Willcox R R
Br J Vener Dis. 1976 Apr;52(2):88-93. doi: 10.1136/sti.52.2.88.
No new method of control of the sexually transmitted diseases is imminent. Reliance has to be placed on existing methods including health education. Health education has a double role, being a primary method in its own right, and--of equal or greater importance--being involved in the enforcement of all of the other tried methods. A comparison is made of the situation in countries with a developed or an underdeveloped venereal disease control service, in respect of organization, statistical reporting, the various agencies treating venereal disease, clinic and diagnostic facilities, personnel concerned in venereal disease management, and other aspects. The vicious circle inherent in developing countries is outlined. A lack of awareness of the extent of the problem and the presence of other serious competing diseases lead to a low budget, thence to poor diagnostic and treatment facilities, and to few cases being seen in the official clinics and hospitals. Thus relatively small numbers of cases are reported and there is consequently a continuing lack of awareness of the problem. A method of cutting through such a circle is suggested, and the importance of health education activities during this period is emphasized.
目前尚无即将出现的控制性传播疾病的新方法。必须依靠包括健康教育在内的现有方法。健康教育具有双重作用,它本身就是一种主要方法,而且——同等重要或更重要的是——参与所有其他经过试验的方法的实施。本文比较了性病防治服务发达或不发达的国家在组织、统计报告、治疗性病的各种机构、诊所和诊断设施、性病管理相关人员以及其他方面的情况。概述了发展中国家固有的恶性循环。对问题严重程度缺乏认识以及存在其他严重的竞争性疾病导致预算低,进而导致诊断和治疗设施差,在官方诊所和医院就诊的病例少。因此报告的病例数量相对较少,结果是对该问题仍然缺乏认识。本文提出了一种打破这种循环的方法,并强调了在此期间健康教育活动的重要性。