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Each year 12 million new cases of sexually transmitted diseases, including 3 million in teenagers, occur in the United States, with population rates higher than in any other developed country. In 1995, 5 of the 10 most frequently reported diseases in the United States were sexually transmitted, accounting for 87 percent of the diseases reportable to the Centers for Disease Control and Prevention. The collective toll of these diseases on individuals and communities is enormous. In addition to the morbidity and mortality associated with sexually transmitted human immunodeficiency virus (HIV) infections, sexually transmitted diseases cause serious complications, including cancer, pelvic
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