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[ZT] Syphilis shoots up in China

Posted: 2010-05-06 8:37
by Jun
From yesterday's New England Journal of Medicine:

Syphilis and Social Upheaval in China
Joseph D. Tucker, M.D., Xiang-Sheng Chen, M.D., Ph.D., and Rosanna W. Peeling, Ph.D.

Free access:
http://content.nejm.org/cgi/content/full/362/18/1658
Syphilis, a sexually transmitted infection (STI) that was nearly eliminated from China 50 years ago,1 is now the most commonly reported communicable disease in Shanghai, China's largest city.2 No other country has seen such a precipitous increase in reported syphilis cases in the penicillin era. In 2008, an average of more than 1 baby per hour was born with congenital syphilis in China, for a total of 9480 cases; the rate had increased by a factor of 12 during the previous 5 years (see graph). A disease with social roots, syphilis has become a major scourge lurking in the shadows of a country that has rapidly ascended to the status of a global economic powerhouse.
After China's economy became increasingly market-based in the 1980s, the growing numbers of Chinese businessmen with money and young women without money translated into expanded demand and supply for the country's commercial sex industry. Meanwhile, Chinese social structures influence the effectiveness of syphilis-control programs in two important but countervailing ways: although newly established advocacy organizations for marginalized groups provide a foundation for expanding such programs, the social stigma associated with high-risk behaviors is a powerful deterrent to widespread syphilis-screening efforts.
In China, at least one third of men who have sex with men are married, and the transmission of syphilis to their wives and then children is an important consideration. The limited data that are available suggest that fear of being identified as a "social deviant" may steer members of marginalized groups away from official STI clinics where licensed physicians use national guidelines and have standardized laboratory facilities.
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Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 8:45
by 唐唐的郁金香
Babel fish了一下,原来congenital syphilis 就是 先天梅毒 :shock:

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 11:04
by silkworm
“In China, at least one third of men who have sex with men are married, and the transmission of syphilis to their wives and then children is an important consideration. ”
这句话没错,不过我以为梅毒不光是men to men同性传播再传播给妇幼吧?男人嫖妓是同样,如果不是更大的因素?

中国公共卫生系统好多年不提性病,现在估计再也拿不出解放初期的劲头来消灭性病了。不过,肯定是挺厉害的,我看国内的阿奇霉素(Zithromax Z-Pac)盒子上,第一条就写着治疗梅毒,下面才是治细菌性中耳炎、急性气管炎什么的。

早年间我家老人年轻的时候,学医,有点鄙薄皮肤科的,因为那时的皮科,其实是看大量的性病。而我们在这边的朋友是医生,女儿正在上医学院,他给女儿推荐两个科,儿科或者皮科,都是挣钱不少,但不那么辛苦的科。

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 11:07
by 豪情
为什么这个图上总发病率低于先天性发病率? 哦后者是在出生婴儿里统计.
这病不是可以治好的吗? 如果都及时治疗,应该可以降下来吧.

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 11:14
by tiffany
统计的是发病率,我猜好多人就是自己偷偷吃了抗生素就算了,不去看医生所以不在统计数字里面。

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 11:25
by joe_cool
这个先天发病率跟总发病率比起来可是够高的。
梅毒早期应该是用青霉素就可以治好。不过好象也不能忽视。我记得看过一集Law and Order: SVU说的就是有是有个人早年得了梅毒,没什么明显的外部症状,没完全治好或者没怎么治疗,若干年后脑子都成瑞士奶酪一样了,老听到声音让他杀人,结果他杀了好几个人。

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 12:05
by Jun
silkworm wrote:“In China, at least one third of men who have sex with men are married, and the transmission of syphilis to their wives and then children is an important consideration. ”
这句话没错,不过我以为梅毒不光是men to men同性传播再传播给妇幼吧?男人嫖妓是同样,如果不是更大的因素?
嫖妓在文章里有提到的,我没全部引用而已。

梅毒是可以有效治疗的传染病,大规模爆发的重要原因是 surveillance & treatment 不够, 而监控和治疗需要患者及时报告及时得到治疗。所以,阻碍及时发现和及时治疗的因素很重要。

在青霉素出现之前,梅毒令很多婴儿生下来就有终生隐患。Ibsen 不止一部剧里有提到因此对父亲的怨恨,是维多利亚时代的一大社会问题。Many cases of madness were caused by chronic syphilis infection or congenital syphilis infection.

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-06 21:14
by IF NOT
silkworm wrote:“In China, at least one third of men who have sex with men are married, and the transmission of syphilis to their wives and then children is an important consideration. ”
这句话没错,不过我以为梅毒不光是men to men同性传播再传播给妇幼吧?男人嫖妓是同样,如果不是更大的因素?

中国公共卫生系统好多年不提性病,现在估计再也拿不出解放初期的劲头来消灭性病了。不过,肯定是挺厉害的,我看国内的阿奇霉素(Zithromax Z-Pac)盒子上,第一条就写着治疗梅毒,下面才是治细菌性中耳炎、急性气管炎什么的。

早年间我家老人年轻的时候,学医,有点鄙薄皮肤科的,因为那时的皮科,其实是看大量的性病。而我们在这边的朋友是医生,女儿正在上医学院,他给女儿推荐两个科,儿科或者皮科,都是挣钱不少,但不那么辛苦的科。
我初中的时候在我爸单位吃午饭,有次看到他同事桌子上几大本相册,上面标签是卖给医学院的教学仪器,我好奇的翻看——似乎是些奇形怪状的塑料橡胶块,红白不匀还有奇怪颗粒或突起。我又觉得恶心又好奇,一边吃饭一边翻来覆去研究那是什么,突然福至心灵,明白了那是皮肤性病的模型 :BloodyK: :BloodyK: :BloodyK: 一下子恶心到了家 :vomit:

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-07 0:17
by simonsun
IF NOT wrote:一下子恶心到了家 :vomit:
childhood trauma.... :shock:

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-07 3:35
by Knowing
原来先天梅毒不是不治之症?我一直深刻的以为那是没治的。谣传同治得梅毒死后,慈禧把他的皇后逼自杀就是因为她怀了孕,怕生出有先天梅毒的遗腹子。
青霉素真神奇,什么都能治,一想到这还是偶然被发明的我就捏一把冷汗。

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-07 9:50
by 豪情
我晚上好奇心起,很不幸地去看了看到底什么是梅毒, 给恶心到了. 抱住IF NOT同哭心灵伤害.

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-07 22:31
by IF NOT
豪情 wrote:我晚上好奇心起,很不幸地去看了看到底什么是梅毒, 给恶心到了. 抱住IF NOT同哭心灵伤害.
估计我们又要被生物科学女青年们鄙视了,幸亏这回她们没有快手把梅毒的照片贴上来 :mrgreen:

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-08 0:45
by simonsun
这次她们嘴上不说,在心里暗暗地鄙视 :mrgreen:

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-08 1:08
by 豪情
Knowing wrote:原来先天梅毒不是不治之症?我一直深刻的以为那是没治的。谣传同治得梅毒死后,慈禧把他的皇后逼自杀就是因为她怀了孕,怕生出有先天梅毒的遗腹子。
青霉素真神奇,什么都能治,一想到这还是偶然被发明的我就捏一把冷汗。
根据我看的WIKI. 青霉素那时候还没有. 我们当成理所当然的很多东西短短几十年一百年前还没有. 好久以前连皇家都无法避免的传染病象天花梅毒都变成传说了. 科学和公共卫生发展的真快.

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-08 9:08
by Jun
simonsun wrote:这次她们嘴上不说,在心里暗暗地鄙视 :mrgreen:
我不知道别的生物中年哈,就说自己。上学的时候,只上过一节课,教授放了很多性病的照片,全班同学惊呼呻吟声此起彼伏,上完课大家庆幸不是医学生。

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-08 10:20
by IF NOT
Jun wrote:
simonsun wrote:这次她们嘴上不说,在心里暗暗地鄙视 :mrgreen:
我不知道别的生物中年哈,就说自己。上学的时候,只上过一节课,教授放了很多性病的照片,全班同学惊呼呻吟声此起彼伏,上完课大家庆幸不是医学生。
我觉得医学院的同学们是一定会鄙视我们的。我中学一个朋友大学读医,选修过一学期性病,男女生坐在一起拿着性病模型颠来倒去的研究,听她说时我不敢露出 :worthy: 神色,生怕被她鄙视

Re: [ZT] Syphilis shoots up in China

Posted: 2010-05-12 9:45
by xyz
我觉得医学院的同学们是一定会鄙视我们的。我中学一个朋友大学读医,选修过一学期性病,男女生坐在一起拿着性病模型颠来倒去的研究,听她说时我不敢露出 :worthy: 神色,生怕被她鄙视
why 一定会鄙视?
They are still disgusting to me after so many years training. I prefer study the pictures/images from other specialties.