WORLD DAY TO FIGHT AGAINST SYPHILIS AND CONGENITAL SYPHILIS: LET’S ELIMINATE THEM?

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WORLD DAY TO FIGHT AGAINST SYPHILIS AND CONGENITAL SYPHILIS

In 2012 the World Health Organization estimated the existence of 17.7 million people with syphilis, and each year the occurrence is of 5,590,000 cases. The numbers by region are the following: Europe 440,000; Eastern Mediterranean 496,000; Southeast Asia 886,000; Americas 937,000; Western Pacific 993,000; Africa 1,843,000.

The numbers of reported cases were as follows: acquired syphilis, 87,593; syphilis cases in pregnant women, 37,436; and congenital syphilis cases, 20,474; and among them, 185 deaths in Brazil in 2016. There was a detection rate of 12.4 cases of syphilis in pregnant women/1,000 live births. The South and the Southeast States showed higher rates (cases of syphilis in pregnant women 16.3/1,000 live births and 14.7 cases of syphilis in pregnant women/1,000 live births, respectively).

Recently, in a prestigious scientific international journal (Sex Transm Dis. 2018; 45 (3): 139-143) article informed that the syphilis prevention and control is a public health priority in Japan, reporting the rapid increase in primary, secondary and congenital syphilis cases, in particular in the period from 2012 to 2016. Congenital syphilis, in Japan, increased from 0.4 in 2012 to 1.4 per 100,000 live births. Tokyo showed the highest rate: 3.98 per 100,000 live births.

During the last Conference of STD Prevention held by the Centers for Diseases Control and Prevention of the United States (CDC-USA), 27-30 August 2018, a number of researches on syphilis and congenital syphilis were presented. We highlight one of them which reports that congenital syphilis cases (CS) in California have increased 500% from 2012 to 2016. CS cases should be considered public health sentinel events and examined by missed opportunities to identify interventions to prevent future cases.

If there is a disease that we can eliminate (with 0.5 rate of cases per 1,000 live births) in one or two years, it is called congenital syphilis. So, we all have to be efficient and responsible for all our actions. We mean a store clerk, a manicure, a health professional: the purpose is to serve the way we would like to be served.

It's time for a World Day to Fight Syphilis and Congenital Syphilis. LET’S ELIMINATE THEM?