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Epidemic Early Syphilis— Montgomery County, Alabama, 1990-1991

Epidemic Early Syphilis— Montgomery County, Alabama, 1990-1991 Abstract In Montgomery County (1990 population: 209,085), Alabama, an epidemic of early syphilis (ES) (i.e., primary, secondary, and early latent) involving 1010 cases occurred from August 1990 through November 1991. From June 17 through November 7, 1991, the Alabama Department of Public Health (ADPH) and CDC initiated an intervention campaign to reduce the incidence of ES; the intervention increased casefinding primarily through partner notification (PN) and cluster investigations.* This report assesses the intervention campaign by describing 1) the results of PN/cluster investigation interviews during the intervention, 2) the relation between reported crack cocaine use and PN/cluster investigation results, 3) a comparison of interview results for the first 6 weeks of the campaign (i.e., early campaign period) with the 6-week period immediately before the campaign (i.e., precampaign period), and 4) the syphilis morbidity trends for 1990 and 1991. To conduct this campaign, the ADPH increased from 45 to 71 the weekly number References 1. Cluster investigations are designed to identify persons (other than sex partners) at high risk for syphilis. In this report, persons identified through cluster investigations are referred to as high-risk associates. 2. An additional 240 sex partners were identified who had already been evaluated by the ADPH; no additional efforts were made to locate and evaluate these persons. 3. An additional 731 high-risk associates were idenidentified who had already been evaluated by the ADPH; no additional efforts were made to locate and evaluate these persons. 4. Defined as the interval during which sexual contact may have resulted in the transmission of syphilis. For primary stage syphilis, the interview period is 3 months plus the duration of disease symptoms; for secondary, 6 months plus duration of disease symptoms; and for early latent, 1 year. 5. Andrus JK, Fleming DW, Harger DR, et al. Partner notification: can it control epidemic syphilis? Ann Intern Med 1990;112:539-43.Crossref 6. Rolfs RT, Goldberg M, Sharrar RG. Risk factors for syphilis: cocaine use and prostitution . Am J Public Health 1990;80:853-7.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Epidemic Early Syphilis— Montgomery County, Alabama, 1990-1991

Archives of Dermatology , Volume 128 (12) – Dec 1, 1992

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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1992.04530010022002
Publisher site
See Article on Publisher Site

Abstract

Abstract In Montgomery County (1990 population: 209,085), Alabama, an epidemic of early syphilis (ES) (i.e., primary, secondary, and early latent) involving 1010 cases occurred from August 1990 through November 1991. From June 17 through November 7, 1991, the Alabama Department of Public Health (ADPH) and CDC initiated an intervention campaign to reduce the incidence of ES; the intervention increased casefinding primarily through partner notification (PN) and cluster investigations.* This report assesses the intervention campaign by describing 1) the results of PN/cluster investigation interviews during the intervention, 2) the relation between reported crack cocaine use and PN/cluster investigation results, 3) a comparison of interview results for the first 6 weeks of the campaign (i.e., early campaign period) with the 6-week period immediately before the campaign (i.e., precampaign period), and 4) the syphilis morbidity trends for 1990 and 1991. To conduct this campaign, the ADPH increased from 45 to 71 the weekly number References 1. Cluster investigations are designed to identify persons (other than sex partners) at high risk for syphilis. In this report, persons identified through cluster investigations are referred to as high-risk associates. 2. An additional 240 sex partners were identified who had already been evaluated by the ADPH; no additional efforts were made to locate and evaluate these persons. 3. An additional 731 high-risk associates were idenidentified who had already been evaluated by the ADPH; no additional efforts were made to locate and evaluate these persons. 4. Defined as the interval during which sexual contact may have resulted in the transmission of syphilis. For primary stage syphilis, the interview period is 3 months plus the duration of disease symptoms; for secondary, 6 months plus duration of disease symptoms; and for early latent, 1 year. 5. Andrus JK, Fleming DW, Harger DR, et al. Partner notification: can it control epidemic syphilis? Ann Intern Med 1990;112:539-43.Crossref 6. Rolfs RT, Goldberg M, Sharrar RG. Risk factors for syphilis: cocaine use and prostitution . Am J Public Health 1990;80:853-7.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Dec 1, 1992

References