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SEXUAL ACTIVITY IS AN IMPORT/\.J\IT MOD[,; OF TRANSmission of hepatitis B virus in countries with low endemic disease . An increasing proportion of hepatitis B infections in North America are being transmitted through heterosexual contact. As a consequence more attention is now being given to heterosexual transmission of hepatitis B and how this mode of transmission can be best addressed through disease prevention and control programs. During a one-day symposium sponsored by the Canadian Association for Clinical Microbiology and Infectious Diseases (CACMID) through an educational grant from SmithKline Beecham Pharma, an international group of epidemiologists. medical microbiologists. public health officials and communicable disease specia lists met in Toronto to discuss the growing threat of hepatitis B as a sexually transmitted disease. At the meeting, efforts were made to define the magnitude of heterosexually transmitted hepatitis B in Canada and to outline ways to control the disease both by preven ting its transmission and by rendering the susceptible population immune. A number of questions relating to hepatitis B and particularly the heterosexual aspects of the disease were posed and discussed by the participants :

Hepatitis B: Canada's Overlooked Sexually Transmitted Disease