QUESTION: With new cries for safe sex, has syphilis disappeared?
ANSWER: This is an interesting question, though the answer is rather sad. Syphilis still remains a major health problem with serious consequences.
In the first three months of 1987, over 8,000 cases of early syphilis were reported in the United States, marking a 23 percent increase over the same period in 1986.
The largest percent of the increase occurred in New York, California, and Florida, affecting heterosexual blacks and women the most. Because safe sex and disease control are major current concerns, this rapid upturn in syphilis is an important issue and several explanations for it are being explored.
For the past few years, a drug called spectinomycin has frequently been used for treating gonorrhea instead of penicillin, which is the antibiotic choice for eradicating syphilis.
Spectinomycin is ineffective in killing incubating syphilis and since the increase in the disease corresponds geographically to areas using this new drug, many specialists believe that the lack of penicillin treatment could be contributing to the problem. Another possible explanation for the rise in syphilis has been attributed to the current focus on AIDS and HIV infection.
It is believed that the AIDS crisis has diverted the attention of health care professionals away from other serious sexually transmitted diseases.
Thus, syphilis may not be getting the attention it should. A third possibility for the problem involves penicillin treatment itself. There is an increasing number of reports on treatment failures of primary and secondary syphilis, leading experts to question penicillin's ability to cure syphilis, particularly in immunocompromised individuals. Whatever the case, syphilis is by no means disappearing.
At present, the only real approach for handling the rise in the disease is to attempt early detection and treatment.
The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician.
Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.
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