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.
Both men and women might have rectal or anal infection. Symptoms are usually not present in about 90% of cases. When present, symptoms include anal or rectal itching, discharge, and pain during defecation. Gonorrhea infections of the mouth and throat are usually without symptoms. If present, symptoms include soreness and redness in the mouth or throat. A culture test is used to determine if gonorrhea is causing these symptoms.