Public health guidance on chlamydia control in Europe
Chlamydia trachomatis is one of the most common sexually transmitted infections in Europe. Despite the high incidence rate of chlamydia, almost half of the countries that responded to a recent survey of chlamydia control activities reported no organised activity. This document outlines the steps necessary to implement a comprehensive and effective control programme. It also offers advice on how to monitor and evaluate such programmes in order to ensure their effectiveness.
ECDC’s Guidance on Chlamydia control in Europe is based on a study of Chlamydia control activities in 29 European countries. This systematic survey found wide variation in the organisation of Chlamydia control. Almost half of the countries reported no organised activity, national control programmes were only identified in two countries.
The ECDC guidance includes different options for Chlamydia control in a stepwise approach to ensure that prevention and patient management are in place before complex interventions such as screening are considered.
- A: Primary prevention: health promotion and education, school programmes, condom distribution;
- B: Case management:, diagnostics, patient and partner management, routine case surveillance;
- C: Opportunistic testing: testing routinely offered to specified group(s) of people attending clinical services;
- D: Screening programme: organised provision of Chlamydia testing to a substantial proportion of a defined population.
Effective resourcing and implementation of national Chlamydia control programmes require leadership and commitment from healthcare policy makers.
Chlamydia is a significant public health problem because untreated Chlamydia may lead to pelvic inflammatory disease, and poor reproductive outcomes in some women. The cost of treating subfertility due to Chlamydia is high as it requires tubal surgery and in-vitro fertilisation. Although simple and effective treatment with antibiotics is available, control of Chlamydia is challenging as the majority of infected people remains without clinical symptoms.
Public health guidance in brief on HIV, hepatitis B and C testing in the EU/EEA
5 Dec 2018 - The ECDC guidance on integrated testing of hepatitis B (HBV), hepatitis C (HCV) and HIV supports countries in the global effort to combat viral hepatitis and eliminate HIV as public health threats by 2030. At present, reaching and testing those at risk of infection with HIV, HBV or HCV is still a public health challenge across Europe. This Guidance in brief is based on the comprehensive guidance document which provides the evidence base for this guidance
Public health guidance on HIV, hepatitis B and C testing in the EU/EEA
23 Nov 2018 - This guidance aims to provide EU/EEA countries with an evidence-based framework to help develop, implement, monitor and evaluate their own national HBV, HCV and HIV testing guidelines and programmes.
Programmatic management of latent tuberculosis infection in the European Union
15 Oct 2018 - Programmatic management of latent tuberculosis infection (LTBI) is a key component of the global tuberculosis (TB) elimination strategy. This document provides evidence-based guidance for the implementation of programmatic management of LTBI in the European Union and European Economic Area (EU/EEA).