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Registration of Sexually Transmitted Diseases at Municipal Health Services in the Netherlands: annual report 1996

Registratie van Seksueel Overdraagbare Aandoeningen bij GGD-en: jaarverslag 1996

Synopsis

In 1996 the total number of consultations on STD and HIV-testing at STD clinics and municipal health services was 13,226 and increased with 12.5% compared with 1995 (women 18%; men 7%). The total number of diagnosed STD was 4,976 and increased with 10.1% in 1996 compared with 1995 (women 16.9%; men 4.5%). In both men and women an infection with Chlamydia trachomatis was the most common STD; in men followed by gonorrhoea and genital warts; in women followed by candidiasis, bacterial vaginosis and gonorrhoea. The dramatic increase in the number of chlamydial infections (32.8%; women 43.8%; men 22.8%) could not be explained only by the increase in the number of consultations but probably by increased awareness and improved diagnostics as well. Chlamydial infection was diagnosed six times as much as gonorrhoea among women; among men one and a half times as much. However, an almost similar number of women and men were diagnosed with chlamydial infection suggesting that chlamydial infection is less restricted to specific risk groups like gonorrhoea. The number of men with syphilis increased enormously and appeared to be associated with ethnic groups and commercial sex. However, syphilis was diagnosed less often than chlamydial infection and gonorrhoea. Over 6000 consultations concerning HIV antibody testing resulted in 54 seropositive individuals (1% positive test results). Men having sex with men (MSM) were overrepresented in this group. Although this registration is suffering from some shortcomings, it will be the only surveillance system at a national level for STD and HIV in near future. Hence, improvements of the data collection are important for STD and HIV surveillance in general.
 

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