Syphilis: The Silent Disease Making a Comeback

Syphilis, once thought to be a disease of the past, is making a comeback in recent years. This sexually transmitted infection (STI) can have serious health consequences if left untreated, yet many people may not even realize they have it because it often goes unnoticed in its early stages.

Syphilis is caused by the bacterium Treponema pallidum and is usually transmitted through sexual contact, including oral and anal sex. It can also be passed from mother to baby during pregnancy. In its early stages, syphilis may present as painless sores on the genitals or mouth, which can easily go unnoticed. As the disease progresses, symptoms can include a rash, fever, swollen lymph nodes, and fatigue. If left untreated, syphilis can lead to serious health complications, including damage to the brain, nerves, heart, and other organs.

In recent years, syphilis rates have been on the rise, particularly among men who have sex with men (MSM). According to the Centers for Disease Control and Prevention (CDC), the number of reported cases of primary and secondary syphilis in the United States more than doubled between 2013 and 2017. This upward trend is concerning, especially since syphilis is a disease that can be easily prevented and treated with appropriate antibiotic therapy.

There are several factors contributing to the resurgence of syphilis. One of the main reasons is the decrease in the use of condoms and safer sex practices among certain high-risk groups. Additionally, the rise of dating apps and social media has made it easier for people to connect with potential sexual partners, leading to an increase in risky sexual behaviors.

Another challenge in the fight against syphilis is the lack of awareness and stigma surrounding the disease. Many people may not realize that they are at risk or may be hesitant to seek testing and treatment due to embarrassment or fear of judgment. This is particularly true for certain marginalized communities, including LGBTQ+ individuals and people of color, who may face discrimination in healthcare settings.

To effectively combat the resurgence of syphilis, it is essential to increase education and awareness about the disease, including the importance of regular STI testing and using protection during sexual activity. Healthcare providers should also be proactive in offering STI screenings and promoting open and non-judgmental discussions about sexual health with their patients.

Furthermore, access to affordable and confidential healthcare services must be prioritized to ensure that all individuals, regardless of their background or identity, can access the care they need. This includes providing culturally competent care and addressing the social and structural barriers that may prevent certain populations from seeking testing and treatment.

Syphilis may be considered a silent disease because of its often asymptomatic nature, but its impact on individuals and public health is far from silent. It is imperative that we work together to address the factors contributing to its resurgence and prioritize sexual health as a key component of overall well-being. By raising awareness, promoting regular testing, and advocating for accessible and inclusive healthcare, we can make progress in combating the silent threat of syphilis and protecting the health of our communities.

About the author

Kwame Anane