Practical Considerations for Implementing a New Syphilis Action Plan

摘要

The call for a new syphilis action plan requires us to think about the practical considerations of implementation such a plan. What would success in prevention and controlling syphilis look like? Would success look the same in different groups for whom actions to control syphilis are needed? What tools or approaches are lacking that we will need to enter a new era of action to prevent and control syphilis? In the United States, we have witnessed dramatic increases in syphilis transmission, equally dramatic successes in syphilis control, and a reemergence of syphilis and concentration in sexual networks of gay men.1 How do we build a new syphilis action plan that meets the epidemiologic realties of our current situation and that is built to produce and sustain reductions in syphilis transmission and its health impacts?