Investigation of a cluster of syphilis, gonorrhea, and chlamydia cases among heterosexual Micronesians living on Oahu.

Abstract:

:A recent case investigation of secondary syphilis in a 27-year-old heterosexual Micronesian male and his 19-year-old chlamydia and syphilis co-infected female partner, conducted by the Hawaii State Department of Health, June to August 2007, identified a cluster of 13 case-patients with undiagnosed syphilis, chlamydia, and gonorrhea. The social network of Micronesians uncovered was characterized by having transient accommodations but a central gathering place. The critical factor in gaining access to this network was the establishment of a trusting relationship with a key social network member. Field interviews and the application of field diagnostic techniques helped to identify case-patients who otherwise would not have presented to a traditional office or clinic setting. Micronesians in Hawaii represent an at-risk population for adverse health indices including sexually transmitted diseases, based on their socioeconomic status.

journal_name

J Community Health

authors

Katz AR,Cadorna AM,Lee MV,Komeya A,Kiaha M,Ohye RG

doi

10.1007/s10900-009-9170-8

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

357-60

issue

5

eissn

0094-5145

issn

1573-3610

journal_volume

34

pub_type

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