Recently released data from the CDC has shown a concerning surge in syphilis cases across the United States, with more than 207,000 cases detected in the past two years, the highest national case count since 1950. Public Health - Seattle and King County has expressed worry about the escalating local epidemic, with a 90% increase in syphilis cases among women observed between 2020 and 2022.

Dr. Meena Ramchandani, an infectious disease specialist at UW Medicine, highlighted that syphilis transmission is particularly prevalent among men who have sex with men. However, she noted a significant rise in women contracting the infection at "skyrocketing" rates, with a large proportion of these cases being asymptomatic. This poses a risk of undiagnosed infections circulating within the community.

The increase in syphilis cases has been a persistent trend since the early 2000s, with a notable uptick in infections among women and those capable of becoming pregnant, as well as heterosexual men, observed since 2013 in Seattle and King County. Syphilis in pregnant individuals can lead to fetal demise and other congenital impacts, making early detection crucial.

While the exact cause for the surge in syphilis cases remains unclear, experts speculate that factors such as reduced access to quality sexual health care, cuts to funding for sexual health programs, and decreased awareness about the disease could be contributing to the rise. Dr. Ramchandani emphasized the importance of keeping the conversation about syphilis alive to boost awareness and education, especially among healthcare providers.

Public Health - Seattle and King County recommends testing for syphilis among sexually active individuals, including cis-women, cis-men who have sex with women (including pregnant persons), and men who have sex with men. Additionally, those who may deal with homelessness, individuals engaging in transactional sex, and people with a history of incarceration are advised to undergo testing to curb the spread of the infection.