Table 12. Primary and Secondary Syphilis Among Women — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States

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The table below is from Sexually Transmitted Infections Surveillance, 2023.

2019-2023

State/Territory Cases Rates per 100,000 Population
2019 2020 2021 2022 2023 2019 2020 2021 2022 2023
Alabama 126 116 193 348 482 5.0 4.5 7.4 13.3 18.3
Alaska 50 65 79 67 65 14.3 18.6 22.7 19.3 18.7
Arizona 240 314 482 532 462 6.6 8.8 13.2 14.5 12.4
Arkansas 121 206 426 429 370 7.9 13.5 27.8 27.9 23.8
California 1,494 1,520 1,962 1,784 1,293 7.5 7.7 10.0 9.2 6.6
Colorado 62 99 198 232 216 2.2 3.5 6.9 8.1 7.4
Connecticut 20 30 74 55 54 1.1 1.6 4.0 3.0 2.9
Delaware 17 14 28 54 54 3.4 2.8 5.4 10.3 10.1
District of Columbia 21 23 17 18 39 5.7 6.4 4.8 5.1 10.9
Florida 460 520 725 825 880 4.2 4.8 6.5 7.3 7.7
Georgia 195 257 334 504 569 3.6 4.7 6.0 9.0 10.1
Hawaii 23 47 82 69 61 3.2 6.5 11.4 9.6 8.5
Idaho 9 21 20 32 15 1.0 2.3 2.1 3.3 1.5
Illinois 161 215 306 319 369 2.5 3.3 4.8 5.0 5.8
Indiana 54 88 156 178 152 1.6 2.6 4.6 5.2 4.4
Iowa 35 24 73 105 105 2.2 1.5 4.6 6.6 6.6
Kansas 33 26 63 102 126 2.3 1.8 4.3 7.0 8.6
Kentucky 101 112 135 197 223 4.5 4.9 5.9 8.7 9.8
Louisiana 163 177 273 395 371 6.8 7.5 11.6 16.9 15.9
Maine 6 1 9 16 15 0.9 0.1 1.3 2.3 2.1
Maryland 121 140 NR 135 183 3.9 4.4 4.3 5.8
Massachusetts 59 62 65 104 109 1.7 1.7 1.8 2.9 3.0
Michigan 95 113 207 206 180 1.9 2.2 4.1 4.1 3.6
Minnesota 70 85 144 193 144 2.5 3.0 5.1 6.8 5.0
Mississippi 258 296 343 336 364 16.8 19.5 22.6 22.2 24.0
Missouri 178 253 452 498 456 5.7 8.1 14.5 15.9 14.5
Montana 20 8 44 156 155 3.8 1.5 8.1 28.2 27.7
Nebraska 22 18 55 80 77 2.3 1.8 5.6 8.2 7.8
Nevada 159 150 199 257 163 10.4 9.7 12.8 16.3 10.3
New Hampshire 4 6 8 6 8 0.6 0.9 1.1 0.9 1.1
New Jersey 73 116 156 173 131 1.6 2.5 3.3 3.7 2.8
New Mexico 135 141 248 239 231 12.7 13.3 23.3 22.5 21.7
New York 231 268 406 491 416 2.3 2.6 4.0 4.9 4.2
North Carolina 186 207 360 544 495 3.5 3.9 6.7 10.0 8.9
North Dakota 14 11 6 19 36 3.8 2.9 1.6 5.0 9.4
Ohio 114 202 392 586 527 1.9 3.4 6.6 9.9 8.8
Oklahoma 244 338 417 481 413 12.2 17.0 20.8 23.9 20.3
Oregon 105 152 287 345 260 4.9 7.2 13.5 16.3 12.2
Pennsylvania 133 134 192 231 266 2.0 2.0 2.9 3.5 4.0
Rhode Island 7 11 26 23 19 1.3 2.0 4.7 4.1 3.4
South Carolina 104 197 230 315 279 3.9 7.5 8.6 11.6 10.1
South Dakota 15 27 185 341 328 3.4 6.2 42.0 76.3 72.6
Tennessee 105 141 255 318 323 3.0 4.0 7.2 8.9 8.9
Texas 416 583 1,045 1,324 1,282 2.9 4.0 7.1 8.8 8.4
Utah 12 12 26 22 61 0.8 0.7 1.6 1.3 3.6
Vermont 1 0 1 1 0 0.3 0.0 0.3 0.3 0.0
Virginia 66 78 94 144 174 1.5 1.8 2.2 3.3 3.9
Washington 117 159 338 529 535 3.1 4.2 8.8 13.7 13.8
West Virginia 20 45 93 86 89 2.2 5.0 10.4 9.7 10.0
Wisconsin 17 72 214 202 136 0.6 2.4 7.3 6.9 4.6
Wyoming 1 1 5 6 2 0.4 0.4 1.8 2.1 0.7
US TOTAL 6,493 7,901 12,265 14,652 13,763 3.9 4.7 7.3 8.7 8.1
Northeast 534 628 937 1,100 1,018 1.9 2.1 3.2 3.8 3.5
Midwest 808 1,134 2,253 2,829 2,636 2.3 3.3 6.5 8.2 7.6
South 2,724 3,450 5,105 6,453 6,590 4.3 5.4 7.9 9.9 10.0
West 2,427 2,689 3,970 4,270 3,519 6.2 6.9 10.1 10.9 8.9
American Samoa 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0
Commonwealth of the Northern Mariana Islands 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0
Guam 0 1 0 1 2 0.0 1.2 0.0 1.2 2.4
Puerto Rico 52 56 62 91 116 3.1 3.2 3.6 5.4 6.9
US Virgin Islands NR 1 1 0 0 1.8 1.8 0.0 0.0
TERRITORIES TOTAL 52 58 63 92 118 2.9 3.0 3.3 4.9 6.3
TOTAL 6,545 7,959 12,328 14,744 13,881 3.9 4.7 7.3 8.7 8.1
NR = No report

NOTE: See Technical Notes for more information on syphilis case reporting and on interpreting case counts and rates in US territories. This report includes data from years that coincide with the COVID-19 pandemic, which introduced uncertainty and difficulty in interpreting case data. See Impact of COVID-19 on STIs for more information. Due to a network security incident in December 2021, the Maryland Department of Health could not finalize their 2021 STI case notification data. Although 2021 data from Maryland are included in national and regional case counts and rates displayed in this table, state-specific data have been suppressed. Tennessee transitioned STI surveillance information systems in September of 2023 which may have impacted the overall case counts. Caution should be applied in interpretation of these data.