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Modifying behaviour on STI including HIV and oncogenic HPV: a draft protocol for a registry open to the registered subject, generating the concept of a 'STI passport'

Paper:ewp-hew/0412001
From: Thomas Colignatus / Thomas Cool <   > 
Date: Fri, 03 Dec 2004 13:30:56 +0100

Abstract:
*** Background *** Sexually transmissible infections (STI) include both HIV and oncogenic HPV with the risk of cervical and oral cancer. Sexual behaviour is the key to the problem but appears very difficult to influence. The STI tend to have different channels of management and don't seem to be managed in a manner that is sufficiently comprehensive. *** Methods *** Analytical consideration of the factors involved. Induction of a solution approach. *** Findings *** Design of a protocol of a STI registry that also covers HIV and oncogenic HPV. The registry would provide a natural environment for education, discussion of doctor and client, and exchange of information between consenting clients. The registry would be open to the registered subject. Registration can be seen as not just useful for the internal system of public health itself but also as a service to the external public. While the registry would protect privacy, people are free to disclose their status to potential partners. People can also ask their potential partner to disclose that status, when it becomes common knowledge that such registration can exist. This facility adds to the sense of control, which is an important psychological factor for behaviour. Provision of this natural environment of information and control fosters the habit of safe sexual conduct. The registered status of infection then can function as a passport that guards the flows between the infected and the non- infected. Capacities, barriers, sticks and carrots determine the effectiveness and efficiency of the scheme. *** Interpretation *** The protocol offers promising avenues for both research by the academia and advance experimentation in communities.

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EconWPA began as a conversation between Bob Parks and Larry Blume on January 28, 1993. I located Paul Ginsparg's archive (then xxx.lanl.gov) and he graciously installed his software on a Sun Sparc system which was supporting the department of economics email and computation. EconWPA began accepting papers July 1, 1993 and had ftp, email, gopher and web interfaces. The web interface for submissions was engineered into existence in July 1995. A complete and catastrophic machine failure in 1999 caused the loss of EconWPA's email new paper announcment service at which time there were over 15,000 subscriptions with over 8,000 unique email addresses.

In 2005, Arts and Sciences commandeered the computing services that I had provided to the Department of Economics since 1987. Some might say that the department was sold out, others would (erroneously) claim that centralization is efficient, and still others would claim that I have few marketing skills.

I was told that I could keep operating EconWPA (as well as many other services including rfe.wustl.edu, barnett.wustl.edu, and three RePEc servers) but I would receive no support (hardware, software, or anthing else) and (as had been the case) no compensation. At that point, given the apparent low valuation of my activities by the department, and university, it made no sense for me to continue operating EconWPA or other services.

Thanks to all who have supported EconWPA in the past.

A Chinese curse states May you live in intersting times. I have. Bob Parks - Jan 2006