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SEX

Dating apps ‘to blame for rise in sexual diseases’

The German government is concerned that dating apps are leading to a sharp rise in sexually transmitted infections (STIs), including a doubling in the number of syphilis infections, Bild reports.

Dating apps 'to blame for rise in sexual diseases'
Photo: DPA

New dating and mating possibilities presented by online networks and dating sites “are changing and facilitating the process of making contact. This has an effect on sexual behaviour,” the government report, which looks into ways of controlling the spread of STIs, concludes.

“The meaning of dating apps for the initiation of contact – and the consumption of party and sex drugs in groups of homosexual men – must be taken into consideration,” the report notes.

It also lists a sharp rise in the prevalence of STIs, including a doubling in syphilis infections between 2009 and 2014 to 5,700 cases nationwide.

In 2014 there were also 3,200 new cases of HIV, bringing the overall number to 84,000 in Germany.

“Almost three quarters of those who are HIV positive are men who engage in homosexual sex,” the report says.

In 2014 there were also 2,300 new cases of Hepatitis B and 5,800 cases of Hepatitis C.

The government also warned of increased danger from gonorrhoea and chlamydia infections, due to the fact that many strains of these diseases are becoming resistant to antibiotics.

“Everyone is vulnerable to being infected with a sexually transmitted disease. The number of sexual partners one has, as well as sexual orientation, sexual practices, psychological instability and social factors have an effect on the risk of infection,” the report notes.

Especially endangered are new groups of drug users who take crystal meth and speed.

“Through the consumption of these drugs sexual behaviour and attitudes to protection are influenced,” the report says.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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