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. 1987 Oct;63(5):326–328. doi: 10.1136/sti.63.5.326

Syphilis in women of reproductive age in Mogadishu, Somalia: serological survey.

H Jama 1, B Hederstedt 1, S Osman 1, K Omar 1, A Isse 1, S Bygdeman 1
PMCID: PMC1194102  PMID: 3500110

Abstract

In Mogadishu, Somalia 223 women of childbearing age, including prostitutes, were tested for serum markers for syphilis by the Venereal Disease Research Laboratory (VDRL) test and the Treponema pallidum haemagglutination assay (TPHA). Sera reactive in either of these tests were tested for IgM antibodies by solid phase haemadsorption assay (SPHA). Three per cent of sera from 67 pregnant women and none of those from 71 educated women gave positive results that were confirmed with the TPHA. In contrast, 58% of sera from 85 prostitutes were confirmed as being positive, 26% of which were SPHA positive, which indicated active syphilis. The proportion of TPHA positive sera increased with age among the prostitutes. As venereal syphilis is highly prevalent in prostitutes in Mogadishu, a strategy of intervention based on screening followed by treatment seems to be indispensable.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. D'Costa L. J., Plummer F. A., Bowmer I., Fransen L., Piot P., Ronald A. R., Nsanze H. Prostitutes are a major reservoir of sexually transmitted diseases in Nairobi, Kenya. Sex Transm Dis. 1985 Apr-Jun;12(2):64–67. doi: 10.1097/00007435-198504000-00002. [DOI] [PubMed] [Google Scholar]
  2. Friedman P. S., Wright D. J. Observations on syphilis in Addis Ababa. 2. Prevalence and natural history. Br J Vener Dis. 1977 Oct;53(5):276–280. doi: 10.1136/sti.53.5.276. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Hira S. K., Bhat G. J., Patel J. B., Din S. N., Attili R. V., Patel M. I., Baskarnathan S., Hira R. S., Andu N. N. Early congenital syphilis: clinico-radiologic features in 202 patients. Sex Transm Dis. 1985 Oct-Dec;12(4):177–183. doi: 10.1097/00007435-198510000-00002. [DOI] [PubMed] [Google Scholar]
  4. Jama H., Grillner L., Biberfeld G., Osman S., Isse A., Abdirahman M., Bygdeman S. Sexually transmitted viral infections in various population groups in Mogadishu, Somalia. Genitourin Med. 1987 Oct;63(5):329–332. doi: 10.1136/sti.63.5.329. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lesiński J., Krach J., Kadziewicz E. Specificity, sensitivity, and diagnostic value of the TPHA test. Br J Vener Dis. 1974 Oct;50(5):334–340. doi: 10.1136/sti.50.5.334. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Liljestrand J., Bergström S., Nieuwenhuis F., Hederstedt B. Syphilis in pregnant women in Mozambique. Genitourin Med. 1985 Dec;61(6):355–358. doi: 10.1136/sti.61.6.355. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Osoba A. O. Sexually transmitted diseases in tropical Africa. A review of the present situation. Br J Vener Dis. 1981 Apr;57(2):89–94. doi: 10.1136/sti.57.2.89. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ratnam A. V., Din S. N., Hira S. K., Bhat G. J., Wacha D. S., Rukmini A., Mulenga R. C. Syphilis in pregnant women in Zambia. Br J Vener Dis. 1982 Dec;58(6):355–358. doi: 10.1136/sti.58.6.355. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Tomizawa T., Kasamatsu S., Yamaya S. I. Usefulness of the hemagglutination test using Treponema pallidum antigen (TPHA) for the serodiagnosis of syphilis. Jpn J Med Sci Biol. 1969 Dec;22(6):341–350. doi: 10.7883/yoken1952.22.341. [DOI] [PubMed] [Google Scholar]
  10. Ursi J. P., van Dyck E., van Houtte C., Piot P., Colaert J., Dlamini M., Meheus A. Syphilis in Swaziland: a serological survey. Br J Vener Dis. 1981 Apr;57(2):95–99. doi: 10.1136/sti.57.2.95. [DOI] [PMC free article] [PubMed] [Google Scholar]

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