Recent outbreaks of infectious syphilis, United Kingdom, January 2012 to April 2014

I Simms1, L Wallace, D R Thomas

  • 1HIV&STI Department, Health Protection Services, Public Health England, London, United Kingdom.

Insights

Six UK infectious syphilis outbreaks occurred since 2012 among men who have sex with men (MSM) and young heterosexuals. Geospatial apps complicated outbreak control among MSM due to anonymous partners.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • Six infectious syphilis outbreaks have been ongoing in the UK since 2012.
  • These outbreaks primarily affected men who have sex with men (MSM) and heterosexual individuals under 25 years old.

Purpose of the Study:

  • To investigate the characteristics and contributing factors of recent infectious syphilis outbreaks in the UK.
  • To understand the challenges in controlling outbreaks within specific at-risk populations.

Main Methods:

  • Investigated six infectious syphilis outbreaks in the UK.
  • Implemented interventions including case finding and awareness campaigns for healthcare professionals and the public.
  • Analyzed factors influencing transmission, particularly the role of geospatial networking applications among MSM.

Main Results:

  • Outbreaks involved both men who have sex with men (MSM) and heterosexual men and women under 25.
  • Control efforts were hindered by anonymous sexual encounters.
  • Geospatial real-time networking applications were identified as a significant factor in outbreaks among MSM.

Conclusions:

  • Infectious syphilis outbreaks pose an ongoing public health challenge in the UK.
  • Targeting interventions is complex due to anonymous partnerships and the influence of technology on sexual networking.
  • Further strategies are needed to address syphilis transmission dynamics, especially among MSM utilizing dating applications.

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