Pathogen

• Treponema pallidum spp. pertenue

Epidemiology

• Ghana, Papua New Guinea, Solomon Islands

• Spread by direct contact e.g. children playing together

Clinical

• Skin: nodules, ulcers

• Bones/joints

• Primary

• Secondary

• Tertiary

Diagnosis

• PCR

• Serology (exposure)

Treatment

• Azithromycin

• Penicillin

Prevention

• Mass treatment

• Sanitation