Health Education Lesson Plan Directions

Skill Emphasis (NHES): Self Management

Grade Level: 10th

Content Area of Health: Sexuality Education

Content Descriptor & Sub-Descriptor(s): STDs

Title of Lesson: Introduction to Sexually Transmitted Diseases

Performance Indicators:
Standard 7.12.1: Analyze the role of individual responsibility for enhancing health
Standard 7.12.3: Demonstrate a variety of behaviors to avoid or reduce health risks to self and
others

PA Standard (Health & PE):

10.1.9.D: Analyze factors that impact growth and development between adolescence and
adulthood
Relationships (e.g., dating, friendships, peer pressure)
Interpersonal Communication
Risk Factors (e.g., physical inactivity, substance abuse, intentional/unintentional
injuries, dietary patterns)
Abstinence
STD and HIV prevention
Community
10.1.9.E: Analyze how personal choice, disease and genetics can impact health maintenance and
disease prevention

Curricular Connections:

Adolescent Risk Behavior (if applicable): Sexual Risk Behaviors

Objectives:
Cognitive: The student will be able to choose whether or not they would tell previous partners
that they were sexually active with that they had an Sexually Transmitted Disease.
Affective: The student will be able to propose what they would say and how they would help a
friend who acquired a sexually transmitted disease.
Skill (Self Management):

Brief Outline of Todays Lesson

1. Bell Ringer: Journal Entry
2. Introduction to the Lesson
3. Content
Chlamydia
Gonorrhea
HPV (Genital Warts)
 Syphilis
Hepatitis B
HIV/AIDS
Additional Notes
Trichominiasis
Crabs/Pubic Lice
Scabies
Virus vs. Bacterial
In-Class Activity: STD Flip Chart
Each STD must include the cause
Symptoms Males and Females
Any other specific info for that STD (can it be passed to the baby, symptoms in baby, does
the STD have a nickname, treatment)
Final Thoughts/Conclusion to the Lesson
Review answers of flip chart at the end of the period
Classroom Management and Materials
PowerPoint
200 blank pieces of paper (4 per student)
Pen/Pencil

Expanded Outline of Todays Lesson

1.Introduction to the Lesson (Set Induction):

Today we are going to be starting our unit on Sexually Transmitted Diseases (STDs)

2. Bell Ringer (Instant Activity): Spreading HIV Activity

Each student in the class will receive a note card
Each student will move around the classroom and get 3 signatures of their classmates
Each signature represents a hypothetical partner with which they were sexually active
Two students will receive a red dot and two more will receive a green dot on their card
representing STDs that were passed to their sexual partners (the members of the class who
signed their note cards)
There will also be two members of the class with rubber gloves that represent the use of
protection while having sex and therefore do not get any of the STDs from their classmates
Students will be unaware of what the dots represent and it will only be revealed after they have
gotten the signatures from classmates and sat back down in their seats.
Students with the dot will be asked to stand up
Anyone with a signature from one of those students will be asked to stand up
Then, anyone with a signature from one of the students standing may then stand up
Explain to the students that anyone with a rubber glove can remain seated because those
students used protection when having sex and therefore did not get an STD.
3. In-Class Assignment: Flip Chart Assignment:
Each student will receive 4 sheets of blank paper to create a flip chart
Fold each piece of paper together to create 8 flaps for the flip chart
Each flap of the flip chart must have the following:
Each STD must include the cause (viral, bacterial, or parasitic)
Symptoms males and females
Any other specific info for that STD (can it be passed to the baby, symptoms in baby, does
the STD have a nickname, treatment)
Students will include the following in their flip chart:
Chlamydia
Gonorrhea
HPV (Genital Warts)
Genital Herpes
Syphilis
Hepatitis B
HIV/AIDS
Additional Notes
Trichomoniasis
Crabs/Pubic Lice
Scabies
Virus vs. Bacterial
Students will take the duration of the period (minus six minutes to do our journal entry) to
research and fill out the flip chart above with all of the information required on each page.
The content listed below is created to share with the students five minutes before the beginning
of our journal entry to ensure that students have the correct information and to answer any
questions that students may have as they are doing their research.

4.Content & Instructional Strategies:

1. Chlamydia
Cause: Bacterial infection
Spread: Vaginal, anal, and oral sex. Can also pass from mother to baby during
vaginal childbirth
Signs/Symptoms: Known as silent disease because of infected women and of
infected men have no symptoms. If symptoms do occur, they usually appear within
1-3 weeks after exposure

2. Chlamydia cont.
Symptoms:
Women: abnormal vaginal discharge, burning during urination, lower
abdominal pain, nausea, fever, and bleeding between periods
Men: Discharge from penis, burning while urinating, burning and itching
around opening of the penis

3. Chlamydia cont. 2
Men and Women who have anal intercourse may acquire it in the rectum, which
can cause rectal pain, discharge, and bleeding
 Chlamydia can also be found in the throats of men and women having oral sex
with an infected partner

4. Chlamydia cont. 3
Treatment: Can be easily cured with antibiotics (single dose or week long)
Partners should also be treated
If left untreated:
Women: Can spread into the uterus and fallopian tubes and cause Pelvic
Inflammatory Disease (PID) This damage can lead to chronic pelvic pain,
infertility and potentially fatal ectopic pregnancy

5. Chlymydia cont. 4
Men: Complications in men are rare. Infections can sometimes spread to the
epididymis causing pain, fever, and very rarely sterility
Pregnant women: There is some evidence that untreated Chlamydia infections
can lead to premature delivery. Chlamydia is a leading cause of early infant
pneumonia and conjunctivitis.

6. Gonorrhea
Cause: Bacteria
Spread: sexual contact, mother to infant at birth
Signs/Symptoms: Female
Usually none; vaginal discharge and irritation, abdominal pain

7. Gonorrhea cont.
Signs/Symptoms: Male
Usually none, painful or frequent urination, heavy yellow discharge from
penis, tender testes or groin
Can be detected with urine tests in both males and females
Treatment: Antibiotic

8. Gonorrhea cont.
If left untreated: Infection of reproductive organs, PID, infertility, passed to baby
at birth (can cause blindness, joint infection, or blood infections)
In men, epididymitis can lead to infertility
1-3 million new cases each year
2nd most commonly reported STD
Known as the clap

9. Human Papilloma Virus (HPV)

Known as HPV or genital warts
There are more than 40 types or strains of the virus
Most people who have become infected dont know they have it
10. HPV cont.
Cause: Viral
Spread by: genital contact, most often during vaginal and anal sex. Very rarely, a
pregnant woman can pass genital HPV to her baby during childbirth. In this
case, the child may develop warts in the throat or voice box called Recurrent
Respiratory Papillomatosis.

11. HPV cont.

Signs/Symptoms: Certain types of HPV can cause genital warts in women and
men (low risk). Other types of HPV can cause cancers of the cervix, anus,
vulva, vagina, and penis (high risk).
Genital warts appear as small bumps or groups of bumps, and can sometimes be
cauliflower shaped. They can appear within weeks or months after someone has
sex with an infected person. They will not turn into cancer.

12. HPV cont.

Vaccine available since 2006
Treatment: IN 90% of casees, the bodys immune system clears the HPV
infection naturally within 2 years (High and Low risk types).
Cervical cancer does not have symptomsuntil it is advanced so it is important for
women to get screened regularly
Genital warts can be removed by laser, liquid nitrogen, surgery, and certain drugs

13. HPV cont.

Other: About 20 million Americans are infected with HPV and another 6.2
million become newly infected each year.
At least 50% of sexually active and women acquire genital HPV at some point in
their lives

14. Herpes
Cause: Viral
Spread by: HSV-1 & 2 can be found in and released between outbreaks from
skin that does not appear to have a sore. Can be spread from an infected parttner
who doesnt have a visible sore or know they are infected. HSV-1 can cause
genital herpes, but more commonly cause infections of the mouth
HSV-1 infection can be caused by oral-genital or genital-genital contact w/ a
person who has HSV-1.

15. Herpes cont.

Signs/Symptoms
Most people with HSV-2 are not aware of their infection
 First outbreak usually occurs within 2 weeks after the virus is transmitted, &
sores typically heal within 2-4 weeks
Other mild symptoms are flu-like symptoms including fever, and swollen glands.
They may also have mild signs that they dont notice or mistake for insect bites
or another skin condition.

16. Herpes cont.

Treatment: There is no treatment that can cure herpes, but antiviral medications
can shorten and prevent outbreaks during the period of time the person takes the
medication
Daily suppressive therapy for symptomatic herpes can reduce transmission to
partners

17. Herpes cont.

Complications: cause recurrent painful genital sores in many adults, and herpes
infection can be severe in people with suppressed immune systems.

18. Syphilis:
Cause: Bacteria
Spread: Sexual contact, break in skin touches a sore, mother to infant BEFORE
birth (congenital syphilis)
Signs/Symptoms: Female and Male
Primary stage: A single sore called a chancre (there may be multiple sores)
which is where syphilis entered the body. Lasts 3-6 weeks and heals without
treatment. Appears 10-90 days after infected.

19. Syphilis:
Secondary Stage: Skin rash on one or more areas of the body. Besides rashes,
fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight
loss, muscle aches, and fatigue.
These symptoms will also resolve without treatment

20. Syphilis cont.

Latent Stage: Primary and secondary symptoms disappear, and although there
are no symptoms syphilis remains in the body and can last for years in the latent
stage
Damages internal organs, including the brain, nervous system, heart, blood
vessels, lives, bones, and joints
Can lead to loss of muscle coordination, blindness and dementia and can cause
death

21. Syphilis cont.

Treatment: Antibiotic Easily cured in primary and secondary stages
Syphilis infections reaches an all time low in 2000, but have increased in males
and females in the last 6 years.

22. Hepatitis B
 Cause: Virus
Spread: Sexual contact, sharing needles, razors, and toothbrushes, mother to
infant at birth
Signs/Symptoms: flu-like symptoms, dark urine, yellow skin (jaundice), loss of
appetite, joint pain
Treatment: None

23. Hepatitis cont.

If untreated, can lead to liver damage, cirrhosis, liver cancer, liver failure, and
death
Interferon is among 6 drugs used to create HBV, HCV, HAV

24. Trichomoniasis:
Caused: Parasite
Spread: Sexual contact with infected partner
Symptoms: Female (vaginitis)
Yellow-green vaginal discharge, discomfort during urination or intercourse,
itching of genital area

25. Trichomoniasis cont.

Symptoms: Male
Most men dont show signs or symptoms or they disappear, irritation inside
penis, mild discharge, burning after urination or ejaculation
Treatment: Prescription Drugs
7.4 million new cases each year in men and women

26. Crabs/Pubic Lice

Cause: Parasite
Spread: Sexual contact with infected partner
Signs/Symptoms: Itching in genital area, visible nits (lice eggs) or crawling lice

27. Crabs/Pubic Lice cont.

Where can they be found?
Genital area on pubic hair, but may also be found on other coarse body hair
such as legs, armpits, mustache, beard, eyebrows, or eyelashes
Lice found on the head are generally head lice, not pubic lice
Treatment: Over the counter and prescription lotions and shampoos

28. Scabies
Caused by parasitic motes that burrow under the skin and lay eggs
Through sexual contact or touching an infected person
Red tracks on the skin that itch intensely
Treated with the same medication used to kill pubic lice
 29. STDs by the numbers:
Globally, 333 million new cases of curable STDs per year
19 million new cases in the U.S. - 30,000 40,000 per day

30. STDs by the numbers cont.

2.5 3 million new cases in teens per year
The number of cases of STDs is 50 to 100 times higher in the US as compared
to other Industrialized Nations
$17 Billion added to U.S. Healthcare costs per year

31. STDs by the Numbers:

Chlamydia 1.3 4 million new cases per year
Genital Warts 6 million new cases per year ( to 1/3 of all sexually active
teens have been exposed)
Gonorrhea 300,000 new cases per year

32. STDs by the Numbers cont.:

Genital Herpes 200,000 to million cases per year
Syphilis 14,000 new cases per year
HIV 40,000 to 80,000 new cases per year (Over 1.2 million currently infected)

5. In-Class Activity/Assignment: (Brainstorming)

Journal Entry: Students will complete the journal entry with at least 3 complete, grammatically
correct sentences.
In what ways can an STD affect a persons life? If you found out you had an STD,
would you inform your current and previous sexual partners? Why or why not?

6. Final Thoughts/Conclusion to the Lesson

Next class we will be continuing with our STD unit.

7. Classroom Management & Materials

Classroom Materials
o Handouts/Worksheets:
o Other Materials: PowerPoint Presentation, Pencil/Pen, 200 blank sheets of paper

Appendix: