As a physician, I have never been more concerned about rates of congenital syphilis - Report - MDSpire

As a physician, I have never been more concerned about rates of congenital syphilis

  • By

  • Jeffrey D. Klausner

  • June 17, 2026

  • 0 min

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Concerns Rise Among Physicians Regarding the Surge in Congenital Syphilis Cases

Overview

In 2024, nearly 4,000 new congenital syphilis cases were reported in the U.S., marking the highest levels since the mid-1950s. The increase highlights significant gaps in prenatal care and syphilis screening, necessitating urgent public health interventions.

Background

The resurgence of congenital syphilis is a critical public health concern, reflecting failures in screening and treatment among pregnant women. With a significant percentage of affected infants facing lifelong disabilities, addressing this issue is vital for maternal and child health. The increase in cases correlates with the decline of public health resources since the Great Recession, emphasizing the need for systemic change.

Data Highlights

No numerical data available in the source material.

Key Findings

  • Nearly 4,000 congenital syphilis cases were reported in 2024, the highest since the 1950s.
  • 5%-10% of congenital syphilis cases result in stillbirth or early neonatal death.
  • About 80% of pregnant women receiving prenatal care are tested for syphilis.
  • Public health interventions must ensure early and universal access to prenatal care and syphilis screening.
  • Immediate treatment with benzathine penicillin G is crucial upon positive screening.
  • Rapid point-of-care testing should be implemented in various healthcare settings to improve screening rates.

Clinical Implications

Healthcare providers must prioritize universal syphilis screening during pregnancy and ensure timely treatment for those who test positive. Expanding access to prenatal care and improving public health infrastructure are essential to prevent congenital syphilis cases.

Conclusion

The alarming rise in congenital syphilis cases underscores the urgent need for enhanced screening and treatment protocols. A coordinated public health response is critical to reversing this trend and safeguarding maternal and infant health.

Related Resources & Content

  1. CDC, CDC, 2024 -- About Congenital Syphilis
  2. US Preventive Services Taskforce, USPSTF, 2024 -- Recommendation: Syphilis Infection During Pregnancy: Screening
  3. ACOG, ACOG, 2024 -- Screening for Syphilis in Pregnancy
  4. Open Forum Infectious Diseases — Increased Reporting of Infants Born With Congenital Syphilis to a Local Department of Public Health: A Quality Improvement Project
  5. Retinal Physician — Uveitis Corner: Syphilitic Uveitis Update
  6. BMC Pregnancy and Childbirth — prevalence of syphilis among pregnant women in China: a systematic review and meta-analysis
  7. Open Forum Infectious Diseases — Hepatitis C Co-infection Among Pregnant Women With Syphilis in West Virginia, 2019–2023
  8. About Congenital Syphilis | Syphilis | CDC
  9. Recommendation: Syphilis Infection During Pregnancy: Screening | United States Preventive Services Taskforce
  10. Screening for Syphilis in Pregnancy | ACOG

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