MMWR Morb Mortal Wkly Rep. 1999 Sep 10;48(35):773-7.
During the late 1980s and early 1990s, King County, Washington (1998 population: 1.6 million), experienced a substantial epidemic of infectious syphilis (i.e., primary, secondary, and early latent). Subsequently, reported cases of infectious syphilis declined to six cases in 1995 and one in 1996; five of the 1995 cases and the case in 1996 were believed to have been acquired outside King County. However, in 1997, sustained spread of syphilis was reestablished in King County. To determine whether this reemergence was associated with changes in the epidemiology of other sexually transmitted diseases (STDs), Public Health-Seattle and King County (PHSKC) analyzed notifiable STD data for 1997-1999. This report summarizes the results of this analysis, which indicate that infectious syphilis among men who have sex with men (MSM) in King County increased to 46 cases during January-June 1999, and chlamydia and gonorrhea also increased among MSM attending public health clinics.
在20世纪80年代末和90年代初,华盛顿州金县(1998年人口:160万)经历了一次严重的传染性梅毒(即一期、二期和早期潜伏梅毒)流行。随后,报告的传染性梅毒病例在1995年降至6例,1996年降至1例;1995年的6例病例中有5例以及1996年的那例病例被认为是在金县以外感染的。然而,1997年,梅毒在金县再次持续传播。为了确定这种再次出现是否与其他性传播疾病(STD)的流行病学变化有关,西雅图和金县公共卫生部门(PHSKC)分析了1997 - 1999年的法定报告STD数据。本报告总结了该分析结果,结果表明,1999年1月至6月期间,金县男男性行为者(MSM)中的传染性梅毒病例增加到46例,在前往公共卫生诊所就诊的MSM中,衣原体感染和淋病病例也有所增加。