Congenital syphilis increase rate declines while reported cases climb

Cases of congenital syphilis continue to rise in North Carolina, but the rate of increase has slowed, according to data shared with the Perinatal Health Committee Thursday afternoon. 

Dr. Victoria Mobley, the HIV/STD medical director at the North Carolina Department of Health and Human Services Division of Public Health, said 72 cases of congenital syphilis were reported in 2023, with 10 of those cases resulting in a stillborn or neonatal death. 

Between January and May 2024, 41 congenital syphilis cases and three related neonatal deaths were reported, a 31% increase over the past three-year average. 

“We were seeing a 50% increase in women … only just three to six months ago,” Mobley said. “So the rate of increase is low.”

Mobley said that women of color are disproportionately impacted in the reported cases but that the data shows a steady increase in reports from caucasian women. 

“The majority of women who are diagnosed with syphilis during pregnancy have no clinical signs of infection at the time of their diagnosis,” Mobley said. 

North Carolina public health law requires providers to screen pregnant women for syphilis three times: at their first prenatal care visit, between 28 and 30 weeks of gestation and again at delivery, regardless of reported risk factors. 

Mobley said the health department has received 10 survey responses from women affected by the outbreak. While nine of them had access to prenatal care, they all reported an annual household income of less than $40,000 a year and reported having trouble meeting their basic financial responsibilities during their pregnancy. 

“A significant portion of them reported seeking health care other places during their pregnancy other than their prenatal care provider, which is important because we were trying to figure out where the providers are,” Mobley said, adding that many of the women shared they knew very little about syphilis even after their diagnosis. 

A social media campaign launched last December by the health department to raise awareness of congenital syphilis peaked in April, accumulating 28 million impressions overall , including 3.7 million impressions with medical providers. Mobley said the department’s Hispanic audience on social media had the highest click-through rate of any demographic during the campaign. 

Plans to extend the campaign and provide more regional fact sheets for providers are in the works, Mobley said. A congenital syphilis quarterly review board in the next month will analyze every reported congenital syphilis case in the state and identify any missed opportunities for prevention. 

Dr. Marty McCaffrey, a neonatologist at the University of North Carolina and director of the Perinatal Quality Collaborative of North Carolina, said screening for syphilis at admission for labor has been making a huge difference in a preterm infant project he’s a part of, filling a 4% gap of unscreened mothers at 53 hospitals. 

“I’m hoping the numbers for 2024 are going to look much better,” McCaffrey said.

For questions or comments, or to pass along story ideas, please write to Matthew Sasser at [email protected] or contact the NC Insider at [email protected] or @StateAffairsNC 

Gov takes shots at AZ Republicans during the DNC

Hobbs joined seven other women Democratic governors for a panel at the DNC on Wednesday and discussed down-ballot races and advice she’d give Harris while also taking a shot at Arizona’s fake electors. When asked by “Veep” actress Julia Louis-Dreyfuss if Hobbs does IronMan and marathon races to help her “battle” the Republican Legislature, Hobbs initially answered that it’s not about “preparing to fight,” but working alongside the members. However, the governor couldn’t resist dunking on Hoffman and Kern, saying she often uses exercise to cope with “the horrible, indicted fake electors that I have to deal with in the Legislature.” Michigan Gov. Gretchen Whitmer called out Hobbs’ former opponent Lake, telling the audience that if people didn’t vote for Democratic governors, “God forbid, Kari Lake would be governor of Arizona right now.” Hobbs did spend time emphasizing her election-year pet project: flipping the Legislature. She acknowledged that she could not have become governor without spending some time as a state legislator and said “critical decisions” are being made by people elected in down-ballot races. Louis-Dreyfus asked the governors what advice they would give to Harris, and though Hobbs tells reporters she doesn’t like to tell other people how to run their campaigns, she advised the presidential candidate not to take anything for granted. “There’s still a lot of work ahead of us, we have not won and we have to fight for every single vote,” Hobbs said, foreshadowing the battle Harris will face in purple Arizona. 

Measure to pay tipped workers less than minimum wage makes the ballot

The Arizona Supreme Court found the Tipped Workers Protection Act, a measure allowing employers to pay 25% less than minimum wage to workers who make $2 more than hourly minimum wage with tips, does not bear a deceptive, misleading or fraudulent title, clearing the way for the act to appear on the ballot. Raise the Wage Arizona filed suit against the measure championed by the Arizona Restaurant Association, alleging the title was misleading as the measure did not provide protection for tipped workers as it could result in a cut to overall pay in some circumstances. A Maricopa County Superior Court judge found the short title, the “Tipped Workers Protection Act,” did not “imply or promise a raise to the minimum wage,” and therefore did not mislead voters. The state high court agreed on appeal, and in a unanimous decision, the court found the act’s “official and short titles are not deceptive or misleading and do not create a significant danger of electorate confusion or unfairness,” and directed the Secretary of State to place the measure on the ballot. 

Carpenter mentions ‘Chinese Communist Party’ influence as reason to choose Dell over Lenovo in laptop deal

Speaker Pro Tem Blake Carpenter broached concerns over the influence of the Chinese Communist Party on Lenovo during a discussion on Legislature-issued laptops. 

Carpenter, R-Derby, made the remarks during a Legislative Coordinating Council meeting Wednesday as he and other members were presented the findings of a final report outlining a leasing proposal for 185 Legislature-issued laptops. The current four-year deal with Dell expires in December. 

Tom Day, director of Legislative Administrative Services, said his office also reviewed a proposal from Lenovo but recommended inking another four-year contract with Dell for a “2-in-1” laptop that folds backward into a tablet-like device. Carpenter said he felt good about the recommendation, while also voicing concerns about Lenovo. 

He noted that Lenovo Group Limited is a publicly traded company listed on the Hong Kong stock exchange and that Chinese investment firm Legend Holdings owns a significant stake in Lenovo. Carpenter also said Lenovo was founded in China and remains headquartered there.

“Any business or anything else that is conducted or run in China is owned by the CCP,” Carpenter said, while House Majority Leader Chris Croft nodded in agreement as he peered toward Senate President Ty Masterson

Carpenter didn’t ask questions related to the analysis and technical specification comparison of the laptop models in the competing proposals outlined in Day’s memo but added that “Lenovo is not a good deal, in my opinion.” The model in the Lenovo proposal was identified as an X13

Day said a survey distributed by his office to legislators during the session received few responses. But some in the House and Senate, Day said, provided other feedback indicating they much preferred a tablet over a laptop. Dell submitted proposals for two other models, including a tablet,  while Lenovo had the lone option. 

The final selection of the Dell Latitude, according to the report, came down to its ability to be used as a tablet, too. 

Chinese connections

Measures aimed at diminishing China’s future footprint in Kansas largely fizzled during the 2024 legislative session. Senate Bill 271, which would bar government agencies from acquiring and operating drones produced by “countries of concern,” failed to overcome Gov. Laura Kelly’s veto after receiving a 21-16 vote in the Senate. Senate Bill 172, the other measure largely directed at Chinese influence in Kansas, went unresolved before the Legislature convened in early April — but later passed in the House 86-39 and in the Senate 24-14. The bill was ultimately struck down when Kelly vetoed it. Both bills were centered on restricting economic activity with China and other foreign adversaries.

Croft, R-Overland Park, had previously framed the legislation as a national security issue in the realm of “economic warfare” and corporate espionage.

“This is not a partisan issue — [it’s] an issue of survival,”  he said at the time. 

In the lead-up to Kelly’s initial veto, Rep. Rui Xu, D-Westwood, said he sought to bolster the veto case by sending a formal letter to Kelly’s office sharing his view on the bill and ensuring “she had eyes on it.” 

Xu also delivered an impassioned speech on the House floor in March chastising the legislation as “just another in a long list” perpetuating “Asian American exclusion.” 

“This bill starts with a presumption of guilt,” Xu said on the floor.

Other concerns

LCC Chair Dan Hawkins, R-Wichita, wanted to know more about leasing options versus purchasing the laptops. He indicated that based on a previous discussion, the purchase option “seemed doable,” but it wasn’t broached in the final report.

John Langer, director of technical services for the Legislature, told Hawkins he had been too busy with other projects to dig deeper. He added that leasing the laptops takes “the burden off us having to dispose of them.” 

“I wonder how many people at the end of that lease would just keep it and buy it from the state?” Hawkins asked. 

The cost to lease the Dell laptops is $86,594 annually, or $7,2016 monthly. The total four-year cost checks in at $346,376. The deal inked in 2020 was roughly $66,000 annually.

The Kansas Legislative Office of Information Services said the preference was a 48-month lease in the request for proposals. 

In other business, the council appointed Sen. Rick Billinger, R-Goodland, as chair of the Legislative Budget Committee and Rep. Troy Waymaster, R-Bunker Hill, as vice chair.

Matt Resnick is a statehouse reporter at State Affairs Pro Kansas/Hawver’s Capitol Report. Reach him at [email protected].

LD15 House candidate Way accused of carpetbagging

A battle is brewing in LD 15 over whether House candidate Michael Way should be removed from the ballot over reports that he does not meet the residency requirements to run for office. A railbird tells our reporter that some Republicans in LD 15 are frustrated with the state party’s support of Way after the Arizona Republic reported that he lived and voted in elections in North Carolina. The @AZGOP account on X expressed the party’s unequivocal support of Way in a post on Aug. 18, but a Republican precinct committeewoman in LD 15 filed a lawsuit the next day asking the court to remove Way if he is elected in November. The lawsuit proposes that all votes for Way be counted, and a Republican replacement for Way could be appointed by county officials if he wins. In the post on X, the Arizona GOP blamed “The Left and their media allies” for attempting to take Way down in order to win the seat in November, but our railbird opined that the call might be coming from somewhere inside the house. According to the railbird, the state party had previously thrown its support behind Peter Anello for the seat being vacated by J. Parker. Anello was endorsed by Parker and was running as a slate with incumbents Hoffman and Carter. Some Republicans are worried Democrats could challenge the seat in court if Way wins, costing the GOP a seat it needs to retain control of the House. 

State Budget Committee approves additional $101M for IEDC fund

The State Budget Committee on Thursday approved the transfer of an additional $101 million to the Indiana Economic Development Corp.’s deal closing fund.

The money will come from the state’s General Fund balance, according to Joseph Habig, the state’s acting budget director.

In the 2023 state budget, lawmakers earmarked $500 million for the corporation’s deal closing fund. They also noted the appropriation could be augmented, pending budget committee review, for any economic development project with a capital investment of $5 billion or more.

Project Fusion, a $5.9 billion investment in Howard County, according to the corporation, triggered the possibility for the augmentation. The project name is used for a Stellantis/Samsung SDI joint venture that’s building two electric vehicle battery manufacturing plants in Kokomo. To facilitate the investment, the corporation already committed $245 million in performance-based incentives, $120 million of which came from the deal closing fund, according to Cris Johnston, director of the Indiana Office of Management and Budget.

The budget committee also decided Thursday to allow the corporation to spend up to $101 million on projects in the LEAP Lebanon Innovation District — $36 million to purchase about 1,850 acres of land, $15 million for ongoing infrastructure development and up to $50 million to pay the early years of debt service for infrastructure with the capacity to deliver 25 million gallons of water per day to Lebanon — all of which will be paid for out of the deal closing fund.

“As a result of significant investments by Eli Lilly and other companies locating within the LEAP District, the City of Lebanon requires additional water capacity to serve these new tenants as well as to sustain the community’s continued growth,” the agenda request said.

Mark Wasky, senior vice president and special counsel to the secretary of commerce at the corporation, said the additional funds were needed to “sustain the momentum” the corporation has created in Indiana. Wasky told the committee that the corporation, to date, had exhausted $480 million of the state’s initial $500 million appropriation.

Democrats on the budget committee criticized the corporation’s approach and called for more transparency in its dealings. Sen. Fady Qaddoura, D-Indianapolis, said the corporation was “taking advantage of the language” in the state’s budget bill to finance three more projects in addition to Project Fusion.

“I’m personally uncomfortable with augmenting projects on the fly just because language in [House Enrolled Act] 1001 allowed them to do that when we have other crises and priorities in the state of Indiana,” Qaddoura said, noting thousands of Hoosiers are on Medicaid waiver waitlists.

Sen. Chris Garten, R-Charlestown, challenged Qaddoura’s thinking, saying the corporation would provide a financial return on investment. Wasky agreed with Garten’s assertion that the first $101 million earned from land sales in the district would go back to the state’s General Fund. Wasky added that the corporation averages “around [a] 6% to 8%” return on investment.

“The difference is the IEDC [Indiana Economic Development Corp.] is paying the money back. Medicaid is not,” Garten said.

In a statement issued after the meeting, Garten accused Democrats on the committee of “playing politics.”

“The assertion that our state isn’t prioritizing Medicaid investments is simply untrue — the most recent state budget fully funded the Medicaid forecast, and when our state experienced a Medicaid funding shortfall of about $1 billion, we used (and expect to continue to use) our reserves to cover that deficit,” Garten said in the statement.

During the meeting, Qaddoura questioned whether the return on investment for projects incentivized by the Indiana Economic Development Corp. was enough to offset the corporation’s expenditures and tax abatements given to companies at the local level. Rep. Ed DeLaney, D-Indianapolis, told Wasky he was “not impressed by the idea that you overpaid for land and then made a ‘profit’ on it from somebody to whom you’re going to give other money.”

Rep. Gregory Porter, D-Indianapolis, objected to using money from the General Fund to pay for the augmentation, saying it was effectively cutting into the state’s more than $2.5 billion surplus. He also claimed he has been excluded from meetings with the corporation’s leadership.

Porter, one of two Democrats who are voting members on the five-person committee, abstained from the 4-0 vote. The other voting Democratic member, Sen. David Niezgodski, D-South Bend, voted in favor of the committee’s agenda.

Porter’s motion to remove most of the corporation’s requests from the agenda did not receive a second.

Contact Jarred Meeks on X @jarredsmeeks or email him at [email protected].

SCOTUS: Arizona voters must provide citizenship proof to vote

The U.S. Supreme Court allowed a law requiring Arizona voters to provide proof of citizenship to register to vote to go into effect, overturning an Appeals Court decision to keep the law blocked given the proximity to the election. In an order Thursday, the justices granted in part and denied in part an emergency application from the legislative leaders and the Republican National Committee, allowing the state voter registration citizenship provision to go into effect but keeping a block on another provision barring those who failed to provide evidence of citizenship from voting in the presidential election or by mail. The latest ruling from the high court follows lengthy litigation in federal court over the enactment of two 2022 election laws. After the district court blocked the two provisions at hand for violations of the National Voter Registration Act and a 2018 consent decree, the legislative leaders filed an emergency motion with the Ninth Circuit Court of Appeals to stay the enforcement of the court’s injunction. One Ninth Circuit panel agreed to stay parts of the district court’s order, clearing the way for the two laws to go into effect, but after reconsideration, a second Ninth Circuit panel reversed the decision, citing the Purcell principle, which guides the courts against changing election law on the eve of an election. Petersen, Toma and the RNC then took the issue to the Supreme Court, where justices ordered a stay on the district court’s order only as it pertains to the law requiring proof of citizenship to register with the state voter registration form. Justices Thomas, Alito and Gorsuch would have granted the emergency application in full and Sotomayor, Kagan, Barrett and Jackson would deny the application entirely, according to the order. The order noted the injunction would remain in place until either the disposition of appeals in the Ninth Circuit and the disposition of a writ of certiorari, if any of the parties decide to seek additional final review from the U.S. Supreme Court. Both Petersen and Toma said they would continue to litigate the issue. “Our legal battle is far from over,” Petersen said. Toma said in a statement, “I look forward to continuing this litigation in the 9th Circuit to vindicate all of Arizona’s common sense voting laws, and eventually bringing this case before the Supreme Court for a full merits review.” Toma called the ruling a “step in the right direction to require proof of citizenship in all our elections.” RNC Chairman Michael Whatley similarly called the decision a “major victory for election integrity.” Fontes, though, expressed concern about potential voter confusion in a statement. “My concern is that changes to the process should not occur this close to an election” he said. “We respect the Court’s decision and will implement these changes while continuing to protect voter access and make voting a simple process.” 

Voters to decide of creating open primaries in November

A ballot measure creating open primaries will be on the ballot, granted it survives an additional review of signatures as ordered by the Arizona Supreme Court. In a unanimous ruling Thursday, the justices found the Make Elections Fair Act does not violate the separate amendment rule as the “provisions of the Act are topically related, sufficiently interrelated, involve matters that have historically been treated as one subject and are qualitatively similar in their effect on the law” even if the changes do impact more than one section of an article of the Arizona Constitution. The court further found the act did not violate the separate amendment rule either in including an exemption from the revenue source requirement and finding the opposite would “effectively require any initiative be presented in two bites—one for the substance of the Act, and one to address the Revenue Source Rule.” Chief Justice Ann Timmer wrote, “Such a requirement would place too great a burden on the initiative process. Although a revenue source consequence could conceivably stray so far from the subject of an initiative as to be untenable under the Separate Amendment Rule, it does not do so in this case. Here, the exemption from the Revenue Source Rule serves the common purpose of reforming elections—a putative solution relating to a complex matter— ‘while guarding against the passage of a combination of proposals, unrelated to a common principle or purpose, that proponents combine only to garner support from otherwise distinct groups of voters.’” The ruling from the Arizona Supreme Court affirms a prior ruling from the lower court and directs the Secretary of State to include the Make Elections Fair Act on the ballot, “absent any further orders to the contrary.” In addition to a separate amendment challenge, the act also faced a signature challenge. Maricopa Superior Court Judge Frank Moskowitz rejected the signature challenge, finding the plaintiffs failed to establish enough invalid signatures to prevent the measure from the ballot. But on Wednesday, the state supreme court reversed the trial court’s decision to omit admission of exhibits allegedly showing duplicate signatures and remanded the issue, directing Moskowitz to examine the exhibits, “determine whether the exhibits prove any duplicate signatures by clear and convincing evidence,” and proceed accordingly. 

‘Wonderful’ and ‘scary’: Legislative task force begins to study AI

A computer program that can monitor prison security cameras for signs of misconduct. A knowledgeable voice that explains to Hoosiers how to register a car or apply for a marriage license. A way for state agencies to communicate with constituents instantly in any language. 

These are not chapters in a science fiction book. They are ways in which Indiana is considering using artificial intelligence. 

The Indiana General Assembly’s Artificial Intelligence Task Force, created by bipartisan legislation passed earlier this year, met for the first time Wednesday with the goal of figuring out how the state can benefit from the new technology. 

“You can’t put technology back in the bottle and say, ‘We’re not going to do that,’” Rep. Matt Pierce, D-Bloomington, said. “It’s here. It’s going to get used.” 

Continue reading “‘Wonderful’ and ‘scary’: Legislative task force begins to study AI”

Georgia plays a prominent, although louder, role at this convention, too

As the second of the two biggest political party events wraps up this evening in Chicago with Vice President Kamala Harris accepting the Democratic presidential nomination, all eyes in Georgia are turning to the grand finale — the Nov. 5 election.

“We are all energized because we know we are bringing back hope for our future,” political consultant Pat Pullar, one of 108 Georgia delegates at this week’s Democratic National Convention, told State Affairs. “We will register, educate and mobilize our voters because we must do the work to get the next POTUS — Kamala Harris.”

At the Republican National Convention last month in Milwaukee, Georgia’s delegates and Gov. Brian Kemp walked away inspired and ready to push toward November. 

“The conventions portrayed unified bases for both parties, more so than anytime in recent memory,” Georgia Republican strategist Brian Robinson told State Affairs. “Both parties telegraphed that they think working class voters will play a huge role in picking the winner and we saw overt appeals to that group.”

Continue reading “Georgia plays a prominent, although louder, role at this convention, too”

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