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The recent rise in reported CS cases is geographically concentrated as only 5% of U.S. There were 1306 CS cases reported in 2018, representing a 185% increase since 2014.

While CS can be fully prevented through timely syphilis screening and adequate treatment during prenatal care, the number of CS cases in the United States (U.S.) continues to rise. Prevention of congenital syphilis (CS) is critical given that untreated syphilis during pregnancy may lead to miscarriage, still birth, or blindness, deafness, and/or bone deformities in the infant. In high syphilis morbidity areas, comprehensive and tailored public health approaches addressing setting-specific gaps in prenatal screening and treatment are needed. ConclusionsĬongenital syphilis continues to increase in Kern County and throughout the U.S. Gaps in partner notification, screening and treatment for syphilis were brought up by pregnant/postpartum women and prenatal care providers. The gaps identified from interviews with prenatal care providers included social economic vulnerabilities of pregnant women and stigma and shame around the vulnerabilities, distrust in medical system, prenatal substance use, limited prenatal substance use disorder treatment facilities, and inadequate provider training on context-specific congenital syphilis management strategies. Gaps in congenital syphilis prevention discussed in focus group discussions with pregnant/postpartum women were related to limited prenatal care access, social-, economic-, and cultural-barriers, and substance use and co-occurring intimate partner/domestic violence. Focus group and interview data were recorded, transcribed, and analyzed to identify emergent themes pertaining to facilitators and barriers at each step (prenatal care, syphilis screening and treatment) in the congenital syphilis prevention cascade. Methodsīetween May 2018 and January 2019, we conducted five focus group discussions with pregnant/postpartum women and ten semi-structured interviews with prenatal care providers in Kern County.

This study assessed gaps in preventing congenital syphilis in the high morbidity region of Kern County, California.

In 2018, California had the second highest number of congenital syphilis cases in the United States (U.S.), a nearly twofold increase in cases since 2014. Congenital syphilis is preventable through timely access to prenatal care, syphilis screening and treatment of pregnant women diagnosed as infected.

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