Democrats press health department for answers after surge in HIV/syphilis in Shelby County

Diagnosed cases of HIV and syphilis among young people aged 15 to 19, diagnosed cases increased 150%. (Photo: Getty Images)

Amid a surge in HIV and syphilis cases in Shelby County, a group of Democratic lawmakers is pressing state health officials for answers.

Cases of HIV and syphilis in the Memphis region increased by 100% over the past five years, according to the Shelby County Department of Health, which has, thus far, not released total case numbers. Among young people aged 15 to 19, diagnosed cases increased 150%.

“This disturbing trend underscores the urgent need for effective public health strategies and resources to combat the spread of these infections.” read the letter, sent late last week.

The lawmakers are demanding an explanation from Tennessee Department of Health Commissioner Dr. Ralph Alvarado about a series of state policy changes that they believe are exacerbating the crisis, rather than addressing it.

Among the changes: a new parental rights law requiring parental consent for teens seeking healthcare services.

The Lookout reported last month that the Tennessee Department of Health quietly instructed public health clinics to turn away teens seeking access to routine healthcare without a parent, citing new legislation known as the Family Rights and Responsibilities Act .

Dept. of Health denying teens preventative healthcare, citing new parental consent law

It’s a significant shift in policy for teens accustomed to seeking out birth control, sexually transmitted disease testing, pregnancy tests and routine healthcare in public health clinics — which serve as the only accessible source of healthcare for teens living in some rural Tennessee communities.

Advocates have warned that the way the Department of Health is interpreting the new law — by concluding it supersedes prior laws that allow teens to access birth control and sexually transmitted disease testing — will deter young people from visiting clinics entirely, exacerbating outbreaks of sexually transmitted disease.

The Department of Health has not yet publicly acknowledged the shift in policy for teens and did not respond to a renewed request for information from the Lookout on Tuesday.

“There hasn’t been anything concrete in writing,” said Rep. Aftyn Behn, a Nashville Democrat. “There hasn’t been any communication from the commissioner.”

Behn said she is concerned that the growing influence of a parental rights movement in Tennessee, which has ushered in a series of laws in recent years giving parents more legal control over teens, shares blame for the surge in HIV and syphilis cases among young people.

“The actual, tangible consequence of the movement is this public health crisis,” she said.

The Democrats are also seeking information on how Gov. Bill Lee’s decision to reject federal HIV funding is impacting the current Shelby County outbreaks.

The reality is this is 2024. Teens are having sex. What they don’t have is the information they need.

– Sen. London Lamar, D-Memphis

Last year Lee announced he would reject millions in funding from the Centers for Disease Control and Prevention for HIV prevention and treatment that previously went to Planned Parenthood clinics in Tennessee.

GOP lawmakers have, for years, fought to remove public funding from the clinics, which also provided abortion services until the state’s strict ban took effect in 2022.

Sen. London Lamar, a Memphis Democrat who signed onto the letter, cited another GOP backed measure as contributing to the current outbreak in Shelby County.

A so-called “Gateway Law” enacted by GOP lawmakers in 2012 requires abstinence-only sexual education in public schools.

“The reality is this is 2024. Teens are having sex. What they don’t have is the information they need,” she said.

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