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Syphilis rates are rising again in San Francisco after declining for the past 3 years. During the first 8 months of 2008, 409 syphilis cases were diagnosed in the city, compared with 305 during the same time period in 2007. Eighty-six percent of all syphilis cases occurred among men who have sex with men.
Bajko MS. Syphilis spikes upward in SF. Bay Area Reporter. Oct 2, 2008. (http://www.ebar.com/news/article.php?sec=news&article=3362)