Syphilis

Information for Individuals

Testing

  • A health care provider can order syphilis testing for you. They will either collect a blood sample from you or send you to a lab. You can get tested through:
    • Your family health care provider
    • A walk-in/virtual clinic
    • A provider you see at other health services like Nursing Stations or Addiction Treatment Centres
  • The Sexual Health Clinic:
    • In-person appointment at our North Bay or Parry Sound office
    • Phone appointment with blood collected at a lab of your choice
  • Register online with GetaKit.ca, complete a self-assessment, and a paper requisition will be mailed to your home. You take this to a local lab to have your blood drawn for syphilis testing.

Additional syphilis information for guys who are into guys can be found on our Men's Sexual Health page.

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Syphilis Information

SexandU.ca provides credible and up-to-date sexual health information for teens, adults, parents, teachers, and health care providers.

Information for Health Care Providers

Screening and Testing Recommendations

Screening for syphilis is recommended for all sexually active adolescents and adults. 

Individuals with multiple partners should have repeat screening every 3 to 6 months. 

An “opt-out” approach to testing has shown to be effective in certain settings as it limits the need for a detailed sexual health history and normalizes screening.

This strategy can help mitigate under-screening, as some patients may not share their full sexual health history due to prior negative experiences in the health system or other concerns. 

Certain groups/communities with a higher prevalence of syphilis may benefit from an opt-out approach every 3 months. These include:

  • Gay, bisexual, and other men who have sex with men
  • People living with HIV
  • People who are or have been incarcerated
  • People who use substances and/or access addiction services
  • Some Indigenous communities
See complete screening recommendations for more information.

Screening in pregnancy:

Given increased syphilis rates in the Health Unit region and elsewhere in the province, the Health Unit strongly recommends universal syphilis screening at three different points during pregnancy:

  1. During the first trimester or at the first prenatal visit;
  2. Repeat screening at 28 to 32 weeks; and
  3. At delivery.

Information on test ordering for syphilis can be found at Public Health Ontario - Syphilis Serology.

Treatment

We've out together a Management of Syphilis Infections document. This document provides recommendations for interpretation of syphilis results, treatment recommendations, and follow-up serology for syphilis.

Contact our Sexual Health Clinic with any questions, or to order free Penicillin G Benzathine-Long Acting (LA) or other STI medication.

Phone: 705-474-1400 Ext. 5289 Email: clinic@healthunit.ca

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Syphilis Infection Management

Recommendations for interpretation of syphilis results, treatment recommendations and follow-up serology for syphilis.

Additional Information

Local Information

2023 Statistics for Syphilis

Incidence rate is the number of new cases of a disease divided by the number of persons at risk for the disease during a particular time period.

Cases:
12*

Incidence rate per 100,000 in 2023: 8.7

*Includes confirmed cases, infectious and non-infectious in 2023.

Incidence Rate per 100,000 of Syphilis by Year

A line graph showing the crude rate and five year moving average of Syphilis by year within the Health Unit region between 2015 and 2023

  • Case counts: Public Health Ontario. Query: Case counts of reportable diseases by public health unit and year. Toronto, ON: Ontario Agency for Health Protection and Promotion; extracted on April 23, 2024.
  • Population estimates: Statistics Canada 2014-2022, IntelliHEALTH Ontario, Ministry of Health, extracted on January 16, 2025.
  • Population projections: Statistics Canada, 2023, IntelliHEALTH Ontario, Ministry of Health, extracted on April 23, 2024.

Contact Us

North Bay Parry Sound District Health Unit

North Bay
345 Oak Street West

Parry Sound
90 Bowes St, 2nd Floor, Suite 201

Phone 705-474-1400
Toll Free 1-800-563-2808
contact@healthunit.ca