Japan has been a breeding ground for new and resistant strains of Gonorrhea for awhile. The Japanese have hypocritical views about sexual disease and treatment and that foreigners are dirty when in fact Japanese STD rates, particularly chlamydia are higher than in most western countries. The derisive term, yellow cab is for Japanese women who travel abroad for a short time and have sex with many locals and then return back to Japan, often ignorant of the STD that they are carrying. Probably these woman go untreated and the bacteria for gonorrhea mutates and mutates until antibiotic resistant strains emerge. In Canada, these resistant gonorrhea strains seems to be found mostly in men, maybe it is mostly in the homosexual community here?