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Document 2586
DOCN M94A2586
TI Sexually transmitted diseases in the western Pacific region.
DT 9412
AU Petersen G; Sarda R; Effler P; Kerse L; WHO Regional Office for the
Western Pacific.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):270 (abstract no. PB0511). Unique
Identifier : AIDSLINE ICA10/94369989
AB OBJECTIVE: To develop an overview of STD surveillance and control in the
Western Pacific Region. METHODS: Examination of official surveillance
reports and review of information collected at sentinel sites. RESULTS:
The frequency of reporting for sexually transmitted diseases varies
between countries; country reports were adequate for studying trends in
only 11 of 35 countries. The frequency of reporting was indirectly
correlated with population size. Overall, the countries that reported
regularly account for just 5.7% of the total population of the Region.
Review of the data shows that trends in reported cases of gonorrhoea
have declined in some countries since 1987 but have remained at high
levels in others. Reported rates (per 100,000) for cases of gonorrhoea
in 1991 varied from less than six in Cambodia and China, to over 500 in
Papua New Guinea. The incidence of penicillinase-producing Neisseria
gonorrhoeae (PPNG) appears to be increasing; nearly 17% of strains are
resistant to penicillin in some Australian cities, 43% in Singapore and
60% in Malaysia. Overall rates of reported syphilis are lower than rates
for gonorrhoea and appear to be stable or gradually declining; estimated
rates of syphilis varied from about 20 per 100,000 in French Polynesia
to over 100 in Papua New Guinea. Sexually transmitted diseases other
than gonorrhoea and syphilis (i.e NGU, condyloma acuminata, chancroid,
and genital herpes) are not routinely reported; available evidence
suggests however, that these infections may be quite prevalent, perhaps
more common than gonorrhoea or syphilis. In the Philippines, gonorrhoea
and syphilis accounted for 24.1% of 72,550 reported sexually transmitted
diseases in 1991, the majority of cases being due to non-gonoccocal
urethritis (68.9%). A recent study in Fiji among pregnant women found
22% were infected with chlamydia. CONCLUSIONS: The recognition of
sexually transmitted diseases as a significant co-factor in the spread
of HIV has led to their resurgence as a major public health issue. STD
and HIV prevention activities need to be well coordinated. Regional
activities should emphasize facilitating access to STD care and
prevention initiatives, improving clinical management, strengthening
detection and reporting abilities, and encourage STD care seeking
behaviours.
DE Asia, Southeastern/EPIDEMIOLOGY Australia/EPIDEMIOLOGY Comparative
Study Cross-Cultural Comparison Gonorrhea/EPIDEMIOLOGY Human
*Population Surveillance Sexually Transmitted Diseases/*EPIDEMIOLOGY
Syphilis/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).