The Marion County Health Department offers testing for
Gonorrhea, Chlamydia, Syphilis and HIV.  Clients must
meet Illinois Department of Public Health (IDPH) screening
criteria for the Gonorrhea and Chlamydia testing. A fee of
$20 covers the test for all four STD's.

The testing will be done by appointment only. If the patient
reports signs and symptoms of a STD or if they have a
positive test result, the patient will be referred to a local
medical facility for treatment. The office visit fee will be
based on a sliding scale according to income and family
size.
STD Testing
for Chlamydia, Gonorrhea, Syphilis and HIV
FEMALE patients must meet one or more of the following criteria:
  • Age 25 or younger and sexually active or pregnant
  • Age 26 or older with one or more of the following risks:
  • STD Signs or Symptoms
    - vaginal discharge
    - mucopurulent cervicitis
    - pelvic pain or suspected pelvic inflammatory disease
  • Sex partner of individual diagnosed with Chlamydia and/or Gonorrhea
  • Sex partner risk
    - new sex partner in past 3 months
    - more than 1 sex partner in past 3 months
  • STD Diagnoses/history in past 3 years
  • Pregnant (and one or more of the above risks)
  • IUD Insertion
  • Re-screen females infected with chlamydia and/or gonorrhea three months after treatment to detect
    re-infection
What is the screening criteria?
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Sexually transmitted
diseases (STDs) are
among the most
common infectious
diseases in the
United States today,
affecting more than
19 million men and
women annually.
  Gonorrhea
Chlamydia
HIV
Syphilis

What is it?
Gonorrhea is a sexually
transmitted disease
(STD). Gonorrhea is
caused by Neisseria
gonorrhoeae, a
bacterium that can grow
and multiply easily in
the warm, moist areas of
the reproductive tract,
including the cervix
(opening to the womb),
uterus (womb), and
fallopian tubes (egg
canals) in women, and
in the urethra (urine
canal) in women and
men. The bacterium
can also grow in the
mouth, throat, eyes, and
anus.
Chlamydia is a common
sexually transmitted
disease (STD) caused by
the bacterium,
Chlamydia trachomatis,
which can damage a
woman’s reproductive
organs. Even though
symptoms of chlamydia
are usually mild or absent,
serious complications that
cause irreversible
damage, including
infertility, can occur
“silently” before a woman
ever recognizes a
problem. Chlamydia also
can cause discharge from
the penis of an infected
man.
HIV Stands for human
immunodeficiency virus.  It
is the virus that can lead to
acquired immunodeficiency
syndrome, or AIDS.  Unlike
some other viruses, the
human body cannot get rid
of HIV.  That means that
once you have HIV, you
have it for life.  HIV affects
specific cells of the immune
system, called CD4 cells, or
T cells.  Over time, HIV can
destroy so many of theses
cells that the body can't fight
off infections and disease.  
When this happens, HIV
infection leads to AIDS.
Syphilis is a sexually
transmitted disease (STD)
caused by the bacterium
Treponema pallidum. It
has often been called
“the great imitator”
because so many of the
signs and symptoms are
indistinguishable from
those of other diseases.

How is it
spread?
Gonorrhea is spread
through contact with the
penis, vagina, mouth, or
anus. Ejaculation does
not have to occur for
gonorrhea to be
transmitted or acquired.
Gonorrhea can also be
spread from mother to
baby during delivery.

People who have had
gonorrhea and received
treatment may get
infected again if they
have sexual contact with
a person infected with
gonorrhea.
Chlamydia can be
transmitted during vaginal,
anal, or oral sex.
Chlamydia can also be
passed from an infected
mother to her baby during
vaginal childbirth.
Any sexually active person
can be infected with
chlamydia. The greater
the number of sex
partners, the greater the
risk of infection. Because
the cervix (opening to the
uterus)
of teenage girls and young
women is not fully matured
and is probably more
susceptible to infection,
they are at particularly
high risk for infection if
sexually active. Since
chlamydia can be
transmitted by oral or anal
sex, men who have sex
with men are also at risk
for chlamydial infection.
HIV is spread mainly by
having sex with someone
who has HIV.  In general:  
Anal sex is the highest-risk
sexual behavior.  Vaginal
sex is the second highest-risk
sexual behavior.  Multiple
sex partners or having other
sexually transmitted
infections can increase the
risk of infection through sex.  
Sharing needles, syringes,
rinse water, or other
equipment (works) used to
prepare injection drugs with
someone who has HIV.
Syphilis is passed from
person to person through
direct contact with a
syphilis sore. Sores occur
mainly on the external
genitals, vagina, anus, or
in the rectum. Sores also
can occur on the lips and
in the mouth.
Transmission of the
organism occurs during
vaginal, anal, or oral sex.
Pregnant women with the
disease can pass it to the
babies they are carrying.
Syphilis cannot be spread
through contact with
toilet seats, doorknobs,
swimming pools, hot tubs,
bathtubs, shared clothing,
or eating utensils.

How is it
diagnosed?
Several laboratory tests
are available to
diagnose gonorrhea. A
doctor or nurse can
obtain a sample for
testing from the parts of
the body likely to be
infected (cervix, urethra,
rectum, or throat) and
send the sample to a
laboratory for analysis.
Gonorrhea that is
present in the cervix or
urethra can be
diagnosed in a
laboratory by testing a
urine sample. A quick
laboratory test for
gonorrhea that can be
done in some clinics or
doctor’s offices is a
Gram stain. A Gram
stain of a sample from a
urethra or a cervix allows
the doctor to see the
gonorrhea bacterium
under a microscope.
This test works better for
men than for women.
There are laboratory tests
to diagnose chlamydia.
Some can be performed
on urine, other tests
require that a specimen
be collected from a site
such as the penis or cervix.
Getting an HIV test is the
only way to know if you have
HIV.  The Illinois Department
of Public Health State lab
uses a HIV test that can
detect both
antibodies and
antigen (part of the virus
itself).
 These tests can find
recent infection earlier than
tests that detect only
antibodies.  These
antigen/antibody
combination tests can find
HIV as soon as 3 weeks after
exposure to the virus, but
they are only available for
testing blood, not oral fluid.
Some health care
providers can diagnose
syphilis by examining
material from a chancre
(infectious sore) using a
special microscope
called a dark-field
microscope. If syphilis
bacteria
are present in the sore,
they will show up when
observed through the
microscope.

A blood test is another
way to determine whether
someone has syphilis.
Shortly after infection
occurs, the body
produces syphilis
antibodies that can be
detected by an accurate,
safe, and inexpensive
blood test. A low level of
antibodies will likely stay
in the blood for months or
years even after the
disease has been
successfully treated.
Because untreated
syphilis in a pregnant
woman can infect and
possibly kill her
developing baby, every
pregnant woman should
have a blood test for
syphilis.

How is it
treated?
Several antibiotics can
successfully cure
gonorrhea in
adolescents and adults.
However, drug-resistant
strains of gonorrhea are
increasing in many
areas of the world,
including the United
States, and successful
treatment of gonorrhea
is becoming more
difficult. Because many
people with gonorrhea
also have chlamydia,
another STD, antibiotics
for both infections are
usually given together.
Persons with gonorrhea
should be tested for
other STDs.
Chlamydia can be easily
treated and cured with
antibiotics. A single dose
of azithromycin or a week
of doxycycline (twice
daily) are the most
commonly used
treatments. HIV-positive
persons with chlamydia
should receive the same
treatment as those who are
HIV negative.
All sex partners should be
evaluated, tested, and
treated.

Persons with chlamydia
should abstain from sexual
intercourse until they and
their sex partners have
completed treatment,
otherwise re-infection is
possible.

Women whose sex partners
have not been
appropriately treated are
at high risk for re-infection.
Having multiple infections
increases a woman’s risk of
serious reproductive
health complications,
including infertility.
Retesting should be
encouraged for women
three to four months after
treatment. This is
especially true if a woman
does not know if her sex
partner received treatment.
No safe and effective cure
currently exists.  
Antiretroviral therapy (ART),
however, can dramatically
prolong the lives of many
people infected with HIV
and lower their chance of
infecting others.  It is
important that people get
tested for HIV and know that
they are infected early so
that medical care and
treatment have the greatest
effect.
Syphilis is easy to cure in
its early stages. A single
intramuscular injection of
penicillin, an antibiotic,
will cure a person who
has had syphilis for less
than a year. Additional
doses are needed to treat
someone who has had
syphilis for longer than a
year. For people who are
allergic to penicillin,
other antibiotics are
available to treat syphilis.
There are no home
remedies or
over-the-counter drugs
that will cure syphilis.
Treatment will kill the
syphilis bacterium and
prevent further damage,
but it will not repair
damage already done.

Because effective
treatment is available, it
is important that persons
be screened for syphilis
on an on-going basis if
their sexual behaviors put
them at risk for STDs.
Persons who receive
syphilis treatment must
abstain from sexual
contact with new partners
until the syphilis sores are
completely healed.
Persons with syphilis must
notify their sex partners so
that they also can be
tested and receive
treatment if necessary.
 
     
        STD Facts
MALE patients must meet one or more of the following criteria:
  • Age 25 or younger and sexually active
  • Age 26 or older with one or more of the following risks:
  • STD Signs or Symptoms
    - urethral discharge
    - dysuria
  • Sex partner of individual diagnosed with Chlamydia and/or Gonorrhea
  • Re-screen males infected with chlamydia and/or gonorrhea three months after treatment to detect re-
    infection