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A. Volatile   Among the most divisive issues in communities and society in general are religion and sex. Religion Sex   Although the guardians of so-called moral values have been unable to prevent acceptance of explicit references to sex and sexual practices on stage, screen, in literature and the media, one area remains cloaked: sexually transmitted diseases. The U.S. Department of Health & Human Services says:   STDs are hidden epidemics of enormous health and economic consequences in the United States. They are hidden because many Americans are reluctant to address sexual health issues in an open way and because of the biologic and social characteristics of these diseases. All Americans have an interest in STD prevention because all communities are impacted by STDs and all individuals directly or indirectly pay for the costs of these diseases... The first hurdle will be to confront the reluctance of American society to openly confront issues surrounding sexuality and STDs. Despite the barriers, there are existing individual- and community-based interventions that are effective and can be implemented immediately...   What is your community, your state doing to cope with STDs? Here are some city and state figures for a recent year. Find the data for your city and state and check on efforts to control the spread of STDs. Chlamydia | Highest rates of cases per 100,000 population in states: | 1. Alaska | 605.8 | 2. Louisiana | 467.8 | 3. Hawaii | 440.2 | 4. Mississippi | 424.6 | 5. Georgia | 416.9 | Highest rates of cases per 100,000 population in cities: | 1. Rochester, N.Y. | 1,219.6 | 2. Philadelphia, Pa. | 1,189.3 | 3. Detroit, Mich. | 1,102.2 | 4. Richmond, Va. | 1,040.2 | 5. St. Louis, Mo. | 1,035.0 | | Gonorrhea | Highest rates of cases per 100,000 population in states: | 1. Louisiana | 264.4 | 2. Mississippi | 220.4 | 3. Alabama | 207.4 | 4. South Carolina | 207.4 | 5. Georgia | 206.6 | Highest rates of cases per 100,000 population in cities: | 1. St. Louis, Mo. | 752.2 | 2. Rochester, N.Y. | 663.4 | 3. Richmond, Va. | 632.5 | 4. Baltimore, Md. | 620.9 | 5. New Orleans, La. | 620.0 | | Syphilis | Highest rates of cases per 100,000 population in states: | 1. Louisiana | 35.2 | 2. Georgia | 25.1 | 3. New York | 22.8 | 4. Arizona | 20.3 | 5. Florida | 19.6 | Highest rates of cases per 100,000 population in cities: | 1. Newark, N.J. | 119.0 | 2. Atlanta, Ga. | 117.0 | 3. San Francisco | 85.7 | 4. Baltimore | 71.6 | 5. Dallas | 70.2 | | Average Rates | Chlamydia | 304.3 | Gonorrhea | 116.2 | Syphilis | 11.9 |
  The department of Health & Human Services targeted the gonorrhea rate for 2010 at 19.0. Forty states now have rates higher than this. |