Untangling the persistence of syphilis in the South

Article Abstract:

Strategies to prevent epidemics of syphilis, particularly in the southeastern U.S., may need to be changed to enhance their success. Syphilis epidemics occurred during the late 1980s and early 1990s throughout the U.S. The southeastern U.S. had the highest rates of syphilis, with its large population of African Americans most affected. Syphilis prevention efforts may be more likely to succeed if they are combined with efforts to prevent other sexually transmitted diseases (STDs), including HIV infection. Attention should be given to ways to improve access to STD clinics and improving cooperation between public health officials and communities with high rates of syphilis. The strategy of partner notification may need to give way to the strategy of screening high risk populations.

Epidemics

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Strategies for syphilis prevention in the 1990s

Article Abstract:

Traditional strategies to prevent and control syphilis may need to be changed to combat syphilis in the 1990s. Syphilis affects different groups of people now than it did 50 years ago, and people infected with syphilis today are at greater risk of becoming infected with HIV. Three categories of syphilis prevention efforts may improve syphilis control. Primary prevention efforts may entail public health education about sexually transmitted diseases (STDs) in general and efforts to modify risky behaviors of high-risk people. The second category may involve better targeting of people with a high risk of having or spreading syphilis. The third category may focus on linking syphilis prevention efforts with STD and other public health programs.

Sexually transmitted diseases, Sexually transmitted disease prevention, Preventive medicine, Medicine, Preventive

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Approaches to screening and antibiotic use for syphilis prevention

Article Abstract:

Providing antibiotics to all people at high risk for syphilis may lead to the complete elimination of the infection. Syphilis is still prevalent in many high-risk groups despite intensive efforts to eliminate it. It may be necessary to devise new approaches. A 1997 study found that women prisoners could be tested for syphilis and treated during their incarceration. Eighty-four percent of the infected women were successfully treated. Women prisoners are especially susceptible to syphilis because many are arrested for drug abuse and had to become prostitutes to support their drug habit.

Analysis, Antibiotics, Medical screening, Health screening

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