Congenital Syphilis: From Near-Elimination to Crisis.
This analytic essay examines the transformation of congenital syphilis (CS) in the United States from near-elimination to crisis. Drawing from the January 2025 Congenital Syphilis Summit in Atlanta, Georgia—convening public health leaders, Tribal health departments, the National Coalition of STD Dir...
| Publicado en: | American Journal of Public Health Vol. 116; no. 1; pp. 103 - 113 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Jan2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=189940325&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 189940325 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jan2026 vid: 116 iid: 1 pid: 44 pub: American Public Health Association artinfo: ui: 189940325 10.2105/AJPH.2025.308266 ppf: 103 ppct: 10 formats: tig: atl: Congenital Syphilis: From Near-Elimination to Crisis. aug: au: Abresch, Chad J. Stafford, Irene A. Johnson, Regan M. Olabanji, Kayode Sutphen, Ashleigh M. Cejtin, Helen E. Hoover, Ashley affil: Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha. Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal–Fetal Medicine, McGovern Medical School at UTHealth, Houston. Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL. The Raven Collective, Multnomah County, Grayslake, IL. su: United States Prevention of sexually transmitted diseases Public health surveillance Human abnormalities Medical personnel Human services programs Disease outbreaks Health policy Evaluation of human services programs Child health services Vertical transmission (Communicable diseases) Health equity Preventive health services Infectious disease transmission Disease risk factors Congenital, hereditary, & infantile syphilis Disease eradication Public health administration Telemedicine System integration Evidence-based medicine sug: subj: Prevention of sexually transmitted diseases Public health surveillance Human abnormalities Medical personnel Human services programs Disease outbreaks Health policy Evaluation of human services programs Child health services Vertical transmission (Communicable diseases) Health equity Preventive health services Infectious disease transmission Disease risk factors United States Administration of Public Health Programs Computer Systems Design Services Congenital, hereditary, & infantile syphilis Disease eradication Public health administration Telemedicine System integration Evidence-based medicine ab: This analytic essay examines the transformation of congenital syphilis (CS) in the United States from near-elimination to crisis. Drawing from the January 2025 Congenital Syphilis Summit in Atlanta, Georgia—convening public health leaders, Tribal health departments, the National Coalition of STD Directors, and Centers for Disease Control and Prevention experts—we contrast prevention systems during near-elimination (1998–2005) with the current crisis (2018–2025). Evidence revealed how dismantling public health infrastructure produced dramatically different outcomes, with CS cases increasing 937% over the past decade and racial/ethnic disparities worsening. American Indian/Alaska Native communities face rates up to 100 times higher than White populations in some regions, illustrating the multiplicative effects of system failures on vulnerable communities. We identify 5 critical system failures: cyclical boom-and-bust funding, workforce deterioration, fragmented surveillance, disconnected health care systems, and health equity failures. We present policy proposals for rebuilding prevention infrastructure through a deliberate phased approach transitioning from crisis response to sustained maintenance, ensuring prevention systems receive continuous support rather than episodic investments that have characterized past approaches. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|