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- $Unique_ID{BRK00024}
- $Pretitle{}
- $Title{Has Syphilis Disappeared?}
- $Subject{sex syphilis antibiotic Infections Infection genitourinary
- spectinomycin gonorrhea penicillin sexually transmitted diseases std venereal
- disease vd sexual behavior behaviors lifestyle lifestyles}
- $Volume{J-23}
- $Log{
- Sexually Transmitted Disease: Syphilis*0006402.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Has Syphilis Disappeared?
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- QUESTION: With new cries for safe sex, has syphilis disappeared?
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- ANSWER: This is an interesting question, though the answer is rather sad.
- Syphilis still remains a major health problem with serious consequences. In
- the first three months of 1987, over 8,000 cases of early syphilis were
- reported in the United States, marking a 23 percent increase over the same
- period in 1986. The largest percent of the increase occurred in New York,
- California, and Florida, affecting heterosexual blacks and women the most.
- Because safe sex and disease control are major current concerns, this
- rapid upturn in syphilis is an important issue and several explanations for it
- are being explored. For the past few years, a drug called spectinomycin has
- frequently been used for treating gonorrhea instead of penicillin, which is
- the antibiotic choice for eradicating syphilis. Spectinomycin is ineffective
- in killing incubating syphilis and since the increase in the disease
- corresponds geographically to areas using this new drug, many specialists
- believe that the lack of penicillin treatment could be contributing to the
- problem.
- Another possible explanation for the rise in syphilis has been attributed
- to the current focus on AIDS and HIV infection. It is believed that the AIDS
- crisis has diverted the attention of health care professionals away from other
- serious sexually transmitted diseases. Thus, syphilis may not be getting the
- attention it should.
- A third possibility for the problem involves penicillin treatment itself.
- There is an increasing number of reports on treatment failures of primary and
- secondary syphilis, leading experts to question penicillin's ability to cure
- syphilis, particularly in immunocompromised individuals.
- Whatever the case, syphilis is by no means disappearing. At present, the
- only real approach for handling the rise in the disease is to attempt early
- detection and treatment.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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