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Places in England where Syphilis is Prevalent

Syphilis is one of the sexually transmitted diseases that are associated with sores, ulcers, and lesions. It is a worldwide epidemic and has spread to many countries of the world despite huge investments committed to ending its scourge.

While it is reported that the UK government has cut down on budgetary allowances to her public health sector, the increase in the rate of sexually transmitted diseases has by no means remained undiminished considering that there are reports on the alarming prevalence of STDs among school-age teenagers and young adults.

On June 2018, CNN reported that England had an all-time high increase in reported cases of sexually transmitted infections since 1949, with 422,127 diagnoses of such. Syphilis was reported in 2017 to have increased by 20% in 2016 to 7,137 cases. Blacks, gay, bisexual, and other men who have sex with men also had the greatest impact from STDs. This is in addition to teenagers and young adults prone to risky sexual behaviors.

As with other STDs, syphilis has designated hotspots which contribute heavily to a countrywide prevalence of the disease. These areas of potential and actual health dangers are revealed in this article. This information is supported by records filed by the Public Health England’s Sexual and Reproductive Health Profile.

East Midlands

Nottingham has proved to be an STD hotspot for syphilis, trending as the only area in the East Midlands where the rate of syphilis infection is getting worse when compared to the benchmark value allocated to syphilis in the country. In 2017, there were 16.6 cases of syphilis per 100,000 population in Nottingham. Derby and Rutland had similar values with the benchmark value.

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London is the most terrible place where syphilis harbors. Again, the City of London, as in gonorrheal cases, had the highest number with 82.8 cases per 100,000 population. This number is closely followed by those of Hammersmith and Fulham with 64.4 cases, and Camden with a diagnostic rate of 57.8 cases per 100,000 population in 2017. Other counties were badly affected with Barking and Dagenham, Bexley, Bromley, and Enfield maintaining values similar to the country’s standard value.


In the Northeast, Gateshead, Hartlepool, Newcastle upon Tyne, North Tyneside and South Tyneside comparatively, had syphilis cases that were almost of the same value with England’s 12.5 cases per 100,000 population. Syphilis isn’t looking like it would be going anywhere from there soon.


Manchester and Blackpool recently trended as syphilis hotspots in Northeast England with increasing cases per 100,000 population, at 32.7 and 24.3 respectively. Bolton, Bury, Halton, Knowsley, Liverpool, and Oldham kept it moderate with the benchmark value.


Presently, Brighton and Howe is having an upsurge in syphilis cases. Portsmouth is not left out as the second worst county affected by syphilis. Brighton and Howe had a 2017 record of 62.7 cases per 100,000 population. Every other county apart from Medway, Reading, and Slough are syphilis-safe.


Southwest England would have been left out in the syphilis hotspot group just as East of England but for Bournemouth, the Isles of Scilly, and North Somerset that had similar values of syphilis cases considering England’s parametric value.

West Midlands

This region is doing well in combating syphilis. Presently, all but the counties of Herefordshire, Sandwell, Stoke-on-Trent, and Walsall are getting better from syphilis infection. The aforementioned counties are competing with the benchmark value of syphilis in England.

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Yorkshire and the Humber

Barnsley, Kingston upon Hull, Leeds, and North Lincolnshire are syphilis hotspots in the Yorkshire and the Humber region.


Getting treated for syphilis has to follow its diagnosis. In syphilis hotspots, there’s every healthy chance that one in 5 persons is already infected. There is no harmless or safe sex with respect to STDs and their spread. Pregnant women in these regions should be screened compulsorily for syphilis to minimize the incidence of congenital syphilis.

Men who have sex with men are expected to be wary of syphilis hotspots and make it a point of duty to use condoms during sex with persons whose sexual histories are unknown to them. Anonymous hook-ups have been found to facilitate the spread of STDs including syphilis, as such, sex partners cannot be tracked down for diagnosis and treatment.

Generally, there are recommendations for staying protected and for reducing the spread of syphilis in endemic regions. Those recommendations border on steering clear from casual, unprotected sex as well as engaging in routine screening for at-risk groups of people. Relying on symptoms of syphilis before getting screened and accessing treatment is tantamount to taking poison.