Table 13. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2020

Table 13. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2020
Rank* State Cases Rate per 100,000 Population
1 Nevada 767 24.9
2 Mississippi 741 24.9
3 Alaska 176 24.1
4 Oklahoma 941 23.8
5 New Mexico 467 22.3
6 Arizona 1,454 20.0
7 California 7,688 19.5
8 Arkansas 502 16.6
9 Georgia 1,757 16.5
10 Florida 3,520 16.4
11 New York 3,022 15.5
12 Louisiana 704 15.1
13 Oregon 628 14.9
14 Maryland 873 14.4
15 Missouri 829 13.5
16 Hawaii 182 12.9
US TOTAL† 41,655 12.7
17 South Carolina 652 12.7
18 North Carolina 1,322 12.6
19 Illinois 1,467 11.6
20 Tennessee 767 11.2
21 Colorado 640 11.1
22 Washington 836 11.0
23 Alabama 529 10.8
24 Delaware 97 10.0
25 Kentucky 445 10.0
26 Texas 2,708 9.3
27 Ohio 1,084 9.3
28 Massachusetts 615 8.9
29 New Jersey 764 8.6
30 Rhode Island 89 8.4
31 Virginia 701 8.2
32 Pennsylvania 1,046 8.2
33 Michigan 787 7.9
34 Connecticut 280 7.9
35 Indiana 527 7.8
36 South Dakota 66 7.5
37 Minnesota 417 7.4
38 West Virginia 127 7.1
39 Wisconsin 366 6.3
40 Iowa 194 6.1
41 Nebraska 104 5.4
42 Kansas 150 5.1
43 Montana 45 4.2
44 North Dakota 32 4.2
45 Utah 131 4.1
46 New Hampshire 51 3.8
47 Idaho 66 3.7
48 Maine 38 2.8
49 Wyoming 11 1.9
50 Vermont 3 0.5
* States were ranked by rate, then case count, then in alphabetical order, with rates shown rounded to the nearest tenth.

† Total includes cases reported by the District of Columbia with 247 cases and a rate of 35.0, but excludes territories.

NOTE: The COVID-19 pandemic has introduced uncertainty and difficulty in interpreting 2020 case data. See Impact of COVID-19 on STDs for more information.

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