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Education of physicians regarding the diagnosis and management of syphilis and other STDs that is provided in medical schools, residency training programs, and continuing medical education programs is essential to the control of syphilis, The measure most likely to have the desired long-term effect of decreasing syphilis incidence is education of the public by public health authorities, health care professionals, community-based organizations, and the media regarding STD and HIV infection prevention measures and reduction of risk factors for The presence of genital ulcers, as occur with primary syphilis, increases the risk for transmission of conducted at a Milwaukee STD clinic and reported by Hoxie et al found that syphilis patients were more than three times more likely to be infected with HIV than non-syphilis infections further supports the importance of reducing the incidence The principles of focused serologic screening, prompt and complete reporting and follow-up, and public health education will need to be diligently applied to gain control occurrence of syphilis in Wisconsin We express thanks to Gregg Leeman, Sharon Lidberg, Cathy Edwards, and Mary Proctor, PhD, of Bureau of Public Health, DOH, and to Patricia Guhleman, Center for Health Statistics, DOH, for their contributions to this manuscript, and to Susan Hillis, PhD, of the Division Hoxie, MS, of the CDS, DOH for factors for syphilis: cocaine use and M, et al. It is always notably compressible, and has been called a"gaseous pulse." The surface is usually cool, especially of the parts of the body which are exposed: lyrica withdrawal symptoms depression.

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