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Infection rates are the highest they have been in 20 years, said David Harvey, the executive director of the National Coalition of STD Directors.

From 2014 to 2015 alone, the number of syphilis cases reported to the Centers for Disease Control and Prevention (CDC) rose by 17.7%, from 63,453 to 74,702.

Nicknamed the “The Great Pretender,” it can cause a head-scratching constellation of symptoms or none at all, depending on the stage.

Technology has complicated matters even further, said Katherine Hsu, the medical director of the Massachusetts Department of Public Health’s Division of STD Prevention & HIV/AIDS Surveillance.

Along with cuts in STD prevention and treatment resources and possibly more relaxed attitudes toward protection since the advent of life-saving HIV treatments, health experts think the influence of social media on how people meet sex partners may play a role in the upswing.“The way our society is forming partners is now through using a lot of social media, and that is affecting the sexual transmission dynamics we are seeing,” said Gail Bolan, the director of the Division of STD Prevention at the CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention.

Tracking and controlling transmission are already tricky since the disease manifests as a small painless lesion about a month after exposure.

It has a “Safety Tips” section under the app’s “Settings" that discusses protection measures such as using a condom, and features a link to a CDC website with information on getting tested.

Before, when “an individual had (primary stage syphilis) and they knew the ...

people they were with in the past 90 days, they could find the people.”Now, she said, “it’s very difficult to contact the partners, because many partners are anonymous.” People don't know their sex partners as intimately as they once did; they may be individuals they know mostly through a profile photo and short blurb.

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However, they must be built upon strong state and local screening, prevention and treatment efforts.

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