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Among MSM surveyed at STD clinics, rectal gonorrhea or chlamydia was found in 10.8 percent of HIV-negative men and 14.7 percent of HIV-positive men.

A significant proportion of MSM surveyed acknowledged that they had used drugs in the preceding two months, with higher rates of drug use among HIV-positive men.

Twelve percent of HIV-negative men and 20 percent of HIV-positive men said they had used methamphetamines, and 37 percent of HIV-negative men and 53 percent of HIV-positive men said they had used amyl nitrate (commonly known as "poppers").

When respondents did have Internet partners, those partners were predominantly male (63.4 percent).

CDC's STD Program provides national leadership through research, policy development, and support of effective services to prevent all sexually transmitted diseases and their complications.

To accomplish this goal, CDC provides funding and guidance to state and local public health departments and community based organizations to track the course of STD epidemics, raise awareness of STDs, and to design, implement, and evaluate prevention and treatment programs.

In the summer of 1999, for example, health officials in San Francisco identified an outbreak of syphilis among gay men who had met their sexual partners in an Internet chat room. D., of the San Francisco Department of Health reported on successful efforts to provide STD prevention information through the Internet following this syphilis outbreak.

Website staff worked with health workers to post information about syphilis on a popular gay Internet home page, which was linked to the Department of Health STD clinic website, and also visited chat rooms to educate participants about syphilis and to encourage people who had met partners in the chat room to seek medical evaluation.

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MILWAUKEE (December 5, 2000) - Many gay and bisexual men lack key information about syphilis, including how to identify signs and symptoms of the sexually transmitted disease (STD), according to a study presented at the National STD Prevention Conference being held Dec. The study comes as increasing evidence - including new studies presented at the STD conference - indicates that the annual incidence of syphilis and other STDs is rising among gay men in a number of U. cities."Syphilis and other STDs that many have long forgotten continue to pose a significant health risk to gay men," said Helene Gayle, M. "Efforts to prevent sexually transmitted diseases must be revitalized and reshaped to stop this increasing toll."Based on a survey of 683 men who have sex with men (MSM) attending a gay event in Chicago, researchers found that 42.5 percent of those surveyed did not know that syphilis facilitates HIV transmission, and 52.3 percent were unaware that syphilis is increasing among gay men in some communities. H., deputy director of CDC's HIV, STD and TB programs, the findings do not imply that gay and bisexual men are less knowledgeable about syphilis than other groups at risk, but are likely indicative of a low level of understanding across the entire population.

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