Background: Approximately 20% of U.S. adults are infected with HSV-2, the virus that causes genital herpes. Many infected individuals are asymptomatic or unaware of their infection. Two HSV-2 specific tests were recently approved for commercial use, yet there are no established guidelines for HSV-2 testing and counseling, particularly among asymptomatic individuals. Methods: The National Health and Nutrition Examination Survey conducted examinations on a representative sample of the U.S. population during 1999. Blood samples from participants aged 14-49 were tested by type-specific immunodot assay developed to detect anti-HSV-2 antibodies. Participants were asked to call a toll-free number four weeks after testing to get results. A health educator verified identities by password, and provided test results and counseling. Results: From March 11 - Nov 4, 1999, 1,195 persons were tested for HSV-2, and of the 610 who called for results, 80 were HSV-2 positive. Most of the HSV-2 positive participants were surprised about their results and could not recall experiencing symptoms of genital herpes. These individuals were bewildered as to what this result meant for themselves and their partners. As there is no cure for this disease, participant concerns included the development of symptoms, transmission to partner(s), and impact on future relationships. Qualitative data on the counseling encounters will be presented. Conclusion: Reporting HSV-2 test results is challenging, especially when dealing with asymptomatic persons. Testing guidelines and clear counseling messages need to be developed since HSV-2 tests are now available for commercial use.
Learning Objectives: Describe two challenges in counseling people who are positive for HSV 2. Name three messages that should be given to any person positive for HSV 2
Keywords: STD, Counseling
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.