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Table 31. Primary and secondary syphilis—Counties and independent cities* ranked by number of reported cases: United States, 2008

Rank County/Independent City Cases Rate per
100,000 Population
Cumulative Percent
1Los Angeles County, CA 822 8.3 6
2New York County, NY 491 30.3 9
3Cook County, IL 488 9.2 13
4Fulton County, GA 386 38.9 16
5Harris County, TX 380 9.7 19
6San Diego County, CA 345 11.6 21
7San Francisco County, CA 344 45.0 24
8Kings County, NY 275 10.9 26
9Miami-Dade County, FL 254 10.6 28
10Broward County, FL 215 12.2 29
11Dallas County, TX 213 9.0 31
12Maricopa County, AZ 207 5.3 32
13Baltimore (City), MD 198 31.1 34
14Shelby County, TN 198 21.8 35
15Bexar County, TX 184 11.5 37
16Jefferson County, AL 183 27.8 38
17DeKalb County, GA 182 24.7 39
18Bronx County, NY 174 12.7 41
19Philadelphia County, PA 150 10.3 42
20Washington, D.C. 146 24.8 43
21Jefferson County, TX 141 58.3 44
22Caddo County, LA 130 51.5 45
23Franklin County, OH 129 11.5 46
24King County, WA 128 6.9 47
25Queens County, NY 122 5.4 48
26Riverside County, CA 118 5.7 48
27Hillsborough County, FL 117 10.0 49
28Tarrant County, TX 103 6.0 50
29Suffolk County, MA 101 14.2 51
30Orange County, CA 98 3.3 52
31Madison County, AL 96 30.7 52
32Orange County, FL 94 8.8 53
33Sacramento County, CA 94 6.8 54
34Orleans County, LA 93 38.9 54
35Travis County, TX 91 9.3 55
36Genesee County, MI 86 19.8 56
37Wayne County, MI 86 4.3 56
38Alameda County, CA 81 5.5 57
39Hennepin County, MN 79 7.0 57
40Davidson County, TN 76 12.3 58
41Cobb County, GA 76 11.0 59
42Prince George's County, MD 75 9.0 59
43Pima County, AZ 74 7.7 60
44Marion County, IN 73 8.3 60
45Clark County, NV 72 3.9 61
46Pinellas County, FL 66 7.2 61
47Knox County, TN 63 14.9 62
48Jackson County, MO 62 9.3 62
49St Louis (City), MO 60 17.1 63
50Denver County, CO 60 10.2 63
51Hudson County, NJ 60 10.0 63
52Duval County, FL 60 7.1 64
53Lafayette County, LA 59 28.8 64
54Pulaski County, AR 58 15.5 65
55East Baton Rouge County, LA 57 13.2 65
56Oklahoma County, OK 57 8.1 66
57Cuyahoga County, OH 57 4.4 66
58Essex County, NJ 56 7.2 66
59Jefferson County, LA 49 11.6 67
60Hamilton County, OH 49 5.8 67
61Gwinnett County, GA 48 6.2 68
62Mecklenburg County, NC 48 5.5 68
63Milwaukee County, WI 45 4.7 68
64Richmond (City), VA 44 22.0 69
65Summit County, OH 42 7.7 69
66Palm Beach County, FL 40 3.2 69
67Santa Clara County, CA 40 2.3 69
68San Bernardino County, CA 39 1.9 70
69Middlesex County, MA 37 2.5 70
70Allegheny County, PA 36 3.0 70

* Accounting for 70% of reported primary and secondary syphilis cases.

Counties and independent cities were ranked in descending order by number of cases reported in 2008.

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