STD rates are climbing even though many people are having less sex.
A trio of common sexually transmitted diseases has reached record highs in the U.S., the Centers for Disease Control and Prevention said this week, sounding the alarm about a rise in newborn deaths linked to syphilis.
The increase in congenital syphilis coincides with rising syphilis rates among reproductive-age women, Gail Bolan, the director of the CDC’s STD prevention division, said in a letter announcing the findings. “One clear solution is to intensify our efforts to find women with syphilis and swiftly connect them to care and immediate treatment,” she said. “Doing so keeps them healthy and, for those who become pregnant, it keeps their babies healthy, too.
A 2013 CDC study estimated that “the lifetime cost of treating eight of the most common STIs contracted in just one year is $15.6 billion” in 2010 dollars. So what’s behind the sustained escalation of STDs? The CDC points to a number of factors that can stifle access to prevention and care, including poverty, unstable housing and stigma; reduced condom use among high-risk groups like gay and bisexual men and young people, and budget cuts to state and local STD programs that have led to “clinic closures, reduced screening, staff loss, and reduced patient follow-up and linkage to care services.
Disease-intervention specialists play a particular role on the ground, she added — working nontraditional hours, meeting with sometimes apprehensive patients, linking those patients with care if they test positive for STDs, and then bringing services to other populations that may have been exposed. “You can’t do that if you don’t have the staff,” Casalotti said. “And the staff were cut because they didn’t have the budgets.
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