Table 26. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2016

Rank* State Cases Rate per 100,000 Population
1 Louisiana 750 16.1
2 Nevada 444 15.4
3 California 5,891 15.0
4 Georgia 1,350 13.2
5 New York 2,455 12.4
6 Florida 2,406 11.9
7 Mississippi 326 10.9
8 North Carolina 1,082 10.8
9 Arizona 721 10.6
10 Illinois 1,260 9.8
11 New Mexico 189 9.1
  U.S. TOTAL† 27,814 8.7
12 Rhode Island 90 8.5
13 Maryland 509 8.5
14 Oregon 327 8.1
15 Washington 565 7.9
16 Hawaii 112 7.8
17 Alabama 376 7.7
18 Massachusetts 489 7.2
19 Texas 1,955 7.1
20 Oklahoma 264 6.7
21 Missouri 400 6.6
22 South Carolina 316 6.5
23 Ohio 716 6.2
24 Delaware 58 6.1
25 Tennessee 390 5.9
26 Pennsylvania 755 5.9
27 Minnesota 306 5.6
28 Virginia 459 5.5
29 New Jersey 472 5.3
30 Arkansas 150 5.0
31 Kentucky 219 4.9
32 Indiana 326 4.9
33 Colorado 250 4.6
34 North Dakota 33 4.4
35 Kansas 124 4.3
36 Michigan 365 3.7
37 Vermont 23 3.7
38 Nebraska 67 3.5
39 Maine 42 3.2
40 Utah 92 3.1
41 Connecticut 110 3.1
42 South Dakota 26 3.0
43 Idaho 50 3.0
44 New Hampshire 40 3.0
45 West Virginia 53 2.9
46 Iowa 89 2.8
47 Wisconsin 132 2.3
48 Montana 14 1.4
49 Wyoming 7 1.2
50 Alaska 8 1.1

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

† Total includes cases reported by the District of Columbia with 161 cases and a rate of 24.0, but excludes outlying areas (Guam with 2 cases and rate of 1.2, Puerto Rico with 493 cases and rate of 14.2, and Virgin Islands with 0 cases and rate of 0.0).