Table 28. Primary and Secondary Syphilis Among Females — 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 17 37 80 70 88 0.7 1.5 3.2 2.8 3.5
Alaska 1 1 0 1 4 0.3 0.3 0.0 0.3 1.1
Arizona 50 47 80 158 177 1.5 1.4 2.3 4.5 5.0
Arkansas 23 26 37 64 68 1.5 1.7 2.4 4.2 4.4
California 318 476 744 902 1,255 1.6 2.4 3.8 4.5 6.3
Colorado 6 6 16 18 25 0.2 0.2 0.6 0.6 0.9
Connecticut 7 15 12 13 5 0.4 0.8 0.7 0.7 0.3
Delaware 2 2 3 6 7 0.4 0.4 0.6 1.2 1.4
District of Columbia 5 6 5 7 12 1.4 1.7 1.4 1.9 3.3
Florida 137 210 266 321 356 1.3 2.0 2.5 3.0 3.3
Georgia 96 94 113 139 184 1.9 1.8 2.1 2.6 3.4
Hawaii 2 1 10 6 7 0.3 0.1 1.4 0.8 1.0
Idaho 0 9 6 15 5 0.0 1.1 0.7 1.8 0.6
Illinois 81 84 95 85 120 1.2 1.3 1.5 1.3 1.8
Indiana 11 28 36 27 26 0.3 0.8 1.1 0.8 0.8
Iowa 6 5 6 9 11 0.4 0.3 0.4 0.6 0.7
Kansas 14 17 12 16 24 1.0 1.2 0.8 1.1 1.6
Kentucky 22 23 21 41 70 1.0 1.0 0.9 1.8 3.1
Louisiana 132 189 192 186 166 5.6 7.9 8.0 7.8 6.9
Maine 3 6 3 9 7 0.4 0.9 0.4 1.3 1.0
Maryland 49 58 54 47 81 1.6 1.9 1.7 1.5 2.6
Massachusetts 23 25 24 26 41 0.7 0.7 0.7 0.7 1.2
Michigan 31 34 31 34 69 0.6 0.7 0.6 0.7 1.4
Minnesota 21 39 37 38 44 0.8 1.4 1.3 1.4 1.6
Mississippi 17 32 58 88 152 1.1 2.1 3.8 5.7 9.9
Missouri 34 54 66 93 161 1.1 1.7 2.1 3.0 5.2
Montana 2 1 1 9 10 0.4 0.2 0.2 1.7 1.9
Nebraska 4 3 5 7 14 0.4 0.3 0.5 0.7 1.5
Nevada 23 23 50 75 119 1.6 1.6 3.4 5.0 8.0
New Hampshire 4 3 4 4 3 0.6 0.4 0.6 0.6 0.4
New Jersey 16 26 24 34 58 0.3 0.6 0.5 0.7 1.3
New Mexico 14 11 27 19 46 1.3 1.0 2.6 1.8 4.4
New York 49 59 115 121 171 0.5 0.6 1.1 1.2 1.7
North Carolina 68 112 109 127 160 1.3 2.2 2.1 2.4 3.0
North Dakota 5 0 3 5 10 1.4 0.0 0.8 1.4 2.7
Ohio 76 68 94 112 92 1.3 1.1 1.6 1.9 1.5
Oklahoma 15 21 41 67 144 0.8 1.1 2.1 3.4 7.3
Oregon 22 35 35 52 92 1.1 1.7 1.7 2.5 4.4
Pennsylvania 47 52 62 76 99 0.7 0.8 1.0 1.2 1.5
Rhode Island 5 4 3 7 12 0.9 0.7 0.6 1.3 2.2
South Carolina 23 37 52 56 67 0.9 1.5 2.0 2.2 2.6
South Dakota 34 7 6 4 11 8.0 1.6 1.4 0.9 2.6
Tennessee 34 23 56 47 67 1.0 0.7 1.6 1.4 1.9
Texas 242 230 230 313 424 1.8 1.7 1.6 2.2 3.0
Utah 1 2 6 4 10 0.1 0.1 0.4 0.3 0.6
Vermont 0 0 3 1 2 0.0 0.0 0.9 0.3 0.6
Virginia 17 17 47 60 77 0.4 0.4 1.1 1.4 1.8
Washington 18 30 51 70 100 0.5 0.8 1.4 1.9 2.7
West Virginia 6 9 10 21 19 0.6 1.0 1.1 2.3 2.1
Wisconsin 7 0 7 12 18 0.2 0.0 0.2 0.4 0.6
Wyoming 0 1 1 0 5 0.0 0.3 0.3 0.0 1.8
US TOTAL 1,840 2,298 3,049 3,722 4,995 1.1 1.4 1.9 2.3 3.0
Northeast 154 190 250 291 398 0.5 0.7 0.9 1.0 1.4
Midwest 324 339 398 442 600 0.9 1.0 1.2 1.3 1.7
South 905 1,126 1,374 1,660 2,142 1.5 1.8 2.2 2.6 3.4
West 457 643 1,027 1,329 1,855 1.2 1.7 2.7 3.4 4.8
American Samoa NR NR NR NR 0 0.0
Guam 2 0 0 2 0 2.5 0.0 0.0 2.5 0.0
Northern Mariana Islands NR NR NR NR 0 0.0
Puerto Rico 30 70 86 66 52 1.6 3.9 4.8 3.8 3.0
Virgin Islands 1 4 0 0 NR 1.8 7.3 0.0 0.0
TERRITORIES 33 74 86 68 52 1.7 3.8 4.5 3.6 2.8
TOTAL 1,873 2,372 3,135 3,790 5,047 1.1 1.4 1.9 2.3 3.0

NR = No report.

NOTE: Cases reported with unknown sex are not included in this table. See Section A1.11 in the Appendix for more information on interpreting case counts and rates in US territories.

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