Ethics Governance
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| Article - Abstract. To view full article click on the article title. | |
MJA: Congenital syphilis: still a reality in 1996 Congenital syphilis: still a reality in 1996. Michael D Humphrey and David L Bradford MJA 1996; 165: 382. Despite the widespread use of penicillin for more than 50 years, syphilis continues to be a problematic health issue in many parts of the world. In Australia, congenital syphilis is again a significant cause of stillbirth, preterm labour and neonatal disease in some areas (including central and northern Australia). Control mechanisms based on screening, reliable treatment protocols, contact-tracing and adequate follow-up appear to be less effective than they were in the past. It is difficult to discuss such a socially stigmatising disease when it is clear that some community groups are at high risk, and may be offended by and feel disempowered in the face of well-meaning medical debate. If congenital syphilis is to be eradicated, new approaches are required. These include public-awareness campaigns to stress the need for antenatal care in affected communities; involving the community in efforts to prevent syphilis; providing culturally appropriate services; improving notification and surveillance systems; improving the management of pregnant women who present to maternity units without prior booking; and improving the management of syphilis in pregnancy. Full Article: http://www.mja.com.au/public/issues/oct7/humphrey/humph.html |
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2006 Ethics-Governance.com |
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