Syphilis in China: results of a national surveillance programme

被引:271
作者
Chen, Zhi-Qiang
Zhang, Guo-Cheng
Gong, Xiang-Dong
Lin, Charles
Gao, Xing
Liang, Guo-Jun
Yue, Xiao-Li
Chen, Xiang-Sheng
Cohen, Myron S.
机构
[1] Chinese Acad Med Sci, Natl Ctr STD Control, Nanjing 210042, Peoples R China
[2] Peking Union Med Coll Inst, Nanjing 210042, Peoples R China
[3] Univ Calif San Francisco, Sch Med, San Francisco, CA USA
[4] Univ N Carolina, Ctr Infect Dis, Chapel Hill, NC USA
基金
美国国家卫生研究院;
关键词
D O I
10.1016/S0140-6736(07)60074-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background After a massive syphilis epidemic in the first half of the 20th century, China was able to eliminate this infection for 20 years (1960-80). However, substantial changes in Chinese society have been followed by a resurgent epidemic of sexually transmitted diseases. Sporadic reports have provided clues to the magnitude of the spread of syphilis, but a national surveillance effort is needed to provide data for planning and intervention. Methods We collected and assessed case report data from China's national sexually transmitted disease surveillance system and sentinel site network. Findings In 1993, the reported total rate of cases of syphilis in China was 0.2 cases per 100000, whereas primary and secondary syphilis alone represented 5.7 cases per 100000 persons in 2005. The rate of congenital syphilis increased greatly with an average yearly rise of 71.9%, from 0.01 cases per 100000 livebirths in 1991 to 19.68 cases per 100000 livebirths in 2005. Interpretation The results suggest that a range of unique biological and social forces are driving the spread of syphilis in China. A national campaign for detection and treatment of syphilis, and a credible prevention strategy, are urgently needed.
引用
收藏
页码:132 / 138
页数:7
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