<p>Congenital syphilis (CS) remains a leading cause of neonatal morbidity and mortality. CS is a category 2 Notifiable Medical Condition (NMC)- which means all healthcare workers are required to notify cases within 7 days of diagnosis. In June 2022, an increase in congenital syphilis (CS) cases was noted at Standerton Hospital compared to the previous six cases in 2021. We investigated to determine the possible cause of the increase and to implement control and preventative measures.</p>