A cross-sectional study of reported symptoms for sexually transmissible infections among female sex workers in Papua New Guinea

Bruce, Eunice; Bauai, Ludwina; Masta, Andrew; Rooney, Poyap J.; Paniu, M.M.; Sapuri, Mathias; Keogh, Louise; Kaldor, John; Fairley, Christopher K.

doi:10.1071/sh09093

Cited by 12 publications

(19 citation statements)

References 16 publications

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“…There were nine papers reporting LE dipsticks11 18–25 (table 1), three reporting ICT3 13 26 (table 2) and two studies reporting the use of microscopy27 28 (table 3). …”

Section: Resultsmentioning

confidence: 99%

“…A limitation of syndromic management is the potential for unnecessary treatment of patients whose symptoms are due to other causes. Unnecessary treatment carries the risk of antibiotic resistance developing11 and potential harm resulting from drug side effects. In addition, false positive results may result in psychosocial harm, especially if contact tracing is initiated.…”

Section: Introductionmentioning

confidence: 99%

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Point-of-care tests for the diagnosis ofNeisseria gonorrhoeaeinfection: a systematic review of operational and performance characteristics

et al. 2012

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“…There were nine papers reporting LE dipsticks11 18–25 (table 1), three reporting ICT3 13 26 (table 2) and two studies reporting the use of microscopy27 28 (table 3). …”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Point-of-care tests for the diagnosis ofNeisseria gonorrhoeaeinfection: a systematic review of operational and performance characteristics

et al. 2012

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“…The increasing mobility of persons makes this possibility more likely. Several studies have reported the presence of syphilis in some countries where yaws is endemic (e.g., Papua New Guinea) (306)(307)(308)(309)(310)(311), and it is unclear how the coexistence of venereal and nonvenereal transmission of treponemal infections might affect surveillance and assessment of eradication program success. This topic seems particularly relevant given the facts that patients in remote areas may not have access to sophisticated molecular techniques and that current serological tests are unable to discriminate among the agents of the human treponematoses.…”

Section: Cocirculation Of Syphilis and Yawsmentioning

confidence: 99%

The Endemic Treponematoses

2014

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SUMMARY The agents of human treponematoses include four closely related members of the genus Treponema : three subspecies of Treponema pallidum plus Treponema carateum . T. pallidum subsp. pallidum causes venereal syphilis, while T. pallidum subsp. pertenue , T. pallidum subsp. endemicum , and T. carateum are the agents of the endemic treponematoses yaws, bejel (or endemic syphilis), and pinta, respectively. All human treponematoses share remarkable similarities in pathogenesis and clinical manifestations, consistent with the high genetic and antigenic relatedness of their etiological agents. Distinctive features have been identified in terms of age of acquisition, most common mode of transmission, and capacity for invasion of the central nervous system and fetus, although the accuracy of these purported differences is debated among investigators and no biological basis for these differences has been identified to date. In 2012, the World Health Organization (WHO) officially set a goal for yaws eradication by 2020. This challenging but potentially feasible endeavor is favored by the adoption of oral azithromycin for mass treatment and the currently focused distribution of yaws and endemic treponematoses and has revived global interest in these fascinating diseases and their causative agents.

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“…From the few studies that have collected biological data amongst sex workers HIV prevalence ranged from 0% (in Goroka and Kainantu-in 2003) to 19% (in Port Moresby in 2010) (see Table 1) [15][16][17]. It must be noted that all but Kelly et al [18] were convenience samples.…”

Section: Evidence Of Behavioural Change?mentioning

confidence: 99%

HIV Prevention in Papua New Guinea: Is It Working or Not?

Worth¹

2012

WJA

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Introduction: There is a global call for structural approaches to HIV that go beyond awareness and HIV testing to approach prevention work via the social and economic drivers of the epidemic. Papua New Guinea is the epicentre of the HIV epidemic in the Pacific, with an adult prevalence rate of 0.9%. Since 2004, there has been a concerted response to HIV, with vastly increased rates of HIV testing and roll-out of antiretroviral therapy, and considerable funding for HIV prevention. Objectives: While incidence is slowing there are still a considerable number of new infections each year and many commentators are worried that HIV prevention is not working in that country. This article aims to critically examine HIV prevention programs in Papua New Guinea to show whether HIV prevention is effectiveness in reaching those most vulnerable to infection. Methods: Using data from HIV prevention programs and behavioural surveys this article will assess how HIV prevention has been carried out and the effectiveness of those programs. Results: There is little evidence to indicate that HIV prevention in Papua New Guinea, particularly among those most at risk of HIV has been successful. Conclusion: there is a dearth of HIV prevention interventions in Papua New Guinea that go beyond awareness-raising to deal with the structural drivers of the epidemic

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A cross-sectional study of reported symptoms for sexually transmissible infections among female sex workers in Papua New Guinea

Abstract: Our finding suggest an approach that incorporates LE urine dipstick test >1 and multiple symptoms may be a feasible option for screening infections among FSWs in resource constraint settings.

Cited by 12 publications

References 16 publications

Point-of-care tests for the diagnosis ofNeisseria gonorrhoeaeinfection: a systematic review of operational and performance characteristics

Point-of-care tests for the diagnosis ofNeisseria gonorrhoeaeinfection: a systematic review of operational and performance characteristics

The Endemic Treponematoses

HIV Prevention in Papua New Guinea: Is It Working or Not?

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