2009 Sexually Transmitted Diseases Surveillance

Table 24. Primary and Secondary Syphilis – Reported Cases and Rates by State, Ranked by Rates, United States, 2009

Rank*	State	Cases	Rate per 100,000 Population
1	Louisiana	741	16.8
2	Georgia	953	9.8
3	Arkansas	275	9.6
4	Alabama	417	8.9
5	Mississippi	237	8.1
6	Texas	1,644	6.8
7	Tennessee	403	6.5
8	North Carolina	579	6.3
9	New York	1,182	6.1
10	Illinois	750	5.8
11	Florida	1,041	5.7
12	Maryland	314	5.6
13	California	1,900	5.2
	U.S. TOTAL†	13,997	4.6
14	Virginia	299	3.8
15	Massachusetts	238	3.7
16	Arizona	231	3.6
17	Nevada	91	3.5
18	Ohio	360	3.1
19	Delaware	27	3.1
20	New Mexico	61	3.1
21	Missouri	173	2.9
22	South Carolina	123	2.7
23	Pennsylvania	341	2.7
24	Oklahoma	97	2.7
25	Hawaii	33	2.6
26	Indiana	158	2.5
27	New Jersey	212	2.4
28	Michigan	230	2.3
29	Kentucky	92	2.2
30	Colorado	105	2.1
31	Washington	139	2.1
32	Rhode Island	20	1.9
33	Connecticut	65	1.9
34	Oregon	57	1.5
35	Minnesota	71	1.4
36	Kansas	32	1.1
37	Utah	31	1.1
38	New Hampshire	14	1.1
39	Wisconsin	44	0.8
40	Iowa	23	0.8
41	North Dakota	4	0.6
42	Wyoming	3	0.6
43	West Virginia	8	0.4
44	Montana	4	0.4
45	Maine	4	0.3
46	Nebraska	5	0.3
	YEAR 2010 TARGET		0.2
47	Idaho	3	0.2
	Alaska	0	0.0
	South Dakota	0	0.0
	Vermont	0	0.0

* States were ranked in descending order by rate, number of cases, and alphabetically.

† Total includes cases reported by the District of Columbia with 163 cases and a rate of 27.5, but excludes outlying areas (Guam with 2 cases and rate of 1.1, Puerto Rico with 227 cases and rate of 5.7, and Virgin Islands with 0 cases and rate of 0.0).

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