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Sexually Transmitted Diseases: The Facts II

Posted by: generic cialis on 30 May, 2008

 Syphilis

There were 69,888 cases of syphilis reported in 1984, giving a rate of 29.9 cases per 100,000 population. Primary and secondary syphilis accounted for 28,607 cases in 1984, or 41% of all cases. 247 cases of congenital syphilis were reported in 1984.

Males accounted for 72% of the reported cases of primary and secondary syphilis in 1984, females 28%. Persons aged 20-29 accounted for 52.4% of all cases of primary and secondary syphilis that year.
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Males aged 20-24 recorded the highest rate of primary and secondary syphilis in 1984: 53.7 cases per 100,000 population, 2.9 times the rate for all males.

Regional variation in rates of sexually transmitted diseases were marked in 1984. Georgia had a gonorrhea rate (743.2) that was 13 times the rate in North Dakota (57.3), while Florida had a total syphilis rate (76.4) that was 127 times the rate in Vermont (0.6).

Pelvic Inflammatory Disease

Identifying the causal organism in patients with PID is difficult. Estimates vary ranging from 20%-80% of cases of PID caused by Neisseria gonorrhea and 25%-50% being caused by Chiamydia trachomatis.

In 1984, an estimated 1,005,400 women experienced an episode of pelvic inflammatory disease (PID), and at least one-quarter of those women suffered one or more serious, long-term sequelae.

There were an estimated 267,700 hospitalizations from PID in 1984, with 44% (118,900) resulting in surgical procedures.

50% of the women hospitalized for PID in 1984 were ages 20-29, for a rate of 6.3 hospitalizations for PID per 1,000 women ages 20-29. Nonwhite women ages 15-45 are 2.0 times as likely to be hospitalized for PID as comparable white women.

28% of Black women of reproductive age have ever been treated for PID compared to 13% of comparable white women, according to a 1982 National Survey of Family Growth.

The risk for both ectopic pregnancy and infertility increases seven-fold after one episode of PID.

An estimated 20% of women with PID become involuntarily infertile, or about 200,000 women per year.
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An estimated 50% of ectopic pregnancies occur as a result of previous infections of PID, accounting for an estimated 26,100 ectopic pregnancies per year.

Estimates of the number of annual deaths from PID range from 150-1,200. An estimated 24 maternal deaths occur annually among women with PID-associated ectopic pregnancy.



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