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• Syphilis is a bacterial infection that can be transmitted through oral, vaginal or anal sex with an infected partner• Through direct contact with bacteria contained in syphilitic sores or rashes• In rare cases, from sharing unclean needles or receiving a blood transfusion• From an infected mother to her fetus, which can result in fetal death or congenital syphilis (causing birth defects)SYPHILIS or “the Great Imitator” Did you KNOW?• Pubic lice are tiny crab-like insects that nest in pubic hair; they are also found in chest, armpit and facial hair, eyebrows and eyelashes• Adult insects bite and feed on the blood of their host and lay small eggs (nits) that attach to the shaft of the hairWhat are the TREATMENT options?• The affected area should be washed and a lice-killing cream, lotion or shampoo used (can be obtained directly at a pharmacy)• Itchiness may last for several weeks after treatment, which may be controlled with medication• Repeat treatment recommendations should be followed closelyWhat are possible CONSIDERATIONS?• Persistent scratching of irritated skin can cause a secondary bacterial infection• All sexual partners who have had contact with the infected person in the month before diagnosis should be treated to help prevent re-infestation• Clothes, bedding, and other possible contaminated items must be washed in hot water or dry-cleaned, and mattresses should be vacuumed or, depending on the size, items may be placed in a sealed plastic bag for 7 daysWhat are the SIGNS and SYMPTOMS?Pubic lice and nits are small and can be diﬃcult to spot. Infected individuals may experience:• Skin irritation and inﬂammation accompanied by itchiness and redness• Small blue spots on the skin where lice have bitten• Louse feces (fine black particles) in the infected person’s undergarmentsHow is it TRANSMITTED?• Transmission occurs primarily during intimate sexual and non-sexual contact• Pubic lice can live for 1 to 2 days in the bedding, towels and clothes of an infected individual. These items can be a source of transmissionPUBIC LICE or “Crabs”Did you KNOW?• These parasitic mites burrow below the surface of the skin• Eggs laid under the skin hatch and larvae move to new areas and spread infection• Mites prefer warm zones (folds of skin on elbows, wrists, buttocks, knees, shoulder blades, waist, breasts and penis, between the fingers and under nails)What are the TREATMENT options?• Creams and lotions are available to treat scabies. These are typically applied and washed off in a specified amount of time• Itching may continue for several weeks, so medication may be recommended• Repeat treatment recommendations should be followed closelyWhat are possible CONSIDERATIONS?