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  Vol. 292 No. 8, August 25, 2004 TABLE OF CONTENTS
  JAMA
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  From the Centers for Disease Control and Prevention: Morbidity and Mortality Weekly Report
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Trends in Primary and Secondary Syphilis and HIV Infections in Men Who Have Sex With Men—San Francisco and Los Angeles, California, 1998-2002

JAMA. 2004;292:917-918.

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

MMWR. 2004;53:575-578

2 figures, 2 tables omitted

Because syphilis infection facilitates acquisition and transmission of human immunodeficiency virus (HIV),1-2 recent outbreaks of syphilis among men who have sex with men (MSM) in major U.S. cities,3 including San Francisco and Los Angeles,4-5 and reported increases in sexual risk behavior5 have raised concerns about potential increases in HIV transmission. In 2002, MSM accounted for the majority of primary and secondary (P&S) syphilis cases in men reported in San Francisco (93%) and Los Angeles (81%). To investigate a potential change in HIV incidence associated with the syphilis outbreaks in the two cities, local, state, and federal health officials analyzed data from HIV counseling and testing centers and a municipal sexually transmitted disease (STD) clinic. This report describes the results of that investigation, which indicated that, as of 2002, the outbreaks of syphilis had not had a substantial impact on HIV incidence among MSM . . . [Full Text of this Article]







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