Syphilis Epidemic Spreads Across Australia: The Hidden Health Disaster Killing Babies and Destroying Lives
- A preventable and curable disease is wreaking havoc on Australian communities, with infection rates almost doubling in the past decade.
- Dozens of babies have died from congenital syphilis, with 60% of those deaths being First Nations children, sparking outrage and calls for action.
- Experts warn that the country is failing to meet World Health Organization targets to eliminate congenital syphilis, with the Northern Territory bearing the brunt of the outbreak.
- A culturally led approach, driven by Aboriginal health workers, is being hailed as a potential solution to turn the syphilis outbreak around and save lives.
The once-thought conquered disease of syphilis is making a deadly comeback in Australia, leaving a trail of devastation in its wake. As the country struggles to contain the outbreak, experts are sounding the alarm about the catastrophic consequences of inaction.
With dozens of babies already lost to congenital syphilis, and hundreds more at risk, the situation is nothing short of a health disaster.
At the forefront of the crisis is the Northern Territory, where infection rates are a staggering 7.5 times higher than the national average.
It’s here that Dr Kelly Hosking, director of sexual health and blood-borne viruses strategy and policy for NT Health, is leading the charge against the disease.
“It’s a health disaster and a tragedy,” she says, her voice laced with urgency.
“But it’s entirely preventable, so even if a pregnant person got syphilis, we can totally treat that pregnant person, and then the baby will not be at risk any longer.”
As the incident controller for syphilis in the Northern Territory, Dr Hosking has been instrumental in setting up an Incident Management Team (IMT) comprising Indigenous health experts.
Together, they’re working tirelessly to improve services for the communities hit hardest by the outbreak.
Patricia Nundhirribala, an Aboriginal health worker from Numbulwar in south-east Arnhem Land, is one of the many unsung heroes on the frontline of this battle.
She’s traveled over 800 kilometers to access training in Darwin, determined to keep her community safe from the ravages of syphilis.
But the fight against syphilis is not just about treatment; it’s also about addressing the deep-seated issues that have allowed the disease to spread.
Dalabon Jawoyn woman Sarah Betts, senior project officer driving testing, treatment, and community engagement with the NT’s syphilis IMT, is passionate about destigmatising disease and decolonising the system.
“The education needs to be in an environment where it’s culturally safe,” she emphasizes. “Primary healthcare needs to be accessible to the people who need it most during the outbreak.”
As Australia grapples with the consequences of its inaction, bioarchaeologist Professor Maciej Henneberg is digging up the past to better understand the present.
His research into the impacts of syphilis on colonial settlements has shed light on the devastating effects of the disease, which once infected 10% of Australia’s population.
“It was difficult to treat until the 20th century,” he says, his eyes haunted by the memories of the past. “But people can avoid that suffering today.”
Analysis: What This Means for Australia
The resurgence of syphilis in Australia has far-reaching implications for the country’s national security, law enforcement, and community safety. As the disease spreads, it’s not just the health of individuals that’s at risk; it’s also the social fabric of communities.
The fact that 60% of congenital syphilis deaths were First Nations children is a stark reminder of the systemic failures that have led to this crisis.
It’s a wake-up call for the government to take immediate action, investing in culturally led solutions and increasing funding for programs aimed at reducing sexually transmissible infections.
Security analysts say that the outbreak highlights the need for a coordinated national response, one that prioritizes the needs of vulnerable communities and addresses the underlying causes of the crisis.
“We need to do this over repeated cycles, annually for five years,” says NT Chief Health Officer Paul Burgess.
“A conservative estimate for what we would like to see from the Commonwealth is about $25 [million] to $30 million of investment over a five-year period, and we will drive down the case numbers, and we will have success, because we have the buy-in of communities, and we have the buy-in of all of our service providers.”
As the situation continues to unfold, one thing is clear: the fight against syphilis is far from over. But with the right approach, one that combines culturally sensitive solutions with a commitment to addressing systemic failures, there is hope for a better future.
The question is, will Australia rise to the challenge and take the necessary steps to prevent further suffering? Only time will tell.


