Surveillance and epidemiology of syphilis, gonorrhoea and chlamydia in the non-European Union countries of the World Health Organization European Region, 2015 to 2020

Author:

Barbaric Jelena1ORCID,Kuchukhidze Giorgi2,Seguy Nicole2,Vovc Elena2,Babovic Maria Josefina Theresa3,Wi Teodora Elvira3,Low-Beer Daniel3,Bozicevic Ivana1

Affiliation:

1. World Health Organization Collaborating Centre for HIV Strategic Information, University of Zagreb School of Medicine, Zagreb, Croatia

2. World Health Organization Regional Office for Europe, Copenhagen, Denmark

3. World Health Organization Headquarters, Geneva, Switzerland

Abstract

Background Epidemics of sexually transmitted infections (STI) are a major public health challenge in the World Health Organization (WHO) European Region. Aim We aimed to provide an overview of case reporting and other surveillance data for syphilis, gonorrhoea and chlamydia for the non-European Union (EU)/European Economic Area (EEA) countries of the Centre and East part of the WHO European Region as per classification used by the WHO Regional Office for Europe (WHO/Europe) and the European Centre for Disease Prevention and Control. Methods Data were provided by the surveillance agencies of the Member States for the period 2015 to 2019 through the WHO/Europe Communicable Diseases Annual Reporting Form. We analysed reported cases, explored data reported to the WHO Gonococcal Antimicrobial Surveillance Programme (GASP) and performed a review of publications on antimicrobial resistance (AMR) in gonorrhoea in the period 2015 to 2020 using systematic methodology. Results From 2015 to 2019, in most of the countries with three or more data points, there was a pattern of decrease in reported syphilis, gonorrhoea and chlamydia cases, which is in contrast to the EU/EEA. The number of reported cases per 100,000 population was 0.4–26.5 for syphilis, 0–18.5 for gonorrhoea and 0–43.3 for chlamydia. Four countries reported recent data on AMR in gonorrhoea to GASP, and we identified further publications from Georgia, Russia and Ukraine. Conclusion We found wide heterogeneity in reported rates of STI. There is a strong need to improve availability and quality of STI surveillance data in the non-EU/EEA countries.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference38 articles.

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3. World Health Organization (WHO). Global health sector strategy on sexually transmitted infections 2016-2021. Geneva: WHO; 2016. Available from: https://www.who.int/reproductivehealth/publications/rtis/ghss-stis/en

4. World Health Organization (WHO). Strategies and laboratory methods for strengthening surveillance of sexually transmitted infection 2012. Geneva: WHO; 2012. Available from: https://www.who.int/reproductivehealth/publications/rtis/9789241504478/en

5. COVID-19, HIV and key populations: cross-cutting issues and the need for population-specific responses.;Iversen;J Int AIDS Soc,2020

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