Document Detail


Economic and programmatic aspects of congenital syphilis prevention.
MedLine Citation:
PMID:  15356931     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A review of the economic and programmatic aspects of congenital syphilis was conducted and recommendations made for improvement of its prevention. Congenital syphilis is a preventable disease and the tools to prevent it have been available for decades. In both industrialized and developing countries, but particularly the latter, the prevention of congenital syphilis by antenatal screening is cost-effective and may be cost-saving. Yet, globally, there are probably >500 000 fetal deaths a year from congenital syphilis, a figure rivalling that from mother-to-child transmission of human immunodeficiency virus (HIV), which receives far greater attention. The reasons that congenital syphilis persists vary, with international and national under-appreciation of the burden of congenital syphilis and insufficient political will to provide effective antenatal screening programmes probably being the main reasons. All causes are amenable to effective intervention programmes. The prevention of congenital syphilis should be a global priority; international agencies and national programmes should be committed to improving antenatal care (ANC) services including syphilis detection and prevention.
Authors:
George Schmid
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Bulletin of the World Health Organization     Volume:  82     ISSN:  0042-9686     ISO Abbreviation:  Bull. World Health Organ.     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-09-10     Completed Date:  2004-11-02     Revised Date:  2009-05-29    
Medline Journal Info:
Nlm Unique ID:  7507052     Medline TA:  Bull World Health Organ     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  402-9     Citation Subset:  IM    
Affiliation:
Research Scientist, Department of HIV/AIDS, World Health Organization, 20 Avenue Appia, Geneva 27, Switzerland. schmidg@who.int
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MeSH Terms
Descriptor/Qualifier:
Cost-Benefit Analysis
Female
Health Priorities
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical / economics,  prevention & control
Mass Screening / organization & administration*
Pregnancy
Pregnancy Complications, Infectious / blood,  economics*,  prevention & control*
Prenatal Care / organization & administration*
Program Development*
Syphilis Serodiagnosis
Syphilis, Congenital / blood,  economics*,  prevention & control*
World Health

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