The Surge of Congenital Syphilis in Alabama: Exploring Reasons and Prevention Strategies (December 4, 2024 at 12:00pm CT)

Congenital Syphilis is preventable; However, Alabama continues to experience a record notable increase in congenital syphilis cases since 2018. Pregnant women with syphilis can transmit the infection to their unborn baby. Syphilis is a sexually transmitted disease (STD) caused by the bacterium Treponema pallidum. Untreated syphilis during pregnancy can cause miscarriage, stillbirth, prematurity, low birth weight, hydrops fetalis, or infant death shortly after birth. Effective prevention of congenital syphilis depends on early detection of syphilis in pregnant women and adequate treatment at least 30 days before delivery.  

Learning objectives:

  • Identify the various missed opportunities for congenital syphilis prevention in Alabama. 
  • Establish prenatal syphilis testing and adequate treatment for syphilis in pregnant women and their partners as standard of care.  
  • Collaborate with the Alabama Department of Public Health to enforce CS prevention efforts. 

This webinar is presented by the Alabama Regional Center for Infection Prevention and Control and cosponsored by the Alabama Public Health Training Network at the Alabama Department of Public Health part of the Region IV Public Health Training Center, the Deep South Center for Occupational Health and Safety, and the Alabama Statewide Area Health Education Centers (AHEC).

The Deep South Center for OH&S is an approved provider of continuing education units for nurses by the AL Board of Nursing (Provider ABNP0420 Expiration Date 7/10/2025) and has awarded this program 1.2 ABN CEUs. All other professionals awarded .1 CEUs.

Dr. Agnes Oberkor, DrPH, MPH, MSN, CRNP-PC

Agnes Oberkor, DrPH, MPH, MSN, CRNP-PC, is the congenital syphilis coordinator, clinical consultant for sexually transmitted infections, and the lead trainer of the Alabama Department of Public Health Sexually Transmitted Disease Control and prevention. She is a board-certified registered nurse practitioner and a registered nurse. Dr. Oberkor’s primary interests are program improvement, training clinical staff in STD patient management, and writing clinic protocols. She is particularly interested in methods for understanding healthcare providers’ knowledge in STD prevention, especially syphilis in pregnant women and congenital syphilis. Dr. Oberkor holds a BSN from Auburn University, Montgomery, an MSN and MPH from the University of Alabama, Birmingham, and a Dr.PH in Health Advocacy and Leadership from Capella University, Minneapolis, MN. Her research was on quality improvement in public health programs. She coordinated the Expedited Partner Therapy policy and got approval for ADPH clinicians in 2014 and for all healthcare providers in 2024. Dr. Oberkor received the NCSD Public Health Policy Academy training in 2016. 

Unveiling Congenital Syphilis and Syphilis in Alabama

Join us as we shed light on the challenges, solutions, and stories surrounding these pressing public health concerns. Hear from Dr. Jodie Dionne, an Associate Professor of Medicine and a clinician investigator at UAB in Infectious Diseases. Her research is focused on designing clinical trials to treat and prevent syphilis, hepatitis B, and other infections in pregnancy in the US and in Africa.

This podcast is presented by the Alabama Regional Center for Infection Prevention and Control Training and Technical Assistance. Thank you to our co-sponsor for this podcast, the Alabama Public Health Training Network at the Alabama Department of Public Health a community-based training partner of the Region IV Public Health Training Center.

Dr. Jodie Dionne
Associate Professor of Medicine,

UAB Division of Infectious Diseases

Chief of Women’s Health, 1917 Clinic

The Rise of Congenital Syphilis

Congenital syphilis is a disease that occurs when a pregnant person with syphilis passes it onto their baby during pregnancy (Centers for Disease Control and Prevention, 2023). Syphilis can be transmitted to a baby in utero through placental blood flow or through direct contact with lesions during childbirth. Currently, Penicillin is the only treatment from perinatal syphilis because it can cross the placenta to treat the infection in the fetus. When a syphilis infection is identified in the early stages, treatment with Penicillin is 98% effective in preventing mortality and morbidities commonly associated with congenital infection. Cases of congenital syphilis have been on the rise and have increased seven-fold in live births in the United States from 2012 to 2020. In 2021, 2000 cases were reported, the highest number of reported cases since 1994. Increases in cases have highlighted issues including gaps in prevention, timely diagnosis, treatment, and management of perinatal syphilis. The increases in congenital syphilis other STI’s has led to the U.S. Department of Health and Human Services launching the Sexually Transmitted Infections National Strategic Plan in January 2021 (Fang et al., 2022). This plan aims to create, enhance, and expand STI prevention among individuals. Through this plan the United States can be a place where STI’s are prevented, and every person has access high-quality prevention, screenings, care, and treatment free of stigma and discrimination (U.S. Department of Health and Human Services).

For More Information on Congenital Syphilis See the Resources Below: 

  • Centers for Disease Control and Prevention. (2023, April 11). STD facts – Congenital Syphilis. Centers for Disease Control and Prevention. https://www.cdc.gov/std/syphilis/stdfact-congenital-syphilis.htm
  • STI National Strategic Plan 2021-2025 (STI plan) Toolkit. U.S. Department of Health and Human Services. (2021, January 12). https://www.hhs.gov/programs/topic-sites/sexually-transmitted-infections/plan-overview/toolkit/index.html#:~:text=This%20first%2Dever%20STI%20National,free%20from%20stigma%20and%20discrimination.

 Cited Sources

Centers for Disease Control and Prevention. (2023, April 11). STD facts – Congenital Syphilis. Centers for Disease Control and Prevention. https://www.cdc.gov/std/syphilis/stdfact-congenital-syphilis.htm

Fang, J., Partridge, E., Bautista, G. M., & Sankaran, D. (2022, December 27). Congenital syphilis epidemiology, prevention, and management in the United States: A 2022 update. U.S. National Library of Medicine . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879571/