The number of people in the US who were diagnosed with a sexually transmitted disease in the last year rose to its highest ever level.
Around 2.5m cases of STDs were recorded in 2018, including nearly 1,300 cases of congenital syphilis in newborn children, according to the US Centres for Disease Control and Prevention (CDC).
Congenital syphilis occurs when a mother passes on the infection to their unborn child in the womb.
STD rates climbed year-on-year between 2014 and 2018, with the number of syphilis cases rising by 71% and gonorrhoea cases jumping by 63%.
The number of those diagnosed with chlamydia rose by 19% in the same period.