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2015 STD Treatment Guidelines - Chlamydial Infections - Includes diagnosis, treatment, prevention, and special considerations for chlamydial infections. There were more than 1.5 million total cases of chlamydia and gonorrhea reported to CDC in 2009 a€” making them the two most commonly reported infectious diseases in the United States. Adolescent girls (15-19 years of age) and young women (20-24 years of age) are especially hard hit by these two diseases. The largest number of reported cases of both chlamydia and gonorrhea in 2009 was among girls of these two age groups.
This likely reflects a combination of factors, including biological differences that place females at greater risk for STDs than males, as well as higher STD screening rates among young women.Syphilis a€” a disease once on the verge of elimination a€” began re-emerging as a public health threat in 2001. This is primarily because of a resurgence of the disease among men who have sex with men (MSM), though cases among women have also been increasing in recent years.Key FindingsChlamydiaChlamydia remains the most commonly reported infectious disease in the United States.

There were more than 1.2 million cases of chlamydia (1,244,180) reported to CDC in 2009, the largest number of cases ever reported to CDC for any condition. CDC recommends that sexually active MSM be tested at least yearly for syphilis (and other STDs).STDs and InfertilityUntreated STDs can lead to serious long-term health consequences, especially for adolescent girls and young women. Expanded access to STD prevention services, screening, and treatment is urgently needed to reduce the toll of STDs and protect the health of millions of Americans.Racial DisparitiesRacial minorities continue to face severe disparities across all three reportable STDs. While racial disparities persist overall, African-Americans, especially young African-American women, are the most affected. Young African-American women face significantly higher rates of chlamydia and gonorrhea than any other group, while the highest rates of syphilis are among African-American men.PreventionFor STD Awareness Month 2011, CDC is urging STD screening among young people particularly young people aged 15-24 years as they account for nearly half of the 19 million new STD cases each year.
Screening is one of the most effective, yet underutilized, tools to identify and treat those who are infected and to help prevent the further spread of STDs.Treatment of STDs is essential, both to prevent serious health consequences for those who are infected and to reduce the further spread of disease.

Consistent and correct use of the male latex condom reduces the risk of STD and HIV infection. Expanded access to proven behavioral interventions to reduce the risk of contracting STDs, particularly those tailored for adolescents, MSM, and African-Americans at greatest risk, is an important component of the nationa€™s response.It is critical to reduce the severe racial disparities in STD rates, especially for African-Americans.
This will require increased awareness among affected communities of the importance of this problem, as well as a strong public health response to ensure that minority communities have access to prevention, screening, treatment, and partner services. Expanded access to care would be an important contributor to addressing this problem.Data SourceCenters for Disease Control and Prevention.

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