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The Current Trend in Genital
Herpes.
Progress in Prevention.
Recent
serosurveys indicate that the prevalence of genital herpes has
continued to increase even during the decade of HIV. Much of
this continued transmission is due to the difficulty of
identifying the subclinical carrier of HSV-2. The development
of serologic assays that accurately distinguish HSV-1 from
HSV-2 infection now allow such persons to be identified, and
recent studies indicate almost all HSV-2 seropositives have
symptoms and signs of reactivation HSV-2. Moreover, over 50%
will shed virus sub clinically in the genital tract. This
underestimation of this reactivation rate appears to be another
factor in the continued spread of the virus throughout the
population. The development of an HSV vaccine is imperative if
we are to control this rapidly increasing
infection.
Department of Laboratory Medicine, University of Washington,
Seattle 98144. 1994, Mar-Apr; 21(2 Suppl): S38-44.
by Corey, L. -
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