Amstey M S
Department of Obstetrics and Gynecology, University of Rochester, School of Medicine and Dentistry, New York.
Womens Health Issues. 1994 Spring;4(1):16-9. doi: 10.1016/s1049-3867(05)80105-7.
The history of syphilis control from the mid-19th century through the present time is a strong argument for the need to enhance the public health efforts to find cases of human immunodeficiency virus (HIV) infection and to notify the partners of infected individuals. To do this, public policy must be changed to allow better case-finding (mandatory testing) and partner notification (mandatory reporting). The history of syphilis is such that one person in 22 was infected in this country in 1918. If we are to use this history to control the current HIV epidemic, control measures used for syphilis (before penicillin) are needed; these are equal attention to education, available health care, case-finding, and partner notification.
从19世纪中叶至今的梅毒防治历史有力地证明了，有必要加强公共卫生工作，以发现人类免疫缺陷病毒（HIV）感染病例，并通知感染者的性伴侣。要做到这一点，必须改变公共政策，以实现更好的病例发现（强制检测）和性伴侣通知（强制报告）。梅毒的历史表明，1918年美国每22人中就有1人感染。如果我们要用这段历史来控制当前的HIV疫情，就需要采用梅毒（在青霉素出现之前）的控制措施，即同等重视教育、可获得的医疗保健、病例发现和性伴侣通知。
