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Syphilis alternates between times when it is active and inactive. When syphilis is active, there may be symptoms. When the infection is inactive, no symptoms appear even though you still have syphilis. Syphilis can be cured with...

When you are diagnosed with a reportable STI, anyone you have had sexual contact with or shared drug equipment with needs to be notified that they have been exposed to a communicable infection.  This is sometimes called ‘contact...

People have different preferences with how they enjoy giving and/or receiving oral sex, and some people do not enjoy oral sex. It is helpful to talk with your partners about your sexual needs and desires. Oral sex and STIs Some STIs can be...

A new condom should be used every time you have sex, with each new partner, and when switching from anal to oral or vaginal/internal genital penetration. The condom should be applied before sexual contact occurs.  Condoms can be used...

2016 vs 2015 In the first half of 2016, there were 396 cases of infectious syphilis (i.e. primary, secondary, and early latent) reported.  This is about 25% higher than year-to-date last year.  However, if this trend continues, we estimate...

Syphilis is a sexually transmitted infection caused the bacterium Treponema pallidum.  Although easily treated with antibiotics, it can cause severe long term complications and death if not treated early. There has been a significant...

This week, the BC Centre for Disease Control (BCCDC) officially launched the new syphilis awareness campaign, Make Syphistory. Background Between 2010 and 2015, the rate of infectious syphilis in BC quadrupled. In 2015, there were 762...

The rate of infectious syphilis in BC increased significantly from 11.9 per 100,000 in 2014, to 16.2 per 100,000 in 2015. Like many jurisdictions, BC has observed an increase in infectious syphilis rates since 2010. However, this recent...

Background The number of syphilis cases in British Columbia (BC) is increasing significantly, and has reached the highest rate of infection seen in over 30 years. This is echoed by Dr. Bonnie Henry, Provincial Health Officer who has said...

Background Rates of syphilis have increased dramatically over the last decade, both in British Columbia and internationally. In BC, the increase in 2015 was much higher than in previous years: 761 new infectious syphilis cases were...

Introduction In BC, syphilis and HIV testing are recommended for all women at prenatal screening for optimal clinical care and to prevent mother-to-child transmission of these infections. Prenatal HIV screening has been universal since...

Syphilis testing The primary method for diagnosing syphilis is through serologic testing. However, in certain situations, it may be appropriate and clinically-indicated to perform one of the direct tests (i.e. swab of a lesion). ...

Background Infectious syphilis rates in British Columbia (BC) are the highest they’ve been in 30 years from 2018 data [1]. Males account for the majority of cases, and in 2016 gay, bisexual and other men who have sex with men (gbMSM)...

Background Recently in BC, the number of infectious syphilis cases in gay, bisexual and other men who have sex with men (MSM) has been increasing dramatically, particularly among men living with HIV infection.  This trend is not unique to...

Background Syphilis, caused by the bacterium Treponema pallidum sub spp pallidum, can be sexually transmitted as well as spread from an infected mother to her fetus and through blood transfusions. Globally, 25 million people are infected...

After declining to historic lows in the mid-1990s, rates of infectious syphilis in BC increased, at first predominantly among street-involved populations in Vancouver’s Downtown Eastside, then more recently among gay, bisexual, and...

Article reviewed Farley TA, Cohen DA, Kahn RH et al. The acceptability and behavioural effects of antibiotic prophylaxis for syphilis prevention. Sex Transm Dis. 2003 Nov;30(11):844-9. Pubmed link to abstract: http://www.ncbi.nlm.nih.gov/...

Background In February, we reported on key findings from our ongoing investigation into increasing infectious syphilis trends in British Columbia. In 2012, BC saw the highest rate of infectious syphilis in more than 30 years, a trend which...

Article reviewed Karen Champenois, Anthony Cousien, Bakhao Ndiaye, et al. Risk factors for syphilis infection in men who have sex with men:  results of a case-control study in Lille, France. Sex Transm Infect 2013 89: 128-132. Purpose of...

Background The rates of infectious syphilis have substantially increased over the past decade. Gay, bisexual and other men who have sex with men (gbMSM) represent almost two thirds of all syphilis diagnoses in British Columbia (BC) from...