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Volume 16, Number 1—January 2010

Dispatch

Reemergence of Syphilis in Martinique, 2001–2008

André CabiéComments to Author , Bruno Rollin, Sandrine Pierre-François, Sylvie Abel, Nicole Desbois, Pascale Richard, Patrick Hochedez, Raphaëlle Théodose, Danielle Quist, Raymond Hélénon, Christian Derancourt, Annick Cavelier, and Bernard Liautaud
Author affiliations: Centre Hospitalier Universitaire de Fort-de-France, Fort-de-France, Martinique (A. Cabié, B. Rollin, S. Pierre-François, S. Abel, N. Desbois, P. Hochedez, R. Théodose, D. Quist, R. Hélénon, C. Derancourt, B. Liautaud); Clinical Research Center of French West Indies and French Guiana, Inserm CIE 802 (A. Cabié); Unité de Consultation et de Soins Ambulatoires Centre Médical Pénitentiaire de Fort-de-France (S. Abel, D. Quist); Etablissement Français du Sang, Fort-de-France (P. Richard); Vernes STD Clinic, Fort-de-France (R. Hélénon, A. Cavelier)

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Table 2

Incidence of syphilis, Fort-de-France, Martinique, 2000–2007*

Characteristic 2000 2001 2002 2003 2004 2005 2006 2007
HIV-infected patients at University Hospital
Total no. patients 479 492 508 544 564 659 724 746
MSM, no. (%) 107 (22) 108 (22) 110 (22) 126 (23) 124 (22) 160 (24) 184 (25) 185 (25)
Incidence of recent syphilis/
 1,000 patient-years, % 0 0 0 0 5.3 15.2 9.6 12.1
Incidence of recent syphilis/
 1,000 patient-years in MSM, %
0
0
0
0
24.2
31.2
21.7
27.1
Vernes STD Clinic
Syphilis tests, no. 306 559 1,368 1,478 1,266 1,081 976 1,592
Recent syphilis, no.
0
1
2
3
0
0
3
4
A-VCT clinics
Syphilis tests, no. ND ND 93 821 651 1,186 709 1,159
Recent syphilis, no.
ND
ND
0
1
2
4
2
3
University Hospital central laboratory
Syphilis tests, no. 2,053 1,755 1,876 2,575 2,387 3,187 2,050 3,225
TPHA titer >80, no. (%) 189 (9.2) 171 (9.7) 182 (9.7) 235 (9.1) 200 (8.3) 258 (8.1) 114 (5.6) 217 (6.7)
RPR test titer >4/TPHA titer >80,† % 1.6 1.8 2.2 2.1 5.0 7.0 11.4 11.6
RPR test titer >8/TPHA titer >80, %
1.1
0.6
1.1
0.9
3.5
6.6
8.8
9.7
Blood donors
Syphilis tests, no. 8,161 8,315 8,638 8,914 8,993 8,057 9,199 8,495
TPHA titer >80, no. (%) 45 (0.6) 49 (0.6) 39 (0.5) 42 (0.5) 30 (0.3) 31 (0.4) 33 (0.4) 27 (0.3)
RPR test titer ≥1, no. (%) 10 (0.1) 26 (0.3) 11 (0.1) 12 (0.1) 5 (0.06) 5 (0.06) 4 (0.04) 4 (0.05)
RPR test titer >4, no. (%) 1 (0.01) 1 (0.01) 1 (0.01) 1 (0.01) 0 0 1 (0.01) 0
RPR test titer >4/TPHA titer >80,† % 2.2 2.0 2.6 2.4 0 0 3.0 0

*MSM, men who have sex with men; STD, sexually transmitted disease; A-VCT, anonymous voluntary counseling and testing; TPHA, Treponema pallidum hemaglutination assay; RPR, rapid plasma reagin;
†Defines active syphilis.

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