加拿大的先天性梅毒率上升,1993-2022年
Ashorkor Tetteh1, Nadifa Abdi1, Victoria Moore1
1Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON, Canada.
Frontiers in public health
|February 3, 2025
概括
自2018年以来,加拿大的早期先天性梅毒病例急剧增加,达到创纪录的高点. 这种先天性梅毒的增加与女性感染梅毒率的增加以及社会健康因素有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 自2018年以来,加拿大的早期先天性梅毒病例急剧增加,达到前所未有的水平.
- 国家报告始于1993年,近年来显示出明显的上升趋势.
研究的目的:
- 分析1993年至2022年确认的早期先天性梅毒的国家数据.
- 描述加拿大的流行病学趋势和确定导致因素.
主要方法:
- 利用了加拿大报告疾病监测系统 (1993-2017年) 和加强监测 (2018-2022年) 的数据.
- 分析了国家病例数和发病率,以及生育年龄女性传染性梅毒数据.
主要成果:
- 从1993年到2022年,全国早期先天性梅毒的发病率增加了127倍 (0.3到32.7每10万活产).
- 在2018年至2022年期间,早期先天性梅毒发病率显著增加了七倍.
- 在生育年龄的女性中观察到传染性梅毒率的上升,特别是在萨斯喀彻温,马尼托巴,阿尔伯塔和安大略省.
结论:
- 加拿大早期先天性梅毒的发病率不断上升,代表了流行病学格局的重大转变.
- 垂直传播是由生育年龄妇女感染梅毒的增加和健康的社会决定因素所驱动的.
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