Public Health

AND WILL THEY SAY nobody could have foreseen the weakness of the levees?

For the first time, Washington D.C. has collected data on H.I.V. and found that in the nation's capital, the "modern epidemic"—as the Washington Post calls it—is now primarily one affecting blacks.

The numbers most starkly illustrate HIV's impact on the African American community. More than 80 percent of the 3,269 HIV cases identified between 2001 and 2006 were among black men, women and adolescents. Among women who tested positive, a rising percentage of local cases, nine of 10 were African American. [...]

The District's AIDS rate is the worst of any city in the country, nearly twice the rate in New York and more than four times the incidence in Detroit, and it has been climbing faster than that of many jurisdictions. [...]

—Study Calls HIV in D.C. A 'Modern Epidemic'; More Than 80 Percent Of Recent Cases Were Among Black Residents

And big propz must go to the woman who dares try and change the world, as well as shout out the truth as she lives and sees it:

The Annual Gynological Exam: What to Expect
Soma Mandal
Features Columnist
Issue date: 10/4/06 Section: Features

Reprinted from Washington Square News

Dear Dr. Mandal: I have my first gynecological exam coming up, and I'm nervous. I don't know what to expect, and I've heard really horrible stories. Does it hurt? What should I anticipate? Can my doctor answer any questions I have?

Thanks,

Nervous in New York

Dear Nervous,

The gynecological exam (sometimes called "pelvic exam" or "annual exam") is very important because it allows your physician to make sure that your genitals and reproductive organs are healthy. During this visit, breast health and sexual health is addressed as well. The American College of Obstetricians and Gynecologists and the American Cancer Society recommends a gynecologic exam for any woman who is sexually active or over 21 years of age.

It may seem daunting for many women. Many stress over their first exams because they don't know what exactly the exam entails.

THE EXAM, STEP-BY-STEP

Once you are in the examination room, you will be given a gown and sheet to cover your torso. The doctor will ask general questions about your health and then do a brief external physical exam.

The doctor will examine your breasts for any lumps or any pain, then teach you how to do a monthly self-exam. Before beginning the pelvic exam, you will be asked to lie down and place each foot in a foot holders, called stirrups, at the end of the table. It helps to relax your knees and pelvic muscles to facilitate the exam.