• Sevgi O. AralEmail author
  • Kevin A. Fenton
  • Judith A. Lipshutz


Sexually Transmitted Infections (STI), including HIV, remain among the most prevalent and costly health conditions facing western industrialized countries. In the United States alone, more than 19 million STIs are believed to occur each year, costing approximately $17 billion in diagnosis, treatment, and care costs [1, 2]. In Europe there are more than two million people living with HIV, and in 2010, 27,116 newly diagnosed HIV infections were reported across the European Union and the European Economic Area (EU/EEA) [3]. As with the US, the STI epidemics are remarkably distinct in individual countries. While some conditions such as chlamydia and the viral STIs are highly prevalent and demonstrate patterns consistent with generalized epidemics, STIs overall continue to disproportionally affect certain key populations, in particular men who have sex with men (MSM), persons originating from countries with generalized HIV epidemics and people who inject drugs. In many industrialized settings, governments continue to struggle with bringing these epidemics under control as they face stable or increasing HIV/STI rates among MSM, high prevalence of undiagnosed infection among young people, and poor coverage of treatment, care, and vaccination services for at-risk populations.


Sexual Health Sexually Transmit Infection Human Immunodeficiency Virus Prevention European Economic Area Sexually Transmit Infection Prevention 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Sevgi O. Aral
    • 1
    Email author
  • Kevin A. Fenton
    • 2
  • Judith A. Lipshutz
    • 3
  1. 1.Division of STD PreventionCenters for Disease Control and PreventionAtlantaUSA
  2. 2.NCHHSTP, Centers for Disease Control and PreventionAtlantaUSA
  3. 3.OSTLTS, Centers for Disease Control and PreventionAtlantaUSA

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