Health
As syphilis cases surge in the US, here’s what infectious disease experts want you to know
Syphilis is surging in the U.S., reaching the highest numbers in nearly 75 years.
Cases of the sexually transmitted disease (STD) rose 10% in 2022, reaching 203,500. The numbers have increased 68% since 2018, according to the Centers for Disease Control and Prevention (CDC).
Dr. Jarod Fox, an infectious disease specialist with Orlando Health, said there’s an “alarming trend” in STDs in general, and specifically syphilis, over the past decade.
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Fox News Digital talked to experts about potential reasons behind the spread, who’s at risk — and how to combat the infection.
Experts discussed the potential reasons behind the spread of syphilis, who’s at risk — and how to combat the infection. (iStock)
What’s behind the surge?
Dr. Bryan Dechairo, CEO of Sherlock Biosciences, a diagnostic testing provider in Massachusetts, calls the recent surge in syphilis cases a “multifaceted public health issue” that reflects “broader systemic challenges.”
“Most importantly, there are currently not enough people getting tested and there is insufficient access to testing, particularly among populations most at risk,” he told Fox News Digital.
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“Without newer, more accessible, accurate tests, people do not know they have an STI and are, therefore, more likely to transmit it to other individuals.”
Dechairo also named a decline in protected sex, particularly among younger people, as a factor in the increase.
“This trend is partly attributed to the success in HIV prevention and treatment, leading to a perception of reduced risk for sexually transmitted infections,” he said.
“Without newer, more accessible, accurate tests, people do not know they have an STI and are, therefore, more likely to transmit it to other individuals,” an expert told Fox News Digital. (iStock)
Also contributing to the spike is the reduction in sexual health services and professionals, according to Dechairo.
“This, combined with broader social and economic inequalities, has created a perfect storm for the resurgence of syphilis, particularly affecting marginalized communities,” he said.
“There are currently not enough people getting tested and there is insufficient access to testing.”
Fox of Orlando Health added that the rise in illicit drug use in the U.S. has also led to more risky sexual encounters and thus a higher risk of STIs.
“There has also been a rise in dating apps, and this makes it easier to expand an individual’s sexual network, making it easier for STIs to have a wider spread,” he told Fox News Digital.
Who is most at risk?
Most cases of syphilis affect men who have sex with men (MSM), according to the CDC.
Certain racial and ethnic groups are also at a higher risk, Dechairo said.
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“Black Americans and Native American/Alaska Natives, for instance, show higher rates of infection, likely due to systemic inequities in health care access,” he said.
To reduce infections among men who have sex with men, Dechairo emphasized the need for targeted public health interventions and education.
Symptoms and treatment
Syphilis can cause painless genital ulcers and enlarged inguinal lymph nodes in the early stages, on average three weeks after exposure, Fox noted.
These spontaneously heal in three to six weeks.
“These early symptoms can be missed and lead to delayed diagnosis,” he warned.
A rash on the palms and soles may develop after the initial ulcers have healed, said Fox. The infection can also have neurologic and vision-related effects.
This 1966 microscope photo made available by the CDC shows a tissue sample with the presence of numerous, corkscrew-shaped, darkly stained, Treponema pallidum spirochetes, the bacterium responsible for syphilis. (CDC)
The primary treatment for syphilis is intramuscular penicillin injections, with the number of injections based on whether it is an acute infection or late infection, Fox noted.
“There have been intermittent shortages of the penicillin, and so other treatments such as doxycycline may be used in some cases,” he said.
“Early symptoms can be missed and lead to delayed diagnosis.”
If left untreated, syphilis can progress through various stages with escalating severity, Dechairo warned.
“Initially, it may present as a painless sore, but without treatment, it can lead to severe health complications,” he said.
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“In its later stages, syphilis can cause damage to major organs, neurological issues, blindness and even death.”
In cases of congenital syphilis, the infection can also be passed from mother to child — which can result in miscarriage, stillbirth or severe birth defects, said Dechairo.
What needs to be done?
To reverse the upward trend in syphilis cases, Dechairo calls for a “comprehensive approach.”
Increased access to new types of testing — including home testing — is critical to slowing the spread of not only syphilis, but also all STDs, he said.
This is particularly important because people with one type of infection are more likely to have another concurrent infection.
Experts called for establishing more clinics and training more health care professionals to treat syphilis patients. (iStock)
“This is part of a broader sexual health education effort to promote safe sex practices and regular screenings, improve access to health care — especially in underserved areas — and increase public awareness to destigmatize STIs,” he told Fox News Digital.
The expert also called for establishing more clinics and training more health care professionals.
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“Additionally, targeted interventions focusing on high-risk groups and communities with high infection rates are essential,” Dechairo added.
This would include prenatal care to help prevent cases of congenital syphilis, he said.
Said Fox, “More public health funding is needed to better take care of the minority communities that have been disproportionately affected by syphilis as well as other diseases.”
And Dechario noted, “Through these multifaceted efforts, the rising tide of syphilis infections can be curbed, improving public health outcomes for all communities.”
For more Health articles, visit www.foxnews.com/health.
Health
GLP-1 Drugs Linked to Osteoporosis and Gout: Here’s How To Stay Safe
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Health
Ozempic-style drugs could slash complication risks after heart attacks, research suggests
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A popular class of weight-loss drugs may prevent life-threatening cardiac complications by opening microscopic blood vessels that often remain blocked after a heart attack, according to a study published this week in Nature Communications.
The research, led by the University of Bristol and University College London, identified a biological brain-gut-heart signaling pathway.
This discovery appears to explain how GLP-1 drugs — which mimic glucagon-like peptide-1, a hormone that helps regulate blood sugar and appetite — protect heart tissue from a condition known as “no-reflow.”
“In nearly half of all heart attack patients, tiny blood vessels within the heart muscle remain narrowed, even after the main artery is cleared during emergency medical treatment,” Dr. Svetlana Mastitskaya, the study’s lead author and a senior lecturer at Bristol Medical School, said in a press release.
“This results in a complication known as ‘no-reflow,’ where blood is unable to reach certain parts of the heart tissue.”
In nearly half of all heart attack patients, tiny capillaries (blood vessels) remain narrowed even after the main blocked artery is cleared. (iStock)
This lack of blood flow increases the risk of heart failure and death within a year. GLP-1 medications could prevent this, according to the researchers.
How it works
When the GLP-1 hormone is released in the gut or administered as a drug, it sends a signal to the brain, which then sends a signal to the heart that switches on special potassium channels in tiny cells called pericytes.
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When these channels open, the pericytes relax, which allows the small blood vessels (capillaries) to widen and improve blood flow to the heart muscle, the researchers noted.
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The new study used animal models and cellular imaging to track how GLP-1 interacts with heart tissue. When the researchers removed the potassium channels, the drugs no longer protected the heart — confirming they play a key role.
The findings suggest that existing GLP-1 medications, already used for type 2 diabetes and obesity, could be repurposed as emergency treatments. (iStock)
The findings suggest that existing GLP-1 medications, already used for type 2 diabetes and obesity, could be repurposed as emergency treatments during or immediately after a heart attack to reduce tissue damage.
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The researchers noted several limitations, including that the study relied on animal models.
Clinical trials are necessary to determine whether the brain-gut-heart pathway operates with the same timing and efficacy in humans.
While the study highlights the drug’s immediate benefits during a heart attack, it des not establish whether long-term use of these drugs provides a pre-existing level of protection. (iStock)
Additionally, while the study highlights the drug’s immediate benefits during a heart attack, it does not establish whether long-term use of the medication provides a pre-existing level of protection.
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The research was primarily funded by the British Heart Foundation.
Health
Do collagen supplements really improve skin? Major review reveals the truth
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Collagen supplements have exploded in popularity, touted as everything from an anti-aging miracle to a muscle recovery booster.
But a sweeping new review conducted by U.K. researchers suggests that while collagen may help improve skin elasticity and ease arthritis pain, it does little for athletic performance or wrinkle reduction.
Researchers from Anglia Ruskin University analyzed 16 systematic reviews and 113 randomized controlled trials involving nearly 8,000 participants worldwide, which they say is the most extensive evaluation of collagen’s health effects to date.
The review found consistent evidence that collagen supplementation improves skin elasticity and hydration over time and provides significant relief from osteoarthritis-related joint pain and stiffness, according to findings published in Aesthetic Surgery Journal Open Forum.
A large U.K. review found that collagen supplements may improve skin elasticity and hydration over time. (iStock)
The researchers, however, did not find meaningful improvements in post-exercise muscle recovery, soreness or tendon mechanical properties (strength, springiness and stretch resistance).
“Collagen is not a cure-all, but it does have credible benefits when used consistently over time, particularly for skin and osteoarthritis,” co-author Lee Smith, professor of public health at Anglia Ruskin University, said in a statement.
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“Our findings show clear benefits in key areas of healthy aging, while also dispelling some of the myths surrounding its use,” Smith added.
Collagen, the most abundant protein in the body, supports skin, bones, tendons, cartilage and connective tissue, according to experts. Natural collagen production begins to drop in early adulthood and declines more sharply with age.
The study found that collagen supplements may help reduce joint pain and stiffness in people with osteoarthritis. (iStock)
The review found that long-term collagen supplementation was linked to improved skin firmness and hydration, but did not help skin roughness — a proxy for visible wrinkles.
Benefits appear to accumulate gradually, suggesting that collagen should not be viewed as an “anti-wrinkle ‘quick fix,’ but as a foundational dermal support for individuals seeking holistic skin maintenance,” the researchers said.
“If we define anti-aging as a product or technique designed to prevent the appearance of getting older, then I believe our findings do support this claim for some parameters,” Smith told the BBC. “For example, an improvement in skin tone and moisture is associated with a more youthful-looking appearance.”
Collagen supplementation was linked to reduced pain and stiffness in people with osteoarthritis, with stronger benefits seen over longer periods of use, and showed modest improvements in muscle mass and tendon structure that may support healthy aging.
Collagen did not significantly improve skin roughness, a marker of visible wrinkles. (iStock)
However, it did not show meaningful results when used as a fast-acting sports performance supplement, and evidence for benefits related to cholesterol, blood sugar, blood pressure and oral health was mixed or inconclusive.
Dr. Daniel Ghiyam, a California-based physician and longevity specialist, said the findings align with what he sees in clinical practice.
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“Collagen is a targeted support tool, not a foundation of health or performance,” Ghiyam, who was not involved in the study, told Fox News Digital. “When marketed that way, it makes sense. When marketed as a cure-all, it doesn’t hold up to the data.”
The authors noted that while many previous collagen studies have received financial support from the supplement industry, the current review did not receive industry funding.
Experts say collagen supplements may offer modest benefits for skin hydration and joint comfort, but they are not a cure-all. (iStock)
The team called for more high-quality clinical trials examining long-term outcomes, optimal dosages and differences between collagen sources, such as marine, bovine and plant-based alternatives.
Among its limitations, the review could not determine whether certain forms of collagen work better than others or what the optimal regimen should be.
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While the review included randomized controlled trials, the quality of the studies varied, with newer research generally showing stronger results.
Experts say more data and studies are needed to build on the findings. They also noted that diet plays a crucial role in skin health.
Collagen supplements, often sold as powders or pills, may improve skin elasticity and ease joint pain, experts say. (iStock)
Dr. Erum Ilyas, a Pennsylvania-based dermatologist and chair of dermatology at Drexel University College of Medicine, noted that the review analyzed previously published meta-analyses rather than generating new primary data.
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“At this time, I have not seen sufficiently strong independent evidence to routinely recommend collagen supplements to my patients,” Ilyas, who was not involved in the review, told Fox News Digital.
“Although some studies show modest improvements in markers such as hydration and elasticity, there remains limited independent, biopsy-confirmed evidence demonstrating sustained increases in dermal collagen content,” she added.
Fox News Digital has reached out to the researchers for comment.
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