City of Sao Goncalo

Using condoms is the one technique to forestall an infection

Syphilis – a sexually transmitted illness (STI) – is at present a public well being downside. Although there’s a treatment by means of easy and fast therapy, many don’t search therapy and proceed with the an infection course of. In São Gonçalo, consciousness of the necessity for fast testing elevated within the first 4 months of this 12 months in comparison with the final three years and, consequently, the quantity of folks receiving therapy. For pregnant ladies, the quantity of contaminated folks decreased on the identical time, in addition to congenital syphilis (when the kid is contaminated by the mom throughout being pregnant or throughout childbirth).

The solely technique to forestall an infection is to make use of condoms, as a result of they’re primarily unfold throughout intercourse. An contaminated pregnant girl also can transmit the illness to her child throughout being pregnant and supply. “Therefore, the necessity for pregnant ladies to take care and have blood exams. Treatment firstly, there’s a risk of a wholesome baby. And, if not handled, it may possibly result in abortion and untimely start”, defined Monique Gonzalez, coordinator of the Ist/Aids and Viral Hepatitis Program.

To detect syphilis, simply prick your finger and the end result will come out in 20 minutes. The check could be accomplished at any clinic (besides Colubandê I and Neves), each time from Monday to Friday, from 9am to 4pm. This therapy could be accomplished in a single of the 5 hospitals, in 4 hospitals and within the Gonçalense Reference Polyclinic for Chronic and Communicable Diseases. In most instances, therapy is carried out with the drug benzethacyl. But there’s another choice for folks (non-pregnant ladies) who’re in opposition to this medication.

“The quantity of medication – which could be from one to 3 doses – will depend on the stage of syphilis. This group is completed by means of the indicators and signs that the particular person exhibits. For pregnant ladies, benzetacil treats each mom and baby on the identical time. It can be vital that companions get examined and obtain therapy in order that there is no such thing as a extra transmission. If left untreated, syphilis could be deadly. When it reaches the superior levels, it impacts the cardiovascular system and the nervous system, which might additionally result in dementia”, defined Monique.

At the Mário Niajar Municipal Maternity, in Alcântara, infants born or contaminated with congenital syphilis start therapy within the hospital, staying within the hospital for ten days to inject benzetacil potassium intravenously. “Anyone who has unprotected intercourse ought to be examined for sexually transmitted infections (STIs). At least yearly. Pregnant ladies ought to do it within the first and third trimester of being pregnant. But relying on the state of affairs, we will do that in all of the interviews of the expectants”, inspired Monique.

Signs – The first signal of the illness is a tough chancre (ulcer/ulcer), which could be within the mouth (unfold by means of oral intercourse), genitalia or anus. Eventually, the ulcer will disappear. After a number of weeks, the second stage of the illness seems, known as secondary syphilis, which is pink on the physique, however primarily on the ft and palms. In the latent type, they’re silent and with out signs.

“The first wound doesn’t harm and doesn’t itch. Second, the rash seems like an allergy. And simply because it seems, it disappears. With this, if there is no such thing as a assist, the particular person enters a hidden stage, which has no indicators and signs. Therefore, testing is vital to forestall the illness from altering. After the hidden type comes superficial syphilis, which is a rash on the face that may result in cardiovascular and neurological ailments”, concluded Monique.


This 12 months, of the 17,301 exams carried out within the first 4 months within the inhabitants, 2,299 have been optimistic, 13.28%. Of these, 235 are new, 151 are pregnant ladies and 84 are odd folks. Altogether, 41 youngsters have been born with congenital syphilis. Last 12 months, 23,185 exams have been carried out, 3,486 have been optimistic, 15.03%. Of the sufferers, 1,145 have been new sufferers, of which 630 have been pregnant ladies and 515 from the final inhabitants. Children totaled 486 instances.

In 2020, 17,116 exams have been carried out, which had 2,171 hopefuls, 12.68%. The quantity of new instances was 1,378: 609 pregnant ladies and 769 from the final inhabitants. A complete of 597 youngsters with congenital syphilis. In 2019, there have been 21,946 exams, 1,924 with syphilis, 8.7%. Of the sufferers, 2,195 have been new, 768 have been pregnant ladies and 1,427 have been from most of the people. Children totaled 453 instances.

medical heart:

Hélio Cruz Health Center, Alcantara

Jorge Teixeira de Lima Health Center, Jardim Catarina

Augusto Sena Health Center, Rio do Ouro

Washington Luiz Lopes Health Center, Zé Garoto

Paulo Marques Rangel Health Center, Portão do Rosa

Barro Vermelho Municipal Clinic

Family Clinic Dr. Jardel in Amaral, Venda da Cruz

Gonçalense do Mutondo Clinic

Family Clinic Dr. Zerbini, Arsenal

Gonçalense Reference Polyclinic for Chronic and Infectious Diseases

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