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The United States has the dubious distinction of leading the industrialized world in overall rates of sexually transmitted diseases (STDs), with 12 million new cases annually. About 3 million teenagers contract an STD each year, and many will have long-term health problems as a result. Women and adolescents are particularly vulnerable to these diseases and their health consequences. In addition, STDs increase the risk of HIV transmission. The Hidden Epidemic examines the scope of sexually transmitted infections in the United States and provides a critical assessment of the nation's response to this public health crisis. The book identifies the components of an effective national STD prevention and control strategy and provides direction for an appropriate response to the epidemic. Recommendations for improving public awareness and education, reaching women and adolescents, integrating public health programs, training health care professionals, modifying messages from the mass media, and supporting future research are included. The book documents the epidemiological dimensions and the economic and social costs of STDs, describing them as "a secret epidemic" with tremendous consequences. The committee frankly discusses the confusing and often hypocritical nature of how Americans deal with issues regarding sexualityâ€"the conflicting messages conveyed in the mass media, the reluctance to promote condom use, the controversy over sex education for teenagers, and the issue of personal blame. The Hidden Epidemic identifies key elements of effective, culturally appropriate programs to promote healthy behavior by adolescents and adults. It examines the problem of fragmentation in STD services and provides examples of communities that have formed partnerships between stakeholders to develop integrated approaches. The committee's recommendations provide a practical foundation on which to build an integrated national program to help young people and adults develop habits of healthy sexuality. The Hidden Epidemic was written for both health care professionals and people without a medical background and will be indispensable to anyone concerned about preventing and controlling STDs.
A unique study of how syphilis, better known as the French disease in the sixteenth and seventeenth centuries, became so widespread and embedded in the society, culture and institutions of early modern Venice due to the pattern of sexual relations that developed from restrictive marital customs, widespread migration and male privilege.
The modern classic of race and medicine updated with an additional chapter on the Tuskegee experiment's legacy in the age of AIDS.
Between 1932 and 1972, approximately six hundred African American men in Alabama served as unwitting guinea pigs in what is now considered one of the worst examples of arrogance, racism, and duplicity in American medical research--the Tuskegee syphilis study. Told they were being treated for "bad blood," the nearly four hundred men with late-stage syphilis and two hundred disease-free men who served as controls were kept away from appropriate treatment and plied instead with placebos, nursing visits, and the promise of decent burials. Despite the publication of more than a dozen reports in respected medical and public health journals, the study continued for forty years, until extensive media coverage finally brought the experiment to wider public knowledge and forced its end. This edited volume gathers articles, contemporary newspaper accounts, selections from reports and letters, reconsiderations of the study by many of its principal actors, and works of fiction, drama, and poetry to tell the Tuskegee story as never before. Together, these pieces illuminate the ethical issues at play from a remarkable breadth of perspectives and offer an unparalleled look at how the study has been understood over time.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
Few illnesses in the early modern period carried the impact of the dreaded pox, a lethal sexually transmitted disease usually thought to be syphilis. In the early sixteenth century the disease quickly emerged as a powerful cultural force. Just as powerful were the responses of doctors, bureaucrats, moralists, playwrights, and satirists. These ten essays gauge the impact of sexual disease on early modern society by exploring the ways in which European culture reacted to the presence of a new deadly sexual infection. Articles about scientific and medical responses analyze how physicians incorporated the disease within existing intellectual frameworks. Studies in literary and metaphoric responses examine how early modern writers put images of sexual infection and the diseased body to a range of rhetorical and political uses. Finally, essays about institutional and policing responses chronicle how authorities responded to the crisis and how these public health responses linked up with wider campaigns to police sexuality.
Today AIDS dominates the headlines. A century ago it was fears of syphilis epidemics. This book looks at how the spread of syphilis was linked to socio-economic transformation land dispossession, migrancy and urbanisation disrupted social networks - factors similarly important in the AIDS crisis. Medical explanations of syphilis and state medical policy, however, were shaped by contemporary beliefs about race. Doctors drew on ideas from social Darwinism, eugenics, and social anthropology to explain the incidence of syphilis among poor whites and Africans, especially women, and to help define 'normal' and abnormal sexual behaviour for racial groups.
"The AAP's authoritative guide to the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions." -- Provided by publisher.
Multidisciplinary collection of essays on the relationship of infertility and the "historic" STIs--gonorrhea, chlamydia, and syphilis--producing surprising new insights in studies from across the globe and spanning millennia.