Abstract
While the rates per 100,000 for syphilis and gonorrhea are lower than those for the USA as a whole, the trends since 1970 have been less satisfactory in the state of Hawaii than for the whole of the USA. While the disturbing increasing incidence of primary and secondary syphilis was checked in 1977, that of gonorrhea continues to rise. The number of cases of gonorrhea also increased in Guam and the Trust Territory of the Pacific Islands but there was a recent fall from earlier peak figures. The pattern of venereal disease in the most developed Pacific islands, is thus gradually approaching what may be expected elsewhere in modern western society; this trend will probably continue.