Exploration of introducing a chlamydia screening programme to the Democratic People's Republic of Korea

Gareth Jones, Ye jin Kang
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Abstract

Chlamydia trachomatis is a common STI that is often asymptomatic, and can only be diagnosed through a screening test. Despite acute infection being asymtpoamtic, long term consequences of untreated CT infection can lead to infertility in men and women, increased risk of ectopic preganancy, and the economic burden of the long-term impacts far outweigh the cost of testing and treatment. Despite this, there is currently no concentrated CT screening programme in the DPRK, a region that is indicated to have high STI rates, including CT. Taking into account prevalency, the geopolitical situation of the DPRK, and the cost per positive test, this paper explores whether or not a CT screening programme would be cost-effective in the DPRK.
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探讨在朝鲜民主主义人民共和国推行衣原体筛查方案
沙眼衣原体是一种常见的性传播感染,通常是无症状的,只能通过筛查测试来诊断。尽管急性感染是无症状的,但未经治疗的CT感染的长期后果可导致男性和女性不孕,增加异位妊娠的风险,长期影响的经济负担远远超过检测和治疗的费用。尽管如此,朝鲜目前还没有集中的CT筛查规划,而朝鲜是性传播感染(包括CT)发病率较高的地区。考虑到朝鲜的患病率、地缘政治形势和每次阳性检测的成本,本文探讨了CT筛查方案在朝鲜是否具有成本效益。
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