Responding to a community outbreak of syphilis by targeting sex partner meeting location: an example of a risk-space intervention.
BACKGROUND
Effective syphilis control and elimination require community effort and innovative case-finding techniques, especially to identify infected persons from core transmission groups.


OBJECTIVE
To summarize the implementation and outcomes of a community-oriented response to a localized outbreak of syphilis directed at sex partner meeting places.


METHODS
Syphilis surveillance and rapid response data from a 7-month period were analyzed for risk behaviors, sex partner meeting locations, field investigation outcomes, and social and sexual network connections.


RESULTS
Four (6%) of the sixty-nine persons tested were confirmed syphilis reactors, of whom three were new cases. A sexual and needle-sharing network of 15 persons was identified that included two of the new syphilis cases. These two had not been found through standard field investigation.


CONCLUSIONS
Targeting interventions to sex partner meeting places may effectively complement traditional syphilis control tools and find previously unidentified syphilis cases in high-morbidity areas.
Michaud
Joshua M
JM
Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. jmichaud@jhmi.edu
Ellen
Jonathan
J
Johnson
Sheridan M
SM
Rompalo
Anne
A
D000328:Adult; D016358:Contact Tracing / Q000379:methods*; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D008297:Male; D008396:Maryland / Q000453:epidemiology; D008499:Medical Records; D016485:Needle Sharing; D011159:Population Surveillance / Q000379:methods*; D012189:Retrospective Studies; D012725:Sexual Behavior; D012747:Sexual Partners; D013587:Syphilis / Q000453:epidemiology* / Q000517:prevention & control*