Search

Syphilis is an old disease that remains to be a major threat in the modern world. In the last decade, we have seen an exponential rise in the number of new cases. While this surge is universal, some places appear to be more affected than others, such as the southern and midwestern states in the United States. In Missouri, the syphilis epidemic strikes almost everywhere, from rural to metropolitan areas, affecting various age groups and subpopulations. We conducted this narrative review focusing on published data regarding syphilis in Missouri, and discussing contemporary risk factors for such an unprecedented spread, and treatment and prevention options. While rurality, social stigma, and medication shortage play a role in this disease spread, new plans are being adopted in the state for mitigation of its burden., Competing Interests: Disclosure: DD received research support funding from Viiv and Gilead for different projects. No funding has been received for this project. Remaining authors have no disclosures. Artificial intelligence was not used in the study, research, preparation, or writing of this manuscript., (Copyright 2024 by the Missouri State Medical Association.)

High patient volume in fellowship programs can affect learning, wellness, and patient outcomes. Training programs must find ways to mitigate high consultation volume to protect the learning environment. This survey describes average new consults and average censuses for infectious diseases training programs and strategies implemented to mitigate high volume., Competing Interests: Potential conflicts of interest. All authors: No reported conflicts., (© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)