Table 27. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States, 2014–2018

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State/Territory Cases Rates per 100,000 Population
2014 2015 2016 2017 2018 2014 2015 2016 2017 2018
Alabama 161 280 376 424 477 3.3 5.8 7.7 8.7 9.8
Alaska 15 8 8 13 55 2.0 1.1 1.1 1.8 7.4
Arizona 577 589 721 943 1,047 8.6 8.6 10.4 13.4 14.9
Arkansas 121 134 150 234 288 4.1 4.5 5.0 7.8 9.6
California 3,835 4,908 5,891 6,708 7,607 9.9 12.5 15.0 17.0 19.2
Colorado 186 245 250 292 337 3.5 4.5 4.5 5.2 6.0
Connecticut 86 92 110 110 91 2.4 2.6 3.1 3.1 2.5
Delaware 47 41 58 57 30 5.0 4.3 6.1 5.9 3.1
District of Columbia 116 95 161 274 279 17.6 14.1 23.6 39.5 40.2
Florida 1,740 2,083 2,406 2,390 2,880 8.7 10.3 11.7 11.4 13.7
Georgia 1,234 1,413 1,350 1,489 1,607 12.2 13.8 13.1 14.3 15.4
Hawaii 68 91 112 94 92 4.8 6.4 7.8 6.6 6.4
Idaho 12 57 50 64 46 0.7 3.4 3.0 3.7 2.7
Illinois 863 1,085 1,260 1,225 1,408 6.7 8.4 9.8 9.6 11.0
Indiana 168 285 326 319 367 2.5 4.3 4.9 4.8 5.5
Iowa 72 75 89 101 86 2.3 2.4 2.8 3.2 2.7
Kansas 60 87 124 133 152 2.1 3.0 4.3 4.6 5.2
Kentucky 158 145 219 262 366 3.6 3.3 4.9 5.9 8.2
Louisiana 575 696 750 679 669 12.4 14.9 16.0 14.5 14.3
Maine 16 28 42 65 74 1.2 2.1 3.2 4.9 5.5
Maryland 449 509 509 573 737 7.5 8.5 8.5 9.5 12.2
Massachusetts 301 418 489 538 552 4.5 6.2 7.2 7.8 8.0
Michigan 421 403 365 480 649 4.2 4.1 3.7 4.8 6.5
Minnesota 257 246 306 292 292 4.7 4.5 5.5 5.2 5.2
Mississippi 189 219 326 310 464 6.3 7.3 10.9 10.4 15.5
Missouri 352 307 400 507 806 5.8 5.0 6.6 8.3 13.2
Montana 8 13 14 48 45 0.8 1.3 1.3 4.6 4.3
Nebraska 50 45 67 43 119 2.7 2.4 3.5 2.2 6.2
Nevada 357 335 444 587 682 12.6 11.6 15.1 19.6 22.7
New Hampshire 36 40 40 43 64 2.7 3.0 3.0 3.2 4.8
New Jersey 297 372 472 499 570 3.3 4.2 5.3 5.5 6.3
New Mexico 126 118 189 193 304 6.0 5.7 9.1 9.2 14.6
New York 1,727 2,006 2,455 2,355 2,654 8.7 10.1 12.4 11.9 13.4
North Carolina 733 1,196 1,082 1,138 1,098 7.4 11.9 10.7 11.1 10.7
North Dakota 13 11 33 44 41 1.8 1.5 4.4 5.8 5.4
Ohio 568 560 716 832 740 4.9 4.8 6.2 7.1 6.3
Oklahoma 151 209 264 373 531 3.9 5.3 6.7 9.5 13.5
Oregon 272 345 327 352 424 6.9 8.6 8.0 8.5 10.2
Pennsylvania 532 655 755 793 797 4.2 5.1 5.9 6.2 6.2
Rhode Island 71 77 90 71 96 6.7 7.3 8.5 6.7 9.1
South Carolina 250 294 316 361 384 5.2 6.0 6.4 7.2 7.6
South Dakota 53 39 26 33 41 6.2 4.5 3.0 3.8 4.7
Tennessee 237 349 390 488 553 3.6 5.3 5.9 7.3 8.2
Texas 1,636 1,680 1,955 2,233 2,538 6.1 6.1 7.0 7.9 9.0
Utah 47 65 92 117 169 1.6 2.2 3.0 3.8 5.4
Vermont 5 9 23 13 11 0.8 1.4 3.7 2.1 1.8
Virginia 289 334 459 536 702 3.5 4.0 5.5 6.3 8.3
Washington 344 445 565 677 802 4.9 6.2 7.8 9.1 10.8
West Virginia 28 52 53 62 65 1.5 2.8 2.9 3.4 3.6
Wisconsin 86 79 132 173 152 1.5 1.4 2.3 3.0 2.6
Wyoming 4 5 7 4 23 0.7 0.9 1.2 0.7 4.0
US TOTAL 19,999 23,872 27,814 30,644 35,063 6.3 7.4 8.6 9.4 10.8
Northeast 3,071 3,697 4,476 4,487 4,909 5.5 6.6 8.0 7.9 8.7
Midwest 2,963 3,222 3,844 4,182 4,853 4.4 4.7 5.7 6.1 7.1
South 8,114 9,729 10,824 11,883 13,668 6.8 8.0 8.8 9.6 11.1
West 5,851 7,224 8,670 10,092 11,633 7.8 9.5 11.3 13.0 15.0
American Samoa NR NR NR NR 0 — — — — 0.0
Guam 7 2 2 13 18 4.3 1.2 1.2 7.8 10.8
Northern Mariana Islands NR NR NR NR 1 — — — — 1.9
Puerto Rico 484 531 493 411 365 13.6 15.3 14.5 12.3 10.9
Virgin Islands 2 8 0 0 NR 1.9 7.8 0.0 0.0 —
TERRITORIES 493 541 495 424 384 12.9 14.5 13.4 11.7 10.6
TOTAL 20,492 24,413 28,309 31,068 35,447 6.4 7.5 8.7 9.4 10.8

NR = No report.

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

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Page last reviewed: August 20, 2019
Content source: Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention