The Sunday Mail (Zimbabwe)

Understand­ing Syphilis

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IN THE third quarter of 2018, a total of 43 451 people were treated for sexually transmitte­d infections (STIs).

While this is a significan­t decrease from the 44 889 clients recorded in the first quarter, the figure is still too high.

It is advisable to use condoms to avoid contractin­g STIs and HIV.

The National AIDS Council (NAC) has over the years been buying syphilis test kits to ensure that people get the correct test and are treated for the infection.

NAC also continues to encourage correct and consistent condom use to prevent the spread of sexually transmitte­d infections (STIs), including HIV.

This week we give you informatio­n on one common STI: Syphilis.

What is syphilis?

Syphilis is a sexually transmitte­d infection that can cause longterm complicati­ons if not treated correctly. Symptoms in adults are divided into stages. These stages are primary, secondary, latent, and late syphilis.

How is syphilis spread?

You can get syphilis by direct contact with a syphilis sore during vaginal, anal, or oral sex. Sores can be found on the penis, vagina, anus, in the rectum, or on the lips and in the mouth. Syphilis can also be spread from an infected mother to her unborn baby.

What does syphilis look like?

Syphilis has been called ‘the great imitator’ because it has so many possible symptoms, many of which look like symptoms from other diseases. The painless syphilis sore that you would get after you are first infected can be confused for an ingrown hair, zipper cut, or other seemingly harmless bump. The non-itchy body rash that develops during the second stage of syphilis can show up on the palms of your hands and soles of your feet, all over your body, or in just a few places. Syphilis can also affect the eye and can lead to permanent blindness. You could also be infected with syphilis and have very mild symptoms or none at all.

How can I reduce my risk of getting syphilis?

The only way to avoid STIs is to not have unprotecte­d vaginal, anal, or oral sex.

If you are sexually active, you can do the following things to lower your chances of getting syphilis: ◆ Being in a long-term mutually monogamous relationsh­ip with a partner who has been tested and has negative STI test results; Correct and consistent use of condoms every time you have sex. Condoms prevent transmissi­on of syphilis by preventing contact with a sore. Sometimes sores occur in areas not covered by a condom. Contact with these sores can still transmit syphilis.

Am I at risk for syphilis?

Any sexually active person can get syphilis through unprotecte­d vaginal, anal, or oral sex. Have an honest and open talk with your health care provider and ask whether you should be tested for syphilis or other STIs. You should get tested regularly for syphilis if you are pregnant or have partner(s) who have tested positive for syphilis.

I am pregnant. How does syphilis affect my baby?

If you are and have syphilis, you can give the infection to your unborn baby. Having syphilis can lead to a low birth weight baby. It can also make it more likely you will deliver your baby too early or stillborn (a baby born dead). To protect your baby, you should be tested for syphilis during your pregnancy and at delivery and receive immediate treatment if you test positive.An infected baby may be born without signs or symptoms of disease. However, if not treated immediatel­y, the baby may develop serious problems within a few weeks. Untreated babies can have health problems such as cataracts, deafness, or seizures, and can die.

Adapted from: http://www. cdc.gov/std/syphilis/stdfact-syphilis

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