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Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: mmwrq cdc. Type Accommodation and the title of the report in the subject line of e-mail. Although so-called "virtual sex" carries no risk for transmission of sexually transmitted diseases STDsincluding human immunodeficiency virus HIVuse of the Internet to find partners for actual sexual activity does carry such risk 2. Because the Internet enables sex partners to maintain anonymity by withholding identifying information e.
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The messaye had a rash and reported influenza-like symptoms 1 week before and subsequently tested positive for syphilis. The patient reported male sex partners, all of whom he met via the Internet during a 6-month period; 29 were repeat sex partners.
He also stated that he never used condoms. The index patient provided e-mail addresses and 23 telephone s to facilitate contact tracing and sex partner notification.
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First and last names were provided for eight contacts. LACDHS sent an e-mail message to all sex partners, alerting them to an urgent health matter and requesting that they call the telephone provided as soon as possible.
The message concluded with a confidentiality notice. Case 2.
In Januaryan LAC resident aged 31 years sought medical attention at an emergency department after noticing a rash on his body. He received a diagnosis of scabies and was administered treatment; most of the rash resolved.
He was asked to send his contacts an e-mail message about his infection. Subsequently, he provided LACDHS with anggeles e-mail addresses and copies of 13 e-mail messages that he had sent to his sex partners, notifying them of their exposure to syphilis and the health department's efforts to contact them. Seven of the 13 persons replied and made arrangements to be tested for syphilis.
Editorial Note: Partner notification is a process whereby sex message los angeles partners of patients index patients who have an STD or HIV diagnosed are informed angles their exposure to infection and the need to seek medical evaluation 4. Usually these goals are accomplished by provider referral or patient referral. Provider referral is a confidential process by which public health authorities request names and identifying information about sex partners from the index patient to notify those persons of their exposure.
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Patient referral is a process by which partners are notified by the index patient without the assistance of public health angelfs. These methods have changed little since the s. As the cases described in this report indicate, the Internet presents new challenges and opportunities for STD low HIV prevention and control. Using the Internet to meet sex partners can be a sexual risk-taking behavior 3,5.
Persons seeking testing at a municipal HIV-counseling and -testing site who sought Internet sex partners reported a high level of sexual risk-taking behavior; compared with non-Internet sex seekers, Internet sex seekers were more likely to be MSM and to have more STDs, more partners, more anal sex, and more sexual exposure to partners known to be HIV-positive 3.
In angelrs case involving seven persons with anveles who met through an Internet chat room, the local health department worked with a marketing firm to enter the Internet chat room and send electronic messages to hundreds of users about the syphilis cluster 5. A case-control study demonstrated a statistically ificant association between Internet use and acquisition of syphilis in this population 5. The cases described in this report indicate that public health departments can use the same technology that facilitates dissemination of STDs to prevent and control STDs.
In addition, case 2 indicates that involvement of lso index patient in partner notification via e-mail can improve partner response rates. In a separate evaluation of instant messaging i. Further study is needed to determine the most effective method of using the Internet as a means of partner notification and evaluation.
However, personalized messages, messages sent from an e-mail provider or within an Internet service provider ISPand message headers referencing a health matter might be more likely to be read than general messages that are not personalized or do mfssage reference a specific health matter K. When guys answered he told them she was With the exception of the pedo above everybody who answered called him a sick fuck.
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