Hungary tightens syphilis screening rules amid rising infection rates

Hungary is implementing stricter medical regulations to combat a rapid increase in syphilis cases, which have surged significantly in recent years. Data indicates that reported cases rose from 1,157 in 2023 to over 2,000 in 2025, with a continued upward trend in the first half of 2026. This rise is particularly concerning regarding congenital syphilis, as the number of infants born with the infection has increased several-fold.

To prevent fetal infection and ensure early treatment, new ministerial regulations will mandate syphilis screening not only during the first trimester but also during the second. Starting in July, repeated testing will be required in the final third of pregnancy. Additionally, a legislative amendment will allow healthcare professionals to access syphilis test results within the Electronic Health Service Space (EESZT), even if the pregnant woman had previously opted out of such data sharing to protect her privacy.

The infection is spreading across various demographics, including the 15-19 age group, and is no longer limited to specific high-risk groups. Regional data shows high infection rates in counties such as Heves, Szabolcs-Szatmár-Bereg, and Bács-Kiskun, with Heves reporting the highest incidence per capita.