Document Detail

Elimination and reintroduction of primary and secondary syphilis.
MedLine Citation:
PMID:  10394323     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study was conducted to define factors associated with the epidemic spread, elimination, and reintroduction of primary and secondary syphilis in King County, Washington, from 1987 through 1998. METHODS: Reports of primary and secondary syphilis in King County from 1987 through 1998 were reviewed retrospectively. RESULTS: During the epidemic spread of syphilis, only 15.8% of cases were imported. A total of 24.0% of patients reported cocaine use, and 18.3% of female patients reported having commercial sex. During the elimination of syphilis, significantly higher percentages of cases were imported and lower percentages of patients reported cocaine use or female commercial sex. During the reintroduction of syphilis in 1997-1998, 68% of patients were men who reported sex with men; of this 68%, 66% were sero-positive for HIV. Most men reporting sex with men were 30 years or older and recruited many anonymous partners. CONCLUSIONS: As syphilis wanes, local control must focus on outbreaks following its reintroduction. Resurgence of syphilis among men reporting sex with men recapitulates the epidemiology of syphilis before the historical advent of AIDS, warranting immediate attention to this problem.
L A Williams; J D Klausner; W L Whittington; H H Handsfield; C Celum; K K Holmes
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  89     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-07-22     Completed Date:  1999-07-22     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1093-7     Citation Subset:  AIM; IM; X    
Department of Medicine and Epidemiology, University of Washington, Seattle 98122, USA.
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MeSH Terms
Chi-Square Distribution
HIV Seropositivity / epidemiology
Middle Aged
Retrospective Studies
Sexual Behavior
Sexual Partners
Statistics, Nonparametric
Substance-Related Disorders / epidemiology
Syphilis / epidemiology*,  prevention & control
Washington / epidemiology
Grant Support
A107140//PHS HHS; A131448//PHS HHS
Comment In:
Am J Public Health. 1999 Jul;89(7):995-7   [PMID:  10394305 ]

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