Table 28. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases Among Men Who Have Sex with Men by State in Alphabetical Order, United States, 2018–2022
| State/Territory | Cases | Rates per 100,000 Population | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2018 | 2019 | 2020 | 2021 | 2022 | 2018 | 2019 | 2020 | 2021 | 2022 | |
| Alabama | ND | ND | 173 | 280 | 358 | — | — | 399.7 | 646.9 | 827.1 |
| Alaska | 42 | 28 | 20 | 23 | ND | 510.8 | 340.5 | 243.2 | 279.7 | — |
| Arizona | 555 | 612 | 653 | 666 | 658 | 487.3 | 537.4 | 573.4 | 584.8 | 577.8 |
| Arkansas | 121 | 114 | 81 | 137 | 155 | 603.2 | 568.3 | 403.8 | 682.9 | 772.6 |
| California | 3,855 | 3,902 | 3,355 | 3,401 | 3,157 | 516.1 | 522.4 | 449.2 | 455.3 | 422.7 |
| Colorado | 213 | 279 | 321 | 271 | 290 | 182.1 | 238.5 | 274.4 | 231.6 | 247.9 |
| Connecticut | 55 | ND | 132 | ND | ND | 171.7 | — | 412.0 | — | — |
| Delaware | ND | ND | ND | ND | 80 | — | — | — | — | 576.2 |
| District of Columbia | ND | ND | 147 | 156 | 184 | — | — | 300.8 | 319.3 | 376.6 |
| Florida | 1,478 | 1,411 | 1,531 | 1,886 | ND | 342.9 | 327.4 | 355.2 | 437.6 | — |
| Georgia | ND | ND | ND | ND | 805 | — | — | — | — | 541.7 |
| Hawaii | ND | 56 | ND | ND | ND | — | 277.8 | — | — | — |
| Idaho | 24 | ND | ND | ND | ND | 132.9 | — | — | — | — |
| Illinois | 962 | ND | ND | ND | ND | 419.6 | — | — | — | — |
| Indiana | 253 | 167 | 231 | 268 | 201 | 343.4 | 226.7 | 313.5 | 363.7 | 272.8 |
| Iowa | 59 | 68 | 87 | 116 | 91 | 345.5 | 398.2 | 509.5 | 679.3 | 532.9 |
| Kansas | 85 | 82 | 65 | 138 | 112 | 395.1 | 381.2 | 302.2 | 641.5 | 520.7 |
| Kentucky | 160 | 130 | 114 | ND | 178 | 315.8 | 256.6 | 225.0 | — | 351.4 |
| Louisiana | 327 | 294 | 278 | 320 | ND | 632.3 | 568.5 | 537.5 | 618.7 | — |
| Maine | ND | ND | 22 | 35 | 31 | — | — | 182.0 | 289.5 | 256.4 |
| Maryland | 411 | 447 | 420 | ND | ND | 484.8 | 527.3 | 495.4 | — | — |
| Massachusetts | 355 | 415 | 405 | 472 | 486 | 473.9 | 554.0 | 540.7 | 630.1 | 648.8 |
| Michigan | 403 | 357 | 395 | 381 | 383 | 343.0 | 303.9 | 336.2 | 324.3 | 326.0 |
| Minnesota | 173 | ND | ND | ND | ND | 215.3 | — | — | — | — |
| Mississippi | 164 | 185 | 175 | 155 | 200 | 950.0 | 1,071.7 | 1,013.7 | 897.9 | 1,158.5 |
| Missouri | 342 | 321 | ND | ND | ND | 453.5 | 425.6 | — | — | — |
| Montana | 25 | 20 | ND | ND | ND | 250.2 | 200.1 | — | — | — |
| Nebraska | ND | ND | ND | ND | ND | — | — | — | — | — |
| Nevada | 328 | 381 | 361 | 360 | 260 | 639.6 | 742.9 | 703.9 | 701.9 | 507.0 |
| New Hampshire | 45 | 22 | 27 | 53 | 36 | 400.6 | 195.9 | 240.4 | 471.8 | 320.5 |
| New Jersey | 337 | 365 | 371 | 413 | 505 | 402.1 | 435.6 | 442.7 | 492.8 | 602.6 |
| New Mexico | 153 | 144 | ND | ND | ND | 527.6 | 496.6 | — | — | — |
| New York | 1,515 | 1,767 | 2,008 | 2,132 | 2,116 | 551.5 | 643.2 | 730.9 | 776.1 | 770.2 |
| North Carolina | 618 | 577 | 661 | 747 | 903 | 482.8 | 450.7 | 516.4 | 583.6 | 705.4 |
| North Dakota | 9 | 10 | 9 | 17 | 17 | 212.7 | 236.4 | 212.7 | 401.8 | 401.8 |
| Ohio | 426 | 401 | 418 | 546 | 603 | 268.8 | 253.1 | 263.8 | 344.6 | 380.6 |
| Oklahoma | 196 | 238 | 186 | 234 | 236 | 443.8 | 538.9 | 421.1 | 529.8 | 534.3 |
| Oregon | 204 | 181 | 207 | 255 | 322 | 248.0 | 220.0 | 251.6 | 310.0 | 391.5 |
| Pennsylvania | 506 | 552 | 593 | 634 | 582 | 421.4 | 459.8 | 493.9 | 528.1 | 484.7 |
| Rhode Island | 60 | 68 | ND | ND | 55 | 365.9 | 414.6 | — | — | 335.4 |
| South Carolina | 203 | 205 | 207 | 266 | 285 | 520.1 | 525.3 | 530.4 | 681.6 | 730.2 |
| South Dakota | 15 | 17 | 8 | 32 | 37 | 388.7 | 440.5 | 207.3 | 829.2 | 958.8 |
| Tennessee | 336 | 333 | 378 | 286 | 337 | 372.9 | 369.6 | 419.5 | 317.4 | 374.0 |
| Texas | ND | 992 | 994 | ND | 1,341 | — | 193.9 | 194.3 | — | 262.1 |
| Utah | 122 | 105 | 87 | 134 | 145 | 362.4 | 311.9 | 258.4 | 398.0 | 430.7 |
| Vermont | ND | ND | ND | ND | 2 | — | — | — | — | 40.6 |
| Virginia | 428 | 377 | 398 | 418 | 426 | 345.0 | 303.9 | 320.8 | 336.9 | 343.4 |
| Washington | 515 | 485 | ND | ND | 597 | 367.6 | 346.2 | — | — | 426.2 |
| West Virginia | 23 | 25 | 28 | 27 | 26 | 158.8 | 172.7 | 193.4 | 186.5 | 179.6 |
| Wisconsin | ND | ND | 208 | 315 | 500 | — | — | 360.8 | 546.5 | 867.4 |
| Wyoming | 10 | ND | 3 | 7 | 5 | 220.1 | — | 66.0 | 154.0 | 110.0 |
| * Cases are not displayed if the variable used to identify sex of sex partners is complete for <70% of male cases. ND = Not displayed. NOTE: Rates per 100,000 population are calculated based on population estimates of MSM adapted from Grey et al, JMIR Public Health Surveill, 2016. See Technical Notes for more information on syphilis case reporting. This report includes data from years that coincide with the COVID-19 pandemic, which introduced uncertainty and difficulty in interpreting case data. See Impact of COVID-19 on STIs for more information. Due to a network security incident in December 2021, the Maryland Department of Health could not finalize their 2021 STI case notification data; 2021 data from Maryland have been suppressed in this table. |
||||||||||