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Sexually transmitted diseases in Germany.

D Petzoldt1, U Jappe, M Hartmann

  • 1Department of Dermatology and Venereology, University of Heidelberg, Germany. Detlef_Petzoldt@med.uni-heidelberg.de

International Journal of STD & AIDS
|March 12, 2002
PubMed
Summary
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Germany

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease Control

Background:

  • Historical venereal disease legislation in West Germany (1953) led to significant underreporting of syphilis and gonorrhea.
  • East Germany had mandatory STI reporting with presumed low underreporting.
  • Unification in 1990 adopted West German laws, and AIDS cases were voluntarily reported from 1982.

Purpose of the Study:

  • To analyze the evolution of sexually transmitted infection (STI) reporting in Germany.
  • To describe the impact of the new Protection against Infection Act (2001) on STI surveillance.

Main Methods:

  • Review of historical legislation and reporting practices in former West and East Germany.
  • Analysis of changes in STI notification requirements under the Protection against Infection Act (2001).

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Main Results:

  • West German STI reporting was characterized by high underreporting rates.
  • The 2001 Act shifted from mandatory clinical STI diagnoses to laboratory reporting for Treponema pallidum and HIV.
  • Sentinel surveillance systems are being established for non-notifiable STIs.

Conclusions:

  • The new German legislation significantly altered STI surveillance, emphasizing laboratory confirmation for specific infections.
  • Transition to sentinel surveillance for most STIs requires robust system development.
  • Enhanced counseling and testing services are mandated under the new act.