CDC Reports Nearly 4,000 Congenital Syphilis Cases in 2024, Highest Since Mid-1950s
Updated
Updated · STAT · Jun 17
CDC Reports Nearly 4,000 Congenital Syphilis Cases in 2024, Highest Since Mid-1950s
3 articles · Updated · STAT · Jun 17
Summary
Nearly 4,000 babies were reported with congenital syphilis in 2024, the highest U.S. total since the mid-1950s; about 5% to 10% of cases end in stillbirth or death soon after delivery.
CDC reviews tie most cases to preventable failures in pregnancy care—mothers were either not tested for syphilis or tested positive but were not treated in time.
Only about 80% of pregnant patients receiving prenatal care are tested, while others miss care because of insurance gaps, poor access, immigration fears, substance use, or mental health problems.
The report traces the surge to a long erosion of syphilis control after the 2008 Great Recession and local public health cuts, calling for expanded prenatal access, stricter screening compliance, and more disease-intervention staff.
It also urges same-day penicillin treatment and wider use of rapid tests that deliver results in under 15 minutes, though penicillin shortages and reimbursement barriers still hinder rollout.
A new pill is curbing syphilis overall, so why are more babies than ever being born with the disease?
If a simple shot can save a baby's life, why can't the world's richest country keep it in stock?
Alarming 30% Surge in Maternal Syphilis Rates (2022–2024) Drives U.S. Congenital Syphilis Crisis: Causes, Consequences, and Urgent Solutions
Overview
Syphilis is resurging in the United States, with a sharp rise in cases among pregnant individuals leading to a dramatic increase in congenital syphilis. Between 2022 and 2024, maternal syphilis rates climbed significantly across all age groups, with mothers aged 35–39 seeing a 36% increase. This widespread rise in maternal infections is a key driver of the congenital syphilis epidemic, highlighting an urgent public health challenge. The escalating numbers underscore the need for immediate action to protect newborns from severe and preventable health consequences.