Native Americans are experiencing the highest rates of syphilis and congenital syphilis in the United States, according to recent data from the Centers for Disease Control and Prevention. The rate of congenital syphilis among American Indians and Alaska Natives was triple that of African Americans and nearly 12 times the rate for white babies in 2022.
The nationwide surge in syphilis infections has reached a 70-year high, with particularly devastating effects on Native communities. In New Mexico, which reported the highest rate of congenital syphilis among states in 2022, cases have increased by 660% over the past five years.
Experts attribute the disparity to several factors, including limited access to prenatal care in rural areas where many Native Americans live. Melissa Wyaco, a nurse consultant for the Navajo Area Indian Health Service, notes that some patients must drive over 100 miles to reach obstetric services.
The Covid-19 pandemic exacerbated the situation by diverting healthcare resources and discouraging patients from seeking care. Jonathan Iralu, Indian Health Service chief clinical consultant for infectious diseases, suggests that fear of catching Covid may have deterred patients with syphilis symptoms from seeing doctors.
In response to the crisis, health officials are implementing new strategies. The Indian Health Service now recommends yearly syphilis testing for all patients and has expanded rapid testing and treatment options. Some areas are also exploring innovative approaches, such as offering testing and treatment in patients’ homes.
Despite these efforts, tribal leaders from several states have requested that the federal government declare a public health emergency to expand resources for combating the epidemic in Native communities.
See “Rapid Rise in Syphilis Hits Native Americans Hardest” (March 21, 2024)
