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Increases in gonorrhoea incidence and GUM clinic waiting times: are we in a vicious circle like the late 1990s and early 2000s, but now exacerbated by drug resistance?
  1. Peter J White1,2,3
  1. 1 MRC Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, Imperial College London School of Public Health, London, UK
  2. 2 NIHR Health Protection Research Unit in Modelling Methodology, Department of Infectious Disease Epidemiology, Imperial College London School of Public Health, London, UK
  3. 3 Modelling and Economics Unit, National Infection Service, Public Health England, London, UK
  1. Correspondence to Dr Peter J White, Department of Infectious Disease Epidemiology, Imperial College School of Public Health, Norfolk Place, London, W2 1PG, UK; p.white{at}

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I read the paper of Foley et al (Inequalities in access to genitourinary medicine clinics in the UK: results from a mystery shopper survey. Sex Trans Infect Sex Online First: 04 April 2017) with concern.

Delays in treating symptomatic patients typically indicate insufficient service capacity, creating a vicious circle where delayed (or lack of) treatment causes onward transmission, increasedincidence and continuing unmet treatment need.1 Increased treatment capacity (complemented by condom promotion and other prevention activity) is …

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  • Contributors This letter was conceived and written by its author.

  • Funding The author thanks the Medical Research Council (grant MR/K010174/1) and the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Modelling Methodology at Imperial College London in partnership with Public Health England (PHE) (grant HPRU-2012-10080) for funding.

  • Disclaimer The views expressed are those of the authors and not necessarily those of the Department of Health, MRC, NHS, NIHR, or Public Health England.

  • Competing interests None declared.

  • Ethics approval Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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