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Unraveling the resurgence of syphilis: a deep dive into the epidemic sweeping across the United States; a mini review

Zainab Fatima, Bilal Ahmad, Mohd Tajuddin Abdullah, Mahammed Khan Suheb, Farheen Naaz, Aymar Akilimali

2025Annals of Medicine and Surgery11 citationsDOIOpen Access PDF

Abstract

presents significant challenges due to its infectious nature and potential for severe complications. Despite the successful syphilis elimination plan launched in the early 2000s, which showed a decline in syphilis cases in highly funded states, syphilis has rapidly reemerged, with incidence rates steadily climbing across many states. Transmitted through sexual contact and vertically from infected mothers to babies, syphilis progresses through distinct stages, each with varying symptoms and complications. Despite modern treatment availability such as the antibiotic benzathine penicillin G, cases often go undiagnosed until severe complications arise. Neurovascular and cardiovascular issues can result from untreated syphilis. The resurgence of syphilis is evident across demographics, with men, particularly men who have sex with men, and certain racial groups being disproportionately affected. Additionally, congenital syphilis cases have surged, leading to serious adverse outcomes for newborns. Public health initiatives must prioritize education, outreach, and preventive services tailored to high-risk populations. Partner notification, aided by technological advancements, is crucial for controlling transmission. Laboratories play a vital role in surveillance and disease monitoring. In conclusion, tackling syphilis resurgence demands a multifaceted approach addressing social, economic, and health care disparities. By implementing comprehensive public health strategies including enhanced screening and public awareness campaigns, the burden of syphilis and its associated adverse outcomes can be mitigated, safeguarding public health in the United States.

Topics & Concepts

SyphilisMedicineCongenital syphilisPublic healthMen who have sex with menTransmission (telecommunications)OutreachEnvironmental healthFamily medicineEconomic growthNursingHuman immunodeficiency virus (HIV)EngineeringElectrical engineeringEconomicsSyphilis Diagnosis and TreatmentReproductive tract infections researchSex work and related issues
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