The United States was on course to eliminate syphilis. Now it’s surging

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Science News spoke with expert Allison Agwu about what’s driving the surge and how we can better prevent the disease.

Once on the path to eliminating syphilis, the United States has reversed course, with cases of the infectious disease surging.The crisis is hitting pregnant people and babies especially hard. The maternal rate for syphilis during pregnancy rose from 87 per 100,000 births in 2016 to, the CDC reported on February 13. Without treatment, pregnant people can pass a syphilis infection to the fetus.

People can get tested — usually with a blood test — by their primary care provider or at a public health clinic or an urgent care facility, for example. With syphilis rates so high, Agwu would like to see testing for syphilis destigmatized and become easier to discuss as part of a regular medical checkup. “If you have been sexually active ever, you should have a syphilis test,” she says.spoke with Agwu about the surge in cases and what needs to be done better to prevent syphilis.

We certainly have had scenarios where the baby comes, and the mom or the birthing parent has had no prenatal care. we’re testing at delivery.The maternal syphilis rate, the number of live births to women with syphilis per 100,000 live births, increased for all groups from 2016 to 2022. The biggest jump — 783 percent — occurred among American Indian and Alaska Native women giving birth.

 

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