Archives for November 9, 2005

Gonorrhea Rate Falls and Syphilis Rises

Via CNN: CDC: Gonorrhea rate down; syphilis up – Nov 8, 2005

ATLANTA, Georgia (AP) — Gonorrhea (GC – ed.) has fallen to the lowest level on record in the United States, while the rates of other sexually transmitted diseases — syphilis and chlamydia — are on the rise, federal health officials said Tuesday.

The seemingly paradoxical findings can be explained by the cyclical nature of syphilis outbreaks and a rise in risky sexual behavior among gay men, researchers said.

The nation’s gonorrhea rate fell to 113.5 cases per 100,000 people last year, the lowest level since the government started tracking cases in 1941, according to the Centers for Disease Control and Prevention.

At the same time, health official saw increases in syphilis, which is far more rare but has been increasing since 2000. The rate of reported early-stage syphilis was 2.7 cases per 100,000 in 2004, up 29 percent since 2000.

Let’s not forget that syphilis as an infection is remarkably sensitive to antibiotics, and that it’s dogma that if you have one STD you’ve got more than one. Here’s how I think this happens: GC will make a patient get help, as it is painful and the copious amount of pus generated by GC isn’t something that can be rationalized or ignored. People with syphilis, on the other hand, have symptoms that are much easier to ignore (for the first 5-10 years), and so it’s easier not to get treatment.

Just remember:

original poster from

Syphilis, too.

original poster from:

AMA announces Ethical Requirements for Doctors to be Immunized

Via MedScape comes AMA Spells out Ethics of Quarantine

Nov 08 – Frontline doctors are ethically bound to receive the first vaccinations against impending public health disease outbreaks, according to a new report by the American Medical Association’s Council on Ethics and Judicial Affairs (CEJA).

The report on the ethical considerations surrounding decisions to quarantine or isolate individuals exposed to illness was approved without objection on Monday by the AMA’s House of Delegates.

The article title doesn’t pay off on the title, as it doesn’t discuss the ethics of quarantine. But, as a “Frontline” doc I know I need the immunizations.

Activity Log Oddities

To the person who repeatedly searches this blog for the word “oblation” and/or “oblation surgery”, I’d like to share the following:

  • The only occurrence of the word ‘oblation’ on my blog is in the comments section of this post.
  • ‘Oblation’ in that case is a misspelling of the word ablation, meaning 1. Surgical excision or amputation of a body part or tissue.
  • ‘Oblation’ actually does have a meaning, but it’s not medical: 1. The act of offering something, such as worship or thanks, to a deity.

I’ll leave it to you whether this means you should worship your surgeon.

(Also know as Uterine Oblation).