EPIDEMIOLOGIC PROFILE OF CONGENITAL SYPHILIS CASES IN ROCINHA, RIO DE JANEIRO

INTRODUCTION AND OBJECTIVE: Congenital syphilis (CS) persists as a significant public health problem, with a rising number of cases. The incidence in Brazil in 2013 was 4.7/100000 inhabitants, and, in the city of Rio de Janeiro, 16.4/100000. Rocinha is a community with approximately 70000 inhabitants, with 100% primary health care coverage since 2010. The family clinics are responsible for the diagnosis of syphilis in pregnancy, the treatment and case tracking. Describe the epidemiologic profile of CS cases, taking account socio-demographic characteristics and maternal treatment. METHODS: revision of the data of the National System of Disease Notification (SINAN) of CS, during the period of 2011 to 2015. RESULTS AND DISCUSSION: There were 74 cases of CS, with an incidence of 10.6/100000. Maternal ages were between 14 and 43 years old, with an average of 24.7. Half (50%) of the mothers was white, 33% had studied 8 years or less (basic school), 93% received antenatal care and 69% had the diagnosis during those visits. During gestation, 74% had incomplete or no treatment for syphilis, 56% of partners did not receive treatment. These data show that, even though women had had access to antenatal care, and syphilis was diagnosed during pregnancy, the biggest part did not received adequate treatment. Strategies must be developed to break vertical transmission, especially to ensure that women with syphilis get the adequate treatment, which is readily available in primary health care clinics