Syphilis Update and Best Practices | June 24, 2026
Date of Presentation: June 24, 2026
Type: Past Presentation Training
Audience: Clinical
Program: Ending the Epidemics in Indian Country ECHO Program
Keywords: #infectious disease #sexual health #sti #syphilis
In this presentation, Ashley Hoover, MPH, provides an overview of current syphilis epidemiology, clinical stages, diagnosis, screening, and treatment, with a particular emphasis on the rising rates of congenital syphilis and the importance of timely testing and treatment during pregnancy. It also highlights Indian Health Service (IHS) best practices for outbreak response, including universal screening, presumptive treatment, field-based care, and integrated public health strategies to reduce transmission and improve health outcomes.
Presented by:
Ashley Hoover
MPH
Ashley Hoover (she/her) was born and raised in the Florida Keys. Her roots are established from settlers from various backgrounds: her mother’s family is Spanish, Cuban, and of British/Irish descent; her father’s family are Pennsylvania Dutch and Eastern European Jewish descent. Her childhood spent on and in the water, learning about weather patterns, the stars, and our connectedness to marine life established a life-long love for the ocean, the environment, and our responsibility of reciprocity we hold for each other and the Earth we share.
Ashley found her way to working in Indigenous Health through an internship in 2014 at the Northwest Portland Area Indian Health Board where she worked on Maternal and Child Health epidemiology. After graduating from the Tulane School of Public Health and Tropical Medicine in 2015 and working five years on perinatal HIV and congenital syphilis surveillance and prevention activities at the Louisiana Department of Health STD/HIV Program, she found her way back to working in Indian Country and supporting community-led prevention efforts that address systemic and root societal issues that cause health inequities associated with maternal and infant health, sexual health, and safety.
Her professional and self-work over the last decade has involved challenging and dismantling colonial belief systems and infrastructure, racism, transphobia, and homophobia through supporting community-driven public health solutions that moves the needle toward a more equitable and inclusive world for every human—one that not only accepts but demands health as a human right.
The name Pez Luna, Spanish for sunfish, is meant to honor her Hispanic heritage, her childhood spent sailing with her dad on a Sunfish sailing dinghy, and her love of the ocean.
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Date added: June 26, 2026



















































































