TY - JOUR T1 - Heterosexual outbreak of infectious syphilis: epidemiological and ethnographic analysis and implications for control JF - Sexually Transmitted Infections JO - Sex Transm Infect SP - i164 LP - i169 DO - 10.1136/sti.78.suppl_1.i164 VL - 78 IS - suppl 1 AU - D M Patrick AU - M L Rekart AU - A Jolly AU - S Mak AU - M Tyndall AU - J Maginley AU - E Wong AU - T Wong AU - H Jones AU - C Montgomery AU - R C Brunham Y1 - 2002/04/01 UR - http://sti.bmj.com/content/78/suppl_1/i164.abstract N2 - This study describes the epidemiology and ethnography of an outbreak of infectious syphilis in Vancouver, British Columbia. Between 1996 and 1999, British Columbias's rate of infectious syphilis rose from 0.5 to 3.4 per 100 000, with a dense concentration of cases among sex trade workers, their clients, and street-involved people in the downtown eastside area of Vancouver. Sexual networks were imported cases with secondary spread (dyads and triads), large densely connected dendritic networks of sex trade workers and clients, or occasional starburst networks among gay men. Only 232 of 429 partners were documented as having been treated (54% of those named, or 0.9 per case). The geographical and demographic concentration of this outbreak led to consideration of a programme of focused mass treatment with single dose azithromycin. ER -