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Investigation of a cluster of syphilis, gonorrhea, and chlamydia cases among heterosexual Micronesians living on Oahu. Export

Journal of community health, Vol. 34, No. 5. (October 2009), pp. 357-360.

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chlamydia coinfection contact-tracing fieldwork gonorrhea hawaii heterosexual syphilis treatment

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A recent case investigation of secondary syphilis in a 27-year-old heterosexual Micronesian male and his 19-year-old chlamydia and syphilis co-infected female partner, conducted by the Hawaii State Department of Health, June to August 2007, identified a cluster of 13 case-patients with undiagnosed syphilis, chlamydia, and gonorrhea. The social network of Micronesians uncovered was characterized by having transient accommodations but a central gathering place. The critical factor in gaining access to this network was the establishment of a trusting relationship with a key social network member. Field interviews and the application of field diagnostic techniques helped to identify case-patients who otherwise would not have presented to a traditional office or clinic setting. Micronesians in Hawaii represent an at-risk population for adverse health indices including sexually transmitted diseases, based on their socioeconomic status.


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