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Identifying Unreported and Undiagnosed Cases of Congenital Syphilis in Arizona Using Live Birth and Fetal Death Registries

Winscott, Michelle MD, MPH*; Taylor, Melanie M. MD, MPH*†; Kenney, Kerry BA*†

Sexually Transmitted Diseases: April 2010 - Volume 37 - Issue 4 - p 244-247
doi: 10.1097/OLQ.0b013e3181c37e2a
Note

To investigate the drop in reported congenital syphilis cases from 28 in 2005 to 16 in 2006, the Arizona infant registries were cross matched with reported syphilis test among women in th estat STD database. Six previously unreported cases were identified; four live births and two stil births.

An easily adaptable method of crossmatching Arizona infant registries with the stat syphilis database identified six previously unreported cases of congenital syphilis in 2006, a 27% increase in the number of cases reported that year.

*STD Control Program, Arizona Department of Health Services, Phoenix, AZ; and †Division of STD Prevention, National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA

The authors thank Michelle Johnson, MPH, for her contribution to the adaptation of the study design for Arizona.

Supported by the Cooperative Agreement Number 1H25PS001385–01 from the Centers for Disease Control and Prevention.

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Correspondence: Michelle Winscott, MD, MPH, Arizona Department of Health Services, Office of Infectious Disease Services, 150 N 18th Ave, Suite 140, Phoenix, AZ 85007. E-mail: winscom@azdhs.gov

Received for publication June 8, 2009, and accepted September 27, 2009.

© Copyright 2010 American Sexually Transmitted Diseases Association