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Assessing Syphilis Partner Services in Georgia (2013-2024): Effectiveness in Partner Notification and Impact on
Udodirim N Onwubiko, Kirsten Oliver1, Latasha Terry1
1Georgia Department of Public Health, Atlanta, GA.
Sexually Transmitted Diseases
|December 31, 2025
Summary
Partner services for syphilis control in Georgia are increasingly challenged, with most exposed partners unlocatable. This difficulty in partner notification is linked to a higher likelihood of syphilis reinfection.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Control
Background:
- Partner services (PS) are crucial for syphilis control in the US.
- Georgia faces persistent high syphilis rates and evolving sexual networks.
- Limited data exist on PS effectiveness in Georgia.
Purpose of the Study:
- To evaluate the effectiveness of syphilis partner services in Georgia.
- To assess challenges in partner notification and their impact on syphilis reinfection.
Main Methods:
- Analysis of early syphilis diagnoses in Georgia (2013-2024).
- Assessment of PS engagement, including partner reporting and treatment.
- Quantification of unlocatable partners and evaluation of reinfection risk.
Main Results:
- Only 9% of syphilis-exposed partners were treated.
- The proportion of unlocatable partners increased from 86% (2013) to 95% (2023).
- Unlocatable partners were associated with a 40% higher likelihood of syphilis reinfection.
Conclusions:
- Syphilis partner services in Georgia face significant challenges in reaching exposed individuals.
- A majority of exposed partners remain unlocatable, hindering syphilis control.
- Innovative, patient-centered strategies are needed to improve PS effectiveness.
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