We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Should Premarital Syphilis Serologies Continue To Be Mandated by Law?

Yehudi M. Felman, MD, MPhil
JAMA. 1978;240(5):459-460. doi:10.1001/jama.1978.03290050049017.
Text Size: A A A
Published online


ONE OF the screening tests that has been used to measure the extent of communicable syphilis in a population is the premarital syphilis serology that is mandated by law in most states. Approximately 4 million serologies are performed annually in the United States for this purpose.1 In New York City, according to the Office of the City Clerk, 57,994 marriage licenses were issued in 1976. Therefore, about 116,000 premarital syphilis tests were performed. For some time, the Bureau of Venereal Disease Control of the New York City Health Department has been exploring whether this screening test has a meaningful impact on syphilis control.

For a screening program to be considered cost-effective, the disease screened should be of serious or catastrophic consequence and easily preventable or treatable, and the cost of the screening test itself should be negligible. Screening for hypertension and glaucoma fulfills these requirements well. On the other


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.