Colorado has recently experienced a surge in syphilis cases, leading to a statewide public health order. Governor Jared Polis (D-Colo.) announced the implementation of more measures to combat congenital syphilis, which has increased significantly over the past several years. The primary goal of this initiative is to ensure that pregnant women and their babies receive testing and treatment for syphilis.
During an announcement, Governor Polis highlighted that syphilis is treatable for adults with a course of penicillin typically being effective in treating it. However, the main concern lies with newborns exposed to syphilis as the fatality rate is high for babies born to mothers with the disease. According to the state, approximately 40 percent of untreated congenital syphilis may be stillborn or die from the infection.
Colorado has seen a sevenfold increase in syphilis infections over the last five years, with 1,084 cases reported in 2018 and 3,266 in 2023. State Epidemiologist Rachel Herlihy described the consistent rise in cases as indicative of a statewide congenital syphilis epidemic. The state is collaborating with various departments such as Department of Corrections, Department of Public Health and Environment, and Department of Public Safety to reduce cases in correctional facilities.
To address this issue, the state will ensure that testing for syphilis is covered without co-pays for most insured Coloradans, including those with Medicaid. Additionally, the state will increase education efforts about the importance of testing and treating syphilis as individuals can have the disease without knowing it. The focus remains on preventing syphilis transmission from pregnant women to their newborns to protect public health.