Rapid Surge in Congenital Syphilis Cases Demands Urgent Response

Cases of congenital syphilis in the US have surged over the past decade, prompting the Centers for Disease Control and Prevention (CDC) to call for "concerted action" to address the epidemic. In 2022, over 3,700 babies were born with congenital syphilis, more than ten times the number in 2012. The disease, which can result in stillbirth, death, or birth defects, was nearly eradicated in the 1990s but resurged due to limited funding for sexually transmitted diseases. Nearly 90% of cases could have been prevented, with barriers ranging from individual factors like untreated addiction to systemic issues such as a lack of prenatal care in rural communities. The shortage of Bicillin, the only safe treatment for syphilis during pregnancy, has further strained the situation. Disparities exist, with higher rates among Black, Latino, and Native American populations, highlighting the impact of social determinants of health.