日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Online ISSN: 2434-2505 Print ISSN: 0917-0324
日本性感染症学会 Japanese Society for Sexually Transmitted Infections
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society for Sexually Transmitted Infections Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Japanese Journal of Sexually Transmitted Infections 30(1): 1-9 (2019)
doi:10.24775/jjsti.O-2019-0006

原著原著

東京都における梅毒への対策—梅毒の流行にどのように対応していくか—Responding to a re-emerging epidemic of syphilis in Tokyo

東京都福祉保健局健康安全部感染症対策課Infectious Disease Control Section, Health and Safety Division, Bureau of Social Welfare and Public health, Tokyo Metropolitan Government

受付日:2019年3月29日Received: March 29, 2019
受理日:2019年7月11日Accepted: July 11, 2019
発行日:2019年12月12日Published: December 12, 2019
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梅毒の増加を受け、東京都では2018年よりサーベイランスを強化し緊急対策を開始した。梅毒患者の追加情報の分析では、外国籍は少なく、都内在住が主体であった。男性の同性間性的接触ではHIV罹患歴、男性の異性間性的接触では性的サービスの利用、女性の異性間性的接触では性的サービスの提供が高い割合を占めた。男性に限定した分析では、同性間性的接触の者は他の者と比べ33倍HIVの罹患歴を有し、異性間性的接触の者は他の者と比べ8倍性的サービスを利用していた。2018年4月からは、東京都の検査・相談室において梅毒検査を拡充し、11月に開設した性感染症総合Webサイト「東京都性感染症ナビ」の中で梅毒の啓発強化を図った。2018年度後半には、医師の診断力向上を目的に研修会を都内各地で計6回開催した。東京都では、これらの対策を2020年度まで集中的に取り組む予定としている。今後も動向を注意深く監視し、リスク層を中心に介入を行い、患者発生を抑える努力を継続する必要がある。

In response to the increase in syphilis cases in Tokyo, the Tokyo Metropolitan Government (TMG) has strengthened syphilis surveillance and started emergency control measures for syphilis since 2018. According to the analysis of additional information on syphilis cases, there were few foreign nationals, and their home address was mainly Tokyo. The history of HIV infection in male homosexual contacts, access to sexual services in male heterosexual contacts, and provision of sexual services by females for heterosexual contacts were dominant. Homosexual contacts in men had a history of HIV infection incidences, which were 33 times more than no homosexual contacts in men. Likewise, heterosexual contacts in men had access to sexual services by eight-fold compared with no heterosexual contacts in men. Since April 2018, the TMG has expanded their testing services. The public awareness of syphilis was strengthened through a comprehensive website concerning sexually transmitted infections, i.e., the “Tokyo Metropolitan Sexually Transmitted Infection Navigation”, which was launched in November 2018. In the latter half of fiscal 2018, six training sessions for doctors were held in various locations in Tokyo to improve their diagnostic ability. The TMG will concentrate on these measures until fiscal 2020. Carefully monitoring the trend of syphilis cases, performing effective interventions focused on the risk group, and making efforts to control the outbreak are necessary.

Key words: syphilis; surveillance; public awareness; control; public health

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