This update responds to the sustained increase in STI diagnoses and the need for earlier intervention among adolescents and young people. Previously, the program began at 15 years of age, but epidemiological data have prompted this change.

In the Girona region, the STI situation remains a concern. The Girona Health Region recorded a rate of 275.5 cases per 100,000 inhabitants in 2024. The incidence is higher among men, with 304.7 cases, than among women, with 243.1. Although this figure is below the Catalan average of 421.7 cases, it highlights that STIs represent a significant challenge for public health in the region.

The new model emphasizes promotion, prevention, and early diagnosis, as well as treatment, epidemiological surveillance, and coordination among different healthcare levels. The goal is for primary and community care to become the central axis of the system, collaborating with hospitals, laboratories, pharmacies, and community organizations.

Chlamydia is the infection that has seen the most notable growth in Girona, rising from 21.9 cases per 100,000 inhabitants in 2016 to a maximum of 176.4 in 2024. This often asymptomatic infection can cause fertility problems if left untreated, although its antibiotic treatment is straightforward. Gonorrhea and syphilis also maintain high levels, despite a slight decrease in 2024.

The Department of Health also plans to improve information systems with the implementation of an STI notification system from primary care during 2026. This tool will allow for more efficient epidemiological surveillance and a better evaluation of the impact of control actions. Furthermore, the need to destigmatize STIs is reinforced to facilitate people seeking consultation and accessing treatment without barriers.