eLetters

73 e-Letters

published between 2006 and 2009

  • STI symptoms and less offer of HIV test , possible explanation
    Malaki O Ramogi

    Dear Editor,

    An interesting finding in this study was the association between having STI symptoms and less chance of being offered HIV test as compared with the patients with no STI symptoms. However the study fails to describe what symptoms these patients might have had. One explanation could be that these patients had chronic recurrent symptoms like genital herpes, chronic non specific urethritis or genital warts an...

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  • HPV immunization programme
    Peter G Watson

    Dear Editor,

    When Dr O’Mahony gets round to reading my letter properly he will see that I did not express scepticism about deriving benefit from the addition of HPV types 6 and 11 to types 16 and 18 in the immunization programme. I stated that I know of no evidence that the addition would help in preventing carcinoma of the cervix. Dr O’Mahony might believe that the immunization programme is about HPV immunization...

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  • HPV vaccine programme- Increasing inequality in adolescent's sexual health?
    Karen E Rogstad

    Dear Editor,

    O'Mahony's editorial (1) reflects the concern I and others specialising in STIs in young people have about the decision not to vaccinate girls and young women against genital warts types 6 and 11. Others have commented on the biological, psychosocial and cost issues of external genital warts, and I will not re-iterate these (2,3,4). What has been ignored is that at a time when government is trying to red...

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  • HPV immunisation decision
    Margaret A Stanley

    Dear Editor,

    I have read the editorial from Dr O’Mahony and the comment from Dr Watson with interest. It may be helpful in this discussion to note that the criteria for selection of an HPV vaccine were spelt out by the Minister Dawn Primarolo on the 2cd of July 2008 in response to a Parliamentary question and is detailed in Hansard http://www.parliament.the-stationery-office.co.uk/pa/cm200708/cmhansrd/cm080702/text/...

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  • Government decision on national human papillomavirus vaccine programme is a sad day for sexual healt
    Christopher Sonnex

    Dear Editor,

    The points made by Dr O’Mahony in response to the government’s decision to support a bivalent HPV 16/18 prophylactic vaccine in preference to a quadrivalent HPV 6/11/16/18 vaccine are well made and will be appreciated by practitioners managing the wide spectrum of ano-genital HPV disease.1 The British Association for Sexual Health and HIV (BASHH) has already expressed concerns with respect to the clinica...

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  • Re: HPV immunization programme: not shocked or appalled
    Colm O'Mahony

    Dear Editor,

    I note Dr Watson wishes to "reserve his judgement" about the Cervarix versus Gardasil decision until he knows the details. Unfortunately he will be reserving his judgment ad infinitum because despite requests from me and others the Department of Health refused to release the details of the decision. They have issued the criteria and it appears to have been a tick boxing exercise where cost was paramoun...

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  • HPV immunization programme: not shocked or appalled
    Peter G Watson

    Dear Editor,

    I wish to distance myself from Colm O'Mahony's rather hysterical editorial on the selection of Cervarix for the human papillomavirus immunization programme (O'Mahony C. Government decision on national human papillomavirus vaccine (HPV) programme is a sad day for sexual health. Sex Transm Infect 2008;84:251). I do not yet know why Cervarix was selected ahead of Gardasil and until I do I wish to reserve my...

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  • Circumcised MSM in the UK no less likely to be living with HIV
    Ford CI Hickson

    Dear Editor,

    If MacDonald, Humphreys and Jaffe (2008, STI, 84) are correct in their contention that circumcising men who have sex with men will result in a reduction in HIV incidence among this population, then we would expect circumcised MSM in the UK have a lower incidence of HIV than un-circumcised MSM. This should be reflected in HIV prevalence and since there is no reason to think that circumcision promotes diag...

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  • ELECTRONIC PATIENT RECORDS IN A SEXUAL HEALTH SERVICE
    BENJAMIN P GOORNEY

    Dear Editor,

    The recent article published in this journal(1) emphasised the importance of effective planning and implementation for the success of EPR. In 2006 as part of a city wide “collaborative integration “ between sexual health service providers in Salford,we transferred to a “shared electronic record” between Genitourinary medicine(GUM), Family planning(F.P.) and young persons(Y.P.) services as part of a...

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  • Prevalence of Neisseria gonorrhoea infection in young women in South London
    Adamma R. Aghaizu

    Dear Editor,

    Gopal Rao et al. found a high prevalence of gonorrhoea infection (3.8%) in women aged...

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