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International Journal of Epidemiology 2003;32:187-189
© International Epidemiological Association 2003

Reprints and Reflections

Commentary: Sexually transmitted infection in South Africa: 50 years after Sidney Kark

Priscilla S Reddy1, Anthony D Mbewu2 and Coceka M Nogoduka1

1 Health Promotion Research and Development Office,
2 Executive Research Directorate, Medical Research Council, Cape Town, South Africa.

Correspondence: Priscilla S Reddy, Director of Health Promotion Research and Development Office, Medical Research Council, PO Box 19070, Tygerberg, 7505, Cape Town, South Africa. E-mail: preddy@mrc.ac.za

The first 10% of the full text of this article appears below.

‘The problem of syphilis in South Africa is so closely related to the development of the country that a study of the social factors responsible for its spread is likely to assist in its control’ wrote Sidney Kark in 1949 in the South African Medical Journal.1 We would paraphrase: the biomedical paradigm of sexually transmitted infection (STI) relies on the germ causation theory; whereas health promotion theory looks at the multiple determinants (psychological, social, economic, historical and political) which underlie behaviours that result in the spread of STI, and hamper their control.

Venereal syphilis was introduced into the Cape region of South . . . [Full Text of this Article]


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