Document Detail


Elimination and reintroduction of primary and secondary syphilis.
MedLine Citation:
PMID:  10394323     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
L A Williams; J D Klausner; W L Whittington; H H Handsfield; C Celum; K K Holmes
Related Documents :
7935313 - Human rabies--miami, 1994.
8949593 - Excessive libido in a woman with rabies.
22389893 - Hip hemiarthroplasty periprosthetic loosening caused by papillary ovarian carcinoma met...
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    
Affiliation:
Department of Medicine and Epidemiology, University of Washington, Seattle 98122, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Chi-Square Distribution
Female
HIV Seropositivity / epidemiology
Humans
Incidence
Male
Middle Aged
Retrospective Studies
Sexual Behavior
Sexual Partners
Statistics, Nonparametric
Substance-Related Disorders / epidemiology
Syphilis / epidemiology*,  prevention & control
Washington / epidemiology
Grant Support
ID/Acronym/Agency:
A107140//PHS HHS; A131448//PHS HHS
Comments/Corrections
Comment In:
Am J Public Health. 1999 Jul;89(7):995-7   [PMID:  10394305 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The relation of gestation length to short-term heat stress.
Next Document:  Name-based reporting of HIV-positive test results as a deterrent to testing.