Saturday , October 16 2021

Cases of syphilis in the country tripled



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Syphilis is a sexually transmitted disease caused by bacteria (Shutterstock)

According to data from the Ministry of Health and Social Development, the rate of the disease in young men and women and adults has tripled between 2013 and 2017: it went from 11.7 to 35.2 per 100 thousand inhabitants and has the authorities in health alert

Syphilis is a sexually transmitted disease caused by a bacterium (Treponema pallidum), which is transmitted through sexual intercourse (vaginal, anal or oral) without a condom to an infected person. There is also what is called vertical transmission, which is what happens from mother to child during pregnancy.

"It is a disease that has a cure, but it has been increasing since 2013. We have seen that AIDS cases have fallen, but syphilis cases have increased, and that means people do not take care of themselves," said infectious disease specialist Jorge Lattner to Telam.
Lattner, who has been working in perinatal infectious diseases since 2000 and as a pediatrician since 1986, explained that the increase has several causes.

There are different customs that have appeared in the last five or six years and make young people have a much freer and less committed sex

"There are a number of situations that are causing an increase in cases: on the one hand, the decrease in the rate of HIV infections we have seen in recent years, whether because there are early diagnoses or high-efficiency treatments of the disease. people get scared a lot less and start not caring, "said Otamendi Sanitarium doctor.

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The lack of use – or improper use – of condoms results in the return of diseases that were thought to be controlled (Shutterstock)

On the other hand, "there are different customs that have been appearing in the last five or six years and make young people have a much freer sex with less commitment, and to this we must add the fact that there are recreational drugs that are used in previous ones or at meetings where people decrease their inhibitions and have sex, "said the specialist, who also works at the Fernandez Hospital.

It is diagnosed from a blood test and treated with an antibiotic (penicillin). The symptoms appear 20 days after the bacteria enters the body and has several stages. "Primary syphilis is diagnosed by the presence of cancer – or pain – that can be localized to the penis, anus, vagina or mouth. It is important to note that cancer does not hurt, which is why in some places it may go unnoticed. secondary syphilis has cutaneous lesions that occupy the entire body and are contagious, as well as cancer. "

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The bacterium Treponema pallidum is transmitted through sexual intercourse without a condom and from mother to child during pregnancy (Shutterstock)

This was explained to Infobae infectologist Javier Altclas (MN 61105), who insisted: "If left untreated at these stages, he goes on to other early and late latent calls to continue the disease without treatment after a prolonged period, which may several years, tertiary syphilis appears, which at this stage has serious complications.

Although syphilis is a compulsorily notifiable disease, it is reported in some health centers and clinics and this generates a very important underreporting.

Regarding the increase in cases, the medical director of IPTEI – medical research, prevention and treatment of infectious diseases – stressed that "recording the national situation in 2017 and 2018 shows that syphilis rates in men exceed those of women", emphasizing : "Undoubtedly, there is a significant increase in cases of syphilis at all stages described." It is important to note that although syphilis is a reporting disease, some health centers and offices are reported and this generates a sub- very important record ".

"The phenomenon can be attributed to the lack of sustained sex education and to the misconception that condoms should only be used to prevent pregnancy," said the expert, who stressed that "condom use should not be encouraged only during pregnancy. pregnancy". World AIDS Day, if not a topic to be discussed without taboos and explaining that this simple measure avoids this and other sexually transmitted diseases such as hepatitis B, gonorrhea and others. "
Clinician Esteban Chilelli said that "in 2011 there were about 4,000 cases of syphilis, while in 2017 there were 11,700."

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Syphilis is diagnosed from a blood test (Shutterstock)

"There are several causes: the low use of condoms, having multiple partners or casual sex and drug use, which make you have less control," agreed the professional in dialogue with Telam, and said that the young population is the most affected.

According to data from the Ministry of Health and Social Development, the rate of syphilis cases registered in men and young women and adults has tripled between 2013 and 2017, rising from 11.7 to 35.2 per 100,000 inhabitants.

Likewise, the proportion of positivity in routine exams performed in pregnant women rose from 2% to 3.2% in the same period.
"According to the measurements, in 2018 we had a rate of 50.3 per 100 thousand inhabitants, and most cases occurred in a population between 15 and 24 years," she told Telam Claudia Rodríguez, director of AIDS, DST, Hepatitis and Tuberculosis of the Ministry of Health.
The official said that the treatment of the disease is "easy, affordable and free."

It can cause long-term complications or death if it is not treated properly and is contracted by direct contact with syphilis in anal, vaginal or oral sex. Wounds can be found on the penis, vagina, anus, rectum or on the lips and mouth.
The National Health Ministry said it "could also spread from an infected mother to her unborn child." And another of the rates that increases year by year is that of congenital syphilis.
"In the period 2013-2017, the rate at the national level shows an increase year by year, while in 2013 it was 1 case per 1,000 live births, by 2017 rose to almost 1.7," the epidemiological bulletin on HIV, AIDS and STD published in December 2018.

It can cause long-term complications or death if it is not treated properly and is contracted by direct contact with syphilis in anal, vaginal or oral sex. Wounds can be found on the penis, vagina, anus, rectum or on the lips and mouth.
The National Health Ministry said it "could also spread from an infected mother to her unborn child." And another of the rates that increases year by year is that of congenital syphilis.
"In the period 2013-2017, the rate at the national level shows an increase year by year, while in 2013 it was 1 case per 1,000 live births, by 2017 rose to almost 1.7," the epidemiological bulletin on HIV, AIDS and STD published in December 2018.

"I have been infected for many years but in the last two I have seen a significant amount of congenital syphilis with babies who died intrauterine and others who are treated when they are born," Lattner said.
The infectious physician Gustavo Cañete (MP 220769) is part of the staff of the Hospital Iriarte de Quilmes and consulted by Infobae confirmed that "for a few years the number of syphilis cases has increased frankly". "Especially in pregnant women, there is a significant increase when we check out women for diseases that could be transmitted to the baby," she said, adding that they try to treat them "to prevent congenital syphilis."
And after clarifying that "it is not just a disease of the poor," Lattner concluded: "I worked at Otamendi for almost 10 years and in the last two we also witnessed an increase in congenital syphilis, something that has not happened before and now it happens. , we are putting 10 to 15 penicillins per day, and that has never happened either. "

Source: Infobae


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