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Decreased Congenital Syphilis Incidence in Haiti’s Rural Artibonite Region Following Decentralized Prenatal Screening

Bibliographic Data

ID11035853
AuthorsDaniel W Fitzgerald (0000-0003-1765-0598, Daniel W. Fitzgerald, Johanne Preval, Lauren Schulwolf, Vidya Bommi, and Pascal Chaillet are with Hospital Albert Schweitzer, Deschapelles, Haiti. Dr Fitzgerald is also with the Division of International Medicine and Infectious Diseases, Cornell University Medical College, New York, NY. Frieda Behets is with the Department of Medicine and the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.), Frieda Behets (Daniel W. Fitzgerald, Johanne Preval, Lauren Schulwolf, Vidya Bommi, and Pascal Chaillet are with Hospital Albert Schweitzer, Deschapelles, Haiti. Dr Fitzgerald is also with the Division of International Medicine and Infectious Diseases, Cornell University Medical College, New York, NY. Frieda Behets is with the Department of Medicine and the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.), Johanne Préval (Daniel W. Fitzgerald, Johanne Preval, Lauren Schulwolf, Vidya Bommi, and Pascal Chaillet are with Hospital Albert Schweitzer, Deschapelles, Haiti. Dr Fitzgerald is also with the Division of International Medicine and Infectious Diseases, Cornell University Medical College, New York, NY. Frieda Behets is with the Department of Medicine and the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.), Lauren Schulwolf (Daniel W. Fitzgerald, Johanne Preval, Lauren Schulwolf, Vidya Bommi, and Pascal Chaillet are with Hospital Albert Schweitzer, Deschapelles, Haiti. Dr Fitzgerald is also with the Division of International Medicine and Infectious Diseases, Cornell University Medical College, New York, NY. Frieda Behets is with the Department of Medicine and the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.), Vidya Bommi (Daniel W. Fitzgerald, Johanne Preval, Lauren Schulwolf, Vidya Bommi, and Pascal Chaillet are with Hospital Albert Schweitzer, Deschapelles, Haiti. Dr Fitzgerald is also with the Division of International Medicine and Infectious Diseases, Cornell University Medical College, New York, NY. Frieda Behets is with the Department of Medicine and the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.), Pascal Chaillet (Daniel W. Fitzgerald, Johanne Preval, Lauren Schulwolf, Vidya Bommi, and Pascal Chaillet are with Hospital Albert Schweitzer, Deschapelles, Haiti. Dr Fitzgerald is also with the Division of International Medicine and Infectious Diseases, Cornell University Medical College, New York, NY. Frieda Behets is with the Department of Medicine and the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.)
Year2003
Volume93
Issue3
Pages444-446
Publication date2003-03-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.93.3.444
PMID12604493
OpenAlexW2048185876
LanguageEN
Citations received5
References cited19

Congenital syphilis can be prevented by testing pregnant women with a serological test developed by Wassermann in 1906 and by treating seropositive women with penicillin, discovered by Fleming in 1928.1,2 Unfortunately, more than 70 years later, congenital syphilis is still a leading cause of perinatal death in many developing countries.3–11 Before 1996, syphilis screening for pregnant women in Haiti’s Artibonite region was done by drawing blood at community dispensaries, transporting the blood to a central laboratory, returning test results to the dispensary, and then treating seropositive women at a follow-up visit. Unfortunately, this centralized prenatal screening strategy failed, and rates of congenital syphilis in the Artibonite region in 1995 were 550 cases per 100 000 live births.9 A decentralized prenatal screening strategy was implemented in 1996

Congenital syphilis · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Incidence (geometry) · Population · Prenatal care · Rural area · Syphilis · Demography · Medicine · Syphilis Diagnosis and Treatment · Pediatrics

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Citations per year0.22
Citation span2003 - 2015 (13)
Highly citedNo

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