Increasing syphilis cases highlight treatment barriers across Ohio

UC expert speaks with Cincinnati Enquirer on current trends

The Hamilton County, Ohio public health department recently reported syphilis cases reached a six-year high in 2023, representing nearly an 80% increase in cases since 2018.

Carl Fichtenbaum, MD, of the Division of Infectious Diseases in the UC College of Medicine, told the Cincinnati Enquirer said the rise of syphilis does not mean people are having more unprotected sex.

“Most of the studies I’ve seen over the past two to three years do not point to any greater incidence of unprotected sex,” Fichtenbaum said. “There’s always been a very steady rate of sex without condoms.” 

While the causes of the increase are complex, barriers to testing and treatment are more easily identified. 

“Most primary providers are not equipped to treat syphilis,” Fichtenbaum said. “It’s much easier to treat chlamydia and gonorrhea, because you can write prescriptions. We've really not done a very good job with prevention and treatment of sexually transmitted infections.

Fichtenbaum said it is important to get tested even if you are not experiencing symptoms. For some stages of syphilis, months or years can pass without any sign of the disease.

“If you’ve been in contact with someone who may have had a sexually transmitted infection, it’s very important that you go get yourself tested,” he said.

Read the Cincinnati Enquirer article. (Note: Subscription may be needed to access full article.)

Featured photo at top of test tubes and paper blood test form. Photo/Rapid Eye/iStock.

Related Stories

1

Sugar overload killing hearts

November 10, 2025

Two in five people will be told they have diabetes during their lifetime. And people who have diabetes are twice as likely to develop heart disease. One of the deadliest dangers? Diabetic cardiomyopathy. But groundbreaking University of Cincinnati research hopes to stop and even reverse the damage before it’s too late.

2

Is going nuclear the solution to Ohio’s energy costs?

November 10, 2025

The Ohio Capital Journal recently reported that as energy prices continue to climb, economists are weighing the benefits of going nuclear to curb costs. The publication dove into a Scioto Analysis survey of 18 economists to weigh the pros and cons of nuclear energy. One economist featured was Iryna Topolyan, PhD, professor of economics at the Carl H. Lindner College of Business.

3

App turns smartwatch into detector of structural heart disease

November 10, 2025

An app that uses an AI model to read a single-lead ECG from a smartwatch can detect structural heart disease, researchers reported at the 2025 Scientific Sessions of the American Heart Association. Although the technology requires further validation, researchers said it could help improve the identification of patients with heart failure, valvular conditions and left ventricular hypertrophy before they become symptomatic, which could improve the prognosis for people with these conditions.