Reported cases of three sexually-transmitted diseases have reached an all-time high in the United States.

A report published Tuesday by the Centers for Disease Control and Prevention reveals more than 2.4 million U.S. residents were diagnosed with gonorrhea, chlamydia or syphilis over the past year. The report blames a decline in condom use for the spike.

“Not that long ago, gonorrhea rates were at historic lows, syphilis was close to elimination, and we were able to point to advances in STD prevention,” Dr. Gail Bolan writes in the report. “That progress has since unraveled. The number of reported syphilis cases is climbing after being largely on the decline since 1941, and gonorrhea rates are now increasing.”

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