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

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In 2024, nearly 4,000 new cases of congenital syphilis were reported in the U.S., marking the highest number since the mid-1950s.
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Most congenital syphilis cases arise from pregnant women not being tested or treated, often due to barriers like lack of insurance or access to care.
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Public health strategies must prioritize early and universal prenatal care, including same-week entry and co-located services to improve screening.
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Immediate treatment with injectable penicillin G should be available upon positive screening, but supply issues and access remain challenges.
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Advocacy for improved maternal-child health systems and public health capacity is essential to combat the rising rates of congenital syphilis.

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