Budget cuts a possible factor for America's rising STD rates

After hitting record lows around 2009, gonorrhea rates have been climbing steadily. Chlamydia and syphilis rates have also been increasing, hitting record national highs in 2016.

A likely culprit? Lack of early screening.

The 2008 recession led to severe budget cuts, which drastically affected state and local STD program budgets. In 2009, 34 states cut STD program funding. These cuts directly affected laboratory, clinical care and screening services, thus nearly removing affordable access for low-income individuals.

STDs under the microscope: See what they look like
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STDs under the microscope: See what they look like
Syphilis is a sexually transmitted infection caused by the spirochete bacterium
Human pap smear showing chlamydia in the vacuoles at 500x and stained with H&E.
Illustration of an infection as a result of the Chlamydia bacterium. Chlamydia trachomatis is responsible for a large part of infertilities, by obstructing the Fallopian tubes, preventing the egg from being fertilised and carried to the uterus.
Gonococcus (neisseria gonorrhoeae) is the bacterium responsable for gonorrhea. In men the symptoms are acute burning when urinating and some discharge (clap). In women the symptoms are burning when urinating, bartholin's cyst, cervisitis, salpingitis.
HIV infection. Computer artwork of HIV particles in the bloodstream.

STD transmission and human sexual health are complex issues, and thus cannot be explained by one factor alone. But it is possible these budgets cuts contributed to the current predicament of increased rates.

From 2013 to 2014 alone, syphilis rates increased by 15 percent, gonorrhea by 5 percent and chlamydia by 2.5 percent.

Compounding the issue of the 2008 state budget cuts is the increasing federal debt. The lack of money nationwide is contributing to pressure to cut costs -- but cutting STD program funding as a money-saving strategy could end up backfiring. The CDC estimates that STD cases "cost the U.S. health care system approximately $16 billion each year."

According to Dr. Jonathan Mermin, director of CDC's National Center for HIV/AIDs, Viral Hepatitis, STD, and TB Prevention, the CDC must "mobilize, rebuild and expand services -- or the human and economic burden will continue to grow."

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