That last request hints at why the emergence of gonorrhea has been so hard to control. The bacterium is very good at amassing mutations that protect it against antibiotics. It churned through sulfa drugs, the first antibacterials, in the 1940s; penicillin and tetracycline, some of the earliest antibiotics, by the 1980s; and fluoroquinolones such as Cipro by the mid-2000s.
“We know that clinicians often aren’t super comfortable talking about sexual health, and patients aren’t either,” says Elizabeth Finley, director of communications at the National Coalition of STD Directors, the professional association for STD chiefs such as Roosevelt. “So recommendations to be tested can get skipped over, or requests aren’t heard.”
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