title: The characterisation of a recent syphilis outbreak in Sheffield, UK, and an evaluation of contact tracing as a method of control.
abstract: OBJECTIVE
  To explore the factors around and the success of contact-tracing in a recent major outbreak of infectious syphilis in Sheffield, and to evaluate the effectiveness of it, our hitherto standard strategy of control.
  
  
  METHODS
  Retrospective chart review
  
  
  RESULTS
  Over a period of 18 months, an outbreak of 21 cases was, on closer inspection, the result of several, discrete "micro" outbreaks in different groups. Two major patterns emerged, a relatively straightforward and more accessible cluster in heterosexual persons (a "spread" network), and more sporadic, "starburst" networks in men who have sex with men.
  
  
  CONCLUSIONS
  Our traditional method of control, contact-tracing, was seen to be most effective in the spread network in heterosexuals. In the face of an apparent outbreak, clinicians should explore the nature and parameters of their local epidemic and engage a mixture of control methods. These may include, but not excusively so, contact-tracing to interrupt transmission by case-finding and by treatment.
authors.affiliation: The Medical School, University of Sheffield, Beech Hill Road, Sheffield 10, UK.
authors.forename: Selena
authors.initials: S
authors.lastname: Singh
authors.forename: Gill
authors.initials: G
authors.lastname: Bell
authors.forename: Martin
authors.initials: M
authors.lastname: Talbot
mesh_terms: D000328:Adult; D016358:Contact Tracing; D004196:Disease Outbreaks; D004739:England / Q000453:epidemiology; D005260:Female; D020010:Heterosexuality / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D012307:Risk Factors; D012747:Sexual Partners; D013587:Syphilis / Q000453:epidemiology* / Q000517:prevention & control