The Courier & Advertiser (Perth and Perthshire Edition)

Syphilis cases on the increase across Tayside

Health: Almost 100 people diagnosed with potentiall­y fatal STD in last five years

- STefan morkis smorkis@thecourier.co.uk

Nearly 100 people in Tayside have been diagnosed with the potentiall­y fatal sexually transmitte­d disease syphilis over the past five years.

Figures released by NHS Tayside in response to a freedom of informatio­n request revealed more than 80% of cases are diagnosed in men.

It comes as the number of cases in Scotland nearly doubled in a single year.

According to the most recent national figures available from Health Protection Scotland, there were 316 new cases of syphilis in 2015, up from 159 the year before.

If caught early, syphilis can be successful­ly treated with antibiotic­s.

But if left untreated, it can eventually cause stroke, dementia, blindness, paralysis and heart disease although these symptoms, which can often be fatal, are unlikely to occur until decades after the initial infection.

Syphilis is particular­ly virulent because it can remain dormant for years after the initial symptoms, which begin with a painless ulcer known as a chancre, have passed.

During the first year of this latent phase it is still possible to transmit the infection. Most new infections – between 70% and 80% – are transmitte­d between gay or bisexual men.

Between 2012 and 2016, there were 82 new cases of syphilis amongst men in Tayside. The number of new cases peaked in 2013 and 2014 when there were 21 diagnoses each year.

Over the same five-year period the number of female syphilis cases was at least 15.

There were eight cases in 2013, six in 2014 and fewer than five the following year – more exact figures are not provided in order to protect patient confidenti­ality.

Dr Sarah Allstaff, lead clinician for sexual health for NHS Tayside, said: “Many people who catch syphilis develop symptoms such as an ulcer affecting the genitals or mouth or a generalise­d rash.

“However, some patients may not get any symptoms and may not realise that they could be at risk or that other people they have sex with may be at risk.

“The best way for people to reduce their risk of catching sexually transmitte­d infections like syphilis is to use a condom.

“If you think you might have symptoms or may have been at risk it is important to get tested for sexually transmitte­d infections to ensure that you can be treated if you have picked up an infection and to prevent any infection from passing to anyone.”

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