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Where have all the STDs gone?
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.
Abstract:
A review of the clinic records of patients attending the UCH Ibadan, Special Treatment Clinic show that the number of patients seen for treatment has been on the decline. In 1979, 914 patients attended the clinic. From then there was a steady increase until a peak in 1987, when 2,610 were seen. After this, a decline began which reached its lowest ebb in 1994, when only 378 patients were seen in 1996, 735 patients attended the clinic. In the men non-specific urethritis was consistently the commonest STDs, its prevalence ranging between 22.8% and 32.0%. It was followed by gonorrhea, with a prevalence between 9.8% and 21.6%. In the females, candidiasis was diagnosed most often (prevalence was between 17.3% and 34.2%) followed by non-specific vaginitis (10.6%-27.2%). The factors that have contributed to this decline were identified to be the introduction of fees, social strife, and reduced quality of services offered as a result of the depressed economy. The overall place of STCs in the control of STDs is also discussed.
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