ALERT: NH AT 'HIGH RISK' OF UNCONTROLLED

HIV, HEPATITIS C DUE TO IV DRUG USE

NH Department of Health and Human Services

Government Health and Wellness

May 18, 2018

"CONCORD, NH – The state’s Public Health Division  on Wednesday issued an alert to care providers around the state describing a notable increase in the number of new HIV and Hepatitis C virus (HCV) cases in Hillsborough County.

Of recent concern, NH DPHS has been investigating a report of a homeless individual in Manchester who shares injection drug equipment, and has been diagnosed with acute HIV infection with a very high HIV viral load, which increases risk of transmission.

The alert was issued to physicians, health care providers, hospitals and health clinics.

New Hampshire’s annual number of new HIV cases has been stable (approximately 30-40 cases per year); however, Hillsborough County is experiencing a significant increase in the number of new HIV cases among those who report injection drug use as a risk factor.

• From January 1, 2017, through April 30, 2018, there were 46 NH residents newly diagnosed with HIV.
• Of the 46 individuals, 11 (24 percent) reported injection drug use, a majority of whom lived in Hillsborough County at the time of their diagnosis.

Symptoms of Hepatitis C, according to the CDC, include:

• Fever
• Fatigue
• Loss of appetite
• Nausea
• Vomiting
• Abdominal pain
• Dark urine
• Clay-colored bowel movements
• Joint pain
• Jaundice (yellow color in the skin or eyes)

DPHS is continuing to investigate and identify contacts who may be at risk. HCV infection is also a major risk for individuals who inject or use intranasal drugs. New diagnoses of HCV infection were made provider reportable to the NH DPHS in 2016. Of all the new diagnoses of HCV infection in New Hampshire residents from November 1, 2016 to present, 85 percent reported ever injecting drugs (current or former), and almost 65 percent report current injection drug use as a risk factor.

Because new diagnoses of HCV infection are only reported to the NH DPHS by providers (no laboratory reporting of positive test results is performed), there has been significant underreporting of new HCV infections. We are asking providers, both primary and referral providers, to report new cases of HCV infection to the NH DPHS using the appropriate case report form.

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Key Points and Recommendations for providers

• New Hampshire is at high risk of uncontrolled HIV and Hepatitis C virus (HCV) transmission due to the opioid epidemic and injection drug use.
• Providers should screen all patients who present to clinical care (regardless of the primary purpose of the visit) for substance use disorder, especially injection drug use.
• Individuals who have a history of substance misuse (especially injection drug use) should be tested for HIV and HCV.
• There have been multiple state outbreaks of hepatitis A virus infection associated with individuals who are homeless and individuals who use injection and non-injection drugs. All health care providers should assess for hepatitis A virus (HAV) and hepatitis B virus (HBV) immunity in these higher risk patients and provide vaccination if not immune.
• All new diagnoses of HIV and HCV should be reported to the New Hampshire Division of Public Health Services (NH DPHS), including preliminary positive or rapid-reactive HIV and HCV results, by utilizing the appropriate forms.
• If a provider (primary or referral provider) is unsure if a new HIV or HCV case has been reported to NH DPHS, please err on the side of re-reporting. NH DPHS does not receive laboratory reports for positive HCV tests, and relies on provider reporting of new HCV diagnosis for accurate counts."

THE REAL FINAL COST OF ADULTERY

"And strangers will be filled with your strength And your hard-earned goods will go to the house of an alien; Proverbs 5:10

Here is an interesting and prophetic verse that deals with the aftermath of someone who pursues the immoral woman or adulteress.  After stating that following this woman will guarantee that your latter years will be given to the cruel one - we read one of the ways that he will begin to wreak havoc in the adulterer's life.

Strangers will be filled with your strength.  This is an interesting verse because it has to do with the cost of adultery.  We need to remember that under Old Testament law an adulterer would be put to death if caught having adultery.  So this speaks of a more merciful sentence - possibly a financial one.  But as the adulterer toils away to pay the cost of his sexual escapades, he sees that the promise of pleasure has turned into a cost that was far more than he thought it would be.  Even if he is not given the death sentence, he is forced to pay and pay dearly.

The second thing that happens is that your hard-earned goods will go to the house of an alien.  Once again this pictures punishment financially for having sex with another man's wife.  The adulterer works hard - but he does not receive any of the benefit of his labor.  Instead, he has to face the fact that all his hard work is worthless - because it is going to someone else.

Today, we do not have adultery laws that promise death to the one caught in adultery.  But these verses are still true today.  Wisdom allows us to see the long term liabilities of sexual immorality and adultery.  Some only hear the siren song of the adulteress - and are deaf to the sound of the waves crashing on the rocks where they soon will be destroyed.  Wisdom opens our eyes to what this is going to cost us - and that price is steep indeed."

However, the reality of wisdom in today's society is highly chosen to be ignored by many.  Especially when it becomes judged by judicial justice throughout this country, especially in NH.  Today there are 30 to 50 percent of people choosing to commit adultery already knowing the emotional torment, pain, and suffering it will cause when the truth is found out. All written laws passed by government are actually morals that clarify, explain, and enforce a right from wrong. As to why the past 100 years judicial justice have been belittling and minimizing the act of adultery in a marriage to just another justifiable "Irreconcilable Differences" in NH goes beyond ones common sense.   

Studies done in 2014 reported that the average affair now begins 2 years into the marriage and will last an average of 6 months. In the last 10 years, multiple time and money has been spent to study adultery because of the many serious problems it is now causing. There are now even more than one STD that is becoming more dangerous and more drug resistant every day.  On May 18, 2018, NH become on "Alert for "High Risk" of uncontrolled HIV, Hepatitis C due to IV drug use."  

The adultery reports also shows that the average two timing-spouse spends money on-date activities-such as transportation, tickets to shows, plays, concerts, movies, dinners and drinks, hotel bills and gifts.  The reported total is averaging $444 per month above the expenses of now keeping the other spouse unaware, happy and complicit to the crime of adultery.  Those with higher incomes make higher expenses, and sometimes during over 20 years of marriage.  This is time and money one cannot recover, that was fraudulently saved and stolen through marriage that would now affect someone else's entire future.

This is what NH government has declared as just everyday minimal justifiable "Irreconcilable Difference" for the past 100 years. NH divorce statistics have now been higher than the entire country's average, very steadily now for the past 17 years.  By people who are now repeatedly divorcing now 3 or more times in one lifetime.

Provisional number of marriage and divorce rate (2000-2016) CDC

New Hampshire v United States Marriage and Divorce Rates 2000-2016 [Rates are based on provisional counts of marriages by state of occurrence.  Rates are per 1,000 total population residing in area. Population enumerated as of April 1 for 2000 and 2010, all other years are estimated as of July 1]

    YEAR                  NEW HAMPSHIRE         UNITED STATES      NH  RATE OF       U.S. RATE OF

                                MARRIAGE RATES       MARRIAGE RATES     DIVORCE             DIVORCE
   2016                                       7.O                         6.9                        3.4                           3.2
  
   2015                                       6.9                         6.9                         3.3                           3.1
  
   2014                                       7.2                         6.9                         3.5                           3.2
  
   2013                                       6.9                         6.8                        3.7                            3.3
  
   2012                                       6.8                         6.8                         3.6                           3.4
      
   2011                                       7.1                         6.8                         3.8                           3.6

   2010                                       8.3                         6.8                         3.8                           3.6
     
   2009                                       6.5                         6.8                         3.7                           3.5

   2008                                      6.8                          7.1                         3.9                           3.5

   2007                                      7.1                          7.3                         3.8                           3.6
   
   2006                                      7.2                          7.5                         4.1                           3.7
  
   2005                                      7.3                          7.6                         3.9                           3.6
  
   2004                                      8.0                          7.8                         4.0                           3.7

   2003                                      8.1                          7.1                         4.1                           3.8
  
   2002                                      8.3                          8.0                         4.3                           3.9
  
   2001                                      8.5                          8.2                         4.4                           4.0

   2000                                      9.4                          8.2                         4.8                           4.0          

The reports also do not include the lack of insurance coverage for fees that are not covered for counseling if one chooses that route after finding out they have been cheated on.  Counseling alone can easily run into 5 figures.  This report doesn't include the aftermath of health and legal fees when divorce is based on adultery.  Which by right should only be paid by the guilty party and possibly their paramour too.

The average monthly cost to commit adultery also does not include the legal fees your family could also can occur by possibly needing legal protection now only from a scorned ex lover that an irresponsible spouse brought into their lives.  There are no justifiable reasons to commit adultery of any kind no matter how bad a marriage becomes.  The only decisions should be to work on the marriage or leave the marriage because there is no middle line that can be justifiably crossed by committing adultery.  There has to be a safety net somewhere in a marriage.  If you cannot respectfully commit to a relationship then don't.  If already committed and unhappy with the relationship then choose a responsible resolution.  Remember that 2 wrongs will never make it right.

Women who commit adultery also will have additional regular higher maintenance fees more than usual for Clothing, Pedi's, Mani's, Make-up, Waxing, Brow Sculpting, and Gym memberships.  Dollars that go into the thousands for long term affairs.  Everyone knows the reality of mental anguish that occurs for years after experiencing cheating but never takes the reality of the total financial ramifications into consideration.  Society has turned survival only of the fittest into it's life-long goal and to hell with the rest.  Changes required to be made by government have been established for years from hundreds of studies and still continue to be ignored by government, especially in NH. The only state that apparently chooses to make and inflict it's own Vietnam Wars like President Donald Trump.