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The public health response to the re-emergence of syphilis in Wales, UK

Thomas, Daniel Rhys, Cann, K. F., Evans, Meirion Rhys, Roderick, J., Browning, M., Birley, H. D. L., Curley, W., Clark, P., Northey, Gemma, Caple, S. and Lyons, M. 2011. The public health response to the re-emergence of syphilis in Wales, UK. International Journal of STD & AIDS 22 (9) , pp. 488-492. 10.1258/ijsa.2011.011048

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During the 1990s, cases of infectious syphilis were uncommon in Wales. In 2002, an outbreak occurred in a sexual network of men who have sex with men (MSM) attending a sauna. A multidisciplinary outbreak control team was convened to raise awareness of the outbreak among MSM and health professionals, assess the extent of outbreak, and initiate surveillance measures. It is likely that early intensive control efforts dampened the epidemic curve. However, since 2006 the number of cases has increased steadily to a peak of four cases per 100,000 population in 2008. The majority of cases continue to occur in MSM (81% in 2009) and in those attending genitourinary (GU) medicine clinics in south east Wales (76%). Traditional sexual networks such as saunas, bars/clubs and cruising grounds remain frequently reported, but Internet-based networks are assuming increasing importance. Public health interventions have been sustained, using traditional partner notification, health promotion initiatives, and more innovative Internet network tracing methods.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine
Uncontrolled Keywords: Syphili ; Disease outbreak ; Population surveillance ; Incidence ; Sexual behavior ; Steam bath ; Wales ;, MSM
Publisher: Royal Society of Medicine Press
ISSN: 0956-4624
Last Modified: 08 Jan 2020 04:14

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