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Germany Reports Record Syphilis Cases in 2024 as Berlin and Hamburg Lead

Health officials cite shifting sexual behaviour and PrEP‑linked testing as factors shaping the rise.

Overview

  • RKI logged 9,519 infections in 2024, a 3.9% increase over 2023 and the highest total since mandatory reporting began in 2001, though growth has slowed from the 23.7% jump seen in 2022.
  • Incidence reached 35.7 per 100,000 in Berlin and 30.3 in Hamburg, compared with a national average of 11.2.
  • Eastern states recorded the lowest rates, led by Brandenburg at 4.5, Thuringia at 6.6, and Saxony‑Anhalt at 6.7 per 100,000.
  • Most infections occur among men who have sex with men, with women accounting for 7.6% of reported cases.
  • Syphilis is curable with antibiotics but can cause severe complications if untreated, including serious risks during pregnancy.