MMWR Morb Mortal Wkly Rep. 1998 Oct 30;47(42):904-7.
In 1996 and 1997, Baltimore, Maryland, had the highest rate for primary and secondary syphilis among U.S. cities. From 1993 to 1996, the rate for congenital syphilis (CS) in Baltimore increased from 62 to 282 per 100,000 live-born infants. To assess the magnitude of the syphilis epidemic in pregnant women and to identify ways to improve CS prevention, the Baltimore City Health Department (BCHD), the Maryland Department of Health and Mental Hygiene (DHMH), and CDC analyzed CS surveillance data for and reviewed medical records of pregnant women with syphilis. This report summarizes the results of this investigation, which indicated that 90% of cases could have been prevented by adequate prenatal care and more timely syphilis screening and treatment
1996年和1997年，马里兰州巴尔的摩市的梅毒发病率在美国各城市中位居榜首。1993年至1996年期间，巴尔的摩市先天性梅毒（CS）的发病率从每10万名活产婴儿62例增至282例。为评估孕妇梅毒疫情的严重程度并确定改善先天性梅毒预防的方法，巴尔的摩市卫生部门（BCHD）、马里兰州卫生与精神卫生部门（DHMH）以及美国疾病控制与预防中心（CDC）分析了先天性梅毒监测数据，并查阅了梅毒孕妇的病历。本报告总结了此项调查结果，结果表明，90%的病例可通过充分的产前护理以及更及时的梅毒筛查和治疗得以预防。
