Kyrgyzstan: STD management during the syphilis outbreak.

This article outlines the measures undertaken by the Government of Kyrgyz Republic to combat the STD epidemic, particularly syphilis, which has plagued the country since 1991. A decree entitled "Emergency Situation Due to the STD Epidemic" was adopted on June 30, 1997. The policies encompassed and encouraged by the decree are enumerated as follows: widespread implementation of the outpatient approach for syphilis treatment, which has already increased the percentage of patients treated as outpatients from 9.2% in 1995 to 49.4% in 1997, the expansion of the anonymous examination and treatment that has been provided in all Dermatology and STD clinics since 1996, Broad use of mass media for popularization of safe sex principles (so far this has included a hot line service for consultation on STD and AIDS issues and the distribution of 50,000 leaflets, brochures and booklets), and increased financing for STD services. The article closes by mentioning the opening of the Center on STD Care for Sex Workers at the Dermatology and STD Clinic. At the Center sex workers will be treated to prevent the spread of STDs and trained on the principles of safe commercial sex.

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