![]() Meghan O’Connell, chief public health officer at the Great Plains Tribal Leaders’ Health Board based in Rapid City, South Dakota. South Dakota’s increase was driven by an outbreak in the Native American community, said Dr. South Dakota outpaced any other state for the highest rate of infectious syphilis at 84 cases per 100,000 people - more than twice as high as the state with the second-highest rate, New Mexico. The report also shows rates of the most infectious types of syphilis rose not just across the country but also across different racial and ethnic groups, with American Indian and Alaska Native people having the highest rate. ![]() Philip Chan, who teaches at Brown University and is chief medical officer of Open Door Health, a health center for gay, lesbian and transgender patients in Providence, Rhode Island. We really aren’t looking for it” in that population, said Dr. “I think it’s unknowingly being spread in the cisgender heterosexual population because we really aren’t testing for it.
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