The most commonly reported Sexually Transmitted Diseases reached an all-time high in 2015, according to the annual Sexually Transmitted Disease Surveillance Report released Wednesday by the Centers for Disease Control and Prevention (CDC).

Between 2014 and 2015, cases of P&S syphilis grew 19%, gonorrhea grew 12.8% and chlamydia grew 5.9%, according to the report. The CDC credits the rise to state and local STD program budget cuts.

Americans ages 15 to 24-years-old accounted for most chlamydia and gonorrhea diagnoses. Men who had sex with men accounted for the majority of new gonorrhea and primary and secondary syphilis cases, according to a news release.

This summer, the U.S. Preventive Services Task Force (USPSTF) recommended people with the highest risk of syphilis infection, including men who have same-sex partners and people living with HIV, should be tested every three months, rather than once a year.

“We have reached a decisive moment for the nation,” said Dr. Jonathan Mermin, director of CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention in a news release. “STD rates are rising, and many of the country’s systems for preventing STDs have eroded. We must mobilize, rebuild and expand services – or the human and economic burden will continue to grow.”

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