1. Introduction and Background

2. The Neglected Health and Economic Impact of STDs. Broad Scope and Impact of STDs. Health Consequences of STDs. Impact of STDs on HIV Transmission. Economic Consequences of STDs

3. Factors that Contribute to the Hidden Epidemic. Biological Factors. Social Factors. Secrecy as a Contributing Factor

4. Prevention of STDs. Issues in Prevention. Reducing Exposure and Transmission. Reducing Duration of Infection

5. Current STD-Related Services. Clinical Services. National Surveillance and Information Systems. Training and Education of Health Professionals. Funding of Services

6. Establishing an Effective National System to Prevent STDs. Laying the Foundation for a National System. Strategy 1: Promote Health Sexual Behaviors. Strategy 2: Develop Leadership. Strategy 3: Focus on Adolescents and Underserved Populations. Strategy 4: Ensure Access to Services. Collaborating to Improve Services.