Mungrue Kameel, Edwards Jeffrey, Fyzul Azizah, Boodhai Billy, Narinesingh Adita, Nanlal Shasta
Department of Paraclinical Sciences, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, Trinidad and Tobago.
Queen's Park Counselling Centre, Charlotte Street, Port of Spain, Trinidad, Trinidad and Tobago.
J Sex Transm Dis. 2015;2015:801437. doi: 10.1155/2015/801437. Epub 2015 Jul 28.
Objective. To describe the current epidemiological features of syphilis and congenital syphilis in Trinidad, 2009-2012. Methods. All laboratory confirmed syphilis cases diagnosed through a vertical program in the Ministry of Health, between 1/1/2009 and 31/12/2012, were identified. All relevant data were collected including address which was geocoded and mapped using ArcGIS 10.0 (Esri). Both spatial techniques and standardized incidence ratios were used to determine hot spots. Results. The annual cumulative incidence rate for syphilis remains high varying from 39 per 100 000 population in 2009 to 29 per 100 000 in 2012. We identified 3 "hot spots," in urban areas of Trinidad. Young men and particularly young women in childbearing age 15-35 living in urban high density populations were commonly infected groups. Conclusion. The incidence of syphilis continues to be very high in Trinidad. New initiatives will have to be formulated in order to attain the global initiative to eradicate syphilis by 2015.
目的。描述2009 - 2012年特立尼达梅毒和先天性梅毒的当前流行病学特征。方法。确定2009年1月1日至2012年12月31日期间通过卫生部垂直项目确诊的所有实验室确诊梅毒病例。收集所有相关数据，包括地址，使用ArcGIS 10.0（Esri）进行地理编码和绘图。采用空间技术和标准化发病率比来确定热点地区。结果。梅毒的年累积发病率仍然很高，从2009年的每10万人口39例到2012年的每10万人口29例不等。我们在特立尼达的城市地区确定了3个“热点地区”。居住在城市高密度人群中的年轻男性，尤其是15 - 35岁育龄期的年轻女性是常见的感染群体。结论。特立尼达的梅毒发病率仍然非常高。必须制定新的举措，以实现到2015年根除梅毒的全球倡议。
