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Factors associated with four atypical cases of congenital syphilis in England, 2016 to 2017: an ecological analysis
- Martina Furegato1 , Helen Fifer2 , Hamish Mohammed1 , Ian Simms1 , Paul Vanta1 , Sharon Webb3 , Kirsty Foster1 , Margaret Kingston4 , André Charlett5 , Bhavita Vishram6 , Claire Reynolds6 , Noel Gill1 , Gwenda Hughes1
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View Affiliations Hide AffiliationsAffiliations: 1 HIV & STI Department, Public Health England, Colindale, London, United Kingdom 2 Bacteriology Reference Department, National Infection Service, Public Health England, Colindale, London, United Kingdom 3 NHS Infectious Diseases in Pregnancy Screening Programme, PHE Screening, London, United Kingdom 4 The Northern Integrated Contraception, Sexual Health & HIV Service, Manchester University NHS Foundation Trust, Manchester, United Kingdom 5 Statistics, Modelling and Economics Department, National Infection Service, Public Health England, Colindale, London, United Kingdom 6 NHS Blood & Transplant/PHE Epidemiology Unit, Public Health England, Colindale, London, United KingdomIan Simmsian.simms phe.gov.uk
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Citation style for this article: Furegato Martina, Fifer Helen, Mohammed Hamish, Simms Ian, Vanta Paul, Webb Sharon, Foster Kirsty, Kingston Margaret, Charlett André, Vishram Bhavita, Reynolds Claire, Gill Noel, Hughes Gwenda. Factors associated with four atypical cases of congenital syphilis in England, 2016 to 2017: an ecological analysis. Euro Surveill. 2017;22(49):pii=17-00750. https://doi.org/10.2807/1560-7917.ES.2017.22.49.17-00750 Received: 08 Nov 2017; Accepted: 06 Dec 2017
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Abstract
Four isolated cases of congenital syphilis born to mothers who screened syphilis negative in the first trimester were identified between March 2016 and January 2017 compared with three cases between 2010 and 2015. The mothers were United Kingdom-born and had no syphilis risk factors. Cases occurred in areas with recent increases in sexually-transmitted syphilis among women and men who have sex with men, some behaviourally bisexual, which may have facilitated bridging between sexual networks.
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