An epidemic of Neisseria gonorrhoeae in a Somali orphanage.
Int J STD AIDS
; 3(1): 52-3, 1992.
Article
em En
| MEDLINE
| ID: mdl-1543769
ABSTRACT
PIP: The physician of an orphanage in Afgoye, 30 km from Mogadishu, Somalia, noticed vaginal discharge in 95 of the 500 girls at the orphanage in September 1987. A Somali-Italian investigative team took vaginal specimens from the 95 girls. Laboratory personnel isolated Neisseria gonorrhoea in 56% of the 95 6-14 year old females (53) who all lived in 2 adjacent dormitories. They found that all the bacterial isolates were of the N. gonorrhoea WI serogroup and Aedih serovar. The physician prescribed penicillin treatment for all the girls. Contact tracing revealed that a male guardian was the source of gonorrhea. Some children had already accused him of sexually abusing them. Orphanage officials had transferred him 1 week before the arrival of the investigative team. His room had been very near to the 2 dormitories for only a few weeks before the investigative team arrived. In this short time, his sexual abuse effected this cluster of infections. This supports the present theory of gonorrhea epidemiology that a core group of infectious people are most likely responsible for most, if not all, of the continuing endemicity of gonorrhea. The infection rate was in range of the estimated probability of transmission (50-70%) during sexual intercourse from an infectious male to a female. The results showed that high resolution typing of gonococci has in addition to its scientific value a more practical value; forensic medicine and illustration that gonorrhea consists of smaller microepidemics.
Palavras-chave
Adolescents; Adolescents, Female; Adult--men; Africa; Africa South Of The Sahara; Age Factors; Arab Countries; Child; Child Abuse; Child, Female; Crime; Demographic Factors; Developing Countries; Diseases; Eastern Africa; Epidemiologic Methods; Examinations And Diagnoses; Gonorrhea--transmission; Infections; Laboratory Examinations And Diagnoses; Orphans; Population; Population Characteristics; Reproductive Tract Infections; Research Methodology; Sexually Transmitted Diseases; Social Problems; Somalia; Youth
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Abuso Sexual na Infância
/
Gonorreia
/
Criança Institucionalizada
/
Surtos de Doenças
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Int J STD AIDS
Assunto da revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Ano de publicação:
1992
Tipo de documento:
Article