The hardest to reach and most vulnerable populations are the ones left suffering, after everyone else looks away.

dementia

deformed bones or damaged brains, and they can struggle to hear, see or breathe.

fundamental failure of public health capacity,"

Since then, funding has remained anemic.

The department also doesn't have anyone who can administer penicillin injections in the field;

The decisions are often politically driven and can be detached from actual health needs.

Syphilis had spread through her bones and lungs.

hair loss is a symptom of syphilis.

Then, there are the miscarriages, the stillbirths

Six states have no prenatal screening requirement at all. Even in states that require three tests, public health officials say that many physicians aren't aware of the requirements.