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Group B Strep (Invasive)

Clear stable
Invasive bacterialVaccine available
Current NYS Status

970 cases in 2024 — near the 5-year baseline of ~1,188.

2024 statewide cases: 970
Source: NYSDOH Annual Communicable Disease Report 2024 + 5-yr baseline

What is it?

Invasive Group B Streptococcus (GBS) disease is caused by Streptococcus agalactiae entering sterile body sites. NYS had 970 cases in 2024. GBS is the leading cause of sepsis, pneumonia, and meningitis in newborns in the United States. It also commonly infects pregnant women, elderly adults, and people with underlying health conditions.

How it spreads

GBS colonizes the intestines and vagina of about 25% of healthy adults without causing illness. Newborns can acquire GBS from their mother during delivery. In adults, invasive GBS occurs when the bacteria enter the bloodstream or other sterile sites, often related to underlying health conditions.

Symptoms

In newborns: fever, difficulty breathing, poor feeding, limpness, and abnormal heart rate — can progress to sepsis, pneumonia, or meningitis. In adults: bloodstream infection, pneumonia, skin and soft tissue infections, or urinary tract infections, often in the setting of underlying illness.

Who is at risk?

Newborns, especially those born to mothers with GBS colonization who did not receive intrapartum antibiotics. Adults over 65, pregnant people, and those with diabetes, heart disease, cancer, or obesity.

What you can do

👁All pregnant people should be tested for GBS colonization at 36–37 weeks of pregnancy — testing is standard of care
⚕️If GBS-positive, intrapartum antibiotics (IV penicillin during labor) reduce risk of newborn infection by 80%
⚕️Seek care for any sudden onset of fever and severe illness in a newborn under 3 months — this is a medical emergency
Tier BAnnual report tracking

Based on NYSDOH annual communicable disease report. Threat level reflects 2024 case counts compared to the 5-year baseline.

Seasonality: year round

This information is for general public health awareness and is not a substitute for professional medical advice, diagnosis, or treatment.