4 ms·
Like many slow moving disasters, it doesn't feel like one while you live through it. An example: gonorrhea has no golden standard cure anymore. 40 years ago a
by retrac 4y ago
Like many slow moving disasters, it doesn't feel like one while you live through it.
An example: gonorrhea has no golden standard cure anymore. 40 years ago a single large dose of oral antibiotics was an effective cure. It made controlling it relatively easy. In the 90s, resistance to most of the common oral antibiotics became prevalent. Through the 2010s, a single dose of an intramuscular cephalosporin was effective. Now resistance to that is also common. Gonorrhea remains curable in almost all cases, but cultures and strain-specific targeting and second-line antibiotics in combination may be needed. Repeat testing to be sure it worked is necessary.
From one pill cure in 99%+ of cases, to something requiring multiple clinic visits and lots of lab work and possibly IV infusion antibiotics. The complications for public health, in terms of patient compliance, containing spread, as well as just the labour hours and case management complexity, are awful.
- Thorentis 4y ago[flagged]
- magpi3 4y agoWhat about someone who gets it from a partner who is sleeping around?
- throwaway1777 4y agoDon’t sleep with those kind of people? It’s a dumb moral standard to impose but it does work.
- aidenn0 4y agoBecause people have the number of sexual partners tattooed on their foreheads?
- aidenn0 4y agoA few months ago there was a post about how in a social graph, the average number of friends of friends is higher than the average number of friends. There's likely a similar trend in sexual contacts. Even if you don't "sleep around" you might sleep with someone who does.
- acdha 4y agoGood thing nobody gets cheated on, lied to, or raped. As advice, this is like saying we don’t need airbags because people should drive safely. Provably millions of people will have adverse effects due to this and moralizing won’t shift that rate anywhere near enough.
- matthewmacleod 4y agoIt is difficult to understand what you are trying to say with this comment. What are you trying to communicate with it? Could you express your intent in some other way which might make it clearer?
- Thorentis 4y agoTraditional morality around sex, dating, and marriage, is one solution to reducing the prevalence of STDs. It doesn't eliminate it, and there will always be edge cases, but it does "flatten the curve" so to speak, as much as people may not like to admit it.
- deleted 4y ago[deleted]
- dmckeon 4y agoAlso 40 years ago, 40-some years after penicillin was introduced, gonorrhea had evolved to produce an enzyme that acted specifically against it, penicillinase. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1046026/pdf/brjvendis00014-0062.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1046026/pdf/brj... No matter how many new, different, or even radical antibiotics we develop, unless we get ahead of over-prescribing and under-treating (not taking all of a prescribed treatment course) we will continue to rapidly evolve more successful micro-organisms, to our own detriment.
- midoridensha 4y agoI think it's utterly hopeless. With billions of humans, there's no way to get everyone to agree to do the right thing, both with doctors and especially patients. You just need a small fraction doing the wrong thing for something bad to evolve: look at Covid, for instance. That simply evolved somewhere at one point in time in one place, and then spread like wildfire.