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Most of the MSM with syphilis (73 percent) were also infect with HIV.These data represent a dramatic resurgence of the disease in the county, where just four years earlier, in 1996, there were no syphilis cases.CDC's STD Program provides national leadership through research, policy development, and support of effective services to prevent all sexually transmitted diseases and their complications.To accomplish this goal, CDC provides funding and guidance to state and local public health departments and community based organizations to track the course of STD epidemics, raise awareness of STDs, and to design, implement, and evaluate prevention and treatment programs.In the summer of 1999, for example, health officials in San Francisco identified an outbreak of syphilis among gay men who had met their sexual partners in an Internet chat room. D., of the San Francisco Department of Health reported on successful efforts to provide STD prevention information through the Internet following this syphilis outbreak.
By comparison, in 1999 the gonorrhea rate in the remainder of the county's population was approximately 44 to 49 cases per 100,000.The majority of those surveyed knew that penile, oral and anal ulcers are signs of the disease. Following are summaries of key studies presented at the conference: Increasing Gonorrhea Rates in Denver: Another new study found that, following five years of declining gonorrhea rates among MSM in Denver, there was a sharp resurgence in infection rates from 1995 to 1999. D., Director for AIDS at the Denver Department of Public Health, and his colleagues analyzed patient records at the Denver Metro Health Clinic, and found that gonorrhea rates among MSM visiting the clinic dropped from 6.4 percent in 1990 to 5.4 percent in 1995, before they began to increase significantly, to 7.9 percent in 1996 and 12.8 percent in 1999.Gonorrhea rates among HIV-positive MSM also increased during this period, from 9.3 percent in 1995 to 19.7 percent in 1999.He said the changes have significant implications for HIV transmission among MSM and for the Nation's initiative to eliminate syphilis transmission in the United States. From August 1999 through May 2000, the researchers surveyed 904 gay and bisexual men at a variety of clinical settings about their sex and drug use practices.Valdiserri also noted that CDC is studying ways to expand access to effective prevention programs for gay and bisexual men. The men were also offered testing for gonorrhea, chlamydia and syphilis.