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- W2024885965 abstract "Sanjaya Senanayake points out that we did not adequately discuss the reasons for high rates of congenital syphilis and that with effective screening and treatment programmes in pregnancy rates of congenital syphilis should be low. This is true but the universal screening and treatment of syphilis has not been functioning well in China. First screening for syphilis is still not available in some areas particularly rural areas and even where available some pregnant women are still reluctant to seek such services or at least to seek them in a timely manner. There are probably several reasons for this reluctance such as cost inconvenience beliefs about testing being unnecessary and fear of being diagnosed particularly for those at risk. Free screening of syphilis among women attending antenatal clinics has been implemented in some cities but women still have to pay for testing and treatment in most areas. A Ministry of Health survey indicated that 87.8% of pregnant women attended a prenatal check1 and only some of them got syphilis screening. Among 92 babies confirmed with congenital syphilis in Shenzhen 76 were born to mothers who did not receive screening (unpublished data). Second even when diagnosed with syphilis some pregnant women do not accept the diagnosis and consequently refuse treatment. Of 2019 mothers with syphilis in Shenzhen 63 (3.1%) left without treatment and 54 (2.7%) refused treatment due to fear of treatment side-effects or non-acceptance of the test results (unpublished data). (excerpt)" @default.
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- W2024885965 date "2007-04-01" @default.
- W2024885965 modified "2023-09-23" @default.
- W2024885965 title "Congenital syphilis in China – Authors' reply" @default.
- W2024885965 doi "https://doi.org/10.1016/s0140-6736(07)60556-x" @default.
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