An oldie but...no, "goodie" is the wrong term
Resistant form of gonorrhea gains foothold
By Stephen Smith, Globe Staff, 3/10/2004
A dangerous form of gonorrhea that can't be treated with standard antibiotics has swiftly established a foothold in Massachusetts, highlighting a resurgence of sexually transmitted illnesses across New England, disease trackers report.
The new germ was first detected in the state in 2002. By last year, one of every seven gonorrhea patients tested positive for the bacteria, which cannot be treated with the cheapest antibiotic pills. Maine reported its first case in January.
Though other New England health departments do not routinely examine blood samples for the new bug, health officers in those states said they suspect its presence.
Infectious disease specialists fear that the number of drug-resistant gonorrhea cases will grow exponentially, as patients with the new strain are unwittingly prescribed drugs that do them no good. Thinking they're cured, the patients may resume unsafe sex practices and pass on the infection.
"If the drug-resistant gonorrhea establishes that initial beachhead, it can become very hard to put the genie back into the bottle," said Dr. Stephen L. Boswell, executive director of the Fenway Community Health Center in Boston.
Federal infectious disease specialists are monitoring the spread of the drug-resistant bacteria -- which arrived in the United States about four years ago, on the West Coast -- with a mixture of surprise and alarm. Investigators from the US Centers for Disease Control and Prevention said the Massachusetts outbreak appears to be more severe than clusters recently reported in Seattle, Las Vegas, Chicago, Dallas, and Philadelphia.
They also predict that the new gonorrhea strain could be a harbinger of an increase in HIV infections: Because people with gonorrhea have open sores on their genitals, they can catch the AIDS virus more easily and spread it more efficiently if they're already infected. "We're really surprised at the speed of this," said Dr. Susan Wang, a CDC medical epidemiologist who is analyzing the Massachusetts gonorrhea cases. "We were hoping to have a little more time before it came to the East Coast. The amount that we're seeing in Massachusetts is quite a bit. We're quite concerned."