Where have all the STDs gone?

O I Fawole1, M C Asuzu

  • 1Department of Preventive and Social Medicine, University College Hospital, Ibadan, Nigeria.

Insights

Patient numbers at UCH Ibadan

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • The UCH Ibadan Special Treatment Clinic (STC) has observed significant fluctuations in patient attendance.
  • Sexually Transmitted Diseases (STDs) remain a public health concern, with varying prevalence rates.
  • Understanding trends in STD clinic attendance is crucial for effective public health interventions.

Purpose of the Study:

  • To analyze trends in patient attendance at the UCH Ibadan STC.
  • To identify the most prevalent sexually transmitted diseases (STDs) among male and female patients.
  • To investigate factors contributing to the observed decline in clinic attendance.

Main Methods:

  • Retrospective review of clinic records from UCH Ibadan.
  • Analysis of patient attendance data from 1979 to 1996.
  • Examination of STD prevalence data for men and women.

Main Results:

  • Patient attendance peaked in 1987 and subsequently declined significantly, reaching a low in 1994.
  • Non-specific urethritis and gonorrhea were the most common STDs in men.
  • Candidiasis and non-specific vaginitis were the most prevalent conditions in women.

Conclusions:

  • Factors such as introduction of fees, social instability, and economic depression have negatively impacted clinic attendance.
  • The declining attendance may hinder the control of STDs.
  • The role of STCs in STD control requires re-evaluation in light of these challenges.

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