Table 39. Late and Late Latent Syphilis* — Reported Cases and Rates of Reported Cases in Selected Metropolitan Statistical Areas (MSAs)† in Alphabetical Order, United States, 2012–2016

MSAs Cases Rates per 100,000 Population
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
Atlanta-Sandy Springs-Roswell, GA 573 782 804 926‡ 1,135 10.5 14.2 14.3 16.2‡ 19.9
Austin-Round Rock, TX 154 134 246 175 212 8.4 7.1 12.7 8.7 10.6
Baltimore-Columbia-Towson, MD 203 218 225 306 321 7.4 7.9 8.1 10.9 11.5
Birmingham-Hoover, AL 79 96 53 62 52‡ 7.0 8.4 4.6 5.4 4.5‡
Boston-Cambridge-Newton, MA-NH 207 211 158‡ 303‡ 267‡ 4.5 4.5 3.3‡ 6.3‡ 5.6‡
Buffalo-Cheektowaga-Niagara Falls, NY 32 62 62 51 49 2.8 5.5 5.5 4.5 4.3
Charlotte-Concord-Gastonia, NC-SC 122 151 180 190 199 5.3 6.5 7.6 7.8 8.2
Chicago-Naperville-Elgin, IL-IN-WI 853 963 988 1,169 1,529 9.0 10.1 10.3 12.2 16.0
Cincinnati, OH-KY-IN 275 191 124 129 105 12.9 8.9 5.8 6.0 4.9
Cleveland-Elyria, OH 82 64 88 120 157 4.0 3.1 4.3 5.8 7.6
Columbus, OH 101 98 101 105 109 5.2 5.0 5.1 5.2 5.4
Dallas-Fort Worth-Arlington, TX 1,132 1,081 1,065 837 1,069 16.9 15.9 15.3 11.8 15.1
Denver-Aurora-Lakewood, CO 74 81 0 59 150 2.8 3.0 0.0 2.1 5.3
Detroit-Warren-Dearborn, MI 252 277 299 274 282 5.9 6.4 7.0 6.4 6.6
Hartford-West Hartford-East Hartford, CT 3 10‡ 10 8 3 0.2 0.8‡ 0.8 0.7 0.2
Houston-The Woodlands-Sugar Land, TX 1,265 1,154 1,430 1,592 1,805 20.5 18.3 22.0 23.9 27.1
Indianapolis-Carmel-Anderson, IN 84 90 83 93 87 4.4 4.6 4.2 4.7 4.4
Jacksonville, FL 73 75 128 179 181 5.3 5.4 9.0 12.3 12.5
Kansas City, MO-KS 38 54 54 40 87 1.9 2.6 2.6 1.9 4.2
Las Vegas-Henderson-Paradise, NV 98 54 133 102 315 4.9 2.7 6.4 4.8 14.9
Los Angeles-Long Beach-Anaheim, CA 1,091 1,705 1,678 1,901 2,529 8.4 13.0 12.7 14.3 19.0
Louisville-Jefferson County, KY-IN 48 52 70 92 112 3.8 4.1 5.5 7.2 8.8
Memphis, TN-MS-AR 291 283 236 256 334 21.7 21.1 17.6 19.0 24.8
Miami-Fort Lauderdale-West Palm Beach, FL 1,032 1,075 1,370 1,519 1,859 17.9 18.4 23.1 25.3 30.9
Milwaukee-Waukesha-West Allis, WI 59 56 63 42 70 3.8 3.6 4.0 2.7 4.4
Minneapolis-St. Paul-Bloomington, MN-WI 105 175 187 192 251 3.1 5.1 5.4 5.4 7.1
Nashville-Davidson-Murfreesboro-Franklin, TN 133 120 148 161 196 7.7 6.8 8.3 8.8 10.7
New Orleans-Metairie, LA 386 442 370 362 357 31.5 35.6 29.6 28.7 28.3
New York-Newark-Jersey City, NY-NJ-PA 2,679 2,707 3,052 2,909 3,521 13.5 13.6 15.2 14.4 17.4
Oklahoma City, OK 15‡ 11 31 32 47 1.2‡ 0.8 2.3 2.4 3.5
Orlando-Kissimmee-Sanford, FL 192 250 362 343 416 8.6 11.0 15.6 14.4 17.4
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 338 439 311 314 265 5.6 7.3 5.1 5.2 4.4
Phoenix-Mesa-Scottsdale, AZ 332 335 397 393 534 7.7 7.6 8.8 8.6 11.7
Pittsburgh, PA 21 11 13 11 11 0.9 0.5 0.6 0.5 0.5
Portland-Vancouver-Hillsboro, OR-WA 99 118 140 154 158 4.3 5.1 6.0 6.4 6.6
Providence-Warwick, RI-MA 32 45 47‡ 71‡ 102‡ 2.0 2.8 2.9‡ 4.4‡ 6.3‡
Raleigh, NC 63 68 109 124 106 5.3 5.6 8.8 9.7 8.3
Richmond, VA 51 58 9 36 35 4.1 4.7 0.7 2.8 2.8
Riverside-San Bernardino-Ontario, CA 465 433 432 508 707 10.7 9.9 9.7 11.3 15.7
Sacramento-Roseville-Arden-Arcade, CA 59 107 134 203 197 2.7 4.8 6.0 8.9 8.7
Salt Lake City, UT 33 34 39 50 75 2.9 3.0 3.4 4.3 6.4
San Antonio-New Braunfels, TX 366 457 448 483 531 16.4 20.1 19.2 20.3 22.3
San Diego-Carlsbad, CA 144 245 310 366 425 4.5 7.6 9.5 11.1 12.9
San Francisco-Oakland-Hayward, CA 321 421 497 550 621 7.2 9.3 10.8 11.8 13.3
San Jose-Sunnyvale-Santa Clara, CA 84 69 125 128 142 4.4 3.6 6.4 6.5 7.2
Seattle-Tacoma-Bellevue, WA 169 161 211 224 268 4.8 4.5 5.7 6.0 7.2
St. Louis, MO-IL 95 104 119 165 160 3.4 3.7 4.2 5.9 5.7
Tampa-St. Petersburg-Clearwater, FL 171 227 254 297 326 6.0 7.9 8.7 10.0 11.0
Virginia Beach-Norfolk-Newport News, VA-NC 100 86 45 90 65 5.9 5.0 2.6 5.2 3.8
Washington-Arlington-Alexandria, DC-VA-MD-WV 517 599 295 500 473 8.8 10.1 4.9 8.2 7.8
SELECTED MSAs TOTAL 15,191 16,739 17,733 19,196 23,007 8.9 9.7 10.1 10.9 13.0

* Late and late latent syphilis includes late latent syphilis, latent syphilis of unknown duration, and late syphilis with clinical manifestations (including late benign syphilis and cardiovascular syphilis).

† MSAs were selected on the basis of the largest population in the 2010 U.S. Census.

‡ The variable used to identify county, which is used to classify cases into MSAs, was complete for ≤95% of cases in a state contributing data to this MSA. See Appendix A1.4 for more information.

NOTE: County was misclassified in the 2016 Alabama STD morbidity data resulting in inaccurate county-level case counts and rates. Tables will be updated when corrected data are available.

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