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Highlights from the 31st annual ARHP meeting.


 The Association of Reproductive Health Professionals hosted its annual meeting entitled "Reproductive Health ¿94: The Continuing Challenge" in October 1994 in Atlanta. Specialists in the fields of family planning and sexually transmitted disease (STD) prevention are interested in integrating the two services. Many family planning clinics already screen for STDs, yet few STD clinics offer family planning services. The health care emphasis for STDs is crisis (symptomatic), while it is preventive (asymptomatic) for family planning. Nonuse and misuse of contraception contribute to unintended pregnancy. Health providers should emphasize the need to reduce periods of contraceptive nonuse and misuse among women. We must pay more attention to implementing effective adolescent pregnancy prevention programs. Women need information, awareness of social influences and pressures, and practical skills to deal with these influences and pressures. The CDC collects retrospective surveillance data on persons with AIDS who have worked in a health care or clinical laboratory setting, maintains a voluntary surveillance system on case reports of occupationally acquired AIDS/HIV infection, and evaluates prospective studies of health care workers exposed to HIV. There have been 40 cases of documented occupationally acquired AIDS/HIV infection and 83 possible cases. The risk of acquiring HIV after one needlestick is less than 0.3%. Universal precautions reduce the risk of occupational transmission of HIV. A risk analysis algorithm helps physicians determine the risk of a contraceptive for women with a medical problem (e.g., metastatic breast cancer); it considers the following: risk of method with disease; risk of pregnancy with disease; probability patient will accept another method and use it effectively; and method's effectiveness. Almost all women can use hormonal contraceptive methods.
