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.
Abstract

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