Table 14. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States, 2016-2020

Table 14. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States, 2016-2020
State/Territory
Cases
Rates per 100,000 Population
2016 2017 2018 2019 2020 2016 2017 2018 2019 2020
Alabama 376 424 477 618 529 7.7 8.7 9.8 12.6 10.8
Alaska 8 13 55 129 176 1.1 1.8 7.5 17.6 24.1
Arizona 721 943 1,047 1,290 1,454 10.4 13.4 14.6 17.7 20.0
Arkansas 150 234 288 404 502 5.0 7.8 9.6 13.4 16.6
California 5,891 6,708 7,607 8,266 7,688 15.0 17.0 19.2 20.9 19.5
Colorado 250 292 337 486 640 4.5 5.2 5.9 8.4 11.1
Connecticut 110 110 91 210 280 3.1 3.1 2.5 5.9 7.9
Delaware 58 57 30 94 97 6.1 5.9 3.1 9.7 10.0
District of Columbia 161 274 279 308 247 23.6 39.5 39.7 43.6 35.0
Florida 2,406 2,390 2,880 3,189 3,520 11.7 11.4 13.5 14.8 16.4
Georgia 1,350 1,489 1,607 1,750 1,757 13.1 14.3 15.3 16.5 16.5
Hawaii 112 94 92 120 182 7.8 6.6 6.5 8.5 12.9
Idaho 50 64 46 47 66 3.0 3.7 2.6 2.6 3.7
Illinois 1,260 1,225 1,408 1,374 1,467 9.8 9.6 11.1 10.8 11.6
Indiana 326 319 367 336 527 4.9 4.8 5.5 5.0 7.8
Iowa 89 101 86 132 194 2.8 3.2 2.7 4.2 6.1
Kansas 124 133 152 190 150 4.3 4.6 5.2 6.5 5.1
Kentucky 219 262 366 438 445 4.9 5.9 8.2 9.8 10.0
Louisiana 750 679 669 700 704 16.0 14.5 14.4 15.1 15.1
Maine 42 65 74 55 38 3.2 4.9 5.5 4.1 2.8
Maryland 509 573 737 868 873 8.5 9.5 12.2 14.4 14.4
Massachusetts 489 538 552 610 615 7.2 7.8 8.0 8.9 8.9
Michigan 365 480 649 678 787 3.7 4.8 6.5 6.8 7.9
Minnesota 306 292 292 385 417 5.5 5.2 5.2 6.8 7.4
Mississippi 326 310 464 690 741 10.9 10.4 15.5 23.2 24.9
Missouri 400 507 806 817 829 6.6 8.3 13.2 13.3 13.5
Montana 14 48 45 67 45 1.3 4.6 4.2 6.3 4.2
Nebraska 67 43 119 136 104 3.5 2.2 6.2 7.0 5.4
Nevada 444 587 682 808 767 15.1 19.6 22.5 26.2 24.9
New Hampshire 40 43 64 47 51 3.0 3.2 4.7 3.5 3.8
New Jersey 472 499 570 631 764 5.3 5.5 6.4 7.1 8.6
New Mexico 189 193 304 511 467 9.1 9.2 14.5 24.4 22.3
New York 2,455 2,355 2,654 2,865 3,022 12.4 11.9 13.6 14.7 15.5
North Carolina 1,082 1,138 1,098 1,122 1,322 10.7 11.1 10.6 10.7 12.6
North Dakota 33 44 41 45 32 4.4 5.8 5.4 5.9 4.2
Ohio 716 832 740 749 1,084 6.2 7.1 6.3 6.4 9.3
Oklahoma 264 373 531 791 941 6.7 9.5 13.5 20.0 23.8
Oregon 327 352 424 454 628 8.0 8.5 10.1 10.8 14.9
Pennsylvania 755 793 797 991 1,046 5.9 6.2 6.2 7.7 8.2
Rhode Island 90 71 96 101 89 8.5 6.7 9.1 9.5 8.4
South Carolina 316 361 384 516 652 6.4 7.2 7.6 10.0 12.7
South Dakota 26 33 41 48 66 3.0 3.8 4.6 5.4 7.5
Tennessee 390 488 553 676 767 5.9 7.3 8.2 9.9 11.2
Texas 1,955 2,233 2,538 2,357 2,708 7.0 7.9 8.8 8.1 9.3
Utah 92 117 169 138 131 3.0 3.8 5.3 4.3 4.1
Vermont 23 13 11 11 3 3.7 2.1 1.8 1.8 0.5
Virginia 459 536 702 659 701 5.5 6.3 8.2 7.7 8.2
Washington 565 677 802 816 836 7.8 9.1 10.6 10.7 11.0
West Virginia 53 62 65 79 127 2.9 3.4 3.6 4.4 7.1
Wisconsin 132 173 152 179 366 2.3 3.0 2.6 3.1 6.3
Wyoming 7 4 23 11 11 1.2 0.7 4.0 1.9 1.9
US TOTAL 27,814 30,644 35,063 38,992 41,655 8.6 9.4 10.7 11.9 12.7
Northeast 4,476 4,487 4,909 5,521 5,908 8.0 7.9 8.7 9.9 10.6
Midwest 3,844 4,182 4,853 5,069 6,023 5.7 6.1 7.1 7.4 8.8
South 10,824 11,883 13,668 15,259 16,633 8.8 9.6 11.0 12.2 13.2
West 8,670 10,092 11,633 13,143 13,091 11.3 13.0 14.9 16.8 16.7
American Samoa NR NR 0 0 0 0.0 0.0 0.0
Guam 2 13 18 5 5 1.2 7.8 10.7 3.0 3.0
Northern Mariana Islands NR NR 1 1 2 1.9 1.9 3.8
Puerto Rico 493 411 365 329 276 14.5 12.3 11.1 10.3 8.6
Virgin Islands 0 0 NR NR 4 0.0 0.0 3.7
TERRITORIES 495 424 384 335 287 13.4 11.7 10.8 9.7 8.0
TOTAL 28,309 31,068 35,447 39,327 41,942 8.7 9.4 10.7 11.9 12.6
NR = No report.

NOTE: See Technical Notes for more information on interpreting case counts and rates in US territories. 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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