Syphilis cases have soared by 70 per cent in Europe since 2010, data shows.
A report reveals the sexually transmitted infection (STI) reached an all-time high in 2017, with 33,189 confirmed cases in 28 countries across the continent.
This is an increase of more than 13,000 from the 19,797 reported incidences in 2007.
Although an issue throughout Europe, cases of the STI more than doubled between 2010 and 2017 in five countries, including Britain.
Once considered a ‘Victorian disease’, some countries even saw more new cases of syphilis than HIV, the report found.
Researchers from Sweden blame unprotected sex, ‘riskier behaviours among gay men’ and a ‘reduced fear of HIV’ for the surge in syphilis, which can be deadly if untreated.
A report reveals syphilis reached an all-time high in 2017, with 33,189 confirmed cases in 28 countries across Europe. This is an increase of more than 13,000 from the 19,797 cases in 2007
The report was put together by the European Centre for Disease Prevention and Control (ECDC) in Stockholm and led by Dr Andrew Amato-Gauci, head of the HIV, STI and hepatitis programme.
‘The increases in syphilis infections that we see across Europe are a result of several factors,’ Dr Amato-Gauci said.
‘Such as people having sex without condoms and multiple sexual partners, combined with a reduced fear of acquiring HIV,’ Reuters reported.
The ECDC analysed data for 2017 from The European Surveillance System, which records the rate of infectious diseases throughout the continent.
This was compared against a previous report of theirs that looked at syphilis rates as far back as 2010.
The report found more than 260,000 cases of syphilis were diagnosed in Europe between 2007 and 2017.
Rates of the STI began to rise in 2011 and peaked at more than 33,000 in 2017.
Europe even had more reported cases of the Victorian STI than HIV for the first time since the early 2000s.
The problem varied between countries, with the UK, Belgium, France, Germany, Malta and the Netherlands seeing cases more than double from 2010-to-2017.
The largest increase was in Iceland, where cases went from just five in 2010 to 52 in 2017.
Iceland even ended up with the highest syphilis rate in Europe, with 15.4 people having the STI per 100,000 members of the population.
This was followed by Malta at 13.5 cases of syphilis per 100,000 people and then the UK at 11.8 per 100,000 Britons.
But in Estonia and Romania, cases more than halved.
Estonia was among the countries with the lowest syphilis rates at three per 100,000 people.
Two-thirds (67 per cent) of the cases that occurred between 2007 and 2017, where the sexual preferences of the infected were known, were in gay men.
This also varied country-to-country, with more than 80 per cent of cases in France, Germany, Ireland, the Netherlands, Sweden and Britain occurring in homosexual males.
However, gay men made up less than 20 per cent of diagnoses in Latvia, Lithuania and Romania.
Overall in Europe, 23 per cent of cases affected straight men and 15 per cent were in women.
Sexuality aside, men aged between 25 and 34 were the most likely to be infected.
The researchers worry complacency over HIV, particularly among gay men, may be fueling syphilis cases.
‘The introduction of pre-exposure prophylaxis for HIV (PrEP) is likely to also affect future trends in a negative way due to both risk compensation,’ they wrote.
PrEP is a fixed-dose combination of two anti-retroviral drugs, tenofovir and FTC, in one pill.
These medications work together to interfere with an enzyme that HIV uses to infect new cells, which slows down the virus’ attack or prevents it altogether.
The drug is designed for people that have not yet been exposed to the virus to protect themselves against it.
Men who have anal sex with men are more at risk of HIV. This is because the walls of the anus are thin and more easily torn, which allows the virus to enter the bloodstream.
Speaking of Europe’s syphilis problem, Amato-Gauci said: ‘To reverse this trend, we need to encourage people to use condoms consistently with new and casual partners.’