| Titre : | Elimination and reintroduction of primary and secondary syphilis. (1999) |
| Auteurs : | L.A. Williams ; C. CELUM ; H.H. HANDSFIELD ; K.K. HOLMES ; J.D. KLAUSNER ; W.L.H. WHITTINGTON ; Departments of Medicine and Epidemiology and the Center for Aids and Std. University of Washington. Seattle. USA ; Seattle-King County. Department of Public Health. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 89, n° 7, 1999) |
| Pagination : | 1093-1097 |
| Langues: | Anglais |
| Mots-clés : | Syphilis ; Bactériose ; Infection ; Toxicomane ; Homme ; Sexe ; Etats Unis ; Amérique ; Surveillance épidémiologique ; Epidémiologie ; Facteur risque ; Toxicomanie ; Stupéfiant ; Prostitution ; Homosexualité ; Comportement sexuel ; Maladie sexuellement transmissible ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST 8siNvR0x. Diffusion soumise à autorisation]. Objectives, This study was conducted to define factors associated with the epidemic spread, clinination, and reintroduction of primary and seconlary syphilis is King County, Washington. from 1987 through 1998. Methods. Reports of primary and secondary syphila in King County from 1987 through 1998 were reviewed retrospectively. Results. During the epidemic spread of syphilis, only 19.8% of cases were imported. A total of 24.0% of patients reported cocalac use, and 18.3% of female patients reported hasing commgrcial sex. During the elimination of syphilis, significantly higher percentagea of cases were imported and lower percentages of patients repocted cocaine use or female commcroal sex. During the reintroduction of syphlis in 1997~1998,68% of patients were men who reported sex with man ; of this 68%. 66% were sere-positiva the HIV. Most men reporting sex with men were 30 years or older and reoraited 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 recapaulates the epidemiology of syphdes before the historical advent of AIDS, warranting immediate astention to this problem. |
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