Crook P D, Paine T C, Davis M, Fenton K A
HIV/STI Division, PHLS Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ.
Commun Dis Public Health. 2002 Jun;5(2):163-4.
Recent outbreaks of infectious syphilis across England raise concerns about the possibility of similar occurrences in London and highlight the inability of routine surveillance to detect outbreaks in a timely fashion. A rapid assessment exercise involving a cross-sectional survey of all London genitourinary medicine (GUM) clinics was therefore undertaken in April 2001, to confirm recent reports of infectious syphilis and the associated demographic and behavioural risk factors. Between 1999 and 2000, the number of diagnoses of infectious syphilis in London rose by 41% from 154 to 217. Largest rises were seen in homosexual males (38 to 67 diagnoses), and this trend persisted into the 1st quarter of 2001. Nearly half of the male homosexual cases where HIV status was known were HIV positive.
近期英格兰各地爆发的传染性梅毒疫情引发了人们对伦敦可能出现类似情况的担忧，并凸显了常规监测无法及时发现疫情的问题。因此，2001年4月开展了一项快速评估行动，对伦敦所有性传播疾病诊所进行横断面调查，以确认近期有关传染性梅毒及其相关人口统计学和行为风险因素的报告。1999年至2000年期间，伦敦传染性梅毒的诊断病例数从154例增至217例，上升了41%。增幅最大的是男同性恋者（从38例诊断增至67例），这一趋势持续到2001年第一季度。在已知艾滋病毒感染状况的男性同性恋病例中，近一半为艾滋病毒阳性。
