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Technical Update for School Health Guidelines

Based on the current research, this technical update revises information contained in the Morbidity and Mortality Weekly Report Supplement, Guidelines for Effective School Health Education to Prevent the Spread of AIDS, published on January 29, 1988.

  1. Original: "The Purpose of Effective Education about AIDS" section lists five types of behavior that should be practiced by persons at risk of acquiring HIV infection. The list includes "Using a latex condom with spermicide if they engage in sexual intercourse."

    Revised: Based on current research, the phrase "with spermicide" was deleted.


    Original: The "Content" section for Junior High/Senior High School includes the statement: "Additional protection may be obtained by using spermicides that seem active against HIV and other sexually transmitted organisms in conjunction with condoms."

    Revised: Based on current research this statement was deleted.

    Rationale: Spermicides, including the spermicide Nonoxynol-9, are not effective in preventing HIV infection, cervical gonorrhea, or chlamydia. A UNAIDS study found that Nonoxynol-9 did not protect against HIV infection and may have caused more transmission.

    For more information:


  3. Original: The "Content" section for Late Elementary/Middle School includes the statement: "Most infected people who develop symptoms of AIDS only live about 2 years after their symptoms are diagnosed."

    Revised: "Scientists have developed drugs that can help people infected with HIV live longer and healthier lives. In the United States and other countries where new treatments are available, people who know they are HIV positive can take medicines that keep them healthy for a long time. It is important for people at risk for HIV to be tested and seek treatment if they are infected."

    Rationale: Scientists have developed an effective battery of drugs that can help people infected with HIV live longer and healthier lives. Although the early optimism about new treatments for HIV has been diminished somewhat by the emergence of resistant viral strains, the prognosis for individuals infected with the HIV virus remains far better than in the past.

    For more information: Treatment of HIV Infection


  4. Original: Appendix II provided an epidemiological analysis of the extent of AIDS and indicators of adolescent risk as of 1987.

    Revised: Appendix II was deleted and new links for updated epidemiological data were added.

    Rationale: Epidemiological information was outdated. Current epidemiological information can be obtained from the following sources:

    HIV/AIDS and Youth
    STDs and Youth


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