Table 33. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases in Counties and Independent Cities* Ranked by Number of Reported Cases, United States, 2019

Table 33. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases in Counties and Independent Cities* Ranked by Number of Reported Cases, United States, 2019
Rank* County/Independent City Cases Rate per 100,000 Population Cumulative Percentage
1 Los Angeles County, CA 2,550 25.2 7
2 Cook County, IL 1,007 19.4 9
3 Maricopa County, AZ 947 21.5 12
4 New York County, NY 683 41.9 13
5 Clark County, NV 628 28.1 15
6 Miami-Dade County, FL 581 21.0 16
7 San Francisco County, CA 579 65.5 18
8 San Diego County, CA 547 16.4 19
9 Fulton County, GA 546 52.0 21
10 Harris County, TX 542 11.5 22
11 Orange County, CA 536 16.8 23
12 Kings County, NY 493 19.1 25
13 San Bernardino County, CA 478 22.0 26
14 Philadelphia County, PA 470 29.7 27
15 Sacramento County, CA 433 28.1 28
16 Bronx County, NY 427 29.8 29
17 Broward County, FL 426 21.8 30
18 Riverside County, CA 405 16.5 31
19 Santa Clara County, CA 392 20.2 32
20 Queens County, NY 349 15.3 33
21 King County, WA 338 15.1 34
22 Wayne County, MI 337 19.2 35
23 Dallas County, TX 324 12.3 36
24 Baltimore (City), MD 312 51.8 37
25 Dekalb County, GA 309 40.8 38
26 Orange County, FL 309 22.4 38
27 Washington, D.C. 308 43.8 39
28 Alameda County, CA 290 17.4 40
29 Bernalillo County, NM 267 39.3 41
30 Jackson County, MO 264 37.7 41
31 Oklahoma County, OK 264 33.3 42
32 Kern County, CA 264 29.4 43
33 Hillsborough County, FL 262 18.2 43
34 Bexar County, TX 244 12.3 44
35 Mecklenburg County, NC 238 21.8 44
36 Tulsa County, OK 236 36.4 45
37 Duval County, FL 228 24.0 46
38 Pinellas County, FL 219 22.5 46
39 Multnomah County, OR 217 26.7 47
40 Travis County, TX 217 17.4 47
41 Franklin County, OH 213 16.3 48
42 Tarrant County, TX 210 10.1 48
43 San Joaquin County, CA 209 27.8 49
44 Monroe County, NY 207 27.9 50
45 Shelby County, TN 193 20.6 50
46 Denver County, CO 188 26.2 50
47 Fresno County, CA 188 18.9 51
48 Davidson County, TN 185 26.7 51
49 Jefferson County, KY 181 23.5 52
50 Pima County, AZ 176 16.9 52
51 Prince George’s County, MD 169 18.6 53
52 Hennepin County, MN 167 13.3 53
53 Washoe County, NV 162 34.8 54
54 Pulaski County, AR 160 40.7 54
55 Contra Costa County, CA 159 13.8 54
56 Suffolk County, MA 156 19.3 55
57 Wake County, NC 154 14.1 55
58 Marion County, IN 151 15.8 56
59 Stanislaus County, CA 149 27.1 56
60 St. Louis County, MO 136 13.6 56
61 Middlesex County, MA 135 8.4 57
62 Nueces County, TX 134 37.0 57
63 Jefferson County, AL 128 19.4 57
64 St. Louis (city), MO 125 41.3 58
65 Spokane County, WA 125 24.3 58
66 Palm Beach County, FL 121 8.1 58
67 Orleans Parish, LA 111 28.4 59
68 East Baton Rouge Parish, LA 109 24.7 59
69 Hamilton County, OH 108 13.2 59
70 Essex County, NJ 105 13.1 59
* The top 70 counties and independent cities ranked in descending order by number of cases reported in 2019 then by rate are displayed.

NOTE: Relative rankings of counties may be impacted by completeness of the variable used to identify county. See Technical Notes for more information.

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