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Our cohort will consist of 400 MSM/TW meeting high risk criteria for syphilis, who will be assessed at baseline and then at 3, 6, 9, 12, 15 and 18 months.Study visits will entail behavioral surveys and testing for syphilis and other STIs.
Blood and earlobe scrapings will also be collected for DNA testing, to create molecular markers for subtyping.
Between 40–60 participants will be recruited each month from two clinical sites in Lima, including a public reference STI clinic (Barton Health Center) specialized in at-risk populations including MSM/TW, and a Gay Men’s community center (Epicentro) located in a metropolitan area of Lima.
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