Rapid increase of gonorrhoea cases in Guangdong Province, China, 2014-2017: a review of surveillance data.

9 An increasing trend was also observed in several other countries, including the USA, 10 the UK, 11 France, 12 Australia and Greenland. 13 Multiple factors including greater screening coverage, use of more sensitive diagnostics and high levels of unsafe sexual behaviour among certain subpopulations were likely contributors. 14–16 However, there has been limited analysis of this trend in China to confirm the increase and the driving forces to date, which is critical to informing the design of tailored intervention programme.

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