McNamee et al1 provide a timely analysis of chlamydia testing and notification rates in the context of increasing chlamydia notifications in Victoria and Australia.2 The national strategic response to sexually transmitted infections in Australia outlines a number of initiatives aimed at improving chlamydia prevention and detection. These include a pilot chlamydia testing programme targeting sexually active young people in general practice as well as the promotion of opportunistic testing in a variety of settings.3 4 For targeted chlamydia screening to be effective as a public health intervention it is important to understand testing patterns and health-seeking …