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. 2017 Dec;22(49):17-00750.
doi: 10.2807/1560-7917.ES.2017.22.49.17-00750.

Factors associated with four atypical cases of congenital syphilis in England, 2016 to 2017: an ecological analysis

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Factors associated with four atypical cases of congenital syphilis in England, 2016 to 2017: an ecological analysis

Martina Furegato et al. Euro Surveill. 2017 Dec.

Abstract

Four isolated cases of congenital syphilis born to mothers who screened syphilis negative in the first trimester were identified between March 2016 and January 2017 compared with three cases between 2010 and 2015. The mothers were United Kingdom-born and had no syphilis risk factors. Cases occurred in areas with recent increases in sexually-transmitted syphilis among women and men who have sex with men, some behaviourally bisexual, which may have facilitated bridging between sexual networks.

Keywords: United Kingdom; antenatal screening; epidemiology; pregnancy; public health policy; sexually transmitted infections; statistics; surveillance; syphilis; women's health.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Congenital syphilis cases by month and year of birth and result of first trimester screening, England, February 2010–January 2017 (n=21)
Figure 2
Figure 2
Time trend and time series analysis model for sexually transmitted infectious syphilis diagnoses by sexual orientation and syphilis epidemiological areas, England, January 2011–September 2016

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