2011 Sexually Transmitted Diseases Surveillance

Table 32. Primary and Secondary Syphilis - Reported Cases and Rates in Counties and Independent Cities* Ranked by Number of Reported Cases, United States, 2011

Rank†	County/Independent City	Cases	Rate per 100,000 Population	Cumulative Percentage
1	Los Angeles County, CA	810	8.2	5
2	Cook County, IL	773	14.9	11
3	San Francisco County, CA	388	48.2	14
4	Fulton County, GA	362	39.3	16
5	New York County, NY	353	22.3	19
6	Miami-Dade County, FL	330	13.2	21
7	San Diego County, CA	293	9.5	23
8	Harris County, TX	273	6.7	25
9	Kings County, NY	269	10.7	27
10	Broward County, FL	235	13.4	29
11	King County, WA	234	12.1	30
12	Baltimore (City), MD	233	37.5	32
13	Maricopa County, AZ	208	5.4	34
14	Philadelphia County, PA	207	13.6	35
15	Hamilton County, OH	194	24.2	36
16	Bexar County, TX	184	10.7	38
17	Dallas County, TX	179	7.6	39
18	Washington, D.C.	165	27.4	40
19	Bronx County, NY	153	11.0	41
20	Caddo County, LA	151	59.2	42
21	Wayne County, MI	140	7.7	43
22	Orange County, FL	133	11.6	44
23	Alameda County, CA	133	8.8	45
24	Clark County, NV	126	6.5	46
25	Riverside County, CA	125	5.7	47
26	Hillsborough County, FL	124	10.1	48
27	Tarrant County, TX	124	6.9	49
28	Mecklenburg County, NC	122	13.3	50
29	Sacramento County, CA	119	8.4	51
30	Franklin County, OH	115	9.9	51
31	Shelby County, TN	110	11.9	52
32	Queens County, NY	106	4.8	53
33	Suffolk County, MA	101	14.0	54
34	Travis County, TX	100	9.8	54
35	DeKalb County, GA	98	14.2	55
36	Prince George's County, MD	98	11.4	56
37	Hennepin County, MN	90	7.8	56
38	Marion County, IN	89	9.9	57
39	Orleans County, LA	80	23.3	58
40	Jefferson County, KY	77	10.4	58
41	Denver County, CO	73	12.2	59
42	Jefferson County, AL	71	10.8	59
43	Multnomah County, OR	71	9.7	60
44	Santa Clara County, CA	68	3.8	60
45	Pinellas County, FL	66	7.2	61
46	Orange County, CA	66	2.2	61
47	Palm Beach County, FL	65	4.9	62
48	Richland County, SC	64	16.6	62
49	Contra Costa County, CA	64	6.1	63
50	Davidson County, TN	62	9.9	63
51	Pulaski County, AR	60	15.7	63
52	Hinds County, MS	57	23.2	64
53	Guilford County, NC	57	11.7	64
54	San Bernardino County, CA	57	2.8	65
55	Hudson County, NJ	56	8.8	65
56	East Baton Rouge County, LA	54	12.3	65
57	Cuyahoga County, OH	52	4.1	66
58	Escambia County, FL	50	16.8	66
59	Essex County, NJ	50	6.4	67
60	Jefferson County, TX	46	18.2	67
61	San Joaquin County, CA	46	6.7	67
62	Allegheny County, PA	46	3.8	68
63	St. Louis (City), MO	45	14.1	68
64	Cobb County, GA	45	6.5	68
65	Pima County, AZ	45	4.6	69
66	Wake County, NC	44	4.9	69
67	Polk County, FL	43	7.1	69
68	Baltimore County, MD	42	5.2	69
69	Kern County, CA	42	5.0	70
70	Hampden County, MA	41	8.8	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 then by rate in 2011.

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