treatments - issue 85/86
the GOINGS and COMINGS OF STIs
positive nation

The safer sex era - and after
These events and the research into preventive strategies and ‘Contact Tracing’ influenced the 1968 and 1974 National Health Service (Venereal Diseases) Regulations that promoted further to development of the sexual health services into the kind of clinics available today.
With the advent of HIV in the early 1980s, the resulting prevention campaigns, and a rise in public awareness, there was a dramatic decrease in both syphilis and gonorrhoea that continued until 1993.
But from 1993, there was a slow but steady increase in the number of cases of gonorrhoea. Whilst this rise was reported on a year-by-year basis, the trend and its possible significance was not emphasised until a 1999 publication from the Public Health Laboratory Service (PHLS).

In its review of the data collected in the previous six years, the PHLS alerted the nation to a 39 per cent increase in rectal gonorrhoea reports between 1993 and 1999 and a 60 per cent increase in gonorrhoea reports in gay men in the Thames (London) region during the same period.
The authors of the report said that some of this increase may have been due to more stringent reporting requirements for gonorrhoea that were introduced in 1995. Nonetheless, the report showed that in 1998 there were just over 13,000 reports of gonorrhoea and in 1999, 16,500 - an increase of 25 per cent in only one year.
These figures were indications that the changes in sexual behaviour during the late 80s and early 90s were not being sustained.

The latest figures
This trend seems to have been further emphasised by this summer’s report from the PHLS.
The data shows that the diagnoses of gonorrhoea have risen by eight per cent in men and six per cent in women between 2000 and 2001. Genital chlamydia is also very high with a total of 71,055

diagnoses in 2001. This makes it the most commonly diagnosed STI. But chlamydia is often asymptomatic, and these figures may reflect an increase in public awareness and

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