Introduction
Syphilis continues to represent a growing public health threat in the Americas. In recent years, multiple countries have reported sustained increases in acquired syphilis, congenital syphilis, and other sexually transmitted infections (STIs), particularly among key populations, men who have sex with men (MSM), transgender people, people living with HIV, and young people in urban settings.
This scenario highlights the need to strengthen comprehensive responses that combine biomedical prevention, early diagnosis, timely treatment, epidemiological surveillance, and innovative evidence-based strategies.
In this context, doxycycline post-exposure prophylaxis (DoxyPEP) has emerged as a promising intervention to reduce the incidence of syphilis and other bacterial STIs among populations at higher risk. Studies conducted by the University of California, San Francisco and programs implemented in San Francisco, as well as programmatic experiences in Seattle, have generated relevant evidence to help guide public health decisions. At the same time, the World Health Organization is reviewing the global evidence base and emerging normative frameworks.
Across the Americas, countries are exploring and advancing discussions on how this strategy could be incorporated into national responses. Therefore, it is timely to convene a regional space for technical and programmatic exchange.
General Objective
To promote a regional technical dialogue on DoxyPEP and its potential contribution to reducing syphilis in the Americas through the exchange of evidence, experiences, and programmatic perspectives that may help inform lines of action across the region.
Agenda
10:00 - 10:03 a.m.
Institutional welcome
Grupo de Cooperación Técnica Horizontal
10:03 - 10:08 a.m.
Overview of the syphilis situation and purpose of the technical dialogue on DoxyPEP in the Americas
Monica Alonso MD PHD Unit Chief. Pan American Health Organization
10:08 - 10:18 a.m.
DoxyPEP in the global context: emerging evidence and normative considerations
Remco Peters MD PHD Medical Office STI Care and Treatment World Health Organization
10:18 - 10:28 a.m.
From research to practice: DoxyPEP experience in San Francisco
Oliver Bacon, MD MPH Medical Director, San Francisco City Clinic San Francisco Department of Public Health
10:28 - 10:38 a.m.
Public health implementation: lessons learned and scale-up in Seattle
Public Health – Seattle & King County
10:38 - 11:08 a.m.
Regional panel: opportunities and challenges for the region
- Pamela Gaspar MD PHD General Coordinator of Surveillance for STI. Ministry of Health of Brazil
- Carlos Chavez, MD Jefe de la Sección de ITS/VIH/SIDA, Ministerio de Salud de Panamá (MINSA)
- Carlos Chavez MD. Head of the STI/HIV/AIDS Section for the Ministry of Health of Panama (MINSA).
11:08 a.m. - 11:28 a.m.
Essential action to reduce syphilis in The Americas Questions and answers
- Annie Luetkemeyer MD Professor of Medicine, Division of HIV, Infectious Diseases and Global Medicine, UCSF.
- Hortencia Peralta MD HIV and STI Prevention PAHO Regional Adviser
11:28 a.m. - 11:30 a.m.
Official closing
Grupo de Cooperación Técnica Horizontal
