1,306 U.S. infants were born with syphilis in 2018, even though the disease is easy to prevent. 78 of those babies were stillborn, and 16 died after birth.
Health departments once tracked down every person who tested positive for chlamydia, gonorrhea or syphilis, to make sure they and their partners got treatment. With limited funds and climbing caseloads, many states now devote resources only to tracking syphilis. The caseloads are so high in some California counties that they track only women of childbearing age or just pregnant women., a professor at UCLA who ran San Francisco’s STD program for more than a decade.
Wagman said that, after years of studying health systems in other countries, she was shocked to see how much basic public health infrastructure has crumbled in California. In many parts of the Central Valley, county walk-in clinics that tested for and treated STDs were shuttered in the wake of the recession. That left few places for drop-in care, and investigators with no place to take someone for immediate treatment.and a methamphetamine epidemic with few treatment options.
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