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Sexually Transmitted Infections 2002;78(Supplement 1 ):i91-i96; doi:10.1136/sti.78.suppl_1.i91
Copyright © 2002 by the BMJ Publishing Group Ltd.
Sex Transm Inf 2002;78:i91-i96
© 2002 Sexually Transmitted Infections

SYMPOSIUM

STD/HIV intervention and research programme Mwanza Region, NW Tanzania

J Changalucha1, A Gavyole2, H Grosskurth3, R Hayes3 and D Mabey3

1 National Institute for Medical Research, Mwanza, Tanzania
2 African Medical and Research Foundation, Mwanza, Tanzania
3 London School of Hygiene and Tropical Medicine, Keppel Street, London WC1, UK

Correspondence to:
Correspondence to:
Professor David Mabey, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT, UK;
david.mabey{at}lshtm.ac.uk

The social determinants and epidemiology of sexually transmitted disease (STD) were studied in rural communities in Mwanza Region, Tanzania, in the context of the phase specific model of STD transmission. The prevalence of HIV and syphilis was higher in communities close to main roads, and lower in communities living on islands in Lake Victoria, probably reflecting the proportion of high risk individuals in the population. The prevalence of Herpes simplex virus type 2 infection, gonorrhoea, chlamydial infection, and trichomoniasis was similar in all types of community, reflecting the fact that these infections remain in the hyperendemic phase. The transmission of STDs is fuelled by high population mobility and by the presence of high risk individuals in rural as well as roadside communities.

Keywords: sexually transmitted disease; HIV; syphilis; Tanzania


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This article has been cited by other articles:

  • Blanchard, J F (2002). Populations, pathogens, and epidemic phases: closing the gap between theory and practice in the prevention of sexually transmitted diseases. Sex. Transm. Infect. 78: i183-188 [Abstract] [Full Text]  

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