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Sexually transmitted disease surveillance 2006 supplement; Syphilis surveillance report
  • Published Date:
    December 2007
Filetype[PDF - 1.76 MB]


Details:
  • Corporate Authors:
    National Center for HIV, STD, and TB Prevention (U.S.), Division of STD Prevention.
  • Document Type:
  • Description:
    "Syphilis, a genital ulcerative disease, can cause significant complications if untreated and facilitates the transmission of HIV. Untreated early syphilis during pregnancy results in perinatal death in up to 40% of cases and, if acquired during the four years preceding pregnancy, may lead to infection of the fetus in 80% of cases. Reports of outbreaks and increased numbers of primary and secondary syphilis cases among men who have sex with men have been documented and characterized by high rates of HIV co-infection and high-risk sexual behavior. In recent years, men who have sex with men have accounted for an increasing number of estimated primary and secondary syphilis cases in the United States and now account for 64% of primary and secondary syphilis based on information available from 29 states and Washington, D.C. After decreasing from 2001 to 2004, the rate of primary and secondary syphilis among women increased from 0.8 cases per 100,000 population in 2004 to 1.0 cases per 100,000 population in 2006. After 14 years of decline in the United States, the rate of congenital syphilis increased 3.7% from 2005 to 2006 (from 8.2 to 8.5 cases per 100,000 live births). Despite the majority of U.S. syphilis cases occurring among men who have sex with men, heterosexual syphilis may be an emerging problem given the recent increases among women and infants. Additionally, a substantial proportion of early syphilis cases is from correctional facilities, in which high rates of reactive serologies and disease are known to occur, particularly in areas experiencing heterosexual syphilis epidemics. Information from both case reports and STD Prevalence Monitoring Projects is important for STD prevention, treatment, planning, and evaluation activities. The use of data to inform, evaluate, and modify interventions and other activities is critical to the effort to prevent syphilis. To that end, this Syphilis Surveillance Report consists of national and state profiles that contain and describe figures and tables, which provide an overview of syphilis morbidity in the United States. These profiles present adult and congenital syphilis trends and other statistics in the United States through 2006 and are based on case reports from the 65 sexually transmitted disease (STD) project areas. Case report data are the foundation of surveillance systems, which are operated by state and local health department STD control programs." -- p. 4.

  • Supporting Files:
    No Additional Files