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Scaling up syphilis testing in China: implementation beyond the clinic.
- Source :
-
Bulletin of the World Health Organization [Bull World Health Organ] 2010 Jun; Vol. 88 (6), pp. 452-7. - Publication Year :
- 2010
-
Abstract
- China is experiencing a syphilis epidemic of enormous proportions. The regions most heavily affected by syphilis correspond to regions where sexually transmitted HIV infection is also a major public health threat. Many high-risk patients in China fail to receive routine syphilis screening. This missed public health opportunity stems from both a failure of many high-risk individuals to seek clinical care and a disconnect between policy and practice. New point-of-care syphilis testing enables screening in non-traditional settings such as community organizations or sex venues. This paper describes the current Chinese syphilis policies, suggests a spatiotemporal framework (based on targeting high-risk times and places) to improve screening and care practices, and emphasizes a syphilis control policy extending beyond the clinical setting.
- Subjects :
- China epidemiology
Geography
Health Resources
Health Services Accessibility
Health Services Needs and Demand
Humans
Poverty
Prenatal Care
Risk Factors
Sexually Transmitted Diseases diagnosis
Sexually Transmitted Diseases epidemiology
Sexually Transmitted Diseases prevention & control
Socioeconomic Factors
Syphilis epidemiology
Syphilis prevention & control
Time Factors
Disease Outbreaks statistics & numerical data
Health Policy
Mass Screening
Point-of-Care Systems statistics & numerical data
Public Health methods
Syphilis diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1564-0604
- Volume :
- 88
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Bulletin of the World Health Organization
- Publication Type :
- Academic Journal
- Accession number :
- 20539859
- Full Text :
- https://doi.org/10.2471/BLT.09.070326