References
1. Selected Sexually Transmitted Diseases, 1996-2005 Michigan Total
http://www.mdch.state.mi.us/PHA/OSR/chi/std_h/frame.html
 
2. According to the CDC, other STDs increase both HIV infectiousness and susceptibility. For example: Syphilis, genital herpes type 2, chancroid, and other infections that cause genital or rectal ulcers may increase the risk of HIV transmission per sexual exposure 10 to 50 times for male-to-female transmission and 50 to 300 times for female-to-male exposure. Nonulcerative STDs (e.g., chlamydia and gonorrhea) have been shown to increase the risk of HIV transmission by two-fold to five-fold. Treatment of gonorrhea in HIV-infected men reduces the prevalence of HIV shedding in urethral secretions by approximately 50%.  
	The Journal of Infectious Diseases March 1 issue reports that women who have the common sexually transmitted disease trichomoniasis have a significantly increased risk of HIV infection. This adds yet another unreported and sometimes asymptomatic sexually transmitted infection that can increase an individual’s risk for HIV infection.  See HIV/STD connection reports from CROI on the website in Research.

3. Youth Risk Behavior Survey in Michigan 2005 http://www.michigan.gov/documents/mde/_NEW_2005_ YRBS_Fact_S_176035_7.pdf

4. Michigan Model for Health
http://www.emc.cmich.edu/mm/default.htm 

5. For more information on school legislation referred to here see: http://www.mihiv news.com/adol/mde_a-k_in_k12_curriculum.pdf 

 6. “No Rite of Passage: Coming to Grips with Harassment and Bullying”
The National School Boards Association’s “Leadership Insider” newsletter, August 2006 issue compiles viewpoints and resources about how school districts can address these problems. Articles include an overview of the legal considerations, a review of court decisions relevant to cyber-bullying, a warning about pitfalls in the anti-bullying push, profiles of anti-harassment and anti-bullying efforts in several states and communities, and a success story about how one school board set up a process to resolve a controversy over whether sexual orientation should be specified as a protected category in its anti-harassment policy.  http://www.nsba. org/site/docs/39100/39055.pdf 

7. Safe Schools for Sexual Minority Youth Project
www.cj.msu.edu/~outreach/safe_schools/cd_apr2003/sex_monority.PDF 
8. The Michigan STD, HIV and Adolescents Networking Committee is open to all adults who provide services to youth. At the quarterly meetings, agency representatives share program information and hear presentations on various adolescent/youth relevant topics. 
	The Committee also has a voice and representation on MHAC and the planning committee for the annual STD & HIV conference, which has a youth track. Information on The Michigan STD, HIV and Adolescents Networking Committee, including meeting dates and summaries of past meeting presentations, can be found on the Michigan HIV News website in the Youth-Teen section.
www.mihivnews. com/teens.htm