CD4 and syphilis: (1) Agreement with partners to renew the “Strategic Actions Agenda for Syphilis Reduction in Brazil”. (2) Creation of HIV, syphilis, and Viral Hepatitis vertical transmission control group in the Ministry of Health (3) Online virtual national system (SIMC) to monitor public laboratory HIV-VL and CD4+ account data, integrated with the national ART dispensation system with a specific monitoring function for PW-HIV with detectable viral load (>50 copies/mL).