CDC's
Four Division
'Dear Colleague' letter highlighting the 2002 STD Treatment Guidelines
recommendations for MSM - March 8, 2004
Dear Colleague:
Men who have sex with men (MSM) are at increased risk for multiple
sexually transmitted diseases (STDs) including human immunodeficiency
virus (HIV) infection/Acquired Immunodeficiency Syndrome (AIDS),
syphilis, gonorrhea, chlamydia, hepatitis B and hepatitis A. Numerous
reports document high rates of STDs among MSM that appear to be
associated with a resurgence in unsafe sexual practices. For example,
in a survey of young MSM (aged 15 – 22 years) conducted in
seven metropolitan areas between 1994 and 1998, 7% had already acquired
HIV infection and 11% had acquired hepatitis B virus (HBV) infection.
Among young black MSM, 16% were already infected with HIV and 93%
were unaware of their infection; those who were unaware of their
infection were more likely to have had unprotected anal sex.
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