A new approach to gonorrhea control. The asymptomatic man and incidence reduction

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Abstract
Reduction of gonorrhea incidence in the USA continues to resist public health intervention. Control strategies currently in use are associated with containment of the disease; approximately 1 million cases have been reported annually since 1975. Control efforts emphasize treatment of symptomatic men and the detection of asymptomatic women. Asymptomatic gonorrhea in men is well-known clinically, but its epidemiologic significance is not detailed. More than 60% of the infected partners of certain selected women are asymptomatic. By focusing control resources on these women and removing their asymptomatic partners from the disease reservoir, a substantial reduction in gonorrhea incidence can be expected.

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