T HOUGH syphilis and gonorrhea have a common mode of spread, they do not yield to epidemiologic control measures in similar fashion. Lucas and associates (1) have pointed out several obstacles to satisfactory control of gonorrhea in women. We believe the most important of these is our inability to readily identify the asymptomatic female carrier of the disease. There are two principal ways in which such infected women may be located and brought to treatment. They can be named by men with recently diagnosed gonorrhea or they can be "accidentally" identified through routine screening programs. In either instance, is it of epidemiologic value to trace the chain of infection further by interviewing such patientsf How would casefinding compare with the results obtained from interviewing male gonorrhea patients? The opportunity to obtain such sta
PUBLIC clinics established for diagnosis and treatment of venereal disease have a unique opportunity and obligation to initiate programs to screen female patients for early cancer of the genital tract. Impetus for such a program in Seattle-King County, Wash., arose from the assumption that this population group was not receiving adequate cancer prevention care. Since the women were being admitted to the clinic service for diagnosis and treatment of possible venereal disease, relatively little addi¬ tional medical effort would be required to screen them for cancer of the cervix and uterus by exfoliative cytology. A practical screening pro¬ gram, however, would require effective followup on final diagnosis and treatment as most of the patients were known to be medically indigent or semi-indigent. The proposed program, as endorsed by the local medical society, called for screening only the female population which ordinarily at¬ tended the Seattle-King County venereal dis¬ ease clinic. We were not interested in changing our clinic to a community cancer detection cen¬ ter. The program would be primarily a demon¬
DUEING the past few years a series of bio¬ chemical paper tests have been developed for rapid, presumptive laboratory identification of various colony growths on solid bacteria media. The reagents in the various test pa¬
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