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Genital infections caused by herpes simplex virus type 1 have
become more common in western Scotland over the past 15 years, particularly among young women. Of 3181 swabs that were positive for
the virus, Scoular and colleagues (p 1366) found 63% were from women
and 37% were from men. Presence of the virus was strongly associated
with female sex and younger age. In 1986-8, 33% of all positive swabs
contained herpes simplex virus type 1, rising progressively to 56% in
1998-2000. These results suggest that counselling and clinical
management strategies may need to be revised.