No, SARSEPs could not be established by a state or local government, any of its political subdivisions, agencies, or instrumentalities or a tax-exempt organization. Also, only employers with 25 or fewer eligible participants may continue to operate a SARSEP plan.
In the case of anal gonorrhea, both men and women may experience rectal pain or itching or have a constant urge to move their bowels. Often, though, there are no symptoms. In pharyngeal (throat) gonorrhea, which is less common, people of both sexes can get a severe sore throat or show no symptoms at all.
It can be difficult to recognise the infection, as some of the symptoms can easily go unnoticed. Half of the women who do develop gonorrhea symptoms (about 30% to 50% of patients) have abnormal vaginal discharge and one in four encounters pain in the lower abdomen. Less common symptoms of gonorrhoea include pain when urinating, heavier periods or spotting.