Responding to the Rising Rates of Congenital Syphilis in Indigenous Communities | April 12, 2022
Date of Presentation: April 12, 2022
Type: Past Presentation
Audience: Clinical Community
Keywords: #congenital syphilis #grand rounds #infectious disease #sexual health #std presentation #sti #syphilis
Indian Country ECHO in partnership with the IHS National STD Program hosted a Grand Rounds focused on congenital syphilis. In this series of presentations, moderated by Dr Jean Howe, IHS Chief Clinical Consultant for Ob/Gyn, Dr Aliza Machefsky highlighted best practices for responding to the rise of congenital syphilis rates in Indigenous communities. Then, Dr Sophina Calderon shared the story of how their facility recognizes, responds to and prevents congenital syphilis. This one-hour Grand Rounds session included an opportunity to engage in a didactic presentation, become part of a learning community, and join an Infectious Disease ECHO program.
Recording:
Presented by:
Aliza Machefsky | Melanie Taylor | Sophina Calderon
Dr. Aliza Machefsky is the Gilstrap fellow within the CDC’s Division of STD Prevention. In this role, she provides subject matter expertise on congenital syphilis screening, diagnosis, treatment, and prevention. Aliza completed a residency in obstetrics and gynecology at St. Louis University. She holds an MD from Drexel University College of Medicine and a BA from the University of Pennsylvania.
Dr. Melanie Taylor is a Medical Epidemiologist for the U.S. Centers for Disease Control and Prevention (CDC), Division of STD Prevention. Dr. Taylor also holds the rank of Captain with the United States Public Health Service and is a medical officer with the WHO Department of Reproductive Health and Research, STI Programme, serving as the WHO Co-secretariat for the global elimination of mother to child transmission of HIV and syphilis. Dr. Taylor received her Bachelor of Science and Doctor of Medicine degrees at Emory University in Atlanta, Georgia. She completed her internal medicine residency, infectious disease fellowship, and Masters of Public Health at the University of Washington in Seattle, Washington. She maintains clinical board certifications in internal medicine and infectious disease and certification with the American Academy of HIV Medicine (AAHIVM). Her recent publications focus on STI surveillance and prevention of congenital syphilis.
Dr. Sophina Manheimer Calderon is Diné (Navajo) from Tuba City, Arizona and is a graduate of Dartmouth College. She obtained her medical degree at University of Rochester School of Medicine and Dentistry. She completed her residency at the University of Rochester Medical Center in Rochester, NY. She trained as a family physician with an emphasis in women’s health and global health. Dr. Sophina Calderon currently works in multiple clinical settings at Tuba City Regional Health Care Corporation (TCRHCC) on the Navajo Nation in Northern Arizona. She is the Chief of Staff and is the co-chair for the Medical Staff Credentialing Subcommittee. She is the HIV officer for TCRHCC providing subspecialized HIV/AIDS treatment and prevention for adults and adolescents on the Western Navajo Nation.
Resources Provided:
- To Claim CE
- CE Disclosure Slides
- Sexually Transmitted Disease Surveillance 2020 (CDC)
- STD Awareness Week (CDC)
- STI National Strategic Plan (HHS)
- Indian Health Service National Pharmacy and Therapeutics Committee Formulary Brief: Sexually Transmitted Infections (IHS)
- Indian Health Service National Pharmacy and Therapeutics Committee Formulary Brief: 2021 Guidelines: Sexually Transmitted Infections (IHS)
- National STD Program (IHS)
- STD Listserv (IHS)
- STD Trainings (IHS)
- STD Presentations (Indian Country ECHO)
- Tribal Epidemiology Centers (tribalepicenters.org)
- Congenital Syphilis (Seminars in Perinatology)
- Untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and meta-analysis (WHO)
- Congenital Syphilis Presenting in Infants after the Newborn Period (NEJM)
- Congenital Syphilis Misdiagnosed as Suspected Nonaccidental Trauma (Pediatrics)
- Sexually Transmitted Diseases (CDC)
- Syphilis – Rates of Reported Cases by Stage of Infection, United States (CDC)
- 2019 STD Surveillance Report (CDC)
- Congenital Syphilis — Reported Cases by State, United States, 2010–2019 (CDC)
- 2021 STI Treatment Guidelines (CDC)
- Incidence and Risk Factors for the Prozone Phenomenon in Serologic Testing for Syphilis in a Large Cohort (Clin Infect Dis)
- The Diagnosis, Management and Prevention of Syphilis (nycptc.org)
- Screening for Syphilis infection in Pregnant Women (USPSTF)
- Provider Adherence to Syphilis Testing Recommendations for Women Delivering a Stillbirth (Sexually transmitted diseases)
- Efficacy of Treatment for Syphilis in Pregnancy (Obstetrics and gynecology)
- Syphilitic Reinfections During the Same Pregnancy - Florida, 2018. (Sexually transmitted diseases)
- Missed Opportunities for Prevention of Congenital Syphilis — United States, 2018. (MMWR)
- STD Awareness Week (Presentation Slides)
- Rising Congenital Syphilis in the United States: An Update and Review of the Provider Role (Presentation Slides)
- Reducing Congenital Syphilis on the Western Navajo Nation (Presentation Slides)
Date added: April 10, 2022