Abstract
The annual reported isolation rate of Shigella flexneri decreased from 1964 to 1973, but has remained constant since then at 1 per 100,000. Between 1975 and 1985, the median age of males from whom S. flexneri was isolated rose from 5 to 26 years. During this time, the isolation rate of S. flexneri rose more than five-fold among men, did not change in adult women, and decreased in children. By 1985, 23 per cent of reported S. flexneri isolates came from men aged 20-49. Increased male homosexual transmission of S. flexneri is a possible explanation for these findings.
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Selected References
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- Bader M., Pedersen A. H., Williams R., Spearman J., Anderson H. Venereal transmission of shigellosis in Seattle-King county. Sex Transm Dis. 1977 Jul-Sep;4(3):89–91. doi: 10.1097/00007435-197707000-00003. [DOI] [PubMed] [Google Scholar]
- Baker R. W., Peppercorn M. A. Gastrointestinal ailments of homosexual men. Medicine (Baltimore) 1982 Nov;61(6):390–405. doi: 10.1097/00005792-198211000-00005. [DOI] [PubMed] [Google Scholar]
- Centers for Disease Control (CDC) Declining rates of rectal and pharyngeal gonorrhea among males--New York City. MMWR Morb Mortal Wkly Rep. 1984 Jun 1;33(21):295–297. [PubMed] [Google Scholar]
- Dritz S. K., Ainsworth T. E., Back A., Boucher L. A., Garrard W. F., Palmer R. D., River E. Patterns of sexually transmitted enteric diseases in a city. Lancet. 1977 Jul 2;2(8027):3–4. doi: 10.1016/s0140-6736(77)90002-2. [DOI] [PubMed] [Google Scholar]
- Dritz S. K., Back A. F. Letter: Shigella enteritis venereally transmitted. N Engl J Med. 1974 Nov 28;291(22):1194–1194. [PubMed] [Google Scholar]
- Drusin L. M., Genvert G., Topf-Olstein B., Levy-Zombek E. Shigellosis. Another sexually transmitted disease? Br J Vener Dis. 1976 Oct;52(5):348–350. doi: 10.1136/sti.52.5.348. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ernst R. S., Houts P. S. Characteristics of gay persons with sexually transmitted disease. Sex Transm Dis. 1985 Apr-Jun;12(2):59–63. doi: 10.1097/00007435-198504000-00001. [DOI] [PubMed] [Google Scholar]
- Golubjatnikov R., Pfister J., Tillotson T. Homosexual promiscuity and the fear of AIDS. Lancet. 1983 Sep 17;2(8351):681–681. doi: 10.1016/s0140-6736(83)92557-6. [DOI] [PubMed] [Google Scholar]
- Judson F. N. Fear of AIDS and gonorrhea rates in homosexual men. Lancet. 1983 Jul 16;2(8342):159–160. doi: 10.1016/s0140-6736(83)90138-1. [DOI] [PubMed] [Google Scholar]
- Kostrzewski J., Stypulkowska-Misiurewicz Changes in the epidemiology of dysentery in Poland and the situation in Europe. Arch Immunol Ther Exp (Warsz) 1968;16(3):429–451. [PubMed] [Google Scholar]
- Rosenberg M. L., Marr J. S., Gangarosa E. J., Pollard R. A., Wallace M., Brolnitsky O. Shigella surveillance in the United States, 1975. J Infect Dis. 1977 Sep;136(3):458–460. doi: 10.1093/infdis/136.3.458. [DOI] [PubMed] [Google Scholar]
- Rosenberg M. L., Weissman J. B., Gangarosa E. J., Reller L. B., Beasley R. P. Shigellosis in the United States: ten-year review of nationwide surveillance, 1964-1973. Am J Epidemiol. 1976 Nov;104(5):543–551. doi: 10.1093/oxfordjournals.aje.a112328. [DOI] [PubMed] [Google Scholar]
- Valdiserri R. O., Brandon W. R., Lyter D. W. AIDS surveillance and health education: use of previously described risk factors to identify high-risk homosexuals. Am J Public Health. 1984 Mar;74(3):259–260. doi: 10.2105/ajph.74.3.259. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weller I. V., Hindley D. J., Adler M. W., Meldrum J. T. Gonorrhoea in homosexual men and media coverage of the acquired immune deficiency syndrome in London 1982-3. Br Med J (Clin Res Ed) 1984 Oct 20;289(6451):1041–1041. doi: 10.1136/bmj.289.6451.1041. [DOI] [PMC free article] [PubMed] [Google Scholar]
