Sexually Transmitted Diseases in the 1990s

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Abstract
DURING the 20th century, our efforts to control sexually transmitted diseases (STDs) have been guided by both the magnitude of the problem and the availability of diagnostic and therapeutic measures. We began the 1900s focusing on one dominant STD —syphilis — which could be diagnosed with newly developed serologic techniques and treated with a suppressive therapy.1 Since treatment was not curative, syphilis often led to serious complications. During the next half-century, we saw improvements in our ability to detect and treat syphilis, which led to a striking decline in its incidence.Growing awareness of the serious social implications of gonorrhea, . . .