“These areas of public health have been underfunded for decades,” notes Dr. Hilary Reno, an associate professor of Medicine at Washington University and also the medical director of the St. Louis County Sexual Health Clinic and CDC Sexually Transmitted Disease Prevention consultant. The COVID-19 pandemic has taxed this further. There were shortages of chlamydia and gonorrhea tests as manufacturers repurposed swabs for COVID-19 tests. Contact tracers who would normally follow up with partners of infected individuals are now pulled into COVID-19 efforts.

Although many of STIs are curable (chlamydia, gonorrhea, and syphilis) or effectively managed (HIV), untreated they can have lasting consequences. “People are still getting STIs, but they aren’t getting tested, so now we have these undetected infections,” Dr. Reno notes. “When are they going to present? How are they going to present?”

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