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Syphilis
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===Screening=== The CDC recommends that sexually active men who have sex with men be tested at least yearly.<ref>{{cite web|title=Trends in Sexually Transmitted Diseases in the United States: 2009 National Data for Gonorrhea, Chlamydia and Syphilis|url=https://www.cdc.gov/std/stats09/tables/trends-table.htm|publisher=[[Centers for Disease Control and Prevention]]|date=22 November 2010|access-date=3 August 2011|url-status=live|archive-url=https://web.archive.org/web/20110804025120/http://www.cdc.gov/std/stats09/tables/trends-table.htm|archive-date=4 August 2011}}</ref> The USPSTF also recommends screening among those at high risk.<ref>{{cite journal |last1=Bibbins-Domingo|first1=Kirsten|last2=Grossman|first2=David C.|last3=Curry|first3=Susan J.|last4=Davidson|first4=Karina W.|last5=Epling|first5=John W.|last6=García|first6=Francisco A. R.|last7=Gillman|first7=Matthew W.|last8=Harper|first8=Diane M.|last9=Kemper|first9=Alex R.|last10=Krist|first10=Alex H.|last11=Kurth|first11=Ann E.|last12=Landefeld|first12=C. Seth|last13=Mangione|first13=Carol M.|last14=Phillips|first14=William R.|last15=Phipps|first15=Maureen G.|last16=Pignone|first16=Michael P.|title=Screening for Syphilis Infection in Nonpregnant Adults and Adolescents|journal=JAMA|date=7 June 2016|volume=315|issue=21|pages=2321–7|doi=10.1001/jama.2016.5824|pmid=27272583|author1-link=Kirsten Bibbins-Domingo|doi-access=free}}</ref> Syphilis is a [[notifiable disease]] in many countries, including Canada,<ref>{{cite web|title=National Notifiable Diseases|url=http://dsol-smed.phac-aspc.gc.ca/dsol-smed/ndis/list-eng.php|publisher=Public Health Agency of Canada|date=5 April 2005|access-date=2 August 2011|url-status=live|archive-url=https://web.archive.org/web/20110809162040/http://dsol-smed.phac-aspc.gc.ca/dsol-smed/ndis/list-eng.php|archive-date=9 August 2011}}</ref> the [[European Union]],<ref>{{cite journal |last=Viñals-Iglesias|first=H|author2=Chimenos-Küstner, E|title=The reappearance of a forgotten disease in the oral cavity: syphilis|journal=Medicina Oral, Patologia Oral y Cirugia Bucal|date=1 September 2009 |volume=14|issue=9|pages=e416–20|pmid=19415060}}</ref> and the United States.<ref>{{cite web|title=Table 6.5. Infectious Diseases Designated as Notifiable at the National Level-United States, 2009 [a]|url=http://www.unboundmedicine.com/redbook/ub/view/RedBook/187389/all/Table_6_5__Infectious_Diseases_Designated_as_Notifiable_at_the_National_Level_United_States__2009_%5Ba%5D|work=Red Book|access-date=2 August 2011|url-status=dead|archive-url=https://archive.today/20120913180413/http://www.unboundmedicine.com/redbook/ub/view/RedBook/187389/all/Table_6_5__Infectious_Diseases_Designated_as_Notifiable_at_the_National_Level_United_States__2009_%5Ba%5D|archive-date=13 September 2012}}</ref> This means health care providers are required to notify [[public health]] authorities, which will then ideally provide [[partner notification]] to the person's partners.<ref>{{cite book|title=Brunner & Suddarth's textbook of medical-surgical nursing.|year=2010|publisher=Wolters Kluwer Health/Lippincott Williams & Wilkins|location=Philadelphia|isbn=978-0-7817-8589-1|pages=2144|edition=12th|url=https://books.google.com/books?id=SmtjSD1x688C&pg=PA2144|url-status=live|archive-url=https://web.archive.org/web/20160518012909/https://books.google.com/books?id=SmtjSD1x688C&pg=PA2144|archive-date=18 May 2016}}</ref> Physicians may also encourage patients to send their partners to seek care.<ref>{{cite journal |last=Hogben|first=M|title=Partner notification for sexually transmitted diseases|journal=Clinical Infectious Diseases|date=1 April 2007|volume=44|issue=Suppl 3|pages=S160–74|pmid=17342669|doi=10.1086/511429|doi-access=free}}</ref> Several strategies have been found to improve follow-up for STI testing, including email and text messaging of reminders for appointments.<ref name="DesaiWoodhall2015">{{cite journal|last1=Desai|first1=Monica|last2=Woodhall|first2=Sarah C|last3=Nardone|first3=Anthony|last4=Burns|first4=Fiona|last5=Mercey|first5=Danielle|last6=Gilson|first6=Richard|title=Active recall to increase HIV and STI testing: a systematic review|journal=Sexually Transmitted Infections|volume=91|issue=5|year=2015|pages=sextrans–2014–051930|issn=1368-4973|doi=10.1136/sextrans-2014-051930|pmid=25759476|s2cid=663971|url=http://sti.bmj.com/content/sextrans/91/5/314.full.pdf|doi-access=free|access-date=18 September 2019|archive-date=23 September 2020|archive-url=https://web.archive.org/web/20200923030724/https://sti.bmj.com/content/sextrans/91/5/314.full.pdf|url-status=live}}</ref>
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