It is time to sound the alarm. During the past 3 years, the wily gonococcus has become less susceptible to our last line of antimicrobial defense, threatening our ability to cure gonorrhea and prevent severe sequelae.The popularized accounts of this report didn't note that the increase is primarily among gay men.
Gonorrhea is the second most commonly reported communicable disease in the United States, with an estimated incidence of more than 600,000 cases annually. It disproportionately affects vulnerable populations such as minorities who are marginalized because of race, ethnic group, or sexual orientation. Unfortunately, Neisseria gonorrhoeae has always readily developed resistance to antimicrobial agents: it became resistant to sulfanilamide in the 1940s, penicillins and tetracyclines . . .
NEJM Feb. 9, 2012
The official report in NEJM first had the obligatory blame whitey and homophobia, 1) "minorities who are marginalized because of race, ethnic group, or sexual orientation, 2) hand out more condoms, more lectures, and more testing, 3) develop new drugs and tests, and 4) develop a vaccine.