Rates of syphilis began to increase in the year 2000, and in certain cities the demographic composition also started to change. This study performs an analysis of the demographic composition of patients with infectious syphilis seen in Miami-Dade County from 1999 to 2006. The number of cases reached 231 in 2002 followed by a decrease to 168 in 2005. African Americans accounted for most syphilis cases each year except from 2002 to 2004, when most cases occurred in Hispanics. The proportion of cases of infectious syphilis who are HIV infected has increased steadily over the past few years, especially in Hispanics. In the past few years, a significant and growing number of syphilis cases were in HIV-infected men, particularly Hispanics. More research is needed to understand why prevention messages have not fully reached this community.
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