Sexually transmitted diseases in the 1990s. Global epidemiology and challenges for control.

摘要: Epidemiologic trends of STD are strikingly different in various parts the world. In Northern and Western Europe there has been a spectacular decline incidence STD, particularly gonorrhea syphilis. It is probably due to combination an early initiation sex education at school, behavior change, condom promotion, wide availability treatment. The situation North America far more complex, with geographic areas large population groups having low levels others continuing experience epidemic inner-city minority populations United States. developing countries both prevalence still very high STDs major public health problem making up second cause healthy life lost women 15 45 years age after maternal morbidity mortality. "Business as usual" clearly not acceptable any longer. A better understanding determinants epidemiology essential for effective approach control well recognizing limitations each single intervention, be it medical or behavioral. challenges mobilize political commitment funds, transfer small scale interventions into programs, apply right mix approaches, including medical, behavioral, societal interventions.