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zoom RSS 梅毒が急増する中国

<<   作成日時 : 2010/05/11 20:50   >>

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画像 中国では社会が激変し、梅毒が急増していると報告された。第2の都市・上海では最も多い伝染病である。2008年のデータでは、1時間に1人の先天梅毒の子どもが生まれているという。ペニシリンの発見以来で、他のどんな国でもみられなかった増加である。1950年代には中国からほとんど根絶されていたが、現在人口10万人あたり約20人の感染者がいる。
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Page last updated at 09:00 GMT, Thursday, 6 May 2010 10:00 UK
Syphilis cases rise sharply in China
http://news.bbc.co.uk/1/hi/world/asia-pacific/8664168.stm

China has seen a dramatic rise in cases of syphilis, as a result of rapid social change, US researchers say.

A report in the New England Journal of Medicine says syphilis is now the most commonly reported communicable disease in Shanghai, the second-largest city.

Pregnant women are also increasingly passing the disease to their children, with more than one baby with congenital syphilis born every hour in 2008.

No other country has seen such a rise since the discovery of penicillin.

Syphilis was almost eradicated from China in the 1950s with a sweeping programme of antibiotics and brothel shutdowns.

But the researchers say the disease is now "a major scourge lurking in the shadows", with around 20 people in every 100,000 in China carrying the infection.

They link the rise directly to China's economic reforms and the growing number of migrant workers and men with expendable income, which has led to a growth in the commercial sex industry.

Female sex workers and gay or bisexual men - a third of whom are married - "disproportionately bear the burden" of the epidemic, they say.

Syphilis, a bacterial disease, is curable with antibiotics if treated early, but can cause paralysis, blindness and death if left untreated.

Mothers can pass syphilis to unborn babies, which can lead to deformities, neurological problems, stillbirths or death in early infancy.

The authors say there is a lack of adequate screening in China, and entrenched social stigma makes people reluctant to get tested.

They recognised China's efforts to increase awareness of sexually transmitted infections among sex workers, but say more needs to be done, including free screening for all pregnant women and high-risk groups.

Offering tests in non-clinical sites - including brothels, saunas and nightclubs - would be one way to help identify and prevent the spread of local infections, they say.

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NEJM Volume 362:1658-1661 May 6, 2010 Number 18

Syphilis and Social Upheaval in China

Joseph D. Tucker, M.D., Xiang-Sheng Chen, M.D., Ph.D., and Rosanna W. Peeling, Ph.D.

Syphilis, a sexually transmitted infection (STI) that was nearly eliminated from China 50 years ago,1 is now the most commonly reported communicable disease in Shanghai, China's largest city.2 No other country has seen such a precipitous increase in reported syphilis cases in the penicillin era. In 2008, an average of more than 1 baby per hour was born with congenital syphilis in China, for a total of 9480 cases; the rate had increased by a factor of 12 during the previous 5 years (see graph). A disease with social roots, syphilis has become a major scourge lurking in the shadows of a country that has rapidly ascended to the status of a global economic powerhouse.

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