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Selective mass treatment in a venereal disease control program.

H W Jaffe, D T Rice, R Voigt

    American Journal of Public Health
    |November 1, 1979
    PubMed
    Summary

    Selective mass treatment of prostitutes significantly reduced infectious syphilis cases by over 50% in Fresno County. This public health program targeted high-risk populations, including prostitutes and seasonal farm workers.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Infectious Disease Control

    Background:

    • Syphilis presents a significant public health challenge, particularly within vulnerable populations.
    • Controlling sexually transmitted infections requires targeted interventions in high-risk groups.

    Purpose of the Study:

    • To assess the effectiveness of a selective mass treatment program for syphilis control.
    • To evaluate the impact of this intervention on syphilis incidence among prostitutes and seasonal farm workers.

    Main Methods:

    • Implementation of a selective mass treatment program for prostitutes in Fresno County, California.
    • Monitoring syphilis infection rates among 512 participating women from August 1976 to July 1977.
    • Comparative analysis of infectious syphilis cases from the previous year.

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    Main Results:

    • 4.6% of women receiving prophylactic syphilis treatment were found to be infected.
    • Infectious syphilis cases among prostitutes decreased by 51.3% compared to the previous year.
    • Infectious syphilis cases among seasonal farm workers decreased by 26.8% compared to the previous year.

    Conclusions:

    • Selective mass treatment of prostitutes is an effective strategy for syphilis control.
    • Targeted public health interventions can significantly reduce the incidence of infectious syphilis in at-risk populations.
    • The program demonstrated a measurable impact on syphilis rates within the studied community.