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Symptomless gonorrhoea in women in Maiduguri (north eastern Nigeria)

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It has been known for several years that there are considerable differences between the population growth rates of certain areas of Uganda. The reasons for these differences may have important implications, especially for socioeconomic and health planning. Two rural areas with a low and a high rate of population growth respectively were selected for an intensive demographic research project aimed at investigating sociocultural and medical factors related to differential growth rates. Gonorrhoea was found to be one of the most important factors responsible for these differences. The survey further disclosed some complex sociocultural characteristics favourable to the spread of gonococcus, which in the absence of adequate and appropriate diagnostic and treatment facilities has firmly established itself in the communities concerned.
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A case-control study of 1358 pregnant and nonpregnant women with and without symptoms of a lower genital tract infection were investigated for evidence of venereal disease. The prevalence of gonorrhea, Trichomonas and Candida in pregnancy was 15.0%, 20.6% and 41.3%, respectively, while the equivalent percentages in the nonpregnant women varied from 16.5% to 21.6%, 2.4% to 22.8% and 33.3% to 39.3%. However, these differences are not statistically significant. The implications of the findings are discussed and a screening program suggested.