"Treating partners may help curb STDs"
According to the news article, "People with chlamydia and gonorrhea are supposed to tell past sexual partners about their diagnosis and urge them to get treatment. A new study says giving the patients medicine to pass on to their...partners works even better." Now how could anyone object to this?
1. Antibiotics are being distributed without prescriptions, proof of their necessity, or assurance that they are used for the reason given. Are we ready for this precedent?
2. Most supportive legislation (including the unpassed WI bill) allows for dosage for only one partner. What if the infected person has had multiple partners?
3. The proof that this works--The gonorrhea patients were less likely to be infected at their 3 month checkup. This assumes only that those people were not reinfected by the partner who also took the antibiotic. Couldn't it also mean that they had not had any sex in those 3 months? A lightbulb goes off in some people when they get an STD--they get angry, they get guilty, or they get smart. It wouldn't surprise me that out of the 73% success rate, more than a few had taken time-off from sex
4. The success rate of infection was lower for chlamydia "because the antibiotics are less effective, especially for women, than the medication for gonorrhea". WOW!!!!
Does that mean women are fed another half-truth--their chlamydia is not resolved by a dose of antibiotic? Chlamydia is very dangerous for a woman and if it isn't eliminated by the antibiotic, and since it usually is asymptomatic, she rightfully could make the assumption that she has been cured when, in fact, the effects are progressing. Women obviously need to see a doctor and the docotr or clinic should make the contact to schedule her appointment. Should confidentiality trump medical necessity?
5. If a person has one STD, there's a good chance they have others according to the CDC. So if a partner is given the medication for one STD by a partner, s/he is never examined or tested for others which might be far more dangerous. Anything that keeps infected people away from a doctor is not a good thing in the long run.
6. The normal strains of gonorrhea are cured with an antibiotic (some strains are proving resistant as is being seen in Hawaii and California). The fact that gonorrhea rates are decreasing could therefore be attributable to the treatment of the disease, not the prevention of the disease due to a change in the causal behavior. It is important to understand this difference. The medical community considers this a victory. But there is always another STD around the corner for those who have multiple partners. The NIH study, confirmed by CDC, showed condoms significantly reduce gonorrhea only in males. Condom use is not the behavior change that benefits women; abstinence is.
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