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Syphilis cases surge in the US, reaching levels unseen since 1950

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Syphilis cases surge in the US, reaching levels unseen since 1950
  • The U.S. syphilis epidemic persists, with a concerning 9% rise in infectious cases in 2022, marking the highest count since 1950.
  • Officials are alarmed by the expansion of syphilis increasingly in women and newborns.
  • Despite being less common, syphilis is considered more dangerous due to its potential to lead to severe health complications, including paralysis.

The U.S. syphilis epidemic isn’t abating, with the rate of infectious cases rising 9% in 2022, according to a new federal government report on sexually transmitted diseases in adults.

But there’s some unexpected good news: The rate of new gonorrhea cases fell for the first time in a decade.

It’s not clear why syphilis rose 9% while gonorrhea dropped 9%, officials at the U.S. Centers for Disease Control and Prevention said, adding that it’s too soon to know whether a new downward trend is emerging for the latter.

HEALTH OFFICIALS CLAIM STD CASES HAVE BEEN ACCELERATING, DOCTORS HOPE OLD DRUG CAN SLOW RISING RATES

They are most focused on syphilis, which is less common than gonorrhea or chlamydia but considered more dangerous. Total cases surpassed 207,000 in 2022, the highest count in the United States since 1950, according to data released Tuesday.

A tissue sample with the presence of numerous, corkscrew-shaped, darkly-stained, Treponema pallidum spirochetes, the bacterium responsible for causing syphilis, is seen. The U.S. syphilis epidemic continues to worsen, according to a new government report released on Jan. 30, 2024. (Skip Van Orden/CDC via AP, File)

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And while it continues to have a disproportionate impact on gay and bisexual men, it is expanding in heterosexual men and women, and increasingly affecting newborns, too, CDC officials said.

Syphilis is a bacterial disease that can surface as painless genital sores but can ultimately lead to paralysis, hearing loss, dementia and even death if left untreated.

New syphilis infections plummeted in the U.S. starting in the 1940s when antibiotics became widely available and fell to their lowest by 1998.

About 59,000 of the 2022 cases involved the most infectious forms of syphilis. Of those, about a quarter were women and nearly a quarter were heterosexual men.

“I think its unknowingly being spread in the cisgender heterosexual population because we really aren’t testing for it. We really aren’t looking for it” in that population, said Dr. Philip Chan, who teaches at Brown University and is chief medical officer of Open Door Health, a health center for gay, lesbian and transgender patients in Providence, Rhode Island.

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The report also shows rates of the most infectious types of syphilis rose not just across the country but also across different racial and ethnic groups, with American Indian and Alaska Native people having the highest rate. South Dakota outpaced any other state for the highest rate of infectious syphilis at 84 cases per 100,000 people — more than twice as high as the state with the second-highest rate, New Mexico.

South Dakota’s increase was driven by an outbreak in the Native American community, said Dr. Meghan O’Connell, chief public health officer at the Great Plains Tribal Leaders’ Health Board based in Rapid City, South Dakota. Nearly all of the cases were in heterosexual people, and O’Connell said that STD testing and treatment was already limited in isolated tribal communities and only got worse during the pandemic.

The U.S. Department of Health and Human Services last year convened a syphilis task force focused on stopping the spread of the STD, with an emphasis on places with the highest syphilis rates — South Dakota, 12 other states and the District of Columbia.

The report also looked at the more common STDs of chlamydia and gonorrhea.

‘OUT OF CONTROL’ STD SITUATION PROMPTS CALL FOR CHANGES

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Chlamydia cases were relatively flat from 2021 to 2022, staying at a rate of about 495 per 100,000, though there were declines noted in men and especially women in their early 20s. For gonorrhea, the most pronounced decline was seen in women in their early 20s as well.

Experts say they’re not sure why gonorrhea rates declined. It happened in about 40 states, so whatever explains the decrease appears to have occurred across most of the country. STD testing was disrupted during the COVID-19 pandemic, and officials believe that’s the reason the chlamydia rate fell in 2020.

It’s possible that testing and diagnoses were still shaking out in 2022, said Dr. Jonathan Mermin, director of the CDC’s National Center for HIV, Viral Hepatitis, STD and TB Prevention.

“We are encouraged by the magnitude of the decline,” Mermin said, though the gonorrhea rate is still higher now than it was pre-pandemic. “We need to examine what happened, and whether it’s going to continue to happen.”

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Does Metformin Help With Weight Loss? How To Maximize Your Results

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Does Metformin Help With Weight Loss? How To Maximize Your Results


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One common type of fat may increase diabetes risk, while another helps fight it

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One common type of fat may increase diabetes risk, while another helps fight it

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A new review suggests that the type of fat you eat may affect your risk of developing type 2 diabetes.

Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin.

Meanwhile, monounsaturated fats rich in oleic acid — such as those found in olive oil — may help protect against insulin resistance, the review concluded.

ONE TYPE OF OLIVE OIL HAS A SURPRISING EFFECT ON BRAINPOWER DURING AGING

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“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, told Fox News Digital. She was not involved in the review. 

“Oleic acid, on the other hand, is in higher concentration in foods like olive oil, canola oil, nuts, sunflower seeds, eggs, olive, avocados and also in meats (beef, chicken, pork), milk, cheese and pasta.”

Saturated fats rich in palmitic acid – the most common saturated fatty acid in U.S. foods – appear to make it harder for the body to respond to insulin. (iStock)

The review, which was published in the journal Trends in Endocrinology & Metabolism, was led by researchers from the University of Barcelona and the CIBER Area for Diabetes and Associated Metabolic Diseases (CIBERDEM) in Spain.

The findings suggest that fat quality may be more important than total fat quantity when it comes to metabolic health and diabetes risk.

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DIABETES RISK LINKED TO THESE ULTRAPROCESSED FOOD COMBINATIONS

This appears to support the idea that diets rich in monounsaturated fats, such as the Mediterranean diet, may contribute to lower rates of type 2 diabetes.

“Palmitic acid promotes several molecular processes that impair insulin action,” study investigator Dr. Manuel Vázquez-Carrera, from the Department of Pharmacology, Toxicology and Therapeutic Chemistry at the University of Barcelona, told Fox News Digital. 

“Palmitic acid is found in meats, dairy products, cocoa butter and in the form of palm oil in foods, including margarine, cereal, sweets, baked goods and fast foods,” a nutritionist said. (iStock)

Too much palmitic acid can cause harmful fat byproducts to build up in the body, which can impair the body’s ability to respond to insulin, he warned. This makes it harder to control blood sugar and increases the risk of insulin resistance and type 2 diabetes.

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“It also promotes inflammation, oxidative stress, mitochondrial dysfunction and cellular stress responses, which contribute to insulin resistance and β-cell dysfunction,” Vázquez-Carrera added.

VITAMIN SUPPLEMENT MAY DELAY DIABETES IN SELECT GROUPS, RESEARCHERS SAY

By contrast, oleic acid – a hallmark of the Mediterranean diet – does not have these harmful effects, according to the researcher.

“In fact, oleic acid can counteract many of the detrimental effects triggered by palmitic acid, by promoting the storage of fatty acids in relatively inert triglycerides, preserving mitochondrial function and reducing inflammation,” he said.

“All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”

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Freirich confirmed that the review is consistent with previous research supporting the use of olive oil in the diet for metabolic benefits.

“Also confirming previous research, the consumption of saturated fats is associated with some negative metabolic changes,” she told Fox News Digital.

THE WORST FOODS TO BUY IN THE SUPERMARKET AND THE BETTER CHOICES INSTEAD

Given the complexity of foods and diets, there is an overlap between foods that contain both types of fatty acids, the nutritionist noted. 

“Palmitic acid and oleic acid can both be found in olive oil, baked goods and fast foods, in differing amounts,” she said. “All sources of fat in our diet contain a mix of saturated and unsaturated fatty acids.”

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Study limitations

Vázquez-Carrera noted that these findings come from a review of numerous experimental, clinical and epidemiological studies rather than a single clinical trial.

“One important limitation is that much of the mechanistic evidence comes from cell culture and animal studies,” he said. 

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“Although these studies provide valuable insights into how specific fatty acids affect insulin signaling, further human intervention studies are needed to confirm the extent to which these mechanisms operate in everyday dietary settings.”

In addition, many of the human studies in the review relied on self-reported dietary intake, which can introduce inaccuracies. 

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Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, the researcher noted. (iStock)

“Another challenge is that people consume foods containing complex mixtures of fatty acids and bioactive compounds rather than isolated fatty acids,” Vázquez-Carrera added. “Therefore, it remains difficult to fully disentangle the specific contribution of individual fatty acids in free-living populations.”

Nutritional recommendations

The review’s findings appear to support current dietary recommendations that emphasize replacing part of the saturated fat intake with unsaturated fats, according to Vázquez-Carrera.

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“This means favoring dietary patterns rich in foods such as extra-virgin olive oil, nuts, seeds, legumes, vegetables, fruits and fish, while limiting excessive consumption of foods rich in saturated fats, especially highly processed foods,” he advised.

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The review does not suggest that a single nutrient alone determines diabetes risk, the researcher pointed out.

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“Rather, maintaining a healthy body weight, engaging in regular physical activity and following an overall healthy dietary pattern, such as the Mediterranean diet, remain fundamental strategies for preventing insulin resistance and type 2 diabetes.”

Type 2 diabetes develops over many years, with genetics, lifestyle and environmental factors all playing a role, Vázquez-Carrera noted.

Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, the review suggests. (iStock)

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“Future research should move beyond simply classifying fats as ‘good’ or ‘bad’ and instead focus on understanding how specific fatty acids, their dietary sources and their interactions within whole dietary patterns affect metabolic health,” he said.

Improving the quality of dietary fat intake could prove to be an effective strategy for reducing type 2 diabetes risk, according to the researcher.

TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ

“A simple takeaway for consumers is to swap out foods high in saturated fat more often with foods rich in heart-healthy fats, like olive oil, nuts and avocados, to better support blood sugar and metabolic health,” advised New Jersey-based registered dietitian Erin Palinski-Wade, who was also not involved in the review.

Anyone at a higher risk for type 2 diabetes should consult a healthcare provider for personalized guidance on nutrition, exercise and other preventive measures, experts say.

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Video: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

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Video: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

new video loaded: Why Milder Symptoms Could Make This Ebola Outbreak More Dangerous

Early signs indicate that the species of Ebola behind the current outbreak in the Democratic Republic of Congo may have milder symptoms than past outbreaks. Our global health reporter Apoorva Mandavilli explains why this might actually make it more dangerous.

By Apoorva Mandavilli, Alexandra Ostasiewicz, Nikolay Nikolov, Stephanie Swart, Rafaela Balster and Lauren Pruitt

June 23, 2026

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