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  Vol. 126 No. 3, March 1990 TABLE OF CONTENTS
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Congenital Syphilis—New York City, 1986-1988

Arch Dermatol. 1990;126(3):288-289.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

From 1986 through 1988, the number of reported1 cases of congenital syphilis (CS) in New York City (NYC) increased >500%, from 57 to 357. From January through June, 1989, 779 newborns with reactive serologic tests for syphilis were reported. Based on previous NYC data, an estimated 57%-68% of these infants represent true congenitally acquired infections, which projects to 888-1059 CS cases for 1989.* Because syphilis has been associated with use of crack cocaine, the NYC Department of Health conducted a case-control study to examine the relationship between maternal cocaine/crack use** and CS cases in 1988 in NYC.

Data were obtained from NYC birth certificates and an attached Confidential Medical Section containing maternal drug-use information collected routinely by a trained registrar on all mothers at delivery. Additional information on cocaine/crack use was obtained by health department personnel investigating CS reports.

Of the 357 CS cases in 1988, 302 (85%) (including . . . [Full Text PDF of this Article]



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