eLetters

40 e-Letters

published between 2012 and 2015

  • Alternative forms of penile foreskin cutting and HIV infection in Papua New Guinea
    Kathleen E Wirth

    I read with concern the manuscript by MacLaren DJ et al which states: "Alternative forms of penile foreskin cutting may be associated with reduced HIV infection risk in Papua New Guinea." Using data described in the manuscript, I was able to exactly replicate the authors' primary numerical finding. However, results of additional analyses not reported in the manuscript directly conflict with the key message regarding a po...

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  • Human Rights and HIV Interventions in Chinese Labor Camps
    Joseph Amon

    Yap and colleagues1 suggest that China's labor camps for drug users present an opportunity to implement universal 'test and treat' programs. They contend that such a step would be consistent with 'humanitarian' principles endorsed by The Global Fund and the World Bank.

    Their recommendation is surprising and troubling. The paper cited to support this position (which we co-authored) is not in fact a call to scale...

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  • Recreational Drugs used
    David M Stuart

    The use of recreational drugs used in sexual contexts by MSM (referred to in many developed countries as "ChemSex") is of increasing public health concern; it would be helpful if the abstract was ammended to include which recreational drugs were being used by the cohort in this study.

    Conflict of Interest:

    None declared

  • Why are anogenital warts diagnoses decreasing: Can we explain sex- and age-specific decreases?
    David Mesher

    The audit by Clarke et al of 106 patients provides a useful estimate of the percentage of anogenital warts among GUM clinic attenders that the patient had not noticed (in 2010), at 12.3%[1]. They suggest that failure to examine these patients may have accounted for a considerable proportion of the reduction in anogenital warts diagnoses in GUM seen in England between 2008 and 2012, of 8% among males and females of all age...

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  • STIs and HIV in South Africa
    Nigel J Garrett

    Dear Editor,

    In South Africa, a country that has battled with the HIV and TB co- epidemic for more than two decades, STI management has received little attention. We were delighted to read the article by Lurie et al, which highlights the high burden of STI syndromes in people living with HIV, in particular, in the period before ART initiation. While we concur with the authors' conclusions that systematic STI tes...

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  • Missing the path: time to reconceptualise STD prevention
    Concepcion Tomas

    The highlights of a strategy endorsed by the World Health Organization (WHO) in 2010 for Sexually Transmitted Infections (STI) screening, testing and early initiating into treatment (TnT) to Men that have Sex with Men (MSM) and transgender people are discussed by Cohen et al. in their editorial letter entitled "WHO guidelines for HIV/STI prevention and care among MSM and transgender people: implications for policy and p...

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  • Response to 'Relative or Absolute? - Miller'
    Cliodna A. McNulty 1

    Dear editor,

    Responding to the editorial by Miller et al regarding the methodology of our study , we would challenge the assessment of the Zelen design as representing a form of 'deception'. Zelen design is employed to generate real life responses to help understand the translation challenges of introducing any similar or modified intervention across a whole area.

    When general practices involved in...

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  • Promoting HIV testing, chlamydia testing and long acting reversible contraception.
    Anne K. Tear

    Phillips and colleagues found a third of in-patients had HIV tests following implementation of a routine HIV testing policy at Croydon University Hospital1. We recently found similar rates of HIV testing in young women in the community in our medical student research projects. In line with the 2013 Framework for Sexual Health Improvement's "three specific indicators for sexual health" 2, we investigated reported uptake...

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  • Dear Editor
    Philippa M Matthews

    Trichomonas Vaginalis (TV) is frequently described as being associated with pre-term delivery and low birth weight - and was again by Professor Hillier in her editorial in her (unreferenced) introductory paragraph. As far as I can ascertain, this association appears to be based on published evidence from the 80s and 90s.

    Is it possible, given the more recent understanding of a link between TV and poverty, that t...

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  • Response to a letter Recent Advances of the HIV Surveillance System in Iran: Current Situation and Ways Forward
    Ivana Bozicevic

    We very much appreciate the letter that Dr Haghdoost and colleagues wrote in relation to some of the issues outlined in our paper HIV surveillance in MENA: recent developments and results and, in addition, described some more recent developments in HIV surveillance in Iran.

    We would like to reflect on several issues that they raised.

    Our paper states that Djibouti, Iran, Morocco and Pakistan can be...

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