Table 26. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rates, United States, 2017

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Rank* State Cases Rate per 100,000 Population
1 Nevada 587 20.0
2 California 6,708 17.1
3 Louisiana 679 14.5
4 Georgia 1,489 14.4
5 Arizona 943 13.6
6 New York 2,355 11.9
7 Florida 2,390 11.6
8 North Carolina 1,138 11.2
9 Mississippi 310 10.4
10 Illinois 1,225 9.6
11 Maryland 573 9.5
12 Oklahoma 373 9.5
  U.S. TOTAL† 30,644 9.5
13 Washington 677 9.3
14 New Mexico 193 9.3
15 Alabama 424 8.7
16 Oregon 352 8.6
17 Missouri 507 8.3
18 Texas 2,233 8.0
19 Massachusetts 538 7.9
20 Arkansas 234 7.8
21 Tennessee 488 7.3
22 South Carolina 361 7.3
23 Ohio 832 7.2
24 Rhode Island 71 6.7
25 Hawaii 94 6.6
26 Virginia 536 6.4
27 Pennsylvania 793 6.2
28 Delaware 57 6.0
29 Kentucky 262 5.9
30 North Dakota 44 5.8
31 New Jersey 499 5.6
32 Minnesota 292 5.3
33 Colorado 292 5.3
34 Maine 65 4.9
35 Michigan 480 4.8
36 Indiana 319 4.8
37 Montana 48 4.6
38 Kansas 133 4.6
39 Utah 117 3.8
40 South Dakota 33 3.8
41 Idaho 64 3.8
42 West Virginia 62 3.4
43 Iowa 101 3.2
44 New Hampshire 43 3.2
45 Connecticut 110 3.1
46 Wisconsin 173 3.0
47 Nebraska 43 2.3
48 Vermont 13 2.1
49 Alaska 13 1.8
50 Wyoming 4 0.7

* 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 274 cases and a rate of 40.2, but excludes outlying areas (Guam with 13 cases and rate of 7.8, Puerto Rico with 411 cases and rate of 12.0, and Virgin Islands with 0 cases and rate of 0.0).

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