San Francisco Chronicle - Friday, September 26, 2003
Christopher Heredia
The plan calls for increasing the number of testing sites, including a new gay men's health center in the Castro, and raising awareness among gay men and their doctors about testing for sexually transmitted diseases.
By year's end, local health officials estimate there will be 750 new syphilis cases in San Francisco, compared to 494 last year and 10 cases in 1998. Most of the new cases are among gay and bisexual men, officials said.
Community groups and health officials attribute the rise in syphilis infections to "prevention message fatigue" and say men are not as vigilant about using condoms, partly due to the availability of antiviral AIDS medications.
Syphilis produces a painless ulcer or sore that is curable with antibiotics, but left undetected and untreated, it can increase the chances for HIV transmission to occur.
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