Dabestani N, et al. - Researchers examined a sexually transmitted disease (STD) clinic population for trends in the etiology of first-episode genital herpes diagnoses over time. Using an electronic database, they identified 52,030 patients who presented with genital ulcers at Public Health – Seattle & King County STD Clinic from 1993 to 2014. Of these, 3,065 had first-episode genital herpes infection: 1,022 with herpes simplex virus type 1 (HSV-1) and 2,043 with HSV-2. They noted a decline in the number of patients with diagnoses of first-episode genital HSV-2; on average, the number declined by 5.5 persons per year, from 208 in 1993 to 35 in 2014, whereas HSV-1 diagnoses remained stable at approximately 50 per year. As per a multivariate model, persons with first-episode genital HSV-1 vs first-episode genital HSV-2 infection were more frequently younger (age < 30 years), white, and men who have sex with men.