Alaska syphilis case numbers drop a bit after years of increases, but concerning signs remain

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Alaska syphilis case numbers drop a bit after years of increases, but concerning signs remain
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Epidemiologist Julia Rogers cautioned against interpreting the decrease in case numbers as a sign that Alaska’s syphilis outbreak is being resolved.

A notice posted on a bulletin board at the University of Alaska Anchorage’s School of Allied Health, seen on Nov. 30, 2022, warns about rising rates of syphilis. The notice provides information about prevention and treatment. Detected cases dropped in 2022 from 2021 levels, but health officials worry that many cases may be going undetected.

Julia Rogers, a state epidemiologist and co-author of the bulletin, cautioned against interpreting the absolute case numbers as a sign that Alaska’s syphilis outbreak is being resolved.There are reasons to believe that testing for the disease and thus detection is lagging, meaning case numbers might be understated, she said. that are detected through screening, syphilis got less attention when the health system’s resources were focused on the pandemic, Rogers said.

Such cases, known as congenital syphilis, are particularly dangerous. If not treated, they can cause neurological or musculoskeletal disabilities or death, according to state health officials.The absolute numbers may seem small, Rogers said, “but that is an enormously high rate of congenital syphilis.”

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