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Epidemiological surveillance of syphilis in Pleven region, Bulgaria


 
 
 Syphilis is a sexually transmitted infection whose significance to the public health does not lose its relevance. Changes in the epidemiology of the disease were observed in the last decade. This study describes the trends of syphilis in Pleven region (Bulgaria).
 
 
 
 A retrospective study of the incidence of syphilis in Bulgaria and in the Pleven district was conducted. Documentary method was applied. A comparative analysis of statistical data from National Center of Public Health and Analyses -Sofia, Regional Health Inspectorate - Pleven, and annual reports on the work of the Consulting Room on Sexually Transmitted Infections - Pleven was carried out. The study extends over the period 2009-2018. Extensive and intensive indicators for data analysis were applied - number of cases (n), morbidity (per 100,000 population), sex and age distribution of cases reported.
 
 
 
 There were 119 cases of syphilis registered in the Pleven district during 2009-2018, with gender distribution showing a slight predominance of men - 66 (55%) versus 53 (45%) in women. All ages are affected, but the largest group is 25-29 years of age - 28 cases, followed by the age group 20-24 - 25 cases. Three cases of congenital syphilis were registered in the district of Pleven.
 
 
 
 The reported incidence of syphilis probably does not correspond to the real one. The observed trend in the spread of the disease can be overcome by improving the effectiveness of control. Such can be accomplished by active search for patients, adequate treatment, monitoring in dispensary, individual approach to risk groups of population, and preventive activities.
 
 
 
 Syphilis is a disease that is subject to international surveillance and control. Trends of syphilis in Pleven region (Bulgaria).
