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Congenital syphilis in Brazil: distribution of cases notified from 2009 to 2016
Adriana Sousa Rêgo1, Luciana Cavalcante Costa2, Liliane Dos Santos Rodrigues3
1Centro Universitário do Maranhão, Programa de Pós-Graduação em Gestão de Programas e Serviços de Saúde, São Luís, MA, Brasil.
Insights
Congenital syphilis remains a significant public health issue in Brazil, with high rates observed in children under one year. Improving prenatal care is crucial to reduce these alarming congenital syphilis rates.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Congenital syphilis is a major cause of perinatal mortality, stillbirths, and neonatal deaths.
- It leads to severe fetal complications, highlighting its public health significance.
Purpose of the Study:
- To analyze congenital syphilis rates in children under one year of age in Brazilian capitals.
- To examine trends in congenital syphilis from 2009 to 2016.
Main Methods:
- Ecological time series study design.
- Utilized data on congenital syphilis rates in children under one year in Brazilian capitals.
- Employed the Prais-Winsten regression model to assess trends.
Main Results:
- A total of 44,056 cases of congenital syphilis were reported in Brazilian capitals (2009-2016).
- Porto Alegre recorded the highest rate in 2016 (31.07/1,000 live births).
- Northeastern capitals, especially Recife (23.67/1,000 live births), exhibited high rates.
Conclusions:
- Congenital syphilis presents a substantial challenge for public health policy.
- Enhancing the quality of prenatal care is essential to mitigate high congenital syphilis rates.
Introduction:
Congenital syphilis is considered a severe public health problem because it accounts for approximately 40% of the perinatal mortality rates, 25% of stillbirths, and 14% of neonatal deaths, in addition to causing severe consequences for the fetus. This study aimed to describe the rates of congenital syphilis in children under one year of age in Brazilian capitals from 2009 to 2016.
Methods:
Ecological time series study, using rates of congenital syphilis in children under one year of age and living in Brazilian capitals. The Prais-Winsten regression model was used to assess the trend.
Results:
A total of 44,056 cases of congenital syphilis in children under one year of age were reported in Brazilian capitals between 2009 and 2016. The highest rate of congenital syphilis in children under one year of age occurred in 2016 in Porto Alegre (31.07/1,000 live births). The Northeastern capitals showed high rates, particularly the capital Recife (23.67/1,000 live births).
Conclusions:
Congenital syphilis represents a major challenge for public policies. The need for improvements in the quality of prenatal care is highlighted, as it is essential to reduce the alarming rates.
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