Guidance for the Elimination of Syphilis and Congenital Syphilis in the Americas
Date
2024-10-10Document Number
PAHO/CDE/HT/24-0014
Metadata
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Abstract
The countries of the Americas have made a commitment to eliminate syphilis and congenital syphilis as a public health problem by 2030. This goal translates into reducing the incidence of congenital syphilis to less than 0.5 cases per 1000 live births and a 90 percent reduction in the number of syphilis cases (as compared to 2018). However, incident cases of syphilis are increasing in the Americas. This trend has accelerated in recent years and is reflected in higher prevalence of syphilis in pregnant women and, consequently, an increase on the rate of congenital syphilis that is far from the target set for 2030. Besides of reaching the impact target, elimination of congenital syphilis requires meeting the following programmatic targets: 95 percent of pregnant women receive prenatal care; 95 percent of pregnant women are tested for syphilis; and 95 percent of pregnant women with syphilis receive appropriate treatment. However, in settings with a high prevalence of syphilis, meeting these programmatic targets may not guarantee the elimination of congenital syphilis. Therefore, in addition to actions framed around quality antenatal care, implementing a syphilis response aimed at reducing the prevalence of the disease in pregnant women and their partners may help reduce the incidence of congenital syphilis. This technical note consolidates World Health Organization (WHO) recommendations for the prevention and control of syphilis and congenital syphilis. It shares best practices from different countries in the Americas to implement these recommendations. It also provides WHO recommendations for surveillance and monitoring of syphilis and congenital syphilis. Finally, it details the supplies for the diagnosis and treatment of the disease, available through the Strategic Fund of the Pan American Health Organization.
Pages
11 p.
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