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GMJ News > Policy & Systems > Global Health > Syphilis Among Gay and Bisexual Men Falls to Decade Low in England
Global HealthPolicy & Systems

Syphilis Among Gay and Bisexual Men Falls to Decade Low in England

GMJ
Last updated: 02/06/2026 23:43
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GMJ News Desk
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Chart showing declining STI trends among different population groups in England
Syphilis diagnoses among gay and bisexual men in England have reached their lowest level in a decade, according to UK Health Security Agency data. However, cases among heterosexual women increased during the same period. — Photo: Aaron Barrera / Pexels
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🎧 Listen to this article4:34 min · 507 words · GMJ Audio
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✓ Editorially Reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD — GMJ News Desk

🟢 Strong Evidence

Contents
    • Key takeaways
      • STI Trends by Population Group
  • UKHSA reports positive trends
  • Concerning rise in heterosexual women
  • Broader STI improvements
    • What this means
  • Frequently asked questions
    • What do the UKHSA data show about syphilis trends?
    • What about overall STI trends?
    • Why is early syphilis treatment important?

Syphilis diagnoses among gay and bisexual men in England have reached their lowest level in a decade, according to new surveillance data from the UK Health Security Agency (UKHSA). Overall sexually transmitted infection rates have also declined.

Key takeaways

  • Syphilis cases among gay and bisexual men dropped to decade-low levels in England, according to UKHSA surveillance data
  • Heterosexual women experienced an increase in syphilis diagnoses during the same period, according to UKHSA
  • Overall sexually transmitted infection rates declined, according to UKHSA data
10-year low
Syphilis diagnoses among gay and bisexual men reach decade minimum

STI Trends by Population Group

Diverging patterns in syphilis diagnoses across demographic groups

Decade low
Gay/bisexual men
Increasing
Heterosexual women
Overall decline
Total STIs

Source: UK Health Security Agency, 2024 | Georgian Medical Journal News

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UKHSA reports positive trends

The UK Health Security Agency surveillance data shows a reduction in syphilis cases among men who have sex with men, representing the lowest level in a decade. While this decline is described by the source as “a cause for optimism,” syphilis diagnoses in heterosexual women increased during the same period.

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Concerning rise in heterosexual women

Despite the overall positive trends, syphilis diagnoses among heterosexual women showed an upward trajectory during the same monitoring period, according to UKHSA data. This demographic shift indicates differing trends across population groups.

Untreated maternal syphilis infection can lead to serious complications during pregnancy. The Centers for Disease Control and Prevention emphasizes that early detection and treatment are crucial for preventing transmission to newborns.

Broader STI improvements

The syphilis decline among gay and bisexual men is part of broader improvements in sexually transmitted infection rates, according to UKHSA surveillance data. The overall decline in STIs represents a positive public health development across England.

While this decline [in syphilis among gay and bisexual men] is a cause for optimism, syphilis diagnoses in heterosexual women increased.

— UK Health Security Agency (Government Report, 2024)

What this means

For patients: Regular STI testing remains important across all populations
For clinicians: Monitor diverging trends across different demographic groups
For policymakers: Address emerging trends while maintaining focus on successful prevention efforts

Frequently asked questions

What do the UKHSA data show about syphilis trends?

UKHSA surveillance data show that syphilis among gay and bisexual men has reached its lowest level in a decade, while diagnoses in heterosexual women have increased.

What about overall STI trends?

According to UKHSA data, overall sexually transmitted infections have declined, indicating broader improvements beyond specific populations.

Why is early syphilis treatment important?

The CDC emphasizes that early detection and treatment are crucial for preventing transmission to newborns, particularly important given the increase in diagnoses among heterosexual women.

The UKHSA surveillance data reveal contrasting trends across different populations, with syphilis among gay and bisexual men reaching decade lows while increasing among heterosexual women. These findings highlight the need for continued monitoring of STI trends across demographic groups. For more insights on global health trends, explore our comprehensive coverage of international public health developments.

Source: STIs fall with syphilis among gay and bisexual men lowest in a decade

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