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Selective Screening to Augment Syphilis Case-Finding—Dallas, 1991

[+] Author Affiliations

Syphilis with a duration of less than 1 year.

These included in the Behavior Modification Research Project of the HIV Census Tract, Project Impact and the Parent Mentor Project of the Texas Department of Human Services, the Minority HIV Prevention Project of the Dallas Urban League, and the Dallas Council on Alcohol and Drug Abuse.

State law requires that every patient be offered the choice of either anonymous or confidential HIV-antibody testing.

Cluster investigation methods and the cluster interview are methods to identify persons at high risk for syphilis other than those who were sex partners of the person being interviewed.


Arch Dermatol. 1993;129(8):956-957. doi:10.1001/archderm.1993.01680290028003
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INCREASED USE of crack cocaine and the exchange of sex for drugs have been major contributors to the increased occurrence of syphilis in U. S. urban, minority populations.1-3 Because many persons who use drugs do not voluntarily seek health care,1-4 and because their sex partners are often difficult to locate,5 a substantial number of persons may have undiagnosed syphilis infections, thereby contributing to continuing transmission. Because of the continuing increase in the number of persons in Dallas County (1990 population: 1.8 million), Texas, in whom early syphilis* had been diagnosed, and who had reported having sex partners at crack motels and crack houses (i.e., places where crack cocaine was sold), in February 1991, the Dallas Countywide Health Department (DCHD) developed a sexually transmitted disease (STD) screening program aimed specifically at those sites. This report describes Dallas County's selective screening program and summarizes results of the program from

REFERENCES

CDC.  Alternative case-finding methods in a crack-related syphilis epidemic-Philadelphia . MMWR 1991;;40:77-80.
Aral SO, Holmes KK.  Sexually transmitted diseases in the AIDS era . Sci AM 1991;;264:62-9.
Rolfs RT, Goldberg M, Sharrar RG.  Risk factors for syphilis: cocaine use and prostitution . Am J Public Health 1990;;80:853-7
Marx R, Aral SO, Rolfs RT, Sterk CE, Kahn JG.  Crack, sex, and STD . Sex Transm Dis 1991;;18: 92-101.
Greenberg J, Schnell D, Conlon R.  Behavior of crack cocaine users and their impact on early syphilis intervention . Sex Transm Dis 1992;;19: 346-50.
CDC.  Epidemic early syphilis-Montgomery County, Alabama, 1990-1991 . MMWR 1992;;42:790-4.
Bowser BP.  Crack and AIDS: an ethnographic impression . J Natl Med Assoc 1989;;81:538-40.
CDC.  Epidemic early syphilis-Escambia County, Florida, 1987 and July 1989-June 1990 . MMWR 1991;;40:323-5.
CDC.  Gang-related outbreak of penicillinase-producing Neisseria gonorrhea and other sexually transmitted diseases-Colorado Springs, Colorado, 1989-1991 . MMWR 1993;;42:25-8.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

CDC.  Alternative case-finding methods in a crack-related syphilis epidemic-Philadelphia . MMWR 1991;;40:77-80.
Aral SO, Holmes KK.  Sexually transmitted diseases in the AIDS era . Sci AM 1991;;264:62-9.
Rolfs RT, Goldberg M, Sharrar RG.  Risk factors for syphilis: cocaine use and prostitution . Am J Public Health 1990;;80:853-7
Marx R, Aral SO, Rolfs RT, Sterk CE, Kahn JG.  Crack, sex, and STD . Sex Transm Dis 1991;;18: 92-101.
Greenberg J, Schnell D, Conlon R.  Behavior of crack cocaine users and their impact on early syphilis intervention . Sex Transm Dis 1992;;19: 346-50.
CDC.  Epidemic early syphilis-Montgomery County, Alabama, 1990-1991 . MMWR 1992;;42:790-4.
Bowser BP.  Crack and AIDS: an ethnographic impression . J Natl Med Assoc 1989;;81:538-40.
CDC.  Epidemic early syphilis-Escambia County, Florida, 1987 and July 1989-June 1990 . MMWR 1991;;40:323-5.
CDC.  Gang-related outbreak of penicillinase-producing Neisseria gonorrhea and other sexually transmitted diseases-Colorado Springs, Colorado, 1989-1991 . MMWR 1993;;42:25-8.

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