To the Editor: Dr Turner and colleagues1 reported high prevalences of untreated chlamydial
and gonococcal infection in a population-based sample in Baltimore, Md. However,
they did not mention that Baltimore had the highest incidence of reported
gonorrhea among all US metropolitan areas in 1997 and 1998, when the study
was conducted, and ranked second and first for the 2 years, respectively,
in the incidence of reported chlamydial infection.2
In addition, the authors did not comment on the surprising finding of statistically
similar prevalences of the 2 infections. Almost every study during the past
3 decades has shown several-fold higher prevalences of chlamydial than gonococcal
infection. Substantial cutbacks in public health clinical services were believed
to be partly responsible for resurgent syphilis in Baltimore in the mid-1990s,3 and may have contributed to the high prevalences
of gonorrhea or chlamydial infection found by Turner et al. Thus, it is unclear
whether these results can be extrapolated to other geographic areas and populations.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 3
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.