Table 27. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Area and Region in Alphabetical Order, United States and Outlying Areas, 2013–2017

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State/Area Cases Rates per 100,000 Population
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
Alabama 183 161 280 376 424 3.8 3.3 5.8 7.7 8.7
Alaska 23 15 8 8 13 3.1 2.0 1.1 1.1 1.8
Arizona 287 577 589 721 943 4.3 8.6 8.6 10.4 13.6
Arkansas 177 121 134 150 234 6.0 4.1 4.5 5.0 7.8
California 3,532 3,835 4,908 5,891 6,708 9.2 9.9 12.5 15.0 17.1
Colorado 163 186 245 250 292 3.1 3.5 4.5 4.5 5.3
Connecticut 56 86 92 110 110 1.6 2.4 2.6 3.1 3.1
Delaware 52 47 41 58 57 5.6 5.0 4.3 6.1 6.0
District of Columbia 168 116 95 161 274 26.0 17.6 14.1 23.6 40.2
Florida 1,513 1,740 2,083 2,406 2,390 7.7 8.7 10.3 11.7 11.6
Georgia 1,017 1,234 1,413 1,350 1,489 10.2 12.2 13.8 13.1 14.4
Hawaii 46 68 91 112 94 3.3 4.8 6.4 7.8 6.6
Idaho 15 12 57 50 64 0.9 0.7 3.4 3.0 3.8
Illinois 798 863 1,085 1,260 1,225 6.2 6.7 8.4 9.8 9.6
Indiana 215 168 285 326 319 3.3 2.5 4.3 4.9 4.8
Iowa 106 72 75 89 101 3.4 2.3 2.4 2.8 3.2
Kansas 51 60 87 124 133 1.8 2.1 3.0 4.3 4.6
Kentucky 122 158 145 219 262 2.8 3.6 3.3 4.9 5.9
Louisiana 423 575 696 750 679 9.1 12.4 14.9 16.0 14.5
Maine 10 16 28 42 65 0.8 1.2 2.1 3.2 4.9
Maryland 456 449 509 509 573 7.7 7.5 8.5 8.5 9.5
Massachusetts 360 301 418 489 538 5.4 4.5 6.2 7.2 7.9
Michigan 487 421 403 365 480 4.9 4.2 4.1 3.7 4.8
Minnesota 193 257 246 306 292 3.6 4.7 4.5 5.5 5.3
Mississippi 78 189 219 326 310 2.6 6.3 7.3 10.9 10.4
Missouri 251 352 307 400 507 4.2 5.8 5.0 6.6 8.3
Montana 5 8 13 14 48 0.5 0.8 1.3 1.3 4.6
Nebraska 41 50 45 67 43 2.2 2.7 2.4 3.5 2.3
Nevada 205 357 335 444 587 7.3 12.6 11.6 15.1 20.0
New Hampshire 28 36 40 40 43 2.1 2.7 3.0 3.0 3.2
New Jersey 233 297 372 472 499 2.6 3.3 4.2 5.3 5.6
New Mexico 78 126 118 189 193 3.7 6.0 5.7 9.1 9.3
New York 1,459 1,727 2,006 2,455 2,355 7.4 8.7 10.1 12.4 11.9
North Carolina 404 733 1,196 1,082 1,138 4.1 7.4 11.9 10.7 11.2
North Dakota 12 13 11 33 44 1.7 1.8 1.5 4.4 5.8
Ohio 436 568 560 716 832 3.8 4.9 4.8 6.2 7.2
Oklahoma 118 151 209 264 373 3.1 3.9 5.3 6.7 9.5
Oregon 267 272 345 327 352 6.8 6.9 8.6 8.0 8.6
Pennsylvania 471 532 655 755 793 3.7 4.2 5.1 5.9 6.2
Rhode Island 45 71 77 90 71 4.3 6.7 7.3 8.5 6.7
South Carolina 271 250 294 316 361 5.7 5.2 6.0 6.4 7.3
South Dakota 44 53 39 26 33 5.2 6.2 4.5 3.0 3.8
Tennessee 214 237 349 390 488 3.3 3.6 5.3 5.9 7.3
Texas 1,475 1,636 1,680 1,955 2,233 5.6 6.1 6.1 7.0 8.0
Utah 74 47 65 92 117 2.6 1.6 2.2 3.0 3.8
Vermont 3 5 9 23 13 0.5 0.8 1.4 3.7 2.1
Virginia 315 289 334 459 536 3.8 3.5 4.0 5.5 6.4
Washington 284 344 445 565 677 4.1 4.9 6.2 7.8 9.3
West Virginia 15 28 52 53 62 0.8 1.5 2.8 2.9 3.4
Wisconsin 95 86 79 132 173 1.7 1.5 1.4 2.3 3.0
Wyoming 1 4 5 7 4 0.2 0.7 0.9 1.2 0.7
U.S. TOTAL 17,375 19,999 23,872 27,814 30,644 5.5 6.3 7.4 8.6 9.5
Northeast 2,665 3,071 3,697 4,476 4,487 4.8 5.5 6.6 8.0 8.0
Midwest 2,729 2,963 3,222 3,844 4,182 4.0 4.4 4.7 5.7 6.2
South 7,001 8,114 9,729 10,824 11,883 5.9 6.8 8.0 8.8 9.7
West 4,980 5,851 7,224 8,670 10,092 6.7 7.8 9.5 11.3 13.2
Guam 6 7 2 2 13 3.7 4.3 1.2 1.2 7.8
Puerto Rico 385 484 531 493 411 10.6 13.6 15.3 14.5 12.0
Virgin Islands 2 2 8 0 0 1.9 1.9 7.8 0.0 0.0
OUTLYING AREAS 393 493 541 495 424 10.1 12.9 14.5 13.4 11.5
TOTAL 17,768 20,492 24,413 28,309 31,068 5.6 6.4 7.5 8.7 9.5

NOTE: See Section A1.11 in the Appendix for more information on interpreting case counts and rates in outlying areas.

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