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HEALTH

Sexually transmitted infections triple in just four years in France

French health authorities are warning the general public to use protection and get tested after their latest findings suggest chlamydia and gonorrhoea cases in the country tripled between 2012 and 2016.

Sexually transmitted infections triple in just four years in France
Young people aged 15 to 24 are the most affected by STIs. Photo: Matt Preston/Flickr

The number of sexually transmitted infections (STIs) among the French public is soaring.

Chlamydia and gonorrhoea are the main culprits, both seeing their prevalence triple between 2012 and 2016, French health authorities announced on Wednesday.

In 2016, the number of people diagnosed with a chlamydia infection was estimated at 267,097.

That means 491 per 100,000 people aged 15 and over had the STI last year, Public Health France warned.

In 2012, the figure stood at 76,918, less than a third of the 2016 figure.

As for gonorrhoea infections, the number of diagnoses was 15,067 in 2012 and 49,628 in 2016, meaning 91 per 100,000 inhabitants aged 15 and over had the infection.

“The very high number of chlamydia and gonococcal infections highlighted by this survey underlines the importance of using a condom and getting regular screening after unprotected sex,” the health agency explained.

They did so through an awareness campaign they’ve launched on their OnSexprime.fr website, a play on words using the French verb s’exprimer, to express oneself.

Their concern is that the real STI figures are much higher still, taking into account the number of people who don’t get checked up, in large part because they’re not displaying any physical symptoms.

Public Health France believes improved screening tests and increased promiscuity without protection are to blame for the sharp rise in STIs.

STI symptoms include unusual discharge from the vagina, penis or anus, pain when urinating, lumps or skin growths around the genitals or anus, rashes, unusual bleeding, itchiness, blisters and more.

And whereas all these unpleasant symptoms may push people to go to the doctor for a check-up, in some cases infections don’t manifest themselves so visibly.

It’s important to remember that even in such cases STIs remain highly contagious and can cause everything from chronic pain to infertility, to an increased risk of HIV infection, so Public Health France advises the public to always get screened after having unprotected sex with a new partner. 

Chlamydia infections mainly affect women between the ages of 15 and 24 in France; around 2,271 cases for every 100,000 women. In many cases, the infection goes unnoticed.

France’s Île-de-France region has the highest rate of chlamydia diagnoses.

Their rate of 1,481 cases per 100,000 inhabitants dwarfs the 258 average of the rest of metropolitan France.

Gonorrhoea infections on the other hand affect men more than women, the infection rate for males standing at 131 per every 100,000 compared to 55 of 100,000 females.

Again it’s young people aged 15 to 24 year olds who are most affected.
 

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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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