399 ITMB_v2.indd
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چکیده
A cluster of papers in this month’s Bulletin describes the facets of maternal and congenital syphilis and lists the current barriers to effective control and treatment. Bidia Deperthes et al. (pp. 410–416) describe antenatal syphilis control programmes in Bolivia, Kenya and South Africa, and outline ways to improve the effectiveness of these programmes. Sarah Hawkes et al. (pp. 417–423) take a broader view of the reasons for which it has proved so difficult to implement and sustain antenatal syphilis control programmes, and propose a multilateral approach, with more inclusive stakeholder involvement. Stuart Berman describes the pathophysiology of fetal infection, and sets out the current controversies surrounding the timing, nature and dose of medications for maternal treatment. Rosanna Peeling et al. (pp. 439–446) reiterate the limitations of currently available methods of serological screening, and emphasize the need to develop a rapid, non-invasive test to distinguish between present and past infections. Saiqa Mullick et al. comment on the possibility of improving the detection and treatment of congenital syphilis by collaboration with programmes that aim to prevent maternal transmission of HIV, a suggestion echoed in a related editorial by Walker & Walker (p. 401).
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