We review the epidemiology and trends of sexually transmitted diseases (STDs) in Singapore from 1977 to 1996. There has been a progressive decline in the incidence of bacterial STDs over the period of observation. However, viral STDs have not shown the same trend, remaining at a relatively constant level.
Early detection and treatment of STDs, together with health education and prevention measures targeting sex workers, have been major factors in controlling STDs. Vigilant monitoring of antibiotic resistance patterns in Neisseria gonorrhoeae has allowed timely changes to recommended treatment regimens. The advent of the human immunodeficiency virus (HIV) pandemic in the 1980s and public education campaigns have also contributed to the success of the STD control programme.
In view of the incurable nature of many viral STDs, prevention and counselling have become the cornerstone of STD control. Surveillance and monitoring of STD trends will continue to provide important information regarding the effectiveness of existing health programmes and help formulate new plans for the future.
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The author(s) declare there are no affiliations with or involvement in any organisation or entity with any financial interest in the subject matter or materials discussed in this manuscript.
