Abstract SINCE 1984, in many areas of the United States, reported rates of syphilis have greatly increased.1 Between 1984 and 1987, annual rates of syphilis (primary and secondary) increased 70% in the state of Connecticut and 74% in the city of Philadelphia (Figure 1). These trends have continued in 1988; in the first quarter of this year, annualized rates increased by 70% in Connecticut and by 25% in Philadelphia compared with 1987 annual rates. Investigations were conducted at these two sites to identify factors associated with this increase. In Philadelphia and Connecticut, over 80% of all newly diagnosed patients with early syphilis are interviewed and counseled. Cases are detected through reporting by public clinics and private health-care providers and through laboratory screening. During the interviews, information is collected about patients' lifestyles to help locate sexual contacts. In Philadelphia and Connecticut, records from these interviews were abstracted and analyzed for the References 1. CDC. Syphilis and congenital syphilisUnited States, 1985-1988 . MMWR 1988;37:486-9. 2. Brandt AM. The syphilis epidemic and its relation to AIDS . Science 1988;239:375-80.Crossref 3. Willcox RR. Prostitution and venereal disease . Br J Vener Dis 1962;38:37-42. 4. Perine PL, Handsfield HH, Holmes KK, Blount JH. Epidemiology of the sexually transmitted diseases . Ann Rev Public Health 1985;6:85-106.Crossref 5. CDC. Increases in primary and secondary syphilis—United States . MMWR 1987;36:393-7. 6. Lee CB, Brunham RC, Sherman E, Harding GKM. Epidemiology of an outbreak of infectious syphilis in Manitoba . Am J Epidemiol 1987; 125:277-83. 7. CDC. Early syphilis—Broward County, Florida . MMWR 1987;36:221-3. 8. CDC. Continuing increase in infectious syphilis—United States . MMWR 1988;37:35-8. 9. CDC. Human immunodeficiency virus infection in the United States: a review of current knowledge . MMWR 1987;36( (suppl S-6) ):8. 10. Cameron DW, D'Costa LJ, Ndinya-Achola JO, Piot F, Plummer FA. Incidence and risk factors for female to male transmission of HIV (Abstract) . IV International Conference on AIDS. BO = -1. Stockholm, June 12-16, 1988 :275. 11. Simonsen JN, Cameron DW, Gakinya MN, et al. Human immunodeficiency virus infection among men with sexually transmitted diseases: experience from a center in Africa . N Engl J Med 1988;319:274-8.Crossref 12. Holmberg SD, Stewart JA, Gerber AR, et al. Prior herpes simplex virus type 2 infection as a risk factor for HIV infection . JAMA 1988; 259:1048-50.Crossref 13. Abstracted interviews consisted of all those conducted in the first 3 months of 1985 and 1986 and a systematically selected sample of two-thirds of interviews conducted in the first 3 months of 1987.
Archives of Dermatology – American Medical Association
Published: Feb 1, 1989