 ~\ ~ Practice refusal skills. Be firm when you refuse to take part in drug use or sexual activity. Use body language as well as words to get your message across. 1. What is asymptomatic HIV infection? .- ~: .;~_:~,~:~ ...~...._-'..,.'~,.,:..•;-,'..~:~_::=',-,.. .,_~¡:.~ ... Avoid situations and events where drug use or the pressure to engage in sexual activity is likely to occur. Reviewing Facts and Vocabulary • 1\",- Applying Health Skills Accessing Information. Research new vaccines that are being developed for HIV/AIDS. Use several different sources of information in your search, such as Web "sites, books, and newspaper and magazine articles. Evaluate the validity of your sources to make sure they are reliable and accurate. Then prepare a presentation analyzing the impact of the availability of these health services in the community and the world. l • ~ f «rz I ! , I ! t ~II.".-~. ~~.,Problems and Solutions. Fold your paper in half. On one side, list the reasons why HIV/ AIDS is a continuing problem. On the other side, list current treatments for HIV and AIDS, including ways to detect HIV. l II 1\ l ~ Visit health.glencoe.com for the Interactive Study Guide for Lesson 4. Lesson 4 Treatment for HIVand AIDS 667. i :1 il -- " Owego 448 'I'\~ I I ! c~~ ~'"" II Ch n In t~e Meet one teen who knows he can make a difference. M eet Nile Sandeen, 17. Nile's missi~~ in life is to educate others about the realities of HN/AIDS. TIME caught up with Nile in his hometown, Milwaukee, to find out more about this wonder teen: TIME: When did you leam that you had AIDS, and how do you educate people abo;rt HIV? NILE: I was bom with HIVand diagnosed with AIDS when I was five. I'm a counselor at Camp Heartland, a summer camp for kids with HN/AIDS. I also speak at schools nationwide about what it's like to live with the disease. TIME: Did other kids treat you differently in school? ,'- I' I NilE: In kindergarten, word got out that I had AIDS. People freaked. It was very upsetting. Parents didn't want their kids to even sit near me. TIME: What made you realize that you weren't alone? NILE: Neil Willens on, a 22-year-ol~ activist, heard about how badly I and other kids were being treated, so he started Camp Heartland in Willow River, Minnesota. I went there for 10 years, and it serves as a support group. We all have days where we think, "I don't even know how much more of life there will be." TIME: Besides educating others about HN, what do you do? NILE: I'm more than the disease that I've got. At school I'm on the chess team, the debate team, I pitch for the baseball team and, yes, I frequently go on dates. TIME: How will you change the world? NILE: I know the more people I talk to, the less that others will be hurt by this disease. People will see we aren't so different. We may not see a cure in our lifetime, but as we continue to teach people to stay safe, we'll see less AIDS. • TIME to l."OHUpf U\i.n .. T-- -----~.... ,-.... -.-...... " 9.11 ß Owego 449 ¡ . ¡; , i i ~ ~ l 1. Advocacy. Research groups that advocate teen abstinence from sexual .¡¡)1 .~~~ activity. Find out what services these groups offer and how you can volunteer to help them. (LESSON 1) '\M">'"I.".'V,J: 2. Accessing Information. Identify community health services that help with prevention and treatment of STOs. Discover the types of educational materials ~! .t : ~ !l;\ they have for educating teens about the risks of STOs. Share your findings with the class; (LESSON 2) ~~; ~ ¡ 3. Advocacy. Develop an HIV prevention ADVOCACY! ~~._.) program aimed at teens entering high school. Emphasize the relationship between unsafe behaviors, such as sexual contact and drug use, and the risk of HIV infection. (LESSON 3) J 4. Refusal Skills. List two suggestions for practicing abstinence when pressured to engage in sexual activity or to use drugs. (LESSON 4) ¡ ... sms .....,_~~,~' ¡ ,,,"~ r ·.C.~A:_J~~~~£_.R_. ,~ __ ".'orner BEYOND theClassroom Health Advocate Parent Involvement Do you like working with people? Can you synthesize information from a variety of sources to come up with innovative solutions to complex problems? If so, you may be interested in a career as a health advocate. Health advocates work in a wide range of settings, but all health advocates work toward one goal: finding innovative ways to improve the delivery of health services. Health advocates have several levels of certification. Two-year courses are available at some community colleges. Others become advocates through a Master of Arts program following college graduation. Find out more about this and other health careers by clicking on Career Corner at health.glencoe.com, Advocacy. With your parents, research ways that parents can help their children avoid risky behaviors that might lead to STOs.Work together with your parent or guardian to organ.( ize your research, and create guidelines for other parents. If ", you have access to the Internet, \~ post the guidelines on a Web site. ~ health.gtencoe.com > ¡'' '.'- School and Community Finding Resources. Learn the names of organizations in your community that help people infected with HIV/ AIDS. Make a list of these organizations, and describe the services each provides. Create a pamphlet containing the information you have gathered. Make the pamphlet available through the school health otñce, Chapter 25 Review 669 </ - , i .,' ,c li .jl ....: ,i II IIIII ~ Owego 450 Name ................................................................................................................. , , Class Date ,., , . FOR USE WITH CHAPTER 25, LESSON 4 Directions: Briefly answer the following questions in the space provided. 1. Describe what happens about three to six weeks after becoming infected withHIV. 2. Describe what happens to the immune system during the asymptomatic stage of HIV infection. 3. How long does the asymptomatic stage of an HIV infection last? 4. Describe how the symptomatic stage of HIV infection is different from the asymptomatic stage. 5. What is the official definition of AIDS? 6. Describe two common opportunistic illnesses associated with AIDS. 7. How are brain cells affected during the latter stages of HIV infection? 180 GLENCOE HEALTH • GUIDED READING ACTIVlTIES Copyright © Glencoe/McGraw-Hili Owego 451 Name .................................................................................................................................................................................. " Class Date , . FOR USE WITH CHAPTER 25, LESSON 4 Stages of HIV Infection Directions: Complete the concept map below on the stages of HIV infection. Use each of the following terms and phrases once: 1 week to 1month, 6 months to 10 years, AIDS, asymptomatic stage, early HIV infection, flu-like illness, one or more opportunistic infections, swollen glands and weight loss, symptomatic stage. ~ '-- characterized by Lcharacterized ~¡;m¡¡¡¡¡~~_~¡: It! can last _ by no symptoms - can last characterized "-----------.. by , .~ ------1; 94 of~icially_ as ¡r- defined GLENCOE HEALTH • CONCEPT MAPPING ACTlVrrrES HIV infection I' i'---_ I· and Copyright © Glencoe/McGraw-Hili Owego 452 ¡ I: , L l After)'ou cji~a(r I ï 'Ii,."" 1. ij, i I',' !l" Use the notes you have taken in your Foldable to review what you have learned. Use the Internet or your school's media center to look for current research and statistics regarding teens and STDs. Report your findings on the back of your Foldable. :.1, EXPLORING HEALTH TERMS 'f Answer the following questions on a sheet of paper. I!'; F Irf[: Fill in the blanks with the correct term. ',il: lJ ~j I. úil,! it¡ '!Ii Ii: ~: Ii HIV AIDS opportunistic infections !, ~ ijll' Identify each statement as True or False. If false, replace the underlined term with the correct term. abstinence epidemic sexually transmitted disease (SYD) sexually transmitted infection (STI) , .... 4 1. An infection that spreads from person to person through sexual contact is called a(n) _ or a(n) __ '----_ 2. When a community has a larger number of cases of an infectious disease than would be generally expected, the community is experiencing a(n) 3. The only 100 percent effective way to avoid STDs is to practice _ syphilis trichomoniasis human paplllumavlrus (HPV) 4. Gonorrhea can lead to pelvic pain and infertility. 5. HPV is an STD caused by the herpes simplex virus. 6. A bacterial STD that usually affects mucous membranes is chlamydia. 7. The first sign of trichomoniasis infection is a chancre at the site of infection. 9. Being infected with AIDS does not necessarily mean a person has HIV. 10. Opportunistic infections are rare in a person with a normal immune system, but they easily invade the body of a person with a weakened immune system. Match each definition with the correct term. EIA Western blot pandemic Replace the underlined words with the correct term. chlamydia genital herpes gonorrhea 8. AIDS is the virus that attacks the immune system. asymptomatic stage symptomatic stage 11. A period of time during which a person infected with HIV has no symptoms. 12. The first test usually performed to screen for HIV antibodies in the blood. 13. The most common confirmation test for HIV in the United States. RECALLING THE FACTS Use complete sentences to answer the following questions. 1. Why are STDs in the United States considered a hidden epidemic? 2. Explain the relationship between alcohol and other drugs used by adolescents and the role these substances play in STDs. 3. What is the only method that is 100 percent effective in preventing STDs? 4. Which STDs stay in the body for life? 5. Why is early treatment of STDs important? 'II'~¡ If 1,1 670 Chapter 25 Review For more review questions for Chapter 25, go to health.glencoe.com. ~ ~, '; , ::i æ Owego 453 1',' "~>''.,'. 6. Explain why an individual diagnosed with an STD should notify contacts. 7. Why is the risk of HIV infection low for a person whose coworker has tested positive for HIV? 8. Why does having multiple sexual contacts increase the risk of HIV infection? 9. List and describe the stages of HIV infection. 10. Relate the importance of tests to detect HIVand why early detection is important. >" WRITING CRITICALLY 1. Persuasive. Write an article fôr a health-related newsletter persuading teens to abstain from sexual activity. In your article, describe activities that place people at high risk for contracting a sexually transmitted disease (STD), and explain the consequences of STDs. Use supporting evidence giving logical reasons, examples, and quotes from experts. 2. Descriptive. Conduct research on a third world country that faces an HIV/AIDS epidemic but lacks the money and education to treat and prevent the disease. Write a descriptive article that could be published in a newspaper describing the AIDS epidemic in that particular country and how it affects its people. Make suggestions about possible solutions to the AIDS problem. \' t, [ :• l'I ! i t: . ; ; , i.' lill , Read the paragraph below, look " at the table, and then answer the questions. According to the Centers for Disease Control, the number of reported AIDS cases was over 900,000 people as of December 2003. The statistics provided _ by the center are shown in several different forms. i t l ~ l } l ~ l ',t ., , ¡ Cases can be .grouped by age, location, race or ethnicity, or source of exposure. This table shows the ten states or territories that reported the highest total number of AIDS cases according to all figures received by December 2003. Statel Territory Total Number of AmS Cases New York 162,446 California 133,292 Florida 94,725 Texas 62,983 New Jersey 46,703 Illinois 30,139 Pennsylvania 29,988 Puerto Rico 28,301 Georgia 27,915 Maryland 26,918 1. What is the mean of the numerical data in the table? ® about 27,000 @38,421 ©64,341 @135,528 I· 2. What is the median value of the numerical data in the table? ¡l.,. ®26,918 @38,421 @64,341 135,528 t: ~'" ,11 i' , I I CD I 3. Does the fact that these nine states and one territory have the highest number of AIDS cases necessarily mean that they have the highest percentage of AIDS cases, based on the population of the state or territory? Explain your answer. ! I ¡ I " " ; ,i, ; ¡ j ,I I I ii I 1I',III! ! I t ! Chapter 25 Review 671 Owego 454 Name Class Date FOR USE WITH CHAPTER 25, LESSON 4 I. Directions: Write a description of each of the stages of HW infection. Early HIV infection: Asymptomatic HIV infection: Symptomatic HIV infection: AIDS: II. Directions: Answer the following questions about HIV / AIDS. 1. Explain the tests that a person in the United States might have to detect HIV infection. 2. Why hasn't a cure for AIDS been found? Copyright © Glencoe/McGraw-Hili GLENCOE HEALTH • RETEACHING ACTNmES 113 Owego 455 Name Class .................................................................................................................................................................................................................. Date , . FOR USE WITH CHAPTER 25, LESSON 4 3. Explain why not everyone with HIV has access to treatment. 4. List three strategies to use to help avoid pressure to engage in sexual activityand use drugs. 114 GLENCOE HEALTH • RETEACHING ACTIVlTIES Copyright © Glencoe/McGraw-Hili Owego 456 , r tf' i:'" t~ ~ I o ,--t ,--t ~ ~-i ~ ~l ~~ .. ", V) o t--I <:( -n ........ c ro > t--I I ¡ Owego 457 OBJECTIVES r..; fl "~~~J~~IlJli!læ~œo¡;.~":!!Il!i~:II'~'''' '.:~~'~''''''''''':''i,':l'-',' • Define HIVand AIDS • Discuss how virus attacks the cell • Explain the concepts of viral load and CD4 count • Review the criteria for AIDS Diagnosis Owego 458 Z 0< 1--1 (J) (J) I--I(J) ~u (J)I--I ZI- P: t~· ;;: 1~ ~ ~ ti! fi) ~~ 1< ~~ I-!;( ---I- (J)(J) Z 0 0 I--IZ 1-« 1--1 Z 1--1 LL W O I Owego 459 What is HIV? I &! ~~~.....:!nø;,~~:¡";¡,:,<U,.":.èê~":!,'fu';"~';i'\;-,.,,-:;~;\1"'·'·" .,::,:" • HIV stands for -Human Immunodeficiency ~Orus • HIV weakens the immune system by damaging CD4 cells or T-cells. Owego 460 What is AIDS? \'- .. __ ...... _ ............ ""' .... _ ....... _ .... _1!~~~~~~Y,:~:C'"ry¡);¡:;.;i'_.;i~:t"':',·;~:'~,~:~:.·.~-·,·'i·"'··· • AIDS stands for Acquired Immune Deficiency Syndrome. • A person has to be infected with HIV to get AIDS. • An AIDS diagnosis is defined when an individual's T-cells fall below 200 and/or a person experience an opportunistic infection (Ol). Owego 461 ~ M ('. ~ - il W tiI. \1 0:::1 :::li U « W o::: W :c rU) 1--1 Vl -- W L... U) O Cl ~I--I =-00)<:( WZL...> ..c r- :::J U 1--1 I Owego 462 -Ul 1::J .::J \.I!- ::J J2 ro .- > 1::J t. ;1 ii ~! ¡ I I r.n c O -..a...J -O 1- ::J '+- OJ U OJ (J) ro ()J c -- -I-J -I-J ro -- E Ul c ro !I- (J) Ol > • -- - -ro C -- E OJ Ul • -~ -o O O ea • E ..a...J Ul ro OJ 1- ea • Owego 463 How is HIV transmitted? +C&iiSIiIIlI;;WU~Ii~=!lr~I:::!ll;.,'W~~tfj..,%,:",~~\\".#;':;,:;'.8)~.~~"~,,,,,;;,.",:,,,,, ~.". :ih_ , "':~.,;,-;-;., • Unprotected Sex Vaginal intercourse II Anal intercourse .. Oral intercourse II • Sharing infected needles (other sharp objects) • Mother to child transmission II II Breast-feeding During child-birth Owego 464 Risky Behaviors I 1¡::m¡'~'lJf"!'m~~~~'::':':'~.'.'1i~"!:'::~~,:r:"'r,,:::.,,7'.'7,:;~NL"::¡;' ...., • I-IIV can infect anyone who practices "risky behaviors" such as: .. Sharing sharps or needles II Having sexual contact, including oral with an infected pierson without using a condom .. Having sexual contact with someone whose HIV status is unknown Owego 465 ~~ -ur ~~C)(/)~~ ~ C) ~ ~.~~ ~àJ~~~~QJ .. ;; , " 19 .~ ~ ~ ~ ç:: .~.~ ~ « :Ei / ~ I Cf) ,: Cf)1 W z ~.~ ~ Qj ~......, ~~~"t:JQJ~~ ~~""c::::Ei~~ ~ C) QJ ~ ~ ~~~C)ruru .~ ~ ~ ti) ru ~ "'i"t:J ~ ;:j s: ~ .~ s: ......,......,l......~ç:C)(j ~ C) Qj C)~~ c:s ~ « s ~ ~,§E:: ~.~ ::t: ~ ~ ! .' ~ c, :> ~~~~~~~ ~ ~ r-; ~ " , ~ C). .....".(l) r"'\ V).~ C s:.;:::: ç:: ~-~ 'tJ~QjC)..ç::"""" ~ ~!:;::!:S "'C ~"" ¡ (l't f""oo - ~ •:::::::......., f""oo Owego 466 How is HIV NOT spread? ,·,to,':' ,\,' ~~~¡'~"2",¡£w,¡¡;~~~r,ô~Jl<'::.~£fi • • • • • • ...,y'''''~~';''~:''''/·:,i;:'',·:·.·~;o.:i..> •.. Air Hugging Closed rnouth kissing Sharing clothes, food, utensils, water Toilets, showers, swimming pools Insect bites (mosquitoes do not inject own or previously bitten person's blood into someone else)u • Feces, saliva, sweat, tears, urine, or vomit (unless there is blood present) Owego 467 How can You reduce HIV infection 1-------- • • • • • • ... --- .....- ... - .... - ................ _""'.~~í:."lI~ir:Iilt,:~lim:"t,;',;~: .. ,',':;:'~'-~."ii..,;;:,,,:;.,,,,., Good self esteem Know your HIV status Know your partner's HIV status Monogamy (same HIV status) Celibacy Know how to use safer sex products (latex or polyurethane, and female condoms). • Non-penetrative sex. Explore other ways to express intimacy that are not high risk . • Stay informed and always ask questions. Owego 468 The HIV Test ------------- ... -- .... - ... ~!i(¡,.'1!m!TC1D:Ir.!I¡;I~'}"'~'Ø:'iI'k\.':'.:i.\~'ii>ll\;.~':·~:;:'1;!.;'t'.'.~·/;·· ::.,~'"':.': The HIv' test looks for HIV antibodies in your bodv . • If you have HIV antibodies, your test results be positive. This means you have II a HIV. If you don't have HIV antibodies, your test will be negative. This means one of two things: -You don't have HIV. -You have I-iIV, but your body hasn't made enough antibodies to detected vret. Owego 469 The Window Period 1l,',~- -11:' '#''#lif*t 11t:.a1l~~'llf¡¡tl».~!S'~~"l<':~·?f(,',"',"""~'~·":'~_·',:';';'-" ;'".< • It takes up to 3 months (but as early as 3-4 weeks) after infection for the body to make HIV antibodies. • In rare cases, it can take up to 6 . months. This called the window period. Owego 470 l'. en ::J ..I-J ro ..I-J ii eJ) 1-1 51 >$ O c ~ ::J O >- O O .~ ~~ IC' f " ~ Owego 471 Worldwide Statistics _.r:; ~-:---------_--:-~~.!lel:.~~Æ';I!'~~l~"NI~it.:,~-;.ï!";"~;'_ ..,,_,,_,_, iI~ ·-t • LlO million people worldwide are living with HIV. • An estimated 25.4 million (64%) of these people live in Sub-Saharan Africa. • Approximately 3.1 million new infections occurred in 2004. • Around 2 million children under 15 are living with HIV. a More than twelve million child rein have been orphaned by AIDS. • More than 95 percent of these new infections are in developing countries. Owego 472 ···0 -cO ~~ Ql)U) / m 10 / / EV')O ~ ., iíiiiiii1 ( ,:;: fi ~ ~.v~ I ~ w~ ~ ~ > c: ~, ~ ¡ ~-I ~~ "'C ........ :mr'm"r.¡ jIiliiíiil ~æj: ., ,,"~"·~·".I ~ .s;: .,..... [~ U",1:t: " cc m L~ lil if '\ \ .... il €l)liIriiiiíiiiil .;J..J -~irs+)"Iil;~~=~N;~ ~'''-~wær :J(IJ} ~..". W! <t I j:k~~ Owego 473 Epidemic at the End of 2010 I :CJSIbii8J¡¡;:¡~~¡:øó5C.-m;";~"~.~.,,,.,,:;,\~.-,,,N." At the end of 2010, an estimated 1,039,0()O to 1,185,000 persons in the United States were living with HIV/AlOIS .. In 2008, 32,048 cases of HIV/AIDS were reported from the 33 areas (32 states and the US Virgin Islands) with long-term, confidential name-based HIV reporting . • When all 50 states are considered, CDC estimates that approximately 40,000 persons become infected with HIV each year. fi • Owego 474 Incidence of New HIV Infections in 2010 J IIU ¡'C···.r Dutn~ ! ',~'mi ~E,~I¡I¡OS.·· ..·'~tv.ll~ 1t:ß~, II.:I[ifill, ,[lUftI. 'l ijrJ'mi O·.·.) •• " H;-lODI.1C······:; llDlf r : lïlir'fII:1 ~.' D '-]'Ii . . w···· ~;'· ""',.. 'I:::U'·I··[·····'E·' '1······8·····' I': ,Ill: EJ; .¡ ! %1 I' ; . Ii" ¡ , ESTIMATES OF ANNUJ\L NEW INFECTIONS IN WOMENj U*S*:t BY RACE AND RISK , ' 1',; 'il5"'-'0" I!l.t, ,m~,' :'":lAj';".'. 'I'C.... .~! ·'ID' H ~.: ~¡:'.> -: \, -iM"""i>I !.. 'e'"Oim~" '~.l' :",m) U M'S",.-,! i,', " , I' .• I;:;' ¡2~ %i I -- E.···-~I1PLÆ'·lt"l""'l';t'@ , ~ ~ .,),lVLni. ... J:øi:ilI , '18'" " '.~ .. .. ~" .N'"··· 'I".·C··.· ~ ; , _'" _' >' 'Hil ".' o.'. c·' '1'1' A'··,~T. ~l'U' 'tl,T iJi¡""'I'1'~.T .."il!''I'N" '.L"C ji"fi . ru.. Jr'\!! M VII' " ~",,' I!I[I[! i -" ','...-"~~ Ig'.0·.'..25"%' ;i ¡,. I'·O...lI."'!I,¡;¡J tT~ IN'.' .. '" 'Ei'12'''''''1'···· C M'Y ..... 'lt1'P,,"'1' ~ J.,V1.üJ['I¡jj U · S',"'J ..,;. I,"~ ", 'I HY ßft'\.¡¡.ø:;¡, D "I,"'"'Ei' ,A.t'iT''R JnJL"'iI.L.iI' ,g l: 'q'"'!1?~ I:\.lii17-A Owego 475 ·1 f! « f ! , • • • , 4 • « •• « il « • • •, « , , • • • ~ - • f • • .-. •• "" -- , • • , •• • •• • •• ce • "" • • , • <. < • • • , •< • • < ce • • • , , D .- •• • - • « • • • • • •• • • <• < • , • •, • Owego 476 \ . \:) ~c:: <:::::)~ H ~ ~ I Jo-I w Jo- Vl§ >I $ <:;::)" ~ es ;ï:::; ....... CV) .~ ~ .e a S: <:;::)~~ ~!:;::!~ --&.....~ ~' ~~ê5 ~rtJ~ t)~ 0& ~QJ ",t::t. Owego 477 ~ ~ I ," ~ J:: ~ I "''''1 ('. . ~ . ......... ,.-J, >,.-J ....... w IU CJ)w WI OlO 3: ° I Î I Owego 478 o == .~ ....e ~ ~ ~ = ~ ....QJ ø~ .....-< •• Ü ~ ~ ....-~ = ..... .o> ~ ~~ ~ Owego 479 o =...~ a ~ ~ ~ ~ ..a) ~~ •• ~ ,.......¡ ü ~ = .~ ..-~ .~ o> ~ ~~ Owego 480 =......o .~ =e ~ ~ = ~ ...... Q) ~1u •• ~ .....-< ü ~ = .~ .~ ...... ~ ~ o> ~~ Owego 481 =o .~ ~ ~ a ~ ~ = ~ ....Q) ~~ ~ •• u ~6' =o>'~ .~ ~~ ~ ~~ Owego 482 =....=e o • ...-1 ~ ~ = ~ ....Q) .. ....... ....-~ = .~ ~~ () ~~ • ...-1 ~ 0>- ~~ Owego 483 t: ...ca o .E I- ~ -... t: CI) (!)~ •• ~ ID t) ~ t) ... ID r:~ ._ --1 o> e.- • , Owego 484 c. ~ E Q) .r: I-- > liN _ :I: ....o (/) ,... Q) ~ ta I-- v : ¡J, ;J.; Owego 485 Anti retrovi ra I Thera py >"'0' ilSXi :&liiO~¡¡¡¡¡;~'lIl::~,;!rU1~~.,'t,¡¡',,;,;-:o-,,·:"~,·_,.~,·, .• -" ~~r • Nucleoside reverse transcriptase CRT) inhibitors - interrupt an early stage of the virus making copies of itself • Non-nucleoside reverse transcriptase inhibitors (NNRTls): same function as above .. Protease inhibitors CPI)- interrupt the virus from replicating itself at a later stage in its lifecycle • Fusion inhibitors - interfere with HIV-l's ability to enter into cells by blocking the merging of the virus with the cell membranes Owego 486 \ . -a c ta .... Z í f\.. ::::)Q~ I m Oc:( UO· ~...I Q...I U:¡ .....> .... c:( ~ ..... :t: :t I I Owego 487 Diagnostic Tests --- mr ~I!II;lQIl¡¡ftt:¡¡t11Ii~'C::¡oQ.:t!f;~i7.'il),,;vcc"""";f;';;':;,::<:, • Two different types of antibody tests: .. ELISA • Western Blot • If a person is highly likely to be infected with HIV, but has tested negative for both tests, repeat antibody testing is required. Owego 488 How Does the Infection Occur? ee IL"','; iL ~~-:"~~~~lJ::1:c;l)::';:l: ..i:~;"'~I'i/·'~""'~·'~;'\~"~;;"--·' • Even during the asymptomatic period, the virus is actively multiplying, infecting, and killing cells of the immune system. • The virus can also hide within infected cells and lay dormant, • The most obvious effect of HIV infection is a decline in the number of CD4 positive (CD4+) T-cells found in the blood -- the immune system's key infection fighters. Owego 489 How Does the Infection , Occur? ~¡fr<tIt.:I!!I 11; ~ ~~I~"::::."'I~';¡;'''''?:''''\''::';''''''''''',,,.',,\,,,~.;:, ... • The virus slowly disables or destroys these cells without causing symptoms. • As the immune system worsens, a variety of compllcations start to take over. • For many people, the first signs of infection are large lymph nodes or "swollen glands" that may be enlarged for more than 3 months. • Owego 490 Viral Load <- ~~,~ ~.!il:I~œ!!iW':::'''~'!I~t:ro!'~''!'i'~!.r;:"~::r::<!'.:-;¡':'~::''J,;r':,·;:-',';;;·'\~':::~,~,,'-" • This is your viral load count. HIV-1 is the most common type of HIVoutside of Africa (where HIV-2 is most prevelant). RNA is th~evirus's genetic material which the test looks for . • A special test (peR) tells you how much virus is circulating in your body. Owego 491 Viral Load ~;,. tut\iilIltitIi_~~~rAAl':C~,"';~'?_~/)~~:i:1 ~>,:,•.. ~... ::, .- .~'.' • Viral load tests allow physicians to track with greater accuracy than ever before the progression of HIV in the body. • Helps HI\/-infected patients make choices about appropriate treatment strategies. Owego 492 ¡-;r . .... ~ ~I :} , t: ill~ I ,., "&'f ,,~ I· (t) .. El It ," '\ N I' !Il '.Iii, '\ u 'i li: 'i, :¡;;;; I' ~ B o.. " I ~ '"ft J¿ .,.... (I) ~ ..,., \ . .. if ~ ti N e= ~ ~ i a il! O", t ::l Il ~ I ~ ,l u m E æ t II ~ ~ -'--I 11 ii !Il B Q. il! iii Il t< ~ <C I .. I I I ~ c Ci .; '" ~ i f !l_. .(ÆfJ ;~~i J Id ~ ~ ·íiiffl·~m,'@¡.j",f& l'! 4·~' ø.¥~· I .'.9mtll~cil1:i-,·¡M'~'>w>\m:~;.¡, j~ :~~;", OO~i;~ '~MI'I¡~~~ i;lll "'1'~~l~. c ""IiI"1L Ct tl·-+ ~ .5 :!!,~t,~~nmw-T~~~;¡tl¡;:!¡~'I~Mil¡"l::m; o· 8 .•..... ~ o Q o UJ ~î r---r-'"~r-"T-l-'I~I~-l ô~ôö~öo ,..F f"" iF'" F f"" il"'" 'I"'" (I:fWW JQid SIlOO)' lunaJ' +;OIJ (lLU Jad Sa!dOO)i VNiH AIM ~W$fJ:Id: O .¡;;.¡ ',' "'il' Owego 493 :~; f,~: f'~ (/) C ~_! f\.. :cc~1 I cO zl<ca. >~ ;:~ I I Owego 494 Diagnosis of HIV I mr ~t~"]¡¡'=:¡:~';:!I::!!U~i:">"~;;;"~;;'~";f:~",r:.;,(-,-,: .. Because early HIV infection often causes no symptoms, a health care provider usually can diagnose it by testing the blood for the presence of antibodies (disease-fighting proteins) to HIV. II HIV antibodies generally do not reach noticeable levels in the blood for 1 to 3 months following infection. It may take the antibodies as long as 6 months to be produced in quantities large enough to show up in standard blood tests. Owego 495 Timing of Symptoms ._-_ __ ""'_ _ ..---=0 """=Offi~~t0:~~t:,l~~ ..'"4:W¡.l;í':l:..-.,;:':, f'."~",·,'(..·· • If you are like many people, you will not have any symptoms when you first become infected with HIV . .. You may, however, have a flu-like illness within a month or two after exposure to the virus. Owego 496 Types of Symptoms '. The HIV infection may ~~"" .. Fever .. Headache .. Tiredness II Enlarged lymph nodes (glands of the immune systern easily felt in the neck and groin) • These symptoms usually disappear within a week to a month and are often mistaken for those of another viral infection . • During this period, people are very infectious, and HIV is present in large quantities in genital fluids. Owego 497 Progression of Symptoms ,------- .......... .... _ ...... •... ...,' ..i:tm.r! ..' .. ~'1ll'~l¡¡aß:l'!!¡¡#{I:!~;¡!,~··~~~~¡~:;;¡~?~:,;;,¡);i.~':::?:'. ;;.\~.;,,"',~".' '''',:,' • More persistent or severe symptoms may not appear for 1Oyears or more after HIV first .enters the body in adults, or within 2 years in children born with HIV infection . • This period of "asymptomatic" infection varies greatly in each individual. • Some people may begin to have symptoms within a few months, while others may be symptom-free for more than 1Oyears. Owego 498 Definition for AIDS ·')-------------- ... --,- ........ _ot........_ ....." ...· ,~~~:r..l:::;::C";:::.i:'\::::i;~¡;;I':..·;::,'1',';:~tf:';,'.7¡,:\~i.:.:.::,;;~'¡;r':·,f.','_,.:,,',:; • HIV infected person who has fewer then 200 CD4+ T cells (normal = ~1,000) • Includes 26 health conditions • Most are opportunistic infections • The conditions are often severe and even fatal • Body cannot fight off certain bacteria, viruses, fungi, parasites, and other microbes Owego 499 Other Symptoms Before AIDS I~, J';, ~~~~Qi..~~11~~~"~~':'~&""";"'""'":"."'~';'c.':"'. • Other symptoms often experienced months to years before the onset of AIDS include II Lack of energy .. Weight loss II II II II II Frequent fevers and sweats Persistent or frequent yeast infections (oral or vaginal) Persistent skin rashes or flaky skin Pelvic inflammatory disease in women that does not respond to treatment Short-ternn memory loss Owego 500 Common Symptoms Coughing and shortness of breath . Seizures and lack of coordination Difficult or painful swallowing Mental symptoms such as confusion and forgetfulness Severe and persistent diarrhea Fever Vision loss Nausea, abdominal cramps, and vomiting Weight loss and extreme fatigue Severe headaches Coma • • • • • • • • • • • ¡:¡¡¡¡'d~~~~'\~;'~:;¡.':~~':':'~"";";';;.,;;:~~;-,¡'~," .' Owego 501 Other Symptoms of AIDS ., .l,apasl . s·sarcoma 'Ji "'"_,""==-_."""~"",,,,,,,,,,,,. • cervical cancer, or cancers of the immune system known as lymphomas. • These cancers are usually more aggressive and difficult to treat in pea-pie with AIDS. • Signs of Kaposi's sarcoma in light-skinned people are round brown, reddish, .or purple spots that develop in the skin or in the mouth. In dark-skinned people, the spots are more pigmented. Owego 502 Treatment .-tombination antiretrovlr=aï1iïerapy has been demonstrated to significantly increase life expectancy and delay the proqressíon to AI DS in individuals with a CD4 cell count below SOD/ml. • Patients are usually prescribed a minimum of three drugs to include drugs from at least two of the three categories. • Anti retrovi ral therapy should only be initiated by practitioners experienced in their use. Owego 503 > 1-I(Il :t: .... ~z Ow Ll.1-I ¡~ '~ ,~i~ ~~ t~ ~ I\' I w~ U&:L. 1-1 >w c> <1-1 :t:1:; !:i~ CCD. w :t: I I Owego 504 Important to Remind the Patient I ~~;I!Ml~~\.1:;II:i,'l;),t;"!f;::,;I';;'::tt'":{i;h1',~:.;,K' ~'~Q" • -uÙ NOT to donate blood, semen or other body tissues or organs • Use safe sexual practices • Advise dentist of HIV seropositive status • Give the same information to any health worker dealing with body fluid, e.g. during surgical procedures • Inform general practitioner about HIV+ status • DO NOT receive any vaccinations without prior discussion with the medical officer involved in the ongoing HIV management. Owego 505 REFERENCES fJi(' ~~.~~~'l$IJr.~~i.-::¡:'~':t:",,,:,,;~,",;:,;,:,"'; '"''::' .. _' • "HIV Infection and AIDS: An Overview," National Institute of Allergy and Infectious Diseases, National Institute of Health, U.S. Department of Health and Human Services, March 2005. Owego 506 ( . t.·...• (/) ~ Z ~ ~ . o I I l- (/) UJ ::J a í.' m Owego 507 Communicable Diseases, Contraception, STI's, HIV/AIDS Exam Multiple Choice Identify the choice that best completes the statement or answer the question. -- 1. The term AIDS stands for a. b. c. d. __ 2. HIV can make a person ill because it a. b. c. d. __ Genital Herpes Chlamydia Scabies Gonorrhea 6. The body has three main defenses. The defense that is specific and recognizes certain pathøgens and destroys them is called: a. b. c. d. __ HIV is a virus and AIDS is a bacterial disease There is no difference between HIVand AIDS HIV is the virus that causes AIDS HIV is a bacterial disease and AIDS is a virus 5. Which of the following STD's cannot be cured? a. b. c. d. __ Chlamydia Syphilis Trichomoniasis Pubic Lice 4. What is the difference between HIV/AIDS? a. b. c. d. __ Makes a person lose weight suddenly Attacks the immune system Reduces the body's core temperature Increases blood flow in the body 3. Which of the following bacterial STD is most common? a. b. c. d. -- Acquired Immunity Disease Syndrome Acquired Immunity Deficiency Syndrome Acquiring Imminent Death SYndrome Acquired Immune Deficiency Syndrome The immune response The inflammatory response Thebarrier response The main system response 7. Herpes can be cured by ,.. Owego 508 a. b. co' d. 80 Untreated gonorrhea in women can lead to -- a. b. c. d. __ Premature delivery Cervical Cancer Pelvic Inflammatory Disease Nothing 90 Getting the chicken pox, and producing antibodiesfrom it is an example of a. b. c. d. __ Inflammatory response - active immunity Immune response - active immunity Inflammatory response - passive immunity Immune response - passive immunity , 10. Which method provides the most protection against HIV infection? a. b. co d. __ Contraceptive Jelly Condoms Spermicide Contraceptive Pill 11. Chlamydia shows a. b. c. d. __ Symptoms right away Painful blisters Symptoms 2-6 weeks after infection Redness around the genitals 12. The STI that has three stages is a. b. c. do __ Antibiotics Prescription medication Antiviral drugs No cure Scabies Genital Herpes Gonorrhea Syphilis 13. An individual with AIDS will have CD4 (t-cells) around a. > 1,000 b. 500 c. 200 d. 1,000 -- 14. Which of the following is the only contraceptive method that will reduce your risk of contracting a sexually transmitted infection (STI)? Owego 509 a. b. c. d. Condom Birth Control Pills IDD Nearing 15. What are three types of birth control? a. b. c. d. __ Hormonal, barrier, statistical Hormonal, behavioral, barrier Barner, hormonal, behavioral/surgical Methodical, statistical, synthetic 16. What are the advantages ofthe contraceptive pill? a. b. c. d. It can diminish menstrual cramps and bleeding IT makes the menstrual cycle more regular It reduces risks of endometrium and ovarian cancer All of the above __ 17. The body has three main defenses. The defense that is nonspecific and works against all pathogens is called a. b. c. d. __ The The The The immune response inflammatory response barrier response main system response 18. A NuvaRing is a type of birth control. a. Behavioral b. Hormonal c. Environmental d. Methodical __ 19. A diaphragm is a type of a. b. c. d. __ Behavioral Statistical Barner Synthetic 20. A tubal ligation is a type of a. b. c. d. birth control. Environmental Statistical Methodical Behavioral/Surgical birth control. Owego 510 __ 21. A mosquito transferring malaria from one person to another is an example of a. b. c. d. -- 22. What is the difference between an STD and an STI? a. b. c. d. __ Cure HIV Work to keep the viral load down Work to clean out contaminated blood Work to speed up the HIV process 24. Opportunistic infections are infections that a. b. c. d. __ STD's cannot be cured and STI's can be cured STD's are more severe than STI's. STD's attack your internal organs, and STI's attack body chemicals. They are the same thing. 23. After contracting HIV, antiretroviral drugs, a. b. c. d. __ Direct contact Indirect contact Airborne None of the above Occur Occur Occur Occur to people who only to people to people who only to people do not have healthy immune systems who use drugs have healthy immune systems who are sexually active 25. The only 100% way you can avoid contracting an STI is a. b. c. d. Condoms Birth control pill Abstinence Only have oral sex Modified True/False Indicate whether the statement is true or false. If false, change the identified word or phrase to make the statement true. 26. Antibiotics work against both viruses and bacteria. 27. Cilia is a type of chemical barrier to keep pathogens out ofthe body. 28. HIV is transmitted through blood, sexual secretions, the placenta and breast milk. 29. The number one symptom of any STI is abnormal discharge from the penis/vagina. Owego 511 30. Chlamydia, gonorrhea and syphilis are all caused by bacteria. 31. Contracting an STI increases your susceptibility of contracting HIV/AIDS. 32. HIV consists of four stages, acute infection, asymptomatic stage, symptomatic stage and HIV. 33. Sexual contact with another person is an example of direct contact. 34. Hepatitis B is a viral STDthat attacks the spleen and can cause extreme illness and death. 35. When contracting herpes, HSV-l is always in the mouth and HSV-2 is always in the genitals. Matching Match each term with the correct definition below. a. b. c. d. e. Intrauterine device Condoms NuvaRing Abstinence Depo Provera __ 36. A form of birth control that protects you 100% from pregnancy and STD's __ 37. A hormone injection that lasts about 3 months, which is 97% effective against pregnancy. -- 38. Reduces the risk formales and females from STD's and is 99% effective if used correctly against pregnancy. __ 39. Implanted in the female and can last between 1 to 10 years. __ 40. Releases progesterone and estrogen into the female, is 99% effective against pregnancy, and does not protect against STD's. Matching Match each term with the correct definition below. a. b. c. d. Gonorrhea Genital Herpes Human Papillomavirus Syphilis e. Pubic Lice __ 41. Symptoms of warts or soft fleshy lumps may become present after a few months. There is no cure. Ifleft untreated it can increase the individual's risk of cervical cancer or penile cancer. Owego 512 __ 42. This STI has three stages which range from a painless open sore to an unusual rash anywhere on the body and can be treated with penicillin. __ 43. Bacteria STI which is transmitted through vaginal, oral or anal intercourse. It is curable by taking antibiotics. Males typically experience symptoms, while females are commonly asymptomatic. __ 44. An STI that may be contracted through close physical contact. There does not need to be penetration or any exchange of bodily fluids. __ 45. An STI that can be transmitted at any point because the infection is always present. There is no cure for this STI. Matching Match each term with the correct definition below. a. b. c. d. e. RN AIDS Transmitted Not Transmitted Western Blot __ 46. Unprotected sexual intercourse, the sharing of needs or sharp objects, and mother to child are three ways in which HNI AIDS is _ __ 47. The weakening of the immune system by damaging the CD4 cells or the T-cells. __ 48. This looks for HN antibodies in your blood. __ 49. Sharing clothes, toilets, utensils and touching an HIV infected person are examples of howHNis ---------- -- 50. When an individual's t-cells fall below 200. Short Answer Question (5 points) Please answer the following question on the back of your answer sheet. All answers should be written in complete sentences. What steps should a teen take if they believe they have been exposed to a STD? Owego 513 Name: ----------------------- Communicable Class:. ---------~Date: ----- Diseases, Contraception, STI's, HIV/AIDS Exam Answer Sheet Modified TruelFalse Multiple Choice l. O. 2.~ 3. It 23.-B24. 25. A C 26. F 27. r- 8o..eJcr-/~ Ph'1S1eoJ 28.L r- 4. -C. 29. 5. -A 30.1- tVO.s~ A O 31. C. 8. -- 33. 9. 34. r:: Llv¿( e 35. yo Sø1ne-hMIJ CL Matching 6. 7. la. e -- 11. -12. D 13. -C. A 14. -- C 16. -D 15. ß 17. -- 32. 1'" - Jf' o.tuJe f6YMPJ 6¥M¡'h, It, oj U~'1Q1. Matching 36.1L37. 38. t ß 39.JL e. 40. Matching 18. ,ß 19. 20. C. D 21. 5 43. D Ps 22. D 44. t. 41. 42. 45.· C ß 46. C 47.JlL. 48.Í-_ 49. D 50~ ß bbffl. Owego 514 Name: ----------------- Communicable Class: Date: ------- ---- Diseases, Contraception, BTl's, mV!AIDS Exam Answer Sheet . Multiple Choice Modified True/False l. --- 23. 2. -- 24. -- 3. --4. -- 25. -- 26. -- 27. -28. -29. -- -- 5. -- 30. 6. --- 31. -- 7. -- 32. -- 8. 33. -- -- -- 9. -- 34. lO. 35. -- --- -- II. -- Matching 12. -- 36. Matching 13. 37. -- 14. -- 38. IS. 16. -- 39. -- --- 17. , 40. -Matching 18. 19. -- -- 41. -- 20. 42. -- 21. -- 43..-- 22. 44. -- -- 45._.._ 46. -47. _._- 48. --- 49. -50. -- T Owego 515 OWEGO FREE ACADEMY 1 Sheldon Guile Blvd., Owego, NY 13827 Course Guide 2011 - 2012 ; I- I' ~' , .~.=--"~~~~~! i ! ¡ " L ., . , Owego 516 PHYSICAL EDUCATION - GRADING Students' grades are broken down and each unit based on the following criteria: 1. Participation - 50 % - 50 points out of 100 are based on participation in class as defined by the rubric standard for that particular activity. You will receive from 1-5 points for your daily participation. 2. Preparation - 15 % - 15 points out of 100 are based on your daily preparation for class - changing into appropriate attire (shorts, sweats, t-shirt, socks, SNEAKERS, no jeans). Quiz - 15 % - 15 points out of 100 are based on a paper and pencil quiz given in each activity. Students will be required to know basic rules, techniques and strategies for each activity. 3. 4. SI<iII - 20 % - 20 points out of 100 are based on a standard of skill for each activity. No student will receive less than 14 points for a skill level thus promoting students to try unfamiliar activities. HEALTH HEALTH EDUCATION y, credit (Required Course) Health at the High School level is the culmination of a comprehensive K-l2 Health Education Program. The desired results are students who will demonstrate knowledge, skills and attitudes necessary for choosing a healthy lifestyle. Using the basic core of information developed at the elementary and intermediate levels, the student is offered the opportunity to investigate and formulate his or her own personal philosophy concerning health issues facing adolescents today. The course is student oriented with discussions, cooperative group activities, performance assessments and other formal and informal opportunities for individual expression. Topics covered include WelIness, Mental Health, Personal Development and Decision Making, Nutrition, Exercise for Fitness, and Substance Use and Abuse. HEALTH & FITNESS Y, credit (Elective) This is an elective course where students will closely examine their understanding of, and current status in the elements of health. They will be exposed to the components of physical fitness and be able to plan and write an individual exercise prescription, which they will implement during class using the fitness facilities at OF A. Cardiovascular risk management, nutrition and increasing or maintaining a productive level of energy, all which contribute to an improved quality of life, will be discussed. 30 1lll1IIiIIII__ •• •• •• •• •• •• •• •• •• •• •• •• • •• •• •• •• ----- ~, _ _ il il il fl il II ill {&>f~~Tm<iØ"'-t{f~~"""""~..,~~~-,,· -- -1!J!_c.c·-.M,_·_·:",~-<- ~- --.~-~. 2011-2012 "- .~-p:'--....... --r ,,--- .~., r- OWEGO APALACHIN MIDDLE SCIIOOL 3 SHELDON G-VILE BOULEVARD OWEGO, N.Ye 13827 ~~.-.~ .. Owego 517 STUDENT HANDBOOK .. .. .. -~, ~~~-.~--~-- _!!! .. ~~!!._~ __ ----,-~-~.~.~ .~-~---~~--~-=,-~ . .. ~-------~~~~==~==~--~~~~~~~ Owego 518 ~l G -l -I (j (j~ HEALTH PROGRAM (¡ HEALTH 8 - Students will continue to learn decision making skills throughout the course. The teacher provides instruction on a variety of topics that may inelude alcohol, communicable diseases, mental health, physical fitness, and stress management. This is a 10 week course for all 8th grade students. l ~ ~ ~ \ ~. ~ , " Æ! "] PHYSICAL EDUCATION PROGRAM OAMS students will be exposed to many more units in Physical Education class than in the elementary school. These units will include team sports, swimming, project adventure, climbing wall, and several others. Middle school students in Physical Education elass are graded on participation, skill, preparedness, and knowledge of content. All students are given opportunities to demonstrate varying skill levels throughout different units over the course of the year. All students will dress appropriately for Physical Education by the dress code. If a student does not change for class, student's grade. All students are expected to participate in by a physician and there is a written note from the physician class, which means clothes must abide it will have a negative impact on the all activities, unless otherwise advised on file with the school nurse. Students are expected to be prepared, participate, be safe, and more importantly have fun. This is a th full year course that meets every other day, for all 6th, ih, and 8 grade students. 12