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Table 31. Primary and Secondary Syphilis - Counties and Independent Cities* Ranked by Number of Reported Cases, United States, 2009

Rank† County/Independent City Cases Rate per
100,000 Population
Cumulative Percent
1Los Angeles County, CA 768 7.8 5
2Cook County, IL 634 12.0 10
3New York County, NY 439 26.9 13
4Fulton County, GA 396 39.0 15
5Harris County, TX 327 8.2 18
6San Francisco County, CA 314 38.8 20
7Miami-Dade County, FL 313 13.1 22
8Kings County, NY 308 12.0 24
9Dallas County, TX 294 12.2 27
10Philadelphia County, PA 218 15.1 28
11Bexar County, TX 212 13.1 30
12DeKalb County, GA 207 28.0 31
13San Diego County, CA 190 6.3 33
14Tarrant County, TX 182 10.4 34
15Shelby County, TN 175 19.3 35
16Bronx County, NY 175 12.6 36
17Broward County, FL 172 9.8 38
18Maricopa County, AZ 165 4.2 39
19Washington, D.C. 163 27.5 40
20Jefferson County, TX 158 65.0 41
21Caddo County, LA 141 55.8 42
22Baltimore (City), MD 141 22.1 43
23Wayne County, MI 126 6.5 44
24Forsyth County, NC 122 35.6 45
25Queens County, NY 119 5.2 46
26Mecklenburg County, NC 116 13.0 46
27Jefferson County, AL 115 17.4 47
28Suffolk County, MA 113 15.4 48
29Franklin County, OH 107 9.5 49
30Hamilton County, OH 105 12.3 50
31Hillsborough County, FL 101 8.6 50
32King County, WA 99 5.3 51
33Orleans County, LA 96 30.8 52
34Riverside County, CA 91 4.3 52
35Orange County, CA 90 3.0 53
36Travis County, TX 88 8.8 54
37Clark County, NV 86 4.6 54
38Knox County, TN 80 18.6 55
39Orange County, FL 78 7.3 55
40Wake County, NC 72 8.3 56
41Prince George's County, MD 71 8.6 56
42Marion County, IN 70 8.0 57
43Cuyahoga County, OH 69 5.4 57
44Alameda County, CA 69 4.7 58
45Pulaski County, AR 68 18.0 58
46Davidson County, TN 68 10.9 59
47Cobb County, GA 68 9.7 59
48Denver County, CO 67 11.2 60
49Pinellas County, FL 67 7.4 60
50Sacramento County, CA 67 4.8 61
51Oklahoma County, OK 65 9.2 61
52Hinds County, MS 60 24.2 62
53Jackson County, MO 59 8.8 62
54Santa Clara County, CA 59 3.3 63
55Miller County, AR 54 124.9 63
56Pima County, AZ 54 5.3 63
57Bowie County, TX 53 57.4 64
58Duval County, FL 52 6.1 64
59Hudson County, NJ 49 8.2 64
60Essex County, NJ 49 6.4 65
61St. Landry County, LA 48 52.1 65
62Hennepin County, MN 48 4.2 65
63Clayton County, GA 47 17.2 66
64Lafayette County, LA 46 22.2 66
65Guilford County, NC 46 9.7 66
66Montgomery County, AL 44 19.6 67
67Richland County, SC 44 12.1 67
68Madison County, AL 43 13.5 67
69Gwinnett County, GA 43 5.4 68
70Ouachita County, LA 41 27.3 68
71Jefferson County, KY 41 5.7 68
72Tangipahoa County, LA 40 34.2 69
73Galveston County, TX 40 13.9 69
74Norfolk (City), VA 39 16.7 69
75St. Louis (City), MO 39 11.0 69
76East Baton Rouge County, LA 39 9.1 70
77Multnomah County, OR 38 5.3 70
78Richmond (City), VA 37 18.3 70
79Wayne County, NC 33 29.0 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 2009.

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