[Positive serological tests for syphilis in black primary school children in Bloemfontein: a pilot study]

Sera from 1575 black primary school children in Bloemfontein were subjected to serological screening tests for syphilis. Forty-six (2,92%) were found to be seropositive on screening; 32 (2,03%) of these were confirmed as true-positive reactions and 10 (0,64%) manifested only biological false-positive reactions. Four sera were insufficient for confirmatory tests. From published reports covering a period of over 60 years, it is evident that syphilis is widespread in South Africa, especially in black communities. There is no evidence of a decline in the prevalence of the disease but rather of an increase, including endemic syphilis affecting children. A nationwide survey is recommended to determine the magnitude of the problem and the need for a sustained treatment campaign.