P305 High rates of syphilis in Brazilian’s border strip: a challenge to be addressed

Background Infectious diseases do not recognize international borders. Despite the importance of on the border strip in Brazil, the theme has been little explored under the focus of syphilis data. We aim to analyzing syphilis the detection rate of syphilis in the Brazilian border strip. Methods A descriptive study including an ecological and cross-sectional evaluation employing data from Brazilian Ministry of health databases for 2019. Cases of Syphilis were available at the National System of Disease Notification and diagnostic and treatment data were available at the Primary Health Care System. The syphilis detection rates per 100.000 inhabitants were calculated. Comparisons data were made between the municipalities in the strip border and the federative units. Results The syphilis detection rate in Brazil in 2019 was 72.8/100,000 inhabitants, when the border areas data were analyzed separately the detection rate in the country was 71.6/100,000 and in the border region 91.9/100,000. In the bordering regions, the highest detection rate was observed in the southern region (116.0/100,000 inhabitants), and the lowest in the northern region (55.6/1000,000). Brazil had 152,915 cases of acquired syphilis, of which 10,636 (6.9%) were in border areas. A total of 20% of the municipalities had no cases of syphilis and 31.6% had a detection rate above the national average. There are 263(45%) municipalities up to 7,000 inhabitants, 82% up to 25,000 inhabitants and only 11(2%) above 100,000 inhabitants. Conclusions Brazil has a high detection rate of syphilis and this rate is even higher when it was considered the strip border in general. Nevertheless, the rates were different when it was compared the borders with different countries. There is a need to improve the countries’ capacity to collect high quality data in the coverage of interventions and inequalities and to use this data as a basis for decisions to improve care.