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JAMA. 2002;287:37-38.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

MMWR. 2001;50:922-926

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Shigella sonnei causes approximately 10,000 cases of gastroenteritis each year in the United States.¹ These infections occur predominately among young children and usually are associated with poor hygienic conditions in child-care settings. Outbreaks of shigellosis among men who have sex with men (MSM) have occurred because of direct or indirect oral-anal contact^2-3 but usually are caused by Shigella flexneri.⁴ This report describes an investigation of S. sonnei cases that occurred among MSM in San Francisco during May–December 2000. Following efforts to heighten awareness, the number of cases has declined, but new cases continue to occur at low levels in this risk group. The increased incidence of sexually transmitted Shigella and other sexually transmitted diseases (STDs) in MSM require renewed and innovative prevention efforts.

During June-December 2000, 230 cases of culture-confirmed* S. sonnei infection were reported to the San Francisco Department of Public Health; an average . . . [Full Text of this Article]