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Global control of sexually transmitted infections

Low, Nicola, Broutet, Nathalie, Adu-Sarkodie, Yaw, Barton, Pelham, Hossain, Mazeda ORCID: 0000-0002-1878-8145 and Hawkes, Sarah (2006) Global control of sexually transmitted infections. Lancet, 368 (9551). pp. 2001-2016. ISSN 0140-6736

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Identification Number: 10.1016/S0140-6736(06)69482-8


Sexually transmitted infections other than HIV are important global health issues. They have, however, been neglected as a public-health priority and control efforts continue to fail. Sexually transmitted infections, by their nature, affect individuals, who are part of partnerships and larger sexual networks, and in turn populations. We propose a framework of individual, partnership, and population levels for examining the effects of sexually transmitted infections and interventions to control them. At the individual level we have a range of effective diagnostic tests, treatments, and vaccines. These options are unavailable or inaccessible in many resource-poor settings, where syndromic management remains the core intervention for individual case management. At the partnership level, partner notification and antenatal syphilis screening have the potential to prevent infection and re-infection. Interventions delivered to whole populations, or groups in whom the risks of infection and onward transmission are very high, have the greatest potential effect. Improvements to the infrastructure of treatment services can reduce the incidence of syphilis and gonorrhoea or urethritis. Strong evidence for the effectiveness of most other interventions on population-level outcomes is, however, scarce. Effective action requires a multifaceted approach including better basic epidemiological and surveillance data, high quality evidence about effectiveness of individual interventions and programmes, better methods to get effective interventions onto the policy agenda, and better advocacy and more commitment to get them implemented properly. We must not allow stigma, prejudice, and moral opposition to obstruct the goals of infectious disease control.

Item Type: Article
Official URL:
Additional Information: © 2006 Elsevier Inc.
Divisions: IGA: Centre for Women Peace and Security
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 15 Oct 2019 09:06
Last Modified: 20 May 2024 09:45

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