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Because they frequently go undiagnosed or untreated, sexually transmitted infections remain a major public health problem, in spite of the existence of tools to control them. Now, with the increasing resistance to antibiotics of some of the sexually transmitted pathogens, windows of opportunity for the cost-effective control of sexually transmitted diseases are closing. Gonorrhea, for example, which could be treated easily with affordable penicillin and tetracycline during the 1960s, has remained unchecked in many countries, including those of sub-Saharan Africa. Today, with increasing resistance, the failure of treatment for gonorrhea with penicillin and tetracycline is high, the cost of treatment
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