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Chlamydia 'refuseniks' face police round up
Human pap smear showing chlamydia in vacuoles at 500x and stained with H&E

Chlamydia 'refuseniks' face police round up

Published: 17 Nov 2010 12:45 GMT+01:00
Updated: 17 Nov 2010 13:58 GMT+01:00

Eight people in northern Sweden who have refused to submit to a test for the sexually transmitted disease chlamydia could be forcibly collected by police, reported the local Norrländska Socialdemokraten (NSD) daily.

After the refusal of repeated requests to submit to tests, the matter was referred to the administrative court (Förvaltningsdomstolen) which ruled on Monday to authorise the forcible examination of eight, of a total of eleven suspected cases, under provisions in the Communicable Diseases Act.

"They are fuss pots and refuseniks," said the county medical officer Anders Österlund to the newspaper.

Österlund told NSD that it is unusual that cases go as far as forcible collection by the police, but that the county health authority felt obliged to act in response to tougher guidelines from the Swedish Health and Welfare Board (Socialstyrelsen).

"We haven't changed the regulations. But the general understanding of monitoring these types of cases has been clarified. We have to trace the infection," said Agneta Holmström at the Health and Welfare Board to The Local on Wednesday.

The group of people, all resident in Norrbotten in the far north of Sweden, have repeatedly ignored requests, summonses, and even resisted police visits to advise them of their obligation to take a urine test.

The Communicable Diseases Act (1988) allows for a doctor to enact forcible measures to ensure the control of infectious diseases. If a person continues to have unprotected sex despite being under suspicion of carry an infection, then isolation can be enforced as a last resort.

"They (the doctors) are their own authority. But the measures have to be in proportion to the risk of infection," Holmström said, explaining that the law allows measures can be taken with respect to HIV, chlamydia and syphilis.

During the first half of 2010 17,253 case of chlamydia were reported to the Swedish Institute for Infectious Disease Control (Smittskyddsinstitutet - SMI), a decline of 8 percent on the corresponding period of 2009.

Despite the decline, the disease remains a priority for health authorities and SMI together with the Health and Welfare Board have recently published a joint guidance report on infectious diseases and the law, and the rights and obligation of infected individuals.

"We want to hinder the spreading of the diseases," Agneta Holmström told The Local.

TT/The Local/pvs (news@thelocal.se)

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Your comments about this article

16:30 November 17, 2010 by Tennin
Kind of scarey that the police will use force to collect the samples needed. >_
17:47 November 17, 2010 by Fluid Marketing Solutions
What are these people thinking. There is no way that I would want to walk around with the ability to spread such a horrible sexual disease. People who refuse to get tested and are out there being sexually active with more than one partner are in my opinion trying to make themselves and others sick. There is so much more involved in just having sex. Five minutes of pleasure can lead to a death sentence if you are not careful and care and treat your body as if it is the most scacred thing you own and have control over.
19:34 November 17, 2010 by Tanskalainen
They caught it from reindeer.
19:39 November 17, 2010 by ilockitdown
they obvs have the disease and probaly others, which is why they don't want to get the test lol
20:42 November 17, 2010 by planet.sweden
These people should be added to Merriam-Webster's Online Dictionary to help illustrate the words "selfish" and "irresponsible"
21:57 November 17, 2010 by here for the summer
@planet

agree ..

@tennin .. this is a communicable disease with public health concerns
22:18 November 17, 2010 by zircon
No Christmas present for you, dear.
22:31 November 17, 2010 by mjennin2
Um hello people. Do you KNOW how they test for Chlamydia in men? They stick a long cotton swab up your pee hole and scrape around.

If I were a boy, I wouldn't want to do the test either!

My biggest question is, how did they single these individuals out? Is there compensation in damages if these people turn out not to have it?
23:42 November 17, 2010 by mikewhite
Rubbish, mjennin2, it's just a pee test:

Chlamydia test
00:59 November 18, 2010 by mjennin2
Mike, you are both right and wrong. I knew two guys in college who had to get tested via direct testing:

"For men: To collect a sample from the urethra or rectum, your doctor will insert a swab into the opening of your urethra or rectum to collect a sample. A sample from the urethra is more likely to detect chlamydia if a man has not urinated for at least 2 hours before the sample is taken."

http://www.revolutionhealth.com/conditions/stds/chlamydia/chlamydia-test

However, as per this article, it says that urine tests are just as useful in testing, so who knows. Maybe certain things disqualify you for one test or the other. If urine is all that's required, it's un-effing-believable that these people won't submit, unless they are concerned that other things will be unknowingly analyzed from their urine (drug tests, etc).
03:18 November 18, 2010 by pozloves
Many people think they have STD and directly go to online STD services like ** STDpal.com *** without having the test. They do not want to go to the hospital due to the social stigma attached to it. This may help them a lot. Not sure this phone test will make those niche sites' members increase or decrease.
08:40 November 18, 2010 by mikewhite
"Social stigma" - I thought Swedish people were above such things ... unless all test details are published on an equivalent of birthday.se ?
10:24 November 18, 2010 by Tennin
´@Here for a summer

Sorry I should have made myself clearer. I know and understand that it's a nasty disease, and the people who knowingly spread it should be in trouble. STDs are horrible and people should use condoms to help stop the spreading of them.

From what I meant about how scarey a forced test is that like Mjenin stated how usually for men they stick a cotton swab in their urethra. I just imagine the police showing up at their doors tazing them and cotton swabbing them >_< Or maybe that's what needs to be done.
11:02 November 18, 2010 by marianne667
I do not understand why people would take the chance to carry this dangerous disease. It can lead to infertility and worse. Why not get quietly tested in stead of having the police arrest you. That will be humiliating for sure plus possibly make it very difficult to get work but maybe that is not a problem for these fiends.
11:37 November 18, 2010 by bocale1
The behavior of this bunch of people that refuse to be tested is irresponsible but it is also irresponsible to have unprotected sex with unknown people. Should the police also force men and women to use condoms?

Unless these people are serial rapers, they will share the responsbaility of transmitting this disease with their partners that will accept to have unprotected sex and take the risk.

Chlamydia is not transmitted by touching people; in the same way you transmit it, you can transmit AIDS, hepatithis B and C, and many more. Will the police force all possible tests then?
15:07 November 18, 2010 by ehwhat?
STD's are dangerous and therefore no laughing matter. At least this one is treatable. One takes the test and gets treated. Pretty much an end to the discussion in my mind. Next time they should be sure to take precautions.

However, when I first read the article over coffee I had an unfortunate image of a policeman with an incredibly small set of handcuffs...
23:51 November 18, 2010 by Tanskalainen
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