Neonates Born with Congenital Syphilis in CWM Hospital Suva, Fiji from 2018-2023

This retrospective study aimed to estimate the prevalence of congenital syphilis in Suva, Fiji, from 2018-2023. The study collected data from 2,525 neonates, analyzing the total number of suspected cases. The results showed a decline in the prevalence in recent years, with 1,009 being reactive and 1,296 being non-reactive. The Indigenous population (I-Taueki) had the highest percentage of reactive data. Fluctuations in trends were observed among different genders. The study underscored the importance of continuous surveillance for congenital syphilis in Fiji and the Pacific. Despite a decrease in global prevalence, the numbers remain high. Revising and strengthening MOHMS Fiji and policies for public health laboratories could help develop laboratory diagnostic capability for congenital syphilis, enabling early detection in pregnant women and their partners. Further research on a larger scale is needed to gain a comprehensive understanding of this issue and explore early detection methods and newer treatment options.