According to the Public Health Agency of Canada, susceptibility to AIDS/HIV is definitely not on the wane. In 1997, there were 4,917 reported cases of gonorrhea, or 14.9 per 100,000 population. By 2004, there were 9,233 cases, 28.9 per 100,000.
Syphilis was at 0.4 per 100,000 in 1997, with 115 cases. By 2004, the rate was 3.5 per 100,000 with 1,127 cases.
Gonorrhea is a bacterial infection that can be transmitted through unprotected oral, vaginal and anal sex. Many people have no symptoms but still may transmit the infection, which, in women, can lead to serious complications, including infertility. It is treated with antibiotics but can be reacquired immediately after treatment.
Meanwhile, experts say that though Chicago can no longer be called the syphilis capital of the U.S., it still has one of the highest syphilis rates in the country.
Says Laurie Anderson, the syphilis elimination coordinator for the Chicago Department of Public Health: "When people don't see a public-awareness campaign, they think [the disease] is gone. Yet, Chicago still has it".
In 2000, Cook County, including Chicago, had the highest number of cases in the U.S. But the number of cases in the city has dropped dramatically in the last decade, from 582 in 1995 to the all-time low of 267 in 2003 after the Syphilis Elimination Task Force launched a similar citywide campaign using CTA buses and trains, urging sexually active adults to get screened and practice safer sex.
After the campaign ended, though, syphilis rates begin rising, primarily among men who have sex with men and who engage in anonymous sex in bars, bathhouses and bookstores, and who use partners they met on the Internet, according to the health department.
The numbers began dropping again in 2006, but public health officials are not satisfied because they want it wiped out. Unlike HIV, the virus that causes AIDS, syphilis is easily detected with a simple blood test and can be treated with antibiotics.
"Our message is simple: If you're sexually active, make STD testing a regular part of your health-care routine," says health department Commissioner Terry Mason.
In addition to routine screenings, health officials stress knowing the symptoms.Early on, a person infected with syphilis might have painless sores and swollen lymph nodes. Or he may be symptom-free but is still infectious and a threat to others.
Second-stage symptoms include fever, fatigue, aches and pains, and loss of appetite. If it reaches the final and third stage undetected, a person can have heart, brain and nervous system problems.