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Reported cases were up 87 percent among those 55 and older in those counties.In Central Florida, where The Villages and other retirement communities sprawl across several counties, reported cases of syphilis and chlamydia increased 71 percent among those 55 and older in that same period."If I think a patient may be sexually active, I suggest he or she gets screened," Salagubang said.

As a result of the national trend among seniors, Medicare is considering providing coverage for STD screenings for seniors.

"Doctors aren't asking seniors if they are sexually active.

And if doctors don't ask, seniors don't volunteer the information." Condom use Micklavzina also broaches the subject of condom use with patients.

In the Sunbelt where retirees have formed large communities, the rise was even more dramatic.

For instance, in Arizona's Maricopa and Pima counties — home to large retirement communities just outside Phoenix — the percent of reported cases of syphilis and chlamydia increased twice as fast as the national average from 2005 to 2009.

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