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.
Reports of primary and secondary syphila in King County from 1987 through 1998 were reviewed retrospectively.
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.
Mots-clés Pascal : Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Primaire, Secondaire, Homme, Sexe, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Facteur risque, Maladie d'importation, Surveillance sanitaire, Toxicomanie, Drogue illicite, Prostitution, Homosexualité, Comportement sexuel, Maladie sexuellement transmissible, Recrudescence
Mots-clés Pascal anglais : Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, Primary, Secondary, Human, Sex, United States, North America, America, Epidemiology, Risk factor, Imported disease, Sanitary surveillance, Drug addiction, Illicit drug, Prostitution, Homosexuality, Sexual behavior, Sexually transmitted disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0393740
Code Inist : 002B05B02H. Création : 22/03/2000.