Bulletin of the World Health Organization
Print version ISSN 0042-9686
TUCKER, Joseph D et al. Scaling up syphilis testing in China: implementation beyond the clinic. Bull World Health Organ [online]. 2010, vol.88, n.6, pp. 452-457. ISSN 0042-9686. http://dx.doi.org/10.1590/S0042-96862010000600014.
China is experiencing a syphilis epidemic of enormous proportions. The regions most heavily affected by syphilis correspond to regions where sexually transmitted HIV infection is also a major public health threat. Many high-risk patients in China fail to receive routine syphilis screening. This missed public health opportunity stems from both a failure of many high-risk individuals to seek clinical care and a disconnect between policy and practice. New point-of-care syphilis testing enables screening in non-traditional settings such as community organizations or sex venues. This paper describes the current Chinese syphilis policies, suggests a spatiotemporal framework (based on targeting high-risk times and places) to improve screening and care practices, and emphasizes a syphilis control policy extending beyond the clinical setting.