Table 20. Congenital Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2021

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Table 20. Congenital Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2021
Rank* State† Cases Rate per 100,000 Live Births
1 Arizona 181 232.3
2 New Mexico 44 205.7
3 Louisiana 110 191.5
4 Mississippi 64 182.0
5 Texas 680 182.0
6 Oklahoma 85 175.6
7 South Dakota 16 140.7
8 Arkansas 50 139.0
9 Nevada 45 133.6
10 Hawaii 20 128.0
11 California 518 123.2
12 Missouri 66 95.0
13 West Virginia 15 87.2
14 Florida 180 83.2
15 Montana 9 80.1
US TOTAL‡ 2,855 77.9
16 Georgia 93 75.0
17 Oregon 27 66.0
18 Alabama 37 63.7
19 Washington 53 63.2
20 Alaska 5 53.4
21 Kentucky 25 47.9
22 Tennessee 39 47.7
23 Colorado 30 47.7
24 New Jersey 48 47.3
25 Michigan 42 40.0
26 Ohio 51 39.3
27 Illinois 50 37.8
28 North Carolina 42 34.9
29 South Carolina 19 33.2
30 Iowa 11 29.9
31 Indiana 20 25.0
32 Wisconsin 15 24.3
33 Minnesota 15 23.3
34 Idaho 5 22.3
35 Kansas 7 20.2
36 North Dakota 2 19.8
37 New York 41 19.5
38 Rhode Island 2 19.1
39 Virginia 18 18.8
40 Vermont 1 18.6
41 Connecticut 6 16.8
42 Massachusetts 9 13.0
43 Pennsylvania 14 10.6
44 Delaware 1 9.5
45 Utah 2 4.3
46 Nebraska 1 4.1
Maine 0 0.0
New Hampshire 0 0.0
Wyoming 0 0.0
Maryland NR —
 

* States were ranked by rate; then case count, then in alphabetical order, with rates shown rounded to the nearest tenth.

† Mother’s state of residence was used to assign case.

‡ Total includes cases reported by the District of Columbia with 6 cases and a rate of 69.3, but excludes territories.

NR = No report.

NOTE: The COVID-19 pandemic has introduced uncertainty and difficulty in interpreting STD data collected during 2020 and 2021. See Impact of COVID-19 on STDs for more information. Due to a network security incident in December 2021, the Maryland Department of Health could not finalize their 2021 STD case notification data. Although 2021 data from Maryland are included in the national case count and rate displayed in this table, state-specific data have been suppressed.

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