Sexually transmitted diseases (STD's) are among the most
common communicable diseases in the world. STD control mainly depends
on tracing and treating all of the patient's sexual contacts. Educating
the public and counseling patients about responsible sexual behavior
are inevitable to prevent spreading. Commercial sex workers and
persons with frequently changing sexual partners are at increased
risk. Many infected people are carriers of a pathogen without subjective
symptoms and are unknowingly transmitting the disease. Control of
treatment to ensure that patients have been fully cured is often
difficult to maintain, especially with commercial sex workers. Additionally,
re-emergence of rare diseases, or the occurrence of drug-resistant
strains, can be a result of an import of pathogens from other countries,
e. g. the rapid spread of HIV
infections in Europe and North America.
STD's include Neisseria gonorrhoeae (gonorrhea), Treponema pallidum
(syphilis), Chlamydia trachomatis, unspecific urethritis, HIV infection,
hepatitis, and others.
Gonorrhea, for instance, is an acute infection of the urogenital
mucosa (and sometimes of the throat) which affects both men and
women. The causing pathogen is called Neisseria gonorrheae (gonococci)
and is transmitted by sexual practice. Women and homosexual men
can be carriers without showing symptoms. Symptoms usually include
discomfort and purulent discharge from urethrea, vagina or rectum,
depending on the site of infection. Gonorrhoea can result in sterility.