AEGiS-BAR: Syphilis doubles in NYC in 2007: Gay men lead Bay Area ReporterImportant note: Information in this article was accurate in 2007. The state of the art may have changed since the publication date.
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Syphilis doubles in NYC in 2007: Gay men lead

Bay Area Reporter - July 12, 2007
Bob Roehr


The number of new cases of syphilis in New York City more than doubled during the first three months of 2007 compared with the year before. Reported cases of primary and secondary syphilis increased from 128 to 260 over the period, with men constituting 96 percent of the total.

The number of syphilis cases in the city declined sharply during most of the 1990s but began rising again at the end of the decade. Rates leveled off in 2005 and 2006, before jumping again this year.

"Interviews with patients suggest that the increase is concentrated among men who have sex with men, especially in the Chelsea area of Manhattan," the NYC Health Department said in a statement released July 9. The incidence of new infections among white men has increased threefold.

"The level of unsafe sexual behavior among HIV-positive men is deeply concerning," said Dr. Monica Sweeney, the department's assistant commissioner for HIV prevention. "Syphilis and HIV are both preventable, and we know how: reduce the number of sexual partners and use condoms every time you have sex."

San Francisco experienced a spike in new syphilis cases several years ago but initiated an aggressive screening program that has cut the rate substantially over the last two years.

Figures as of May show 92 cases of primary and secondary syphilis so far in 2007, according to the San Francisco health department's monthly STD report.

New York is offering confidential screening through city and community health clinics. It has distributed more than 15 million of its own NYC brand of condoms since Valentine's Day, and is working aggressively with stakeholders to reduce the number of new infections.


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