There is a silent global epidemic of sexually transmitted infections (STIs) that is threatening to undermine health gains as well as prospects for reaching the Sustainable Development Goals. It seems that insufficient attention is being paid to these diseases that undermine the health of adults and cause congenital abnormalities and death in infants.
Global data from WHO in 2016 shows that there were 357 million cases annually of four curable STIs (chlamydia, gonorrhoea, syphilis, trichomonas), and around 300,000 foetal and neonatal deaths from syphilis in pregnancy. This latter is more than double the number of AIDS-related deaths in children under the age of 14 years globally, which UNICEF estimates at 120,000 in 2017.
Those of you here at ICASA will have noticed the opening statement of many speakers starting as follows: “I stand in solidarity with African key populations, men who have sex with men, women who have sex with women, trans-gender people in all their diversity, adolescents and young people and people living with HIV, in order to end AIDS. “ The growing unity and solidarity among key populations is visible and clearly linked to the difficult situation key populations find themselves in, even here at the ICASA conference in Zimbabwe, where the MSM space was broken down early into the conference.