The rate of American babies born with syphilis has doubled in just four years – hitting a 20-year high, new CDC figures reveal.

Last year 918 newborns contracted the disease from their mothers, up from 362 in 2013, with the majority of cases concentrated in the South and the West, particularly California.

No other sexually-transmitted disease is spreading as far and as fast as syphilis, according to the report, part of the CDC’s annual assessment of STDs.

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