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Each pregnant woman with early syphilis has had sex with a man who had infectious lesions. Health Departments need to prioritize the interviews and investigations for all men with infectious syphilis - primary, secondary and early latent less than one year, who have sex mostly with women, or with both men and women, to find and treat female sex partners. The interviews need to be in person, with trained and determined DIS, and can’t simply be a one-time encounter. Men with early syphilis who have sex with women should be a strategic focus for intensive interviews and investigations.

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