Health

STD expert warns of an 'out of control' situation as gonorrhea and syphilis cases rise in the US

This 1971 microscope image made available by the Centers for Disease Control and Prevention shows Neisseria gonorrhoeae bacteria, which causes the sexually transmitted disease gonorrhea. (CDC via AP)
This 1971 microscope image made available by the Centers for Disease Control and Prevention shows Neisseria gonorrhea bacteria, which causes the sexually transmitted disease gonorrhea. (CDC via AP) AP
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This week, health experts at the CDC and the National Coalition of STD Directors warned of a sexually transmitted disease crisis as cases of syphilis and gonorrhea continue to rise year after year.

During a bi-annual STD Prevention Conference, David Harvey, the executive director of the National Coalition of STD Directors, called the situation "out of control."

According to preliminary CDC data, cases of gonorrhea and syphilis increased in 2021. There were a total of 2.5 million new cases of gonorrhea, syphilis, and chlamydia, the three STDs local health departments must track.

Syphilis cases are the highest they've been since 1991, with a total of 171,074 new cases in 2021. There's also been an uptick in congenital syphilis, which is passed from mother to baby in the womb. There were 2,677 new cases in 2021, and at least 139 newborns died of it in 2020.

During the Monday virtual conference, Dr. Leandro Mena, the director of the CDC's Division of STD Prevention, said rebuilding and creating new STD prevention strategies is "imperative."

Syphilis is a curable STD treated with the antibiotic penicillin. If left untreated, it can result in serious infection and death. Gonorrhea is also treated with antibiotics, though experts have warned of the infection's ability to resist certain antibiotics that have been commonly used to treat it.

Mena said reducing STD stigma, getting more people to use condoms, and creating access to more testing methods could help lower STD infection rates. According to Mena, at-home STD tests could become a new innovation in STD prevention.

"I envision one day where getting tested can be as simple and as affordable as doing a home pregnancy test," Mena said.

Harvey said his organization, the National Coalition of STD Directors, and other public-health groups are seeking $500 million in government funding for STD clinics.

An increase in unprotected sex, decreased STD testing throughout the pandemic, and the spread of monkeypox have likely contributed to the uptick in these cases, Dr. Mike Saag, an infectious disease expert at the University of Alabama at Birmingham, said during the conference.

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Julia Naftulin
Julia Naftulin is an editor on Business Insider's Special Projects team, where she leads editorial initiatives spanning the business, tech, and lifestyle spaces.She has launched and managed series covering how companies adopt and implement AIthe business of food, the 2026 World Cup, and innovation in supply chain management, as well as projects like the AI Power List.Previously, Julia served a five-year tenure as health reporter at Business Insider, covering general wellness and the intersection of relationships, psychology, and culture.Julia reported on the life of a Wall Street accountant-turned-professional-girlfriend, took readers inside Goop's first cruise, explored the dating industry, and delved into the latest plastic surgery trends. She was also Business Insider's resident relationship advice columnist, penning the now-defunct column Doing It Right.She has held editor roles at Health.com and Dotdash Meredith. Her work has been published in Health magazine and on Time, Apartment Therapy, The Knot, and Bicycling.com.Julia graduated from Syracuse University with a Bachelor of Science in Magazine Journalism. Julia lives in Philadelphia with her dachshund, Gretchen.