NGO 報告(第二次審查)
國際發光中華民國分會 - 第二次審查 NGO 影子報告
📑 目錄(15 個章節)
- 34_20230628104910_7330894.pdf
- 2022.3
- 一、問題現況:
- 三、具體建議:
- 2.1 2000-2021 年台灣 15-24 歲 HIV(愛滋病毒)梅毒淋病感染趨勢
- 2.2 2000-2021 年台灣 HIV(愛滋病毒)梅毒淋病感染趨勢
- 34_20230628104923_4193771.pdf
- 2022.3
- I. Status of the problem
- II. Analysis of the problem
- III. Specific suggestions
- 41.6% and bisexual men accounted for 5.5% of the cases)
- 2.1 Trend of HIV (AIDS), syphilis and gonorrhea infection
- 2.2 Trend of HIV (AIDS), syphilis and gonorrhea infection
- 83.63%
來源 PDF: 34_20230628104910_7330894.pdf
2022.3
兒童權利公約第 2 次國家報告國際審查
非政府组織報告
International review of the 2nd national reports of the
Convention on the Rights of the Child
NGO reports
回應兒童權利公約第二次國家報告條約專要文件第 211 點
不公開
國際發光中華民國分會
吳曼麗 0952-880301
目 錄
對應 CRC 條文………………………………………………2
主題…………………………………………………………2
問題現況……………………………………………………2
問題分析……………………………………………………4
具體建議……………………………………………………4
附件一………………………………………………………7
附件二………………………………………………………8
附件三………………………………………………………10
附件四………………………………………………………11
附件五………………………………………………………12
附件六………………………………………………………15
附件七………………………………………………………16
附件八………………………………………………………20
附件九………………………………………………………21
1
對應 CRC 條文:
兒童權利公約第二次國家報告條約專要文件【附件】
附件 7-28 (第 211 點):受性傳播疾病影響的青少年人數
主題:兒少性傳染病感染人數增加,違反健康權
一、問題現況:
1. 我國 2016-2020 年受性傳播疾病影響的青少年人數先降後升,感染人數急遽增
加,15-24 歲年輕人淋病感染急劇增加,HIV(愛滋病毒)也依然有青少年感染,
梅毒數據更是遠高過歐美國家(見兒童權利公約第二次國家報告條約專要文件【附
件 7-28(第 211 點):受性傳播疾病影響的青少年人數)】。
2
2. 台灣 2020 年有 314 位 15-24 歲年輕人感染 HIV,2021 年有 225 位 15-24 歲年輕
人感染 HIV,雖然愛滋感染人數已經下降,疾管署防疫有功,但 2021 年新增的
HIV(愛滋病毒)感染人數中有 83.71%是因為男男間的不安全性行為感染 (1,043
人),政府應積極教育學生相關的健康知識,清楚性病與愛滋的感染風險 (附件
一)。
3. 根據 2000-2021 年的傳染病資料統計,附件二呈現出 15-24 歲 HIV 梅毒淋病感
染趨勢,青少年淋病感染率急遽上升 (附件二)。
4. 根據台灣、美國、歐盟 ECDC 的性傳染病資料統計,呈現出附件三 台歐美
HIV/梅毒/淋病比較表,台灣的淋病、HIV、梅毒的十萬人感染率比歐盟還高,
其中梅毒最為驚悚 (附件六)。
5. 查詢 2021 年全年度 HIV/淋病/梅毒 分齡統計,發現青少年罹患淋病、梅毒、
HIV 人數甚高 (附件三、四、五), 10-19 歲青少年 814 人罹患淋病(男 645 / 女
169),180 人罹患梅毒(男 150 / 女 30 )。
6. 根據蘋果日報 2022 年 3 月 22 日報導「媽媽嚇壞!15 歲男約砲後 GG 狂噴綠汁
代誌大條通報性侵」 ,員林基督教醫院泌尿科醫師陳昭安表示,有愈來愈多
九年級的學生患者,近 3 個月內,他已收治 5 名九年級淋病少男,年紀最小的
僅 15 歲,希望政府關注年輕族群淋病暴增的問題 (附件九之新聞報導)
3
二、 問題分析:
1. 性病防治教育內容不夠完整、未能與時俱進,誤導學生以為發生性行為和性傳
染病沒什麼大不了,輕忽自身健康權益。
(1) 學生反應學校的愛滋防治宣導缺乏愛滋病藥物副作用的教導,以及 PrEP 的
副作用且未能防範性傳染病;
(2) 亦有學生反應學校健康教育對於性傳染病的防治過於單一,僅強調保險套
功用,卻未能教導淋病、泡疹等均未能靠保險套做防範,也未教導學生在
青少年階段不發生性行為對於健康的好處、延後性行為發生的年紀對於健
康之好處。
2. 目前課本或宣導教學中並未充分告知學生相關風險:
LGBTQ 族群的健康風險較高、男男性行為健康風險較高(感染愛滋病毒的風險
性,肛交接受方是陰道交女方的 17.25 倍),然而學校並未充分提出警告。 (附
件七、八)。
三、具體建議:
1. 除愛滋防治教育外,國中國小「課程課綱」還應請「衛生教育」專家增列「性傳染
病防治」能力指標和學習內容,教育學生台灣真實的現狀。
2. 性別平等教育議題課綱應邀請「健康教育」及「公共衛生」專家學者成為編審委
員,修訂課綱,增加愛滋及性傳染病有關的「能力指標項目」。
3. 健康與體育、健康與護理等教科書應加以改進:
(1) 分階段,適齡論述「性傳染病」對於年輕學子的健康之危害,包括性病、肝
炎、愛滋與罹患癌症之風險。
(2) 應說明肛門與陰道的生理構造差異,不同的感染風險也有很大的差異(附件
七)。應該明確告知延後性行為發生的年齡可大幅降低其感染性傳染病的機率,
以及穩定伴侶關係內的安全性行為對於性傳染病的預防效果。
(3) 在介紹保險套的功能時,應同時說明保險套的避孕和防範性傳染病之統計資料
僅針對「陰道性交」的部分,也應提供「男男性行為」感染性病統計數字。
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(4) 論及兩性相處、青少年身體與親密關係探索的議題時,應同時放入情感教育的
議題內涵,讓年輕女性在探索生理層面之外,也能均衡發展提升其探索心理、
社會及心靈的滿足。並對網路社群交友的各種風險,做充分的說明。
4. 教師在教授性傳染病防治議題時,應兼顧學生的價值澄清與態度培養,幫助學生落
實性傳染病的防治。
5. 學校應規劃納入家長的力量、共同保護青少年免於性傳染病之危害,促使學校教育
成為社區公共事務的一環(退休校長王秀雲,2017)。
資料來源
政府網站:
◆ 衛福部疾管署 愛滋病統計資料
HIV 月報 111-02.pdf (PDF 第 2 頁、第 5 頁)
https://www.cdc.gov.tw/Category/Page/rCV9N1rGUz9wNr8lggsh2Q
◆ 衛福部疾管署 傳染病統計資料查詢系統
https://nidss.cdc.gov.tw/Home/Index
(資料查詢日:2022-02-13,此系統查詢結果可能隨著疫調修正微調)
◆ 美國 CDC 疾控中心:LGBTQ 青少年健康風險較同儕高
https://www.cdc.gov/healthyyouth/disparities/health-disparities-among-lgbtq-youth.htm
◆ 美國 CDC 疾控中心:男男性行為的性病風險
https://www.cdc.gov/msmhealth/STD.htm
◆ 美國 CDC 疾控中心:HIV 愛滋病毒基本統計資料
https://www.cdc.gov/hiv/statistics/overview/ataglance.html
( 2019 年美國新增 HIV 36801, 男男性行為+男雙性行為 佔 69% )
◆ 美國 CDC 疾控中心:性傳播疾病(STD)統計
https://www.cdc.gov/std/statistics/2019/tables/1.htm
( 2019 年統計數值,Gonorrhea、Primary and Secondary Syphilis ,HIV 十萬人口感染率
以人口數計算 )
◆ 美國 CDC 疾控中心:梅毒基本統計
https://www.cdc.gov/std/statistics/2019/overview.htm#Syphilis
5
(美國 2019 年 P&S 梅毒報告中 MSM 男男性行為佔 41.6%,男雙性行為佔 5.5%)
◆ 美國 CDC 疾控中心:淋病基本統計
https://www.cdc.gov/std/statistics/2019/overview.htm#Gonorrhea
(美國 2019 年淋病報告中 MSM 男男性行為約為 MSW 男女性關係的 42 倍)
◆ 歐盟 ECDC 疾控中心:HIV 愛滋病毒統計報告 (PDF 第 12 頁,EU/EEA)
https://www.ecdc.europa.eu/en/publications-data/hiv-aids-surveillance-europe-2021-2020-data
◆ 歐盟 ECDC 疾控中心:梅毒統計報告 (PDF 第 2、3、5 頁,EU/EEA)
https://www.ecdc.europa.eu/en/publications-data/syphilis-annual-epidemiological-report-2018
◆ 歐盟 ECDC 疾控中心:淋病統計報告 (PDF 第 2、5 頁, EU/EEA )
https://www.ecdc.europa.eu/en/publications-data/gonorrhoea-annual-epidemiological-report-
2018
中文書籍/報告/期刊/專欄;
王秀雲(2017)。改變,是為了給孩子更好的未來。台北:平安文化。
新聞報導:
◆ 媽媽嚇壞!15 歲男約砲後 GG 狂噴綠汁 代誌大條通報性侵(2022/03/22)
https://tw.appledaily.com/life/20220322/GWZPEUIDS5A73C5AIBSY2VD334/
6
附件一.111 年 2 月 HIV 統計月報截圖
HIV 月報 111-02.pdf 第 2 頁: 2021 年全年度 15-24 歲新增 HIV 感染 225 人
HIV 月報 111-02.pdf 第 5 頁: 2021 年全年度 MSM 佔新增 HIV 感染 83.71%
7
附件二.
2.1 2000-2021 年台灣 15-24 歲 HIV(愛滋病毒)梅毒淋病感染趨勢
(衛福部傳染病統計資料查詢系統,依據統計資料繪製)
8
2.2 2000-2021 年台灣 HIV(愛滋病毒)梅毒淋病感染趨勢
(衛福部傳染病統計資料查詢系統,依據統計資料繪製)
9
附件三.2021 年淋病新增感染分齡統計表(本土感染+境外移入)
10
附件四.2021 年梅毒新增感染分齡統計表(本土感染+境外移入)
11
附件五.2021 年 HIV 新增感染分齡統計表 (本國籍/非本國籍/本國籍+非本國籍)
12
13
14
附件六.台歐美 HIV/梅毒/淋病比較表
(衛福部傳染病統計資料查詢系統、美國 CDC、歐盟 ECDC,統計資料彙整)
15
附件七.男同與男雙的健康風險
美國疾病控制與預防中心(Center for Disease Control and Prevention[CDC]
男同性戀和雙性戀男性健康-性病(STD) 網頁說明
https://www.cdc.gov/msmhealth/STD.htm
◆ 2019 年美國 HIV-glance:2019 年新增的 HIV 中,男男性行為佔 69%
https://www.cdc.gov/hiv/statistics/overview/ataglance.html
16
◆ 2018 年歐盟新增梅毒案例中:69% 為男男性行為傳染 (pdf 檔第 5 頁)
https://www.ecdc.europa.eu/sites/default/files/documents/syphilis-aer-2018.pdf
17
◆ 2018 年歐盟新增淋病案例中:48% 為男男性行為傳染 (pdf 檔第 5 頁)
https://www.ecdc.europa.eu/sites/default/files/documents/gonorrhoea-annual-epidemiological-
report-2018.pdf
18
◆ 感染愛滋病毒的風險性,肛交接受方是陰道交女方的 17.25 倍
(暴露愛滋病毒前預防性投藥 PDF 第 7 頁,衛福部疾管署)
https://www.cdc.gov.tw/File/Get?q=66HT6AZdVjKmPmyJ9OclbGuc9usuxwhOIEUTQ16XQQxaQj
1On9rDprq0HlnsO4Cf6QKbMXBzM7MYF65iNmYdZiITUcggKkmVaWIMdt7h2pDqdJdIM_rvD9
vtlnSK8yNUY5EiWLOAeDFH74aRoNdtdrKCfeK98I1OMYGyDTftjYzL6uVH7btODZBaff6qXc1P
t3hfwjDO5ijgJcjOiq7VNXWq6P2TUxZBXQG4Ut9KGnILC2DGl8ijrzBok3fWy6VJfU8yprgq-
sk05yjrl6lFRTMdYTrHMmoQYiZ947KqT4M
19
附件八.LGBTQ 青少年健康風險較高
美國疾病控制與預防中心(Center for Disease Control and Prevention[CDC]
LGBTQ 青年的健康風險 網頁說明
https://www.cdc.gov/healthyyouth/disparities/health-disparities-among-lgbtq-youth.htm
20
附件九.兒少罹患淋病新聞報導
◆ 媽媽嚇壞!15 歲男約砲後 GG 狂噴綠汁 代誌大條通報性侵(2022/03/22)
https://tw.appledaily.com/life/20220322/GWZPEUIDS5A73C5AIBSY2VD334/
根據員林基督教醫院泌尿科主治醫師陳昭安的經驗,每逢連假後,收治淋病病例多跟
著增加,且有愈來愈多九年級的學生患者,近 3 個月內,他已收治 5 名九年級淋病少
男,年紀最小的僅 15 歲,少年由媽媽陪同門診,主訴尿尿會痛,褲子一脫,整件內部
黃一塊、綠一塊的濃汁,確診離感染淋病,因這名花美男未滿 16 歲,除通報衛生局
外,也通報性侵。
15 歲染淋病的少男,就診前已在坊間多家醫院就醫,但服藥治療不見改善。陳昭安問
他:「尿道有分泌物嗎?」少男說:「我不知道」,一褪褲,整件內褲黃一塊、綠一
塊的,尿道流出如濃鼻涕分泌物;一旁的媽媽確定孩子染淋病後臉色鐵青。
淋病是第三類法定傳染病,國內去年新增 7380 例,好發年齡為 25-39 歲的青壯年人,
其中男多於女,病例數約為 13:1。
淋病患者下體會流出分泌物,因此患者內褲常是黃一塊、綠一塊的。資料照片
陳昭安表示,淋病的致病菌是奈瑟氏淋病雙球菌,男、女性感染後症狀不太一樣,男
21
性患者可能症狀有尿道化膿,排尿有刺痛或灼熱感,有些病患會自行痊癒,但有些病
患會成為無明顯症狀的帶原者,但此時病菌已透過尿道進入人體,可能導致精囊、前
列腺發炎,甚至導致致不孕症和尿道狹窄,此外,男同性戀者常見直腸感染,可能會
有搔癢感及分泌物流出。
女性淋病患者可能症狀有尿道炎或子宮頸炎,若因為感染導致膀胱炎,可能出現頻尿
而且灼痛的症狀,約有 20%之病患因月經週期導致子宮感染,引起子宮內膜炎、輸卵
管炎或骨盤腔腹膜炎,最後甚至造成子宮外孕或不孕症。
此外,新生兒生產經過產道時,可能因為媽媽淋病感染,使新生兒的眼睛感染淋菌性
結膜炎,如果沒有經過適當處理與治療,可能會導致失明。
醫師表示,性行為是淋病最主要的傳播方式,另與感染者的黏膜滲出物接觸也可能感
染,因此不論是性行為或口交,都要戴上保險套或口交套來防護。
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來源 PDF: 34_20230628104923_4193771.pdf
2022.3
International review of the 2nd national reports of the Convention on the
Rights of the Child
NGO reports
Responding to point 211 of the Treaty-specific Document
Not public
Reporting Association:
AGLOW TAIWAN
國際發光中華民國分會
Mary Wu 吳曼麗 0952-880301
0
contents
Article of Treaty or Act involved …………………………………2
Theme…………………………………………………….…………2
Status of the problem………………………………………………2
Analysis of the problem……………………………………………5
Specific suggestions……………………………………………...…6
Data source……………………………………….………………...8
News report………………………………………….……………..10
Annex 1……………………………………………………….……..11
Annex 2……………………………………………………….……..15
Annex 3………………………………………………………..….…18
Annex 4………………………………………………………...……20
Annex 5………………………………………………………………22
Annex 6………………………………………………………………26
Annex 7………………………………………………………………31
Annex 8………………………………………………………..….…38
Annex 9………………………………………………………...……40
1
Article of Treaty or Act involved :
Appendix 7-28(Article 211) of the Convention-specific
Document
Theme:
Rising number of children and adolescents are infected with sexually
transmitted diseases (STDs) is a violation of the right to health.
I. Status of the problem
1. From 2016 to 2020, the number of adolescents affected by sexually
transmitted diseases (STDs) in Taiwan first decreased and then increased,
and the number of infected cases soared sharply. The number of youngsters
infected with gonorrhea rose swiftly among the age group of 15 to 24. HIV
infection was still observed among adolescents, and numbers related to
syphilis was far higher than that of European countries and the United States
(please refer to Convention on the Rights of the Child: Second National
Report Treaty-Specific Document [Annex7-28 (point 211): number of
adolescents affected by STDs])
2
2. In Taiwan, 314 youngsters aged 15 to 24 was infected with HIV in 2020, and
225 youngsters aged 15 to 24 was infected with HIV in 2021. Although the
number of HIV infections declined, thanks to the prevention measures of
Taiwan Centers for Disease Control (CDC), 83.71% of the new HIV
infection cases in 2021 (1,043 people) were caused by unsafe sexual contacts
between men who have sex with men (MSM). The government should
actively educate students about related health knowledge so that they are
clearly aware of the risks of STDs and AIDS infection (Annex 1).
3. According to the statistics of infectious diseases from 2000 to 2021, Annex
2 shows the trend of HIV, syphilis and gonorrhea infection among the age
3
group 15 to 24 years old, and the rate of gonorrhea infection among
adolescents has risen sharply (Annex 2).
4. According to the statistics of STDs from Taiwan, the United States, and the
ECDC of European Union, Annex 3 shows a comparison of
HIV/syphilis/gonorrhea in Taiwan, Europe and the United States. The
infection rate per 100 thousand people of Taiwan is higher than that of the
European Union, with syphilis seeing the most horrifying percentage (Annex
6).
5. Statistics of HIV/gonorrhea/syphilis by age groups in 2021 showed that the
number of adolescents suffering from gonorrhea, syphilis and HIV was very
high (Annex 3, 4 and 5). Among the age group of 10 to 19, 814 adolescents
suffered from gonorrhea (645 male / 169 female), and 180 suffered from
syphilis (150 male / 30 female).
6. According to the news report of Apple Daily on March 22, 2022, "Mom is
terrified! 15-year-old male’s penis secretes green pus after having sex,
reported as sexual assault", urologist Chen Chao-An at Yuanlin Christian
Hospital said that he was receiving a growing number of patients born in the
2000s. In the past three months, he treated 5 youngsters infected with
gonorrhea, and the youngest one was only 15 years old. He hoped that the
4
government pays attention to the problem of the sharp increase of gonorrhea
among youngsters (news report of Annex 9)
II. Analysis of the problem
1. Education on the prevention of STDs has not been sufficiently
comprehensive and relevant, misleading students into believing that sexual
contacts and STDs are no big deals, thus overlooking their own health
benefits.
(1) Students’ feedbacks reflected that AIDS prevention campaigns at
schools were in lack of information related to the side effects of AIDS
drugs, as well as the side effects of pre-exposure prophylaxis (PrEP) and
how it could not prevent STDs.
(2) In addition, some students revealed that the health education at school
was too simplistic in the prevention and treatment of STDs. It only
emphasized the function of condoms, but failed to caution that gonorrhea
and herpes could not be prevented by condoms, nor did it show the health
benefits of not having sex during teenage years and of having sex at an
older age.
5
2. The current textbooks or educational campaigns did not sufficiently
inform students about the relevant risks.
The LGBTQ group and MSM have higher health risks (risk of receivers
of anal sex being infected with HIV is 17.25 times higher than that of
female partner of vaginal sex), but schools failed to sufficiently caution
students about it (Annex 7 & 8).
III. Specific suggestions
1. In addition to AIDS prevention education, the curriculum syllabus of
elementary schools and junior high schools should be added with capacity
indicators and learning materials of "prevention of STDs” by health
education experts to show the real situation of Taiwan to students.
2. Experts and scholars in health education and public health should be
invited to serve as reviewers of the syllabus of gender equality
education to edit the syllabus and add capacity indicators related to
AIDS and STDs.
3. Textbooks on health and physical education, and health and nursing
should be improved in the following areas:
(1) The content should be divided into stages and provide explanation,
6
appropriate for different age groups of young students, on the health
hazards of STDs, including diseases related to sexual contacts, hepatitis,
A I D S a n d r i s k s o f c a n c e r .
(2) Explanation of the differences in physiology of the anus and vagina
should be provided, as well as the differences in infection risks (Annex
7). Information such as having sex at an older age can significantly
reduce the chance of being infected by STDs, and the preventive
effect of safe sex in a stable partnership on STDs should be explicitly
provided.
(3) When introducing the function of condoms, it should also be stated that
the statistics on contraception and prevention of STDs of condoms are
only applicable to vaginal sex. Statistics on STDs among MSM should
also be provided.
(4) With teenagers, when discussing issues related to getting along with the
other sex, or exploring one’s own body and close relationships,
emotional aspects of these issues should be incorporated as well, so that
young females can develop a balanced knowledge of psychological,
social and mental satisfaction while exploring their body. A
comprehensive explanation on the risks of making friends online or on
7
social media platforms should also be provided.
4. When teaching the prevention and treatment of STDs, teachers should also
set students’ values straight and cultivate an appropriate attitude so to help
them put the prevention and treatment of STDs into practice.
5. Schools should plan to incorporate the strength of parents to jointly protect
young people from STDs, so that school education becomes a part of public
affairs of the community (retired principal Wang Hsiu-Yun, 2017).
Data source
Government websites
◆ Statistics on AIDs, Taiwan Centers for Disease Control
Monthly Report of HIV 2022-02 (p2 & p5 of the PDF)
https://www.cdc.gov.tw/Category/Page/rCV9N1rGUz9wNr8lggsh2Q
◆ Query System of Infectious Disease Statistics, Taiwan Centers for
8
Disease Control, Ministry of Health and Welfare
https://nidss.cdc.gov.tw/Home/Index
(Query date: Feb 13, 2022. The results of this query system might be
adjusted according to the development of disease investigation)
◆ USA CDC: LGBTQ youths are at higher health risk than their peers
https://www.cdc.gov/healthyyouth/disparities/health-disparities-among-lgbtq-youth.htm
◆ USA CDC: risks of STDs among MSMs
https://www.cdc.gov/msmhealth/STD.htm
◆ USA CDC: basic statistics on HIV
https://www.cdc.gov/hiv/statistics/overview/ataglance.html
(The US saw 36801 new HIV cases in 2019, and MSMs or bisexual men
accounted for 69% of the cases)
◆ USA CDC: statistics on STDs
https://www.cdc.gov/std/statistics/2019/tables/1.htm
(Statistics in 2019 showed the infection rate of gonorrhea, primary and
secondary syphilis, and HIV per 100 thousand people among the
population)
◆ USA CDC: basic statistics on syphilis
https://www.cdc.gov/std/statistics/2019/overview.htm#Syphilis
(The US P&S report on syphilis in 2019 showed that MSM accounted for
41.6% and bisexual men accounted for 5.5% of the cases)
9
◆ USA CDC: basic statistics on gonorrhea
https://www.cdc.gov/std/statistics/2019/overview.htm#Gonorrhea
(The US report on gonorrhea in 2019 showed that the risk of MSM is 42
times higher than that of heterosexual population)
◆ European Centre for Disease Prevention and Control (ECDC):
statistics on HIV/AIDS (p12 of PDF, EU/EEA)
https://www.ecdc.europa.eu/en/publications-data/hiv-aids-surveillance-europe-2021-2020-data
◆ ECDC: Syphilis - Annual Epidemiological Report (p2, 3, 5 of PDF,
EU/EEA)
https://www.ecdc.europa.eu/en/publications-data/syphilis-annual-epidemiological-report-2018
◆ ECDC: Gonorrhoea - Annual Epidemiological Report (p2 & p5 of
PDF, EU/EEA)
https://www.ecdc.europa.eu/en/publications-data/gonorrhoea-annual-epidemiological-report-2018
Chinese books/ reports/ periodicals/ columns
Wang Hsiu-Yun (2017). Change for a Better Future for Children. Taipei:
Ping's Publications, Ltd
News report
◆ Mom is terrified! 15-year-old male’s penis secretes green pus after having
sex, reported as sexual assault (March 22, 2022)
https://tw.appledaily.com/life/20220322/GWZPEUIDS5A73C5AIBSY2VD334/
10
Annex 1 Screenshot of Monthly Report of HIV 2022-02
p2 of the PDF file of Monthly Report of HIV 2022-02: 225 new HIV
infection cases occurred among age group 15 to 24 in 2021
HIV/AIDS 統計月報表/ Monthly Report of HIV/AIDS
本國籍感染人類免疫缺乏病毒者年齡別統計表/Table of Taiwanese
infected with AIDS by age
資料擷取日期:2022/3/1/Data extraction date: March 1, 2022
感染者數/Number of infected people
HIV 診斷年齡/Age of HIV diagnosis
11
本月通報數(%)/Cases reported this month
本年個案数(%)/Cases this year (%)
2021 年個案數(%)/Cases in 2021 (%)
2020 年個案數(%)/Cases in 2020 (%)
歷年累計個案數(%)/Cases accumula
p5 of the PDF file of Monthly Report of HIV 2022-02: MSM accounted
for 83.71% of new HIV infection cases in 2021
12
HIV/AIDS 統計月報表/Monthly Report of HIV/AIDS
資料擷取日期:2022/3/1/Data extraction date: March 1, 2022
本國籍感染人類免疫缺乏病毒者依危險因子統計表/Table of Taiwanese
infected with AIDS by hazardous factors
本年個案數/Cases this year
2021 年個案數/Cases in 2021
2020 年個案數/Cases in 2020
歷年累計個案數 /Cases accumulated in the past years
女/Female
男/Male
總計/SUM
本月通報數/Cases reported this month
危險因子/Hazardous factors
異性間不安全性行為/Unsafe sexual contacts between heterosexuals
男男間不安全性行為/Unsafe sexual contacts between MSM
注射藥癮者/Addicted to injected drugs
接受輸血感染/Infected via blood transfusion
母子垂直感染/Infected via mother-to-child transmission
13
不詳/Unknown
總計/SUM
※1:含發病數/Including cases appeared with symptoms
※2:含 53 位 1997 年以前因输血感染愛滋病毒之血友病人/Including 53
hemophiliacs who were infected with HIV via blood transfusion before
1997
※3:不詳(尚在疫調中 )/Unknown (disease investigation still on-going)
14
Annex 2
2.1 Trend of HIV (AIDS), syphilis and gonorrhea infection
among the age group 15 to 24 in Taiwan, 2000-2021
(Mapped based on statistics, Query System of Infectious Disease Statistics,
Taiwan CDC)
2000-2021 年台灣 15-24 歲年輕人 HIV、梅毒、淋病感染趨勢/
Trend of HIV (AIDS), syphilis and gonorrhea infection among the age
group 15 to 24 in Taiwan, 2000-2021
15
資料撷取日:2022-01-17/Data extraction date: January 17, 2022
新增感染人數/Number of new infection cases
一梅毒/syphilis
一淋病/gonorrhea
2.2 Trend of HIV (AIDS), syphilis and gonorrhea infection
in Taiwan, 2000-2021
(Mapped based on statistics, Query System of Infectious Disease Statistics,
Taiwan CDC)
16
2000-2021 年台灣 HIV、梅毒、淋病趨勢圖 (本國籍與非本國籍)/Trend
of HIV, syphilis and gonorrhea in Taiwan, 2000-2021 (Taiwanese and
non-Taiwanese)
梅毒病例數/Number of syphilis cases HIV、淋病病例數/Number of
gonorrhea cases
17
Annex 3 Statistics of new gonorrhea cases by age groups in
2021 (local cases + imported cases)
18
(20220324 下載)/Downloaded on March 24, 2022
2021 年淋病/Gonorrhea 2021
本土病例及境外移入病例/Local cases and imported cases
性別/Gender
年齡/Age
女/Female
年齡合計/Sum of the age group
70 歲以上/70 and above
年度合計/Sum of the year
男女比例/Male/ female percentage
19
Annex 4 Statistics of new syphilis cases by age groups in
2021 (local cases + imported cases)
(20220324 下載)/Downloaded on March 24, 2022
20
本國籍/Taiwanese
年齡/Age
性別/Gender
男/Male
女/Female
年齡合計/Sum of the age group
70 歲以上/70 and above
年度合計/Sum of the year
21
Annex 5 Statistics of new HIV cases by age groups in 2021 (Taiwanese/
non-Taiwanese/Taiwanese + non-Taiwanese)
(20220324 下載)/Downloaded on March 24
22
本國籍/Taiwanese
性別/Gender
年齡/Age
男/Male
女/Female
年齡合計/Sum of the age group
2021 年本國籍 新增 HIV:1,246 人(HIV 月報) /New HIV cases of
Taiwanese: 1,246 (HIV Monthly Report)
2021 年非本國籍新增 HIV: 102 人/New HIV cases of non-Taiwanese: 102
23
(20220324 下載)/Downloaded on March 24
非本國籍/Non-Taiwanese
性別/Gender
年齡/Age
男/Male
女/Female
年齡合計/Sum of the age group
24
2021 年本國籍 新增 HIV:1,246 人(HIV 月報)/New HIV cases of
Taiwanese: 1,246 (HIV Monthly Report)
2021 年非本國籍 新增 HIV: 102 人/New HIV cases of non-Taiwanese:
102
(20220324 下載)/Downloaded on March 24
本國籍與非本國籍/Taiwanese and Non-Taiwanese
25
Annex 6 Comparison of HIV/syphilis/gonorrhea in Taiwan, Europe and
the United States
(statistics compiled from data extracted from Query System of Infectious
Disease Statistics, Taiwan CDC; USA CDC; and ECDC)
台歐美 HIV/梅毒/淋病 比較/Comparison of HIV/syphilis/gonorrhea in
Taiwan, Europe and the United States
26
製表日:2022-02-13/Date of table: February 13, 2022
新增感染人數/ 十萬人感染率
No. of new cases/ infection rate per 100 thousand
梅毒/syphilis
淋病/gonorrhea
備註/Note
台灣/Taiwan
比歐盟高 男男間不安全性行為佔/
Higher than EU
Unsafe sexual contacts between MSM accounted for
男性佔 85%Male accounted for 85%
比歐盟高 男性佔 90%
Higher than EU
Male accounted for 90%
2021 年度統計 (本國籍+非本國籍)
2011 年人口 2337.5 萬
Statistics of 2021 (Taiwanese + non-Taiwanese)
Population in 2021: 23.375 million
27
歐盟/EU
HIV:2020 年度統計 梅毒淋病:2018 年度統計
HIV: statistics of 2020
Syphilis and gonorrhea: statistics of 2018
男男性行為佔 38.8%
Sexual contacts between MSM accounted for 38.8%
男男性行為佔 69%
Sexual contacts between MSM accounted for 69%
男男性行為估 48%
Sexual contacts between MSM accounted for 48%
美國 The US
2019 年度統計
2019 年人口:32830 萬
淋病梅毒採 CDC 比率
Statistics of 2019
Population in 2019: 328.30 million
CDC’s data were adopted for syphilis and gonorrhea infection rates
男男+男雙性行為佔 69%
Sexual contacts between MSM and of bisexual males accounted for 69%
28
男男+男雙性行為佔 47.1%
Sexual contacts between MSM and of bisexual men accounted for 47.1%
MSM 約為 MSW 的 42 倍
MSM is 42 times higher than MSW
資料來源:衛福部傳染病查詢系統,美國 CDC、歐盟 ECDC
Data sources: Query System of Infectious Disease Statistics, Taiwan
CDC; USA CDC; and ECDC
資料查詢日:2022-02-13,此查詢結果可能隨著疫調修正微調
Date of data query: February 13, 2022
The query result might be adjusted according to the development of
disease investigation
HIV 月報 111-01,PDF 第 5 頁,2021 年男男間不安全性行為 1042 例,佔
83.63%
HIV Monthly report 2022-01, p5 of PDF, unsafe sexual contacts between
MSM accounted for 1042 cases, 83.63% of all cases
PDF 第 12 頁/P12 of PDF
PDF 第 2、3、5 頁/P2, 3, 5 of the PDF
PDF 第 2、5 頁/P2, 5 of the PDF
29
2019 年美國新增 HIV 36801,男男+男雙性行為佔 69%
The US saw 36801 new HIV cases in 2019, and MSM + bisexual men
accounted for 69%
2019 年統計數值,gonorrhea, primary and secondary syphilis and HIV 十
萬人口感染率以人口數計算
2019 statistics showing the infection rate of gonorrhea, primary and
secondary syphilis and HIV per 100 thousand people among the
population)
(美國 2019 年 P&S 梅毒報告中 MSM 男男性行為佔 41.6%,男雙性行為
佔 5.5%) (The US P&S report on syphilis in 2019 showed that MSM
accounted for 41.6% and bisexual men accounted for 5.5% of the cases)
(美國 2019 年淋病報告中 MSM 男男性行為約為 MSW 男女性關係的 42
倍) (The US Report on Gonorrhea in 2019 showed that the risk of MSM
is 42 times higher than that of heterosexual population)
30
Annex 7 Health risks of homosexual and bisexual men
USA Center for Disease Control and Prevention (CDC)
Description about the health of and STDs among gay and bisexual men on the
webpage of USA CDC
https://www.cdc.gov/msmhealth/STD.htm
男同性戀和雙性戀男性健康/Gay and Bisexual Men's Health
Sexually Transmitted Diseases (STDs)
Sexually Transmitted Diseases (STDs) have been rising among gay and
bisexual men, with increases in syphilis being seen across the country. In
2014, gay, bisexual, and other men who have sex with men accounted for
31
83% of primary and secondary syphilis cases where sex of sex partner
was known in the United States. Gay, bisexual, and other men who have
sex with men often get other STDs, including chlamydia and gonorrhea
infections. HPV (Human papillomavirus), the most common STD in the
United States, is also a concern for gay, bisexual, and other men who have
sex with men. Some types of HPV can cause genital and anal warts and
some can lead to the development of anal and oral cancers. Gay, bisexual,
and other men who have sex with men are 17 times more likely to get
anal cancer than heterosexual men. Men who are HIV-positive are even
more likely than those who do not have HIV to get anal cancer.
資料來源:美國 CDC/Data source: USA CDC
32
◆ USA HIV at a glance in 2019: among the new HIV cases, MSM
accounted for 69%
https://www.cdc.gov/hiv/statistics/overview/ataglance.html
33
◆ New syphilis cases in EU, 2018: 69% cases were resulted from sexual
contacts between MSM (p5 of PDF)
https://www.ecdc.europa.eu/sites/default/files/documents/syphilis-aer-2018.pdf
34
◆ New gonorrhea cases in EU, 2018: 48% cases were resulted from
sexual contacts between MSM (p5 of PDF)
◆ https://www.ecdc.europa.eu/sites/default/files/documents/gonorrhoea-annual-epidemiological-
report-2018.pdf
35
◆ Risk of receivers of anal sex being infected with AIDS is 17.25 times
higher than that of female partner of vaginal sex
(p7 of PDF on pre-exposure prophylaxis for AIDS, Taiwan CDC)
https://www.cdc.gov.tw/File/Get?q=66HT6AZdVjKmPmyJ9OclbGuc9usuxwhOIEUTQ16XQQxaQj1O
n9rDprq0HlnsO4Cf6QKbMXBzM7MYF65iNmYdZiITUcggKkmVaWIMdt7h2pDqdJdIM_rvD9vtlnS
K8yNUY5EiWLOAeDFH74aRoNdtdrKCfeK98I1OMYGyDTftjYzL6uVH7btODZBaff6qXc1Pt3hfwj
DO5ijgJcjOiq7VNXWq6P2TUxZBXQG4Ut9KGnILC2DGl8ijrzBok3fWy6VJfU8yprgq-
sk05yjrl6lFRTMdYTrHMmoQYiZ947KqT4M
感染愛滋病毒的風險性/Risk of AIDS infection
不同 HIV 傳染途徑的風險/Risks of different infection routes of HIV
36
每暴露一萬次,有幾次會造成感染/No. of infections per 10 thousand
exposures
輸血/Blood transfusion
共用針具/Sharing of injection needles
針扎/Needle injection
肛交(接受方)/Anal sex (receiver)
肛交(進入方)/Anal sex (giver)
陰道交(男性)/Vaginal sex (male)
陰道交(女性)/Vaginal sex (female)
口交/Oral sex
很低/Very low
咬傷/Biting injuries
可以忽略的/Negligible
口水/saliva
揮濺體液(包括精液)/splashed bodily fluids (including semen)
共用性道具/Sharing of sex props
可以忽略的/Negligible
37
Annex 8 LGBTQ youths are at higher health risk
USA Center for Disease Control and Prevention (CDC)
Webpage describes how LGBTQ youths might face higher health risks
https://www.cdc.gov/healthyyouth/disparities/health-disparities-among-lgbtq-youth.htm
38
Health Disparities Among LGBTQ Youth. LGBTQ youths
are facing higher health risk!
Sexual minority youth (SMY) refers to youth who identify as lesbian, gay, or
bisexual (LGB), who are not sure of their sexual identity, or who have any
same sex partners. CDC’s 2017 Youth Risk Behavior Survey data show
substantial health disparities that exist among an estimated 2.6 million sexual
minority students, placing them at risk for negative health outcomes, including
HIV in fectio n an d o th er sex ually tran smitte d d iseases (ST Ds).
Students who have sexual contact with both sexes are at higher risk than
students with only same-sex sexual contact for multiple sexual risk behaviors.
Compared to their heterosexual peers, sexual minority students are more
likely to have:
Been bullied at school
Seriously considered suicide
Used illicit drugs
Felt sad or hopeless
Misused prescription opioids
Been forced to have sex
資料出處:CDC 美國疾控中心 http://pse.is/3vtd2h Data source: USA CDC
39
Annex 9 News report on youngsters infected with
gonorrhea
◆ “Mom is terrified! 15-year-old male’s penis secretes green pus after
having sex, reported as sexual assault" (March 22, 2022)
https://tw.appledaily.com/life/20220322/GWZPEUIDS5A73C5AIBSY2VD334/
According to the experience of Dr. Chen Chao-An, Chief of Department of
Urology at Yuanlin Christian Hospital, there has always been an increase in
the number of gonorrhea cases, especially among students born in the 2000s,
after long vacations. In the past three months, he has treated five teenage
boys born in the 2000s, the youngest being only 15 years old. The boy
was accompanied by his mother in the outpatient clinic, complaining that it
hurts when urinating. When he took off his pants, his underwear could be
seen being covered with patches of yellow or green pus. The boy was
diagnosed with gonorrhea. And because he was not yet 16, in addition to
reporting to the health authority, it was also filed as sexual assault.
The 15-year-old gonorrhea patient had visited various other hospitals, but
medication had not been helpful. When Dr. Chen Chao-An asked, “is there
any secretion from the urethra?” The boy said, "I don't know." As soon as he
40
took off his pants, his whole underwear could be seen being covered by
yellow and green patches, and his urethra was discharging a fluid similar to
thick snot. The mother, who accompanied the boy to the clinic, turned pale
after learning that the boy was diagnosed with gonorrhea.
Gonorrhea is one of the Category 3 communicable diseases stipulated
by the law. There were 7,380 new cases in Taiwan last year, mostly were
adults aged between 25 to 39. Men were the majority, with male to
female ratio at 13:1.
Patients with gonorrhea discharge secretions from the private part, so their
underwear is often covered with yellow and green patches. Stock photo.
41
Dr. Chen Chao-An said that the causative bacterium of gonorrhea is
Neisseria gonorrhoeae, and the symptoms of male and female infection are
slightly different. Male patients may have urethral suppuration, and tingling
or burning sensations when urinating. Some patients would recover on their
own. Some patients would become asymptomatic carriers, but at this point
the bacteria have entered the human body through the urethra, which may
cause inflammation of the seminal vesicles and prostate gland, and even
lead to infertility and urethral stricture. In addition, it often leads to rectal
infection among homosexual men, with possibly itching feelings and
secretions.
Symptoms of female gonorrhea patients may include urethritis or
cervicitis. If cystitis is caused by infection, frequent urination and burning
pain may occur. About 20% of the patients would suffer uterine infection
due to the menstrual cycle, causing endometritis, salpingitis or disc cavity
peritonitis, and eventually even lead to ectopic pregnancy or infertility.
In addition, when a newborn passes through the birth canal, the mother's
gonorrhea infection may cause the newborn's eyes to be infected with
42
gonococcal conjunctivitis. If not properly treated and treated, it may lead to
blindness.
The doctor said that sexual contact is the main route of transmission of
gonorrhea, and contacts with the mucosal exudates of infected people may
also lead to infection. So whether it is sexual intercourse or oral sex, a
condom or tongue condom must be put on to protect oneself.
43
資料來源:CRC 兒童權利公約資訊網 · 轉換工具:pdftotext -layout -enc UTF-8 · doc_id: 902E762A-3337-4009-9926-1726E0D5FD95