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    Sexually transmitted infections, including HIV, in the Netherlands in 2008

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    Authors
    Koedijk FDH
    van Veen MG
    Op de Coul ELM
    van den Broek IVF
    van Sighem AI
    Verheij RA
    van der Sande MAB
    Series/Report no.
    RIVM report 210261005
    Type
    Report
    Language
    en
    
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    Title
    Sexually transmitted infections, including HIV, in the Netherlands in 2008
    Translated Title
    Seksueel overdraagbare aandoeningen, waaronder hiv, in Nederland in 2008
    Publiekssamenvatting
    Chlamydia, gonorroe, syfilis. Na een stabilisatie van het percentage positieve chlamydiatesten in 2007, is dit in 2008 weer toegenomen. Vooral onder jonge heteroseksuelen en bij mannen die seks hebben met mannen (MSM) komt chlamydia veel voor. Het percentage positieve gonorroe- en syfilistesten nam in 2008 verder af. Deze infecties werden het meest gediagnosticeerd bij MSM.
    Hiv. In 2008 werden 393 nieuwe hivdiagnoses gesteld in de soacentra, bijna de helft van de 851 hivpositieven die dat jaar landelijk werden gediagnosticeerd en geregistreerd in de hivcentra. Het percentage bezoekers van de soacentra dat zich in 2008 op hiv liet testen nam toe tot 90%. Eind 2008 waren in totaal 15.538 personen in Nederland met hiv geregistreerd. Het aandeel MSM onder de nieuwe hivinfecties nam in 2008 verder toe.
    MSM. Bij 22% van MSM werd een of meerdere soa gevonden; bij MSM die weten dat ze hivpositief zijn was dit 36%. Daarnaast wordt in deze groep sinds 2004 regelmatig lymfogranuloma venereum (LGV), een agressieve variant van chlamydia, en sinds 2007 acute hepatitis C geconstateerd.
    Jongeren. Sinds 2008 houden GGD'en speciaal voor jongeren onder de 25 jaar de zogeheten Sense-spreekuren. Daar kunnen zij met hun vragen over seks terecht en direct een afspraak maken voor een soa-onderzoek. In 2009 wordt het essentieel om de samenhang te intensiveren. tussen maatregelen die erop gericht zijn soa's te voorkomen en te genezen.
    De soacentra. De soacentra bieden zorg aan hoogrisicogroepen, waaronder jongeren, MSM en personen afkomstig uit gebieden waar soa's relatief veel voorkomen. In 2008 hebben ruim 88.000 personen zich laten testen, een toename van 13% ten opzichte van 2007.

    Chlamydia, gonorrhoea and syphilis. Chlamydia was the most common bacterial sexual transmitted infection (STI) diagnosed in Dutch STI centres in 2008. Similar to previous years, infections were reported as occurring especially in young heterosexuals and men who have sex with men (MSM) in 2008, the proportion of positive chlamydia tests increased again both in heterosexuals and MSM, after a stabilisation in 2007. The positivity rate for gonorrhoea and syphilis continued to decrease in 2008. These infections were most frequently diagnosed in MSM.
    HIV. In 2008, 393 new positive HIV cases were diagnosed in STI centres in the Netherlands. This number amounts to almost half of the total number of 851 positive HIV cases registered nationwide in 2008. The proportion of consultations with an HIV test in STI centres increased to 90%. At the end of 2008, a total of 15,538 HIV cases in care were registered in the Netherlands. The proportion of MSM among new HIV cases rose further in 2008.
    MSM. In line with previous years, concurrent STIs were diagnosed very frequently among MSM visiting STI centres who had known HIV positive status in 2008 (36%). In this group of men, lymphogranuloma venereum (LGV), an aggressive type of chlamydia, has been reported frequently since 2004; this has also been the case for acute hepatitis C infections since 2007.
    Young people. In 2008, parallel to additional STI care in the specialised STI centres, the public sexual healthcare (Sense) has started, aimed at young people. In 2009, intensification of the integration between prevention and cure is essential in this group.
    The STI centres. The specialised STI centres in the Netherlands offer STI testing and care targeted at high risk groups, including young people, MSM and people who come from an STI endemic area. In 2008, more than 88,000 people used this service, an increase of 13% compared to 2007.
    Publisher
    Rijksinstituut voor Volksgezondheid en Milieu RIVM
    soa-centra
    SHM
    Hiv-centra
    NIVEL
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    VWS
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