Combating syphilis resurgence: China's multifaceted approach

Abstract

Syphilis, a chronic infection caused by Treponema pallidum, is experiencing a global resurgence, posing significant public health challenges. This study examined the escalating trends of syphilis in the United States, China, and some other countries highlighting the impact of the COVID-19 pandemic, changes in sexual behavior, coinfection with the other infectious diseases such as AIDs, and the role of public health funding. The analysis revealed a stark increase in syphilis cases, particularly among high-risk groups such as men who have sex with men (MSM). China's National Syphilis Control Program (NSCP), initiated in 2010, is a comprehensive approach to syphilis management that incorporates health education, access to testing and treatment, partner notification, safe sex promotion, community interventions, and stigma reduction. The success of the NSCP in reducing early syphilis incidence rates and congenital syphilis in Guangdong Province, that may be served as a model for international syphilis control efforts. This study highlights the necessity for targeted public health interventions and the importance of robust healthcare infrastructure in combating the syphilis epidemic.