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Depending on the app, people may only identify themselves by first names or handles, though they often have the option of linking with their Facebook accounts.

Hsu has also found that people sometimes delete their profiles before her division can find them to tell them they may have been exposed to an STD.“We just can’t keep up,” she said.

Before, when “an individual had (primary stage syphilis) and they knew the ...

people they were with in the past 90 days, they could find the people.”Now, she said, “it’s very difficult to contact the partners, because many partners are anonymous.” People don't know their sex partners as intimately as they once did; they may be individuals they know mostly through a profile photo and short blurb.

However, they must be built upon strong state and local screening, prevention and treatment efforts.