urban version - stds

In this segment of The Choice Game™ we meet two young men who are discussing their thoughts on a health class they have attended concerning STDs. There are 13 scenes, 5 choices to be made, and 21 backstories.

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Two boys have just attended a health class that discussed STDs (Sexually Transmitted Diseases) - these 2 boys are now in the gym locker room and frankly discuss how what they learned might affect their own decision making process.

Global Estimates on STDs

WHO (World Health Organization) estimates that 340 million new cases of STDs have occurred worldwide in 1999. The largest number of new infections occurred in the region of South and Southeast Asia, followed by sub-Saharan Africa and Latin America and the Caribbean. However, the highest rate of new cases per 1000 population has occurred in sub Saharan Africa.

North America 156 3 14

Western Europe

203 4 17
North Africa & Middle East 165 3.5 10
Eastern Europe & Central Asia 205 6 22
Sub Saharan Africa 269 32 69
South and South East Asia 955 48 151
East Asia & Pacific 815 6 18
Australia & New Zealand 11 0.3 1
Latin America & Caribbean 260 18.5 38

Teen with Doctor2 Teens on the telephone

The Choice GameTM introduces the concept of STDs through a conversation between two friends. Peer influence among the youth is universal. As the player speaks to their friend statistics become more reality. The game helps youth make healthier choices in the future.


Wrong. One out of every four teenagers will get an STD, even though lots of teenagers think they know how to protect themselves. There are other STDs out there besides HIV, and they are on the rise among teens. They include chlamydia, gonorrhea, syphilis, herpes and human papillomavirus (HPV) which cause genital warts and abnormal Pap smears.

Young man on telephoneMost people who have STDs have no symptoms. Someone you know could have gotten an STD, not realized it, and could be spreading it if he or she has unprotected sex. Sometimes the only way to know if you have been infected is to get a test. Some STDs may not yet be detected (seen) even when tested. Using a condom isn't 100% safe against pregnancy or STDs--only abstinence is!

The components of The Choice GameTM help young people to explore the dangers to their health and future if they choose to participate in risky behavior.


Chlamydia - Worldwide

Chlamydia is a common cause of pelvic inflammatory disease with subsequent risk for infertility. The higher prevalence of Chlamydia observed amongst female adolescents (24.1%-27%), and the association with young age highlight the important role that screening of sexually active female play in the prevention of infertility.

In 1996 genital chlamydial infection was the most commonly reported notifiable infectious disease in the United States with an annual point estimates of approximately 3 million cases,

In Western Pacific, studies amongst pregnant women have shown a prevalence rate that ranges from of 5.7% in Thailand up to 17% in India. One study in a rural population in Papua New Guinea showed a prevalence rate of 26%.

In Australia, number of STI notified in 1998 was higher than in 1997. Chlamydia infection was the most common STI notified and the third highest for all notifiable diseases.

In Europe, prevalence of Chlamydia infection amongst pregnant women ranges from 2.7% in Italy to 8% in Iceland, with low prevalence and incidence rates in the Nordic countries, following a wide scale screening program in the 1970s.

Teens at partyPrevalence studies from Latin America and Caribbean, show rates from 1.9% amongst teenager in Chile, 2.1% amongst pregnant women in Brazil, and 12.2% amongst attendees to family planning clinics in Jamaica.

The purpose of The Choice GameTM is to teach young people that waiting to have sex until marriage avoids a lot of suffering and heartache. A common theme in several of the scenes is "Chastity is a Lifestyle".

Gonorrhea - Worldwide

In Western Europe, a significant decline of incidence of gonorrhea has been observed during the years 1980-91 down to below 20 per 100 000 for gonorrhea. However, since mid 1990s, an increase in cases of gonorrhea has been observed in England and Wales, with a 35% increase in male cases and a 32% rise in female cases between 1995-97. Significant increases in diagnoses of uncomplicated gonorrhea were seen in most age groups between 1995 and 1998, with the largest average annual increases in the 16 to 19 years old of both sexes, and those over 34 years of age. In Sweden, trends in the incidence of gonorrhea showed a steady decline with a incidence of 2.4 per 100,000 inhabitants in 1996. However, in 1997 the number of new cases was 17% higher than in 1996, which represents the first increase since 1976. The upward trend has persisted in 1998. The ratio male: female has been unchanged since 1995, with 80% of cases amongst male.

Young woman on phone

In the USA, between 1981 and 1996 the incidence of reported gonorrhea decreased 71.3%, from 431.5 to 124.0 cases per 100 000. Rates amongst blacks were 35% times higher than among whites in 1996, compare with 11 times higher in 1981. Among women the highest rates was observed in the 15-19 years old group and in men in the 20 to 24 year olds. An important increased in gonorrhea rates has been seen in Eastern Europe, in the newly independent states of the former Soviet Union, with the highest rate in Estonia, Russia and Belarus (111, 139 and 125 per 100 000 respectively). In the Baltic countries, the average age of patients suffering from STI is decreasing as shown in a study looking the epidemiological situation in the Baltic countries for the period 1990-94. In the Western Pacific the highest estimated prevalence rates for gonorrhea (3% or greater) are found in Cambodia and Papua New Guinea In other countries, estimated rates are below 1%.




Guy1- Those photos sure made me think a lot about sex.

Guy2 - Yeah, who'd think some fine lookin' woman... could mean gettin' a nasty disease. Did you see what it did to the man's equipment?

Guy1 - uugghhh!!!. It looked like branches sticken' off a tree. That's some kinda pain I couldn't deal with. But da' Sex-man said not all STDs cause pain. A guy could be infected and not know.

Guy2 - So, how ya suppose to know what a chick is hidin'?

Guy1 - Yeah, like somebody's gonna say, "Check it out, I got gonorrhea." What's the name of the disease the guy said doesn't show symptoms right away - I can't remember... something about clam...

Guy2 - I wrote it out.

Guy1 - You jokin'?

Guy2 - NO!!! I can't fail this class. Look, the truth is I'm thinkin' of being a doctor someday so I need to learn this stuff. Here... it's called Chlamydia. It passes through bodily fluids - like semen or a woman's discharge.

Guy1 - I thought that one could be cured?

Guy2 - Yeah it can, once you have an antibiotic, 'cause it's a bacterial infection. But bacterial infections can still do permanent damage to your body. And we're men, it's worse for women.

Guy1 - I wish ya'd stop makin' such a big deal out of this.

Guy2 - Big deal! Fool, take a look at some of this other stuff!

Guy1 - What else did you did write down, Doc?

Guy2 - Yours might be the first life I save, bro. Just listen to this...

"Other examples of STDs passed through bodily fluids are Hepetitis B, HIV, and gonorrhea. STDs transmitted through Skin to skin contact can be syphilis, herpes or HPV - genital warts."

Guy1 - I really hated that photo. Those little buggers full of pus look too painful. Like I said I hate pain.

Guy2 - It don't matter if the STD comes from a virus or bacteria... both can be painful. But the deep thing about a virus is... YOU HAVE IT FOR LIFE !!!

Guy1 - But sometimes they go away on their own, right?

Guy2 - Yeah, but the virus can come back too...ya ever think there are times when it just ain't worth it?

Guy1 - I'll tell ya what I'm afraid of - HIV - that's the big daddy of them all!

Guy2 - Ya gotta wonder...

Rehearsing scenes

From audition to script rehearsal to actual recording sessions; the young actors have some fun with the script and receive instruction and guidance.

Listen to "Introduction by Narrator" (Track 1)

Our goal is to make it as easy as possible for the focus groups to concentrate on content in this stage of the process, so having the actors reading be as fluid and natural as possible is of great importance.

Listen to "Opening Scene" (Track 2)

Rehearsing lines
Listen to "Did you hear Alex talking?" (Track 10)

2 male teens kicking back