Syphilis cases are increasing rapidly among women in Virginia, resulting in more infections in babies and leading to concerns about lifelong medical issues or fatal outcomes. This spike in syphilis is also linked to an increase in drug misuse, particularly among opioid users. State officials believe that the mental health impact of the pandemic has contributed to an uptick in risky behaviors, such as sex and drug use. Federal funding for infectious-disease specialists has been used to bolster the state’s ability to identify cases.
Health department officials recommend syphilis testing for all sexually active people ages 15 to 44 in 38 Virginia counties that reported a high rate of syphilis in 2022. Testing and treatment during pregnancy could prevent most cases of newborn syphilis, which can lead to miscarriage, stillbirth, infant death, and lifelong medical issues. However, about 40% of people who had a baby with syphilis in 2022 did not have prenatal care.
The pandemic and social barriers have led to delays in detecting syphilis, but health officials are trying to triage more resources to respond to the increase. It is important to raise awareness and educate people about the risks and prevention of syphilis. Pregnant women are recommended to be tested for syphilis, and treatment options are available.
The state has deployed updated data systems to help identify more cases, with the primary focus still being on men, especially men who have sex with men. Many people with syphilis do not experience symptoms or may have mild symptoms. The CDC recommends getting tested and treated as soon as possible to prevent further complications.