Pennsylvania reporting most syphilis cases in three decades


by NewsDesk Lord save her

The Pennsylvania Department of Health (PADOH) reported historical levels of early syphilis and congenital syphilis in 2022.

Photo / CDC

In a health advisory report last week, PADOH reported during the first 10 months of calendar year (CY) 2022 that the Pennsylvania Department of Health (PADOH) reported 11 cases of congenital syphilis (excluding Philadelphia).

Based on current trends, PADOH expects that Pennsylvania (excluding Philadelphia) will report 14 cases of congenital syphilis by the end of 2022. The projected 14 cases of congenital syphilis will represent the largest number of congenital syphilis cases reported in Pennsylvania (excluding Philadelphia). ) since 1990.

The main factor for the increase in congenital syphilis has been the recent rise in the total cases of early syphilis in females, with the projected CY 2022 cases in Pennsylvania (excluding Philadelphia) expected to exceed 257 female cases with 86% of cases in reproductive females. Age 15-44.

The expected total number of early syphilis cases is 1,362 in Pennsylvania (excluding Philadelphia). This would represent the largest number of syphilis cases since 1990.

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In response to recent increases in both congenital syphilis and early syphilis between
For females, the Ministry of Public Health recommends the following:

1. All pregnant women should be tested for syphilis at the following intervals:

  • On the first antenatal visit
  • In the third trimester of pregnancy
  • When a child is born, or
  • When a dead child is born

2. All individuals who have recently obtained a positive test result for another sexually transmitted disease such as
Gonorrhea or chlamydia should be tested for syphilis. All people who recently got a positive result
For another sexually transmitted disease such as gonorrhea or chlamydia, it should be tested for
Syphilis and HIV regardless of timing of pregnancy in addition to routine screening
recommendations for each.

3. All individuals who exhibit any of the following symptoms or conditions should be tested
For syphilis:
• macular and/or papular rash on the palms of the hands or the soles of the feet
A generalized rash that may be macular, maculopapular or maculopapular on the back, chest, or
or stomach
• A lesion in the genital, anal or oral area
• Wet papules in the anogenital area or mouth
Sudden “mite-eaten” alopecia with a typical appearance at the back of the head
• Loss of eyelashes and the lateral third of the eyebrows
Generalized lymphadenopathy
• feeling malaise

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