Epidemic infectious syphilis in inner Sydney – strengthening enhanced surveillance
Objective: To report the results of a 2001‐04 enhanced syphilis surveillance program in south‐eastern Sydney and a subset of cases from the Sydney Sexual Health Centre (SSHC). Methods: For all laboratory syphilis notifications, a questionnaire was sent to the referring doctor requesting demographic...
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| Veröffentlicht in: | Australian and New Zealand journal of public health 2006-12, Vol.30 (6), p.529-533 |
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| creator | Botham, Susan J. Ressler, Kelly‐Anne Bourne, Christopher Ferson, Mark J. |
| description | Objective: To report the results of a 2001‐04 enhanced syphilis surveillance program in south‐eastern Sydney and a subset of cases from the Sydney Sexual Health Centre (SSHC).
Methods: For all laboratory syphilis notifications, a questionnaire was sent to the referring doctor requesting demographic data, clinical information about disease classification and the presence of symptoms. Sex of partner/s and HIV status were collected from a subset of cases seen at SSHC.
Results: During 2001‐04, 1,275 syphilis notifications were received and 1,112 (87%) were able to be classified as 361 (28%) cases of infectious syphilis, 221 (17%) non‐infectious syphilis and 530 (42%) treated syphilis. From mid 2002, an increase in the number of infectious syphilis notifications was noted. Of the 361 cases of infectious syphilis, most were in men (348, 97%). From a subset of 47 cases of infectious syphilis from SSHC, 43 (91%) were in gay men and nine (21%) had concurrent HIV infection.
Conclusions: Inner Sydney has recently experienced a rapid increase in infectious syphilis affecting a defined population: men, aged 30–39, English speaking and Australian born. These results support recent reports of outbreaks among men who have sex with men, but without routine collection of additional risk factors control programs may be misguided.
Implications: In light of the review of the NSW Public Health Act 1991, it is recommended that reducing barriers to the collection of HIV status and sex of sexual partners in de‐identified syphilis notifications be explored as a matter of urgency. |
| doi_str_mv | 10.1111/j.1467-842X.2006.tb00781.x |
| format | Article |
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Methods: For all laboratory syphilis notifications, a questionnaire was sent to the referring doctor requesting demographic data, clinical information about disease classification and the presence of symptoms. Sex of partner/s and HIV status were collected from a subset of cases seen at SSHC.
Results: During 2001‐04, 1,275 syphilis notifications were received and 1,112 (87%) were able to be classified as 361 (28%) cases of infectious syphilis, 221 (17%) non‐infectious syphilis and 530 (42%) treated syphilis. From mid 2002, an increase in the number of infectious syphilis notifications was noted. Of the 361 cases of infectious syphilis, most were in men (348, 97%). From a subset of 47 cases of infectious syphilis from SSHC, 43 (91%) were in gay men and nine (21%) had concurrent HIV infection.
Conclusions: Inner Sydney has recently experienced a rapid increase in infectious syphilis affecting a defined population: men, aged 30–39, English speaking and Australian born. These results support recent reports of outbreaks among men who have sex with men, but without routine collection of additional risk factors control programs may be misguided.
Implications: In light of the review of the NSW Public Health Act 1991, it is recommended that reducing barriers to the collection of HIV status and sex of sexual partners in de‐identified syphilis notifications be explored as a matter of urgency.</description><identifier>ISSN: 1326-0200</identifier><identifier>EISSN: 1753-6405</identifier><identifier>DOI: 10.1111/j.1467-842X.2006.tb00781.x</identifier><identifier>PMID: 17209268</identifier><language>eng</language><publisher>Oxford, UK: Elsevier B.V</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Child ; Classification ; Control programs ; Disease Outbreaks ; Epidemiology ; Female ; HIV ; Human immunodeficiency virus ; Humans ; Infectious diseases ; Lentivirus ; Male ; Men who have sex with men ; Middle Aged ; New South Wales - epidemiology ; Population Surveillance - methods ; Public health ; Retroviridae ; Risk Factors ; Risk management ; Sexual health ; Sexual partners ; Sexually transmitted diseases ; Signs and symptoms ; STD ; Surveillance ; Surveys and Questionnaires ; Syphilis ; Syphilis - epidemiology ; Syphilis - transmission ; Treponema pallidum ; Urban Population</subject><ispartof>Australian and New Zealand journal of public health, 2006-12, Vol.30 (6), p.529-533</ispartof><rights>2006 Copyright 2006 THE AUTHORS.</rights><rights>2006. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c7049-d620adc0d5b037f3e420566c81007bf5c12d5de6bed26e6d3e1df1eb743b295c3</citedby><cites>FETCH-LOGICAL-c7049-d620adc0d5b037f3e420566c81007bf5c12d5de6bed26e6d3e1df1eb743b295c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1467-842X.2006.tb00781.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1467-842X.2006.tb00781.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27864,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17209268$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Botham, Susan J.</creatorcontrib><creatorcontrib>Ressler, Kelly‐Anne</creatorcontrib><creatorcontrib>Bourne, Christopher</creatorcontrib><creatorcontrib>Ferson, Mark J.</creatorcontrib><title>Epidemic infectious syphilis in inner Sydney – strengthening enhanced surveillance</title><title>Australian and New Zealand journal of public health</title><addtitle>Aust N Z J Public Health</addtitle><description>Objective: To report the results of a 2001‐04 enhanced syphilis surveillance program in south‐eastern Sydney and a subset of cases from the Sydney Sexual Health Centre (SSHC).
Methods: For all laboratory syphilis notifications, a questionnaire was sent to the referring doctor requesting demographic data, clinical information about disease classification and the presence of symptoms. Sex of partner/s and HIV status were collected from a subset of cases seen at SSHC.
Results: During 2001‐04, 1,275 syphilis notifications were received and 1,112 (87%) were able to be classified as 361 (28%) cases of infectious syphilis, 221 (17%) non‐infectious syphilis and 530 (42%) treated syphilis. From mid 2002, an increase in the number of infectious syphilis notifications was noted. Of the 361 cases of infectious syphilis, most were in men (348, 97%). From a subset of 47 cases of infectious syphilis from SSHC, 43 (91%) were in gay men and nine (21%) had concurrent HIV infection.
Conclusions: Inner Sydney has recently experienced a rapid increase in infectious syphilis affecting a defined population: men, aged 30–39, English speaking and Australian born. These results support recent reports of outbreaks among men who have sex with men, but without routine collection of additional risk factors control programs may be misguided.
Implications: In light of the review of the NSW Public Health Act 1991, it is recommended that reducing barriers to the collection of HIV status and sex of sexual partners in de‐identified syphilis notifications be explored as a matter of urgency.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Child</subject><subject>Classification</subject><subject>Control programs</subject><subject>Disease Outbreaks</subject><subject>Epidemiology</subject><subject>Female</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Lentivirus</subject><subject>Male</subject><subject>Men who have sex with men</subject><subject>Middle Aged</subject><subject>New South Wales - epidemiology</subject><subject>Population Surveillance - methods</subject><subject>Public health</subject><subject>Retroviridae</subject><subject>Risk Factors</subject><subject>Risk management</subject><subject>Sexual health</subject><subject>Sexual partners</subject><subject>Sexually transmitted diseases</subject><subject>Signs and symptoms</subject><subject>STD</subject><subject>Surveillance</subject><subject>Surveys and Questionnaires</subject><subject>Syphilis</subject><subject>Syphilis - epidemiology</subject><subject>Syphilis - transmission</subject><subject>Treponema pallidum</subject><subject>Urban Population</subject><issn>1326-0200</issn><issn>1753-6405</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqVkttu1DAQhiMEoqXwCigCCXGT4ENsJ9ygaiktUjlILKLqjZXYk66XbLLYSdnc8Q68IU_CRFmBxAUUy5YP-mY8M_9E0SNKUorj2TqlmVRJnrGLlBEi074iROU03d2KDqkSPJEZEbfxzJlMCCIH0b0Q1oQQik93owOqGCmYzA-j5cnWWdg4E7u2BtO7bghxGLcr17iAbzhb8PGH0bYwxj--fY9D76G96lfQuvYqhnZVtgZsHAZ_Da5pptv96E5dNgEe7Pej6OOrk-XiLDl_d_p6cXyeGEWyIrGSkdIaYkVFuKo5ZIwIKU1OMZ2qFoYyKyzICiyTIC0HamsKlcp4xQph-FH0ZPa79d2XAUKvNy4YmIIAzEPLnOWcMfpPkFGEhOA3AEnBC6kQfPpXkOYFzaUklCH6-A903Q2-xcJoThDBpQqkns-U8V0IHmq99W5T-lFToifZ9VpPsutJdj3Jrvey6x0aP9x_MVQbsL9N9zoj8GIGvroGxv9wrY8v358JNsWXzB5c6GH3y0PpP2sshxL609tTrVh2qS7eLPQS-ZczD9gA1w68DsbB1CrOY59p27mbZPYTjUPjFg</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Botham, Susan J.</creator><creator>Ressler, Kelly‐Anne</creator><creator>Bourne, Christopher</creator><creator>Ferson, Mark J.</creator><general>Elsevier B.V</general><general>Blackwell Publishing Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QL</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>Epidemic infectious syphilis in inner Sydney – strengthening enhanced surveillance</title><author>Botham, Susan J. ; Ressler, Kelly‐Anne ; Bourne, Christopher ; Ferson, Mark J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c7049-d620adc0d5b037f3e420566c81007bf5c12d5de6bed26e6d3e1df1eb743b295c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Child</topic><topic>Classification</topic><topic>Control programs</topic><topic>Disease Outbreaks</topic><topic>Epidemiology</topic><topic>Female</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Lentivirus</topic><topic>Male</topic><topic>Men who have sex with men</topic><topic>Middle Aged</topic><topic>New South Wales - epidemiology</topic><topic>Population Surveillance - methods</topic><topic>Public health</topic><topic>Retroviridae</topic><topic>Risk Factors</topic><topic>Risk management</topic><topic>Sexual health</topic><topic>Sexual partners</topic><topic>Sexually transmitted diseases</topic><topic>Signs and symptoms</topic><topic>STD</topic><topic>Surveillance</topic><topic>Surveys and Questionnaires</topic><topic>Syphilis</topic><topic>Syphilis - epidemiology</topic><topic>Syphilis - transmission</topic><topic>Treponema pallidum</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Botham, Susan J.</creatorcontrib><creatorcontrib>Ressler, Kelly‐Anne</creatorcontrib><creatorcontrib>Bourne, Christopher</creatorcontrib><creatorcontrib>Ferson, Mark J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Botham, Susan J.</au><au>Ressler, Kelly‐Anne</au><au>Bourne, Christopher</au><au>Ferson, Mark J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemic infectious syphilis in inner Sydney – strengthening enhanced surveillance</atitle><jtitle>Australian and New Zealand journal of public health</jtitle><addtitle>Aust N Z J Public Health</addtitle><date>2006-12</date><risdate>2006</risdate><volume>30</volume><issue>6</issue><spage>529</spage><epage>533</epage><pages>529-533</pages><issn>1326-0200</issn><eissn>1753-6405</eissn><abstract>Objective: To report the results of a 2001‐04 enhanced syphilis surveillance program in south‐eastern Sydney and a subset of cases from the Sydney Sexual Health Centre (SSHC).
Methods: For all laboratory syphilis notifications, a questionnaire was sent to the referring doctor requesting demographic data, clinical information about disease classification and the presence of symptoms. Sex of partner/s and HIV status were collected from a subset of cases seen at SSHC.
Results: During 2001‐04, 1,275 syphilis notifications were received and 1,112 (87%) were able to be classified as 361 (28%) cases of infectious syphilis, 221 (17%) non‐infectious syphilis and 530 (42%) treated syphilis. From mid 2002, an increase in the number of infectious syphilis notifications was noted. Of the 361 cases of infectious syphilis, most were in men (348, 97%). From a subset of 47 cases of infectious syphilis from SSHC, 43 (91%) were in gay men and nine (21%) had concurrent HIV infection.
Conclusions: Inner Sydney has recently experienced a rapid increase in infectious syphilis affecting a defined population: men, aged 30–39, English speaking and Australian born. These results support recent reports of outbreaks among men who have sex with men, but without routine collection of additional risk factors control programs may be misguided.
Implications: In light of the review of the NSW Public Health Act 1991, it is recommended that reducing barriers to the collection of HIV status and sex of sexual partners in de‐identified syphilis notifications be explored as a matter of urgency.</abstract><cop>Oxford, UK</cop><pub>Elsevier B.V</pub><pmid>17209268</pmid><doi>10.1111/j.1467-842X.2006.tb00781.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Australian and New Zealand journal of public health, 2006-12, Vol.30 (6), p.529-533 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; PAIS Index; Alma/SFX Local Collection |
| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Child Classification Control programs Disease Outbreaks Epidemiology Female HIV Human immunodeficiency virus Humans Infectious diseases Lentivirus Male Men who have sex with men Middle Aged New South Wales - epidemiology Population Surveillance - methods Public health Retroviridae Risk Factors Risk management Sexual health Sexual partners Sexually transmitted diseases Signs and symptoms STD Surveillance Surveys and Questionnaires Syphilis Syphilis - epidemiology Syphilis - transmission Treponema pallidum Urban Population |
| title | Epidemic infectious syphilis in inner Sydney – strengthening enhanced surveillance |
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