Gonorrhea has “clapped” its way through centuries and is still with us today. However, it was in 1879 that Albert Ludwig Siegmund Neisser discovered its pathogen in the United Kingdom, making it the first nation to produce the world's premier case of super-gonorrhea which is resistant to advanced lines of drugs taken orally.

In effect, the victim of the infection had contracted the special type of gonorrhea from a regular partner (who must have been getting contracted it from other regular partners). Therefore, the increasing upward drift of the spread and resistance of gonorrhea has slapped hard on public health sectors across countries of the world, discriminating against none.

As described in the other article on gonorrhea hotspots in the US (scroll through the blog, afterward to find it), an STD hotspot is simply a place where there is an endemicity of certain STDs which makes such an area actually or potentially harmful to humans’ sexual health.

England is a country in the UK, one of the popular countries in the nation and home to the capital. Not surprisingly, gonorrhea has ravaged England; in fact, it is getting worse there. Records show that there was a 20% increase in the number of gonorrhea cases in 2017. The most common age group infected with gonorrhea are those between 20 and 24 years of age, and the most infected persons are men who have sex with men.

Though England is facing a gonorrhea epidemic, there are regions and areas that are unquestionably hotspots for gonorrhea spread in England. Since the country is divided into regions with counties, hotspots for gonorrhea in England will be unveiled according to regions, using the figure on gonorrhea in the whole of England as a basis for comparison.

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East Midlands

Nottingham is a gonorrhea hotspot in the west midlands region at 145.5 cases per 100,000 in the population; the chart on Sexual and Reproductive Health Profiles by Public Health, England confirms that. Of all the places in east midlands, Nottingham had the worst cases of gonorrhea followed by Derby which has consistently maintained its value of 70.3 cases per 100,000 in the population.

London

It’s horrible in London!

Apart from Bromley which has significantly become better when compared with the benchmark figure, every other county in London is brimming with worse cases of gonorrhea. The worst hit is the City of London with 593.4 cases per 100,000 of the population. The deep red marker on the endemic areas in London is capable of turning off any sexual appeal for Londoners.

North East

Newcastle upon Tyre had the worst record in the North East of England, with 136.5 cases per 100,000 persons. Sunderland, Gateshead, Middlesbrough, and Darlington all had figures similar to the benchmark figure for gonorrhea.

North West

Manchester rules here, in football and in gonorrhea infection, with a record of 185.1 cases per 100,000 persons. Liverpool pooled a record of 123.9, making it the second worst area in North West England. Blackpool was not left out in the pooling, with 105.7 cases per 100,000 persons recorded. Knowsley had a rate similar to England’s. Every other county apart from the four mentioned earlier, is relatively safe from the scourge of gonorrhea.

South East

With a figure as high as 214.9 cases per 100,000 persons, Brighton and Hove have toppled the benchmark figure of gonorrhea. Reading became the second worst hit in the region with 99.0 cases per 100,000 persons. Every other county in the South East appears to be gaining worthwhile steps of progress against gonorrhea.

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South West

Apart from Plymouth with a record that is in the same range as England's, every other region is relatively safe.

West Midlands

Birmingham is the hotspot of gonorrhea in the west midlands, followed by Coventry, Walsall, Sandwell, Solihull, and Wolverhampton. Birmingham had a 2017 record of 134.5 cases per 100,000 in the population.

Yorkshire and the Humber

Leeds leads here, with a record of 96.8 cases per 100,000 of the population. Kingston upon Hull and North East Lincolnshire have similar records with England’s benchmark figure. Every other county is doing well in getting over the worst of gonorrhea.

Conclusion

Public Health experts in England are relentlessly pressing for more attention to be paid on early screening, and the use of condoms as ways to stay protected from the menace of gonorrhea.

Having a home test kit is relatively better than relying solely on the government’s public health services for screening, which may not be assessed easily and freely.

The gonorrhea hotspots need to be taken seriously with respect to sexual relationships. Applying caution before getting carried away by wild romance can save one from gonorrhea.