       Document 0074
 DOCN  M9460074
 TI    Surveillance for geographic and secular trends in congenital
       syphilis--United States, 1983-1991.
 DT    9404
 AU    Dunn RA; Webster LA; Nakashima AK; Sylvester GC
 SO    MMWR CDC Surveill Summ. 1993 Dec 17;42(6):59-71. Unique Identifier :
       AIDSLINE MED/94187691
 AB    PROBLEM/CONDITION: CDC monitors trends in the occurrence of congenital
       syphilis (CS) in the United States by using surveillance data sent from
       state and local health departments. Comparisons of data from this
       surveillance system with data from the Division of Sexually Transmitted
       Diseases/HIV Prevention and the Birth Defects Monitoring Program (BDMP)
       can be used to assess the potential effects of changes in case finding
       and reporting practices on these trends. REPORTING PERIOD COVERED: This
       report covers CS surveillance in the United States for the years
       1983-1991. DESCRIPTION OF SYSTEM: Cases of CS among infants < 1 year of
       age and primary and secondary (P&S) syphilis among women are reported
       quarterly to CDC. The BDMP is a CDC national surveillance system that
       samples hospital discharge data on U.S. births. RESULTS: During the
       period 1983-1991, 12,151 CS cases were reported. Before 1988, regional
       CS incidence increased 35%-131% annually. Larger increases occurred in
       the Northeast (578%) in 1989 and in the South (178%), Midwest (244%),
       and West (777%) in 1990. Within regions, these larger increases were
       temporally related to increases in P&S syphilis in women and changes to
       a more sensitive CS case definition. INTERPRETATION: CS incidence has
       increased since 1983 in all regions of the United States. Increases
       since 1988 reflect both changes in surveillance reporting practices--the
       surveillance case definition for CS was changed in 1988 and further
       revised in 1989--and a true increase in incidence. ACTIONS TAKEN: These
       data indicate where CS prevention efforts need to be targeted. To
       facilitate reporting of CS cases, CDC has developed a) a shorter form
       for reporting cases of CS after 1991 and b) a software package for use
       by state and local health departments to enter and analyze CS data.
 DE    Adult  Epidemiologic Methods  Female  Human  Incidence  Infant
       Population Surveillance  Syphilis/EPIDEMIOLOGY  Syphilis,
       Congenital/DIAGNOSIS/*EPIDEMIOLOGY  United States/EPIDEMIOLOGY  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

