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2.  The American perspective. 
PMCID: PMC1045077  PMID: 4217205
7.  Teaching of genitourinary medicine (venereology) to undergraduate medical students in Britain. 
Twenty-six medical schools in the United Kingdom have recently taken part in a survey on the teaching of genitourinary medicine (venereology) to undergraduates. Four of the schools were unable to run their own formal lecture courses and a further three could not offer clinical attachments. The mean number of lectures given per centre was six, clinic attendances 10 hours, and total teaching time (lectures and clinical attachment combined) 15 hours. This represents a reduction in teaching hours over the last 15 years and contrasts with the ever-increasing clinical problems associated with the sexually transmitted diseases.
PMCID: PMC1045909  PMID: 6894559
8.  Sexual behaviour and sexually transmitted disease patterns in male homosexuals. 
Male homosexual behaviour is not simply either "active" or "passive", since penile-anal, mouth-penile, and hand-anal sexual contact is usual for both partners, and mouth-anal contact is not infrequent. A simplified method for recording sexual behaviour--a "sexual behaviour record (SBR)"--can be of value in determining the sites to be investigated and as a basis for further epidemiological questioning. Mouth-anal contact is the reason for the relatively high incidence of diseases caused by bowel pathogens in male homosexuals. Trauma may encourage the entry of micro-organisms and thus lead to primary syphilitic lesions occurring in the anogenital area. Similarly, granuloma inguinale, condylomata acuminata, and amoebiasis may be spread from the bowel of the passive homosexual contact. In addition to sodomy, trauma may be caused by foreign bodies, including stimulators of various kinds, penile adornments, and prostheses.
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PMCID: PMC1045908  PMID: 6894558
9.  The rectum as viewed by the venereologist. 
About 2-2 1/2 million people do, or will repeatedly, participate in ano-rectal sexual intercourse in Britain alone. The anus and the rectum of these individuals are thus vulnerable to all the sexually transmitted diseases (except trichomoniasis). Male homosexuals appear to be more prone to these conditions than female heterosexuals, possibly because a large minority is indiscriminately promiscuous. Over the last 20 years homosexually acquired infections--particularly syphilis--have increased in Britain; these are now more readily admitted to because of changes in the law and in public opinion. The frequent changes of sexual partner among male homosexuals is the most notable epidemiological factor in the spread of venereal disease.
PMCID: PMC1045856  PMID: 6894100
10.  Venereal diseases in the Pacific Islands. Papua New Guinea. 
Papua New Guinea, which contains nearly three-quarters of the population of the 20 islands, or island groups, studied by the South Pacific Commission has a commensurate proportion of reported cases of syphilis and gonorrhoea. It is a country with an exceptional interest for the venereologist as it exhibits all the facets of venereal disease problems as experienced the world over. With the opening up of communications syphilis has gained a foothold in what were areas previously endemic with yaws; moreover, some yaws still remains (particularly in the offshore islands)--the two conditions tending to be mutually exclusive. In the area around the capital, Port Moresby, the prevalence of Donovanosis is unparalleled.
PMCID: PMC1045805  PMID: 6893568
11.  Venereal diseases in the islands of the South Pacific. 
The island territories of the South Pacific vary considerably in area and in size of population; Pitcairn has a population of 100 in two square miles whereas Papua New Guinea has a population of 2,990,000 in approximately 175,000 square miles. Today the whole ocean is traversed by air routes. Recently, the prevalence of gonorrhoea has decreased in the northern region but increased in the eastern and western; in all these regions the reported prevalence exceeds 200 cases per 100,00 population. In an area where yaws was once widespread, syphilis is being increasingly recognised. Although the figures for syphilis are clearly higher because of the greater use of serological screening, many of the reported cases are of early infection. Yaws has been eliminated from most of the South Pacific Islands but is still present in the western region--more than 99% of the reported cases occurring in Papua New Guinea, particularly in the offshore islands.
PMCID: PMC1045778  PMID: 7427693
12.  Venereal diseases in the islands of the North Pacific. 
Apart from the Japanese islands, and those of Karabati (lately Gilbert Islands), which lie just north of the equator, the islands of the northern Pacific Ocean are either American owned or otherwise administered. Even the Japanese islands were controlled by the USA for varying numbers of years after the second world war. Venereal disease statistics from Guam, the Trust Territory of the Pacific Islands, and the Gilbert Islands have been collated by the South Pacific Commission and will be presented in a second paper. Those from the Hawaiian Islands (the fiftieth state of the USA) are published by the United States Public Health Service and include those from Honolulu, the capital. While the rates per 100 000 for both syphilis and gonorrhoea are lower than those for the USA as a whole, the trends since 1970 have been less satisfactory in the state of Hawaii than for the whole of the United States. While the disturbing increasing incidence of primary and secondary syphilis was checked in 1977, that of gonorrhoea has continued to rise. The number of cases of gonorrhoea also increased in Guam and the Trust Territory of the Pacific Islands but there has been a recent fall from earlier peak figures. The pattern of venereal disease in the most developed Pacific islands is thus gradually approaching what may be expected elsewhere in modern western society and it would seem logical to expect that this trend will continue.
PMCID: PMC1045762  PMID: 6893564
13.  VD education in developing countries. A comparison with developed countries. 
No new method of control of the sexually transmitted diseases is imminent. Reliance has to be placed on existing methods including health education. Health education has a double role, being a primary method in its own right, and--of equal or greater importance--being involved in the enforcement of all of the other tried methods. A comparison is made of the situation in countries with a developed or an underdeveloped venereal disease control service, in respect of organization, statistical reporting, the various agencies treating venereal disease, clinic and diagnostic facilities, personnel concerned in venereal disease management, and other aspects. The vicious circle inherent in developing countries is outlined. A lack of awareness of the extent of the problem and the presence of other serious competing diseases lead to a low budget, thence to poor diagnostic and treatment facilities, and to few cases being seen in the official clinics and hospitals. Thus relatively small numbers of cases are reported and there is consequently a continuing lack of awareness of the problem. A method of cutting through such a circle is suggested, and the importance of health education activities during this period is emphasized.
PMCID: PMC1045226  PMID: 946787
14.  Importance of the so-called 'other' sexually-transmitted diseases. 
(1) Some data are presented concerning the frequency and potential morbidity of sexually-transmitted organisms other than T. pallidum or N. gonorrhoeae. (2) Most of the diseases with which these organisms are associated are more prevalent than syphilis and some, at least in one sex, are as common as gonorrhoea. A number appear to carry considerable morbidity, which in the case of Type II herpes virus--if it is responsible for cervical cancer--may ultimately cause more fatalities than syphilis. (3) It is concluded: (a) that, if syphilis and gonorrhoea were reduced to the point of representing no public health concern, many other sexually-transmitted conditions would still remain to pose significant problems: and (b) that health education and other methods of prevention should, where possible, be designed to take into consideration the epidemiological implications of the other organisms listed.
PMCID: PMC1046554  PMID: 168937
15.  Minocycline in the treatment of non-gonococcal urethritis. 
108 male patients with non-gonococcal urethritis have been treated with minocycline given as two 100 mg. tablets initially, followed by one tablet twice a day over a period of 6 days (13 tablets). Of 96 patients followed, re-treatment for non-gonococcal urethritis within 3 months was undertaken in ten (10.4 per cent.). The findings are compared with those previously reported in seven series involving six other tetracyclines and with nine other treatment regimens. All of the tetracyclines proved superior to other agents and the best results combined with simplicity of administration were obtained with minocycline. Two patients complained of soreness of the mouth after 1 week but no other side-effects were reported. Minocycline thus gives excellent results in the treatment of non-gonococcal urethritis. In the dosage used it was also successful against gonorrhoea in seven patients treated. It is therefore particularly useful in cases in which gonorrhoea is suspected but not found in the smears or in which the smears cannot be read immediately.
PMCID: PMC1045153  PMID: 1139279
19.  A world-wide view of venereal disease. 
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PMCID: PMC1048300  PMID: 4560724

Results 1-25 (40)