Epidemiology

Internal medicine

Public health

Pathology

Sociology

Gonorrhea

Cervical cancer

Genital warts

Family medicine

Biology

Cancer

Demography

Ethnic group

Political science

Multinational corporation

Ecology

Men who have sex with men

Syphilis

Thrush

Human papilloma virus

Human immunodeficiency virus (HIV)

Indigenous

Medicine

Environmental health

Sexual Health

Although understanding the local epidemiology of gonorrhoea is critical for local efforts, understanding the multinational epidemiology may support development of national and international prevention and control policies and strategies. In this paper, current epidemiology of gonorrhoea is reviewed through an international lens and with a focus on selected populations. The World Health Organization (WHO) estimates that ~87 million new gonococcal infections occurred among people aged 15–49 years in 2016. Gonorrhoea rates are rising in many countries. Gay, bisexual and other men who have sex with men, racial or ethnic minorities, Indigenous populations and sex workers appear to bear disproportionate burdens of gonorrhoea. International travel can facilitate spread of gonorrhoea, including resistant strains, across international borders. Critical gaps in epidemiological knowledge are highlighted, including data on gonorrhoea among transgender persons and the burden of extragenital gonorrhoea. Even as further data are gathered, action — informed by currently available data — is needed now to confront this growing international threat.

Epidemiology of gonorrhoea: a global perspective