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Fri 11 May, 2007 11:50 am
Cape Cod preschooler diagnosed with syphilis
By Associated Press
Friday, May 11, 2007 - Updated: 10:38 AM EST
PROVINCETOWN, Mass. - A preschool age child at a Provincetown elementary school contracted syphilis, but did not get the disease through sexual contact and no other children are in danger, health officials say.
"It was not contracted sexually. It was a skin-to-skin contact _ that has been determined. And not in the genital area," Provincetown health agent Jane Evans told The Cape Cod Times Thursday as about 50 parents met with local and state health officials.
School and public health officials became aware of the situation Tuesday, according to a letter from the state Public Health Department sent to parents.
"The school setting is safe and healthy," the letter said. "The individual has been adequately treated and is no longer sick or infected. There is no public health reason to breach confidentiality or privacy in this case. The situation has been investigated and there is no evidence of sexual exposure."
The department would not say where the child may have contracted the disease.
Syphilis, usually transmitted sexually, was probably transmitted through a skin rash or an open sore, said Dr. Alfred DeMaria, the state's director of communicable disease control.
DeMaria said it was "very unusual" for a child to contract syphilis. There are only about 100 to 200 adult cases reported in the state per year. It can usually be treated in its early stages with penicillin or other antibiotics.
"We've done an investigation to assess exactly what the risk is," DeMaria said. "The risk is vanishingly small."
Concerned parents are being offered precautionary treatment for their children at a Provincetown clinic and also were encouraged to contact their family doctor with concerns.
"This response is solely precautionary in nature," said the letter sent to parents. "There is no evidence that any children or staff are currently sick."
About 23 students are enrolled in the morning and afternoon preschool sessions at Veterans Memorial Elementary School, Superintendent Jessica Waugh said.
Boston Herald
Because the risk of others being inflected is "vanishingly small."
Joe(relax or relapse)Nation
Pre-schools are small places. The privacy of the family would be compromised.
Don't they have privacy laws there? Patient <> doctor confidentiality?
Walter Hinteler wrote:Don't they have privacy laws there? Patient <> doctor confidentiality?
Yes, they do. However, in the case of danger to Public Health, I don't think the laws hold ( as far as I know ).
Syphilis public danger
How many cases are in the USA per year?
Walter Hinteler wrote:Syphilis public danger
How many cases are in the USA per year?
Quote:The rash almost always appears on the hands or feet of the infected person, is reddish-brown, and does not itch. Rashes can appear elsewhere on the body, or can be so faint that they are barely noticeable. Because active bacteria are present within the sores, any contact with broken sores, whether sexual or nonsexual, can result in spread of the disease. Without treatment, the rashes will heal in two to six weeks. Second-stage symptoms can also include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches and mild fatigue. Moist raised skin lesions may also appear around the anus or genitals, and flat, round, grayish-white sores can appear on the mouth and throat. During the Secondary Stage, syphilis is still highly contagious.
http://www.vpul.upenn.edu/ohe/library/Sexhealth/sti/Syphilis.htm
Of course it's a public danger, Walter, if a handshake can transmit it! And we do have a significant rise in the penicillin- and most other antibiotics-resistant cases.
Quote:if a handshake can transmit it
Interesting! Just think of that contaminated "hand" on the subway system, holding onto one of those long grey rails found on subway cars and realize that
millions ride the trains each day throughout the US.
Yes, it happens quite often that you get infected body secretion in an accidental cut, especially in the subway system.
(I wonder, if the transmission from mother to child in utero happens there as well?)
:wink:
That's been extensively studied .
Joe Nation wrote:Because the risk of others being inflected is "vanishingly small."
Joe(relax or relapse)Nation
What part of this post was not understood?
Joe([size=7]risk[/size])Nation