199 e-Letters

  • 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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  • Recent Advances of the HIV Surveillance System in Iran; Current Situation and Ways Forward
    Ali Akbar Haghdoost

    We very much enjoyed reading Dr. Bozicevic's paper about the recent developments in HIV Surveillance in MENA in a recent issue of your journal [1]. Some topics discussed in that paper concern us and we would like to share a few opinions about the current HIV surveillance system in Iran and its recent advances. In the paper it is stated that only two countries in the region (Morocco and Sudan) have a partially functioning H...

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  • Measures of risk do not discriminate between MSM tested for HIV within the previous 6 months and MSM tested 6 to 12 months previously: Data from Glasgow, Scotland, in 2010.
    Christina Knussen

    UK and USA guidelines recommend at least annual HIV testing for men who have sex with men (MSM), with more frequent testing for those at risk. Although measures of risk and regularity of HIV testing are essential for evaluating interventions, these are not yet standardised across the UK.1 Risk criteria could include recent unprotected anal intercourse (UAI), a high number of partners, unknown partners, and recent STI.2...

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  • Why is the Number of HIV/AIDS Related Publications Low in the MENA Region?
    Ali Akbar Haghdoost

    We enjoyed reading Dr. Saba's paper[1] and would like to share some opinions about HIV/AIDS related publications in the Middle East and North Arica (MENA). This paper showed a positive trend in the number of annual HIV/AIDS related publications in the MENA, on the other hand, this paper suggests that this number is still very low considering the sharp upward trend of HIV new infections in this region. This gap might be d...

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  • Chlamydia testing: where are we now? Recruiting high risk women to a pilot STI screening trial.
    Tia Hunjan

    In their topical editorial, Jain and Ison state that "testing (for chlamydia) is a crucial part of any effective control strategy"1. In January 2013 we conducted a pilot study of Chlamydia trachomatis and Neisseria gonorrhoea testing in female students at Lambeth Further Education College, London to assess recruitment to a possible POPI (prevention of pelvic infection) 2 screening trial.2

    Two female general pr...

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