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