The drastic increase in sexually transmitted disease (STD) rates can be directly linked to the COVID-19 pandemic, experts say.
According to the CDC’s April 2022 review of sexually transmitted disease rates, 2.4 million cases of chlamydia, gonorrhea, and congenital syphilis were reported.
Since 2016, the CDC has seen an increase in:
- Gonorrhea: 677,729 cases; up 45% from 2016
- Syphilis: 133,945 cases; up 52% from 2016
- Congenital syphilis: 2,148 cases; up 235% from 2016
While chlamydia cases were technically down 1.2% from 2016, there were still 1.6 million cases.Ashley Briggs南达科塔州苏福尔斯的桑福德健康中心的一名妇2022世界杯巴西阵容产科医生说，衣原体感染率很难全面引用，“因为衣原体往往是无症状的。”
Get tested:Primary care at Sanford Health
“除非他们进去接受检测，否则这些类型的感染是不会被发现的，”她说。
Rates rise as testing resources dwindle
CDC国家艾滋病毒、病毒性肝炎、性传播疾病和结核病预防中心主任、医学博士、公共卫生硕士、Johnathan Mermin说，在大流行期间，对性传播疾病的检测变得更加紧张。
“The COVID-19 pandemic put enormous pressure on an already strained public health infrastructure.
“There were moments in 2020 when it felt like the world was standing still, but STDs weren’t. The unrelenting momentum of the STD epidemic continued even as STD prevention services were disrupted,” he said.
Dr. Briggs said rates of gonorrhea, syphilis and chlamydia, the three most common STDs, were all on the rise within Sanford’s communities.
2022年，与桑福德足迹相关的衣原体感染比5年的中位数增长了14%。梅毒比5年的中位数上升了2144%，淋病比5年的中位数上升了62%。所以，我们看到这三种性病在南达科他州显著增加。”她解释道。
Syphilis signs
Syphilis, the highest rising STD within Sanford’s communities, initially presents itself as a sore (or sores) called a chancre (chank-er). A chancre generally looks like someone touched the burning end of a cigarette to the skin.
Dr. Briggs said the disease is highly contagious at this stage.
“Brushing across the open wound can spread the syphilis to any part of the body that’s touched — not just the genitals.”
The sore doesn’t typically hurt. So, people can often see the sore and think they’re OK when it heals. But the disease remains in the body, and only a prescription medicine kills it.
If the chancre is inside of the vagina and the woman doesn’t know it’s there, her partner won’t know it’s there. Same thing with the mouth and anus, so it can also spread through oral or anal sex without the other person knowing.
In short, there’s not a spot on the human body where a chancre couldn’t grow.
Stages and treatment
In the first stage of a syphilis exposure, the only sign is the sore, which heals on its own and doesn’t hurt.
Left untreated, the disease progresses into the second stage, which includes a sore throat, low-grade fever and body aches — kind of like an unexplained virus. The telltale sign with the second stage is a rash on the person’s palm of the hand, sole of the foot or all over the trunk.
Syphilis progresses into the latent stage when there aren’t any symptoms, but it can still be passed to another person.
最后，第三阶段会造成更严重的健康影响，包括痴呆、失明、心脏问题以及胃和肺等软组织的损伤。
The only treatment for syphilis is penicillin. If the person is allergic to the drug, they’re typically admitted to the hospital and desensitized until they are able to receive it.
Danger to babies
Left untreated, STDs can cause long-term pelvic and abdominal pain, pregnancy complications or an inability to get pregnant. Congenital syphilis, passed on to babies from their parents, can cause:
- Rash on their palms or the soles of their feet
- Lesions in the mouth
- Swollen lymph nodes
- Failure to thrive
- Deformity in the tibia bone of their leg
- Meningitis
- Intellectual challenges that get worse if not treated early
- Deformed mouth and nose
- Cataracts in the eyes
- Blindness
- Death
“Protecting moms protects babies. If you’re pregnant, you can get tested for syphilis at your first prenatal visit; additional tests throughout your pregnancy may also be recommended,” said Dr. Briggs.
How to protect yourself
Dr. Briggs said partners can prevent the spread of syphilis and other STDs with these simple steps, suggested by the CDC:
- Have an open and honest discussion with your health care provider about your risk.
- Ask your provider about getting tested.
- 与你的医疗服务提供者讨论治疗方案。
- Have a safer sex game plan like STD testing and condoms before you go out or swipe right.
“Some people don’t get tested because of the cost, or they’re worried about confidentiality, that it’s going to hurt or that they’ll be judged. At Sanford Health, we are nonjudgmental and culturally sensitive. Let’s talk about how you can be safer,” she said.
Sanford Health offers testing at all primary care clinic locations.
Learn more
- Sexually transmitted infections: What you should know
- Maternal mortality: Working to keep moms safe
- How to find primary care at Sanford Health
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Posted InFamily Medicine,Gynecology,Healthy Living,Internal Medicine,Pregnancy,Sioux Falls,Women's
