Syphilis, once nearly eliminated in the U.S., is now resurging at alarming rates, with over 209,000 cases reported in 2023—up from 34,000 in 2003. This rise coincides with a sharp decline in the CDC’s STD prevention budget, which dropped from $169 million to just $80 million over the same period.
One of the most troubling trends is the spike in congenital syphilis — when babies contract the infection from their mothers during pregnancy. Indigenous babies are eight times more likely than white babies to be born with the disease, which can cause severe health complications or death. Most of these cases are preventable with early testing and treatment.
While the U.S. struggles to contain the outbreak, an innovative solution is emerging from the Navajo Nation. Public health teams led by nurse Melissa Wyaco and Dr. Jon Iralu are combatting the epidemic through a mobile outreach program. They provide on-the-spot testing and treatment at locations like food pantries, jails, and motels — places where vulnerable individuals live or gather.
Facing challenges like poverty, homelessness, and remote geography, their approach has already led to a 20% drop in some local syphilis cases. Their success is proving that flexible, community-based care can make a powerful difference.
“This is a model that can work anywhere,” said Wyaco. “We’ve laid the foundation for others to follow.”
