Table 18. Unknown Duration or Late Syphilis — 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 461 489 699 974 1,251 9.4 9.7 13.9 19.2 24.5
Alaska 35 47 116 136 147 4.8 6.4 15.8 18.5 20.0
Arizona 1,444 1,637 2,691 3,545 4,109 19.8 22.9 37.0 48.2 55.3
Arkansas 414 484 836 1,293 1,471 13.7 16.1 27.6 42.5 48.0
California 11,817 10,572 13,530 16,022 18,190 29.9 26.7 34.5 41.1 46.7
Colorado 485 604 982 1,545 1,669 8.4 10.5 16.9 26.5 28.4
Connecticut 110 47 269 230 554 3.1 1.3 7.5 6.3 15.3
Delaware 55 53 76 138 156 5.6 5.4 7.6 13.6 15.1
District of Columbia 362 369 374 498 491 51.3 53.5 55.8 74.1 72.3
Florida 4,645 4,319 6,029 7,909 8,531 21.6 20.1 27.7 35.6 37.7
Georgia 2,144 2,038 2,930 3,264 3,947 20.2 19.0 27.1 29.9 35.8
Hawaii 34 113 259 242 281 2.4 7.8 18.0 16.8 19.6
Idaho 61 80 120 168 123 3.4 4.3 6.3 8.7 6.3
Illinois 1,760 1,845 2,421 2,927 3,264 13.9 14.4 19.1 23.3 26.0
Indiana 318 343 602 793 1,042 4.7 5.1 8.8 11.6 15.2
Iowa 126 143 197 251 319 4.0 4.5 6.2 7.8 9.9
Kansas 84 147 256 327 515 2.9 5.0 8.7 11.1 17.5
Kentucky 254 333 445 660 857 5.7 7.4 9.9 14.6 18.9
Louisiana 1,400 1,116 1,577 2,229 2,405 30.1 24.0 34.1 48.6 52.6
Maine 28 15 34 39 63 2.1 1.1 2.5 2.8 4.5
Maryland 888 888 NR 1,238 1,501 14.7 14.4 20.1 24.3
Massachusetts 600 485 675 829 956 8.7 6.9 9.7 11.9 13.7
Michigan 652 677 925 1,067 1,307 6.5 6.7 9.2 10.6 13.0
Minnesota 354 306 470 609 844 6.3 5.4 8.2 10.7 14.7
Mississippi 91 78 1,120 1,845 1,906 3.1 2.6 38.0 62.8 64.8
Missouri 706 916 1,611 1,859 2,095 11.5 14.9 26.1 30.1 33.8
Montana 47 33 98 205 308 4.4 3.0 8.9 18.3 27.2
Nebraska 109 113 207 329 429 5.6 5.8 10.5 16.7 21.7
Nevada 985 909 1,358 1,814 1,819 32.0 29.3 43.2 57.1 56.9
New Hampshire 37 37 33 65 56 2.7 2.7 2.4 4.7 4.0
New Jersey 612 807 1,299 1,382 1,486 6.9 8.7 14.0 14.9 16.0
New Mexico 552 744 1,086 1,365 1,620 26.3 35.1 51.3 64.6 76.6
New York 3,232 2,791 4,040 4,360 4,923 16.6 13.8 20.4 22.2 25.2
North Carolina 1,231 1,256 1,786 2,346 2,604 11.7 12.0 16.9 21.9 24.0
North Dakota 42 44 33 40 94 5.5 5.6 4.3 5.1 12.0
Ohio 718 785 1,250 1,725 1,883 6.1 6.7 10.6 14.7 16.0
Oklahoma 577 515 1,125 1,505 1,611 14.6 13.0 28.2 37.4 39.7
Oregon 416 369 556 716 836 9.9 8.7 13.1 16.9 19.7
Pennsylvania 622 671 1,014 1,389 1,473 4.9 5.2 7.8 10.7 11.4
Rhode Island 213 128 237 271 260 20.1 11.7 21.6 24.8 23.7
South Carolina 92 214 252 420 627 1.8 4.2 4.9 8.0 11.7
South Dakota 28 20 119 410 670 3.2 2.3 13.3 45.1 72.9
Tennessee 898 979 1,350 1,799 1,879 13.1 14.2 19.4 25.5 26.4
Texas 5,707 6,678 9,648 12,874 13,528 19.7 22.9 32.7 42.9 44.3
Utah 169 138 193 247 333 5.3 4.2 5.8 7.3 9.7
Vermont 2 9 2 0 9 0.3 1.4 0.3 0.0 1.4
Virginia 722 591 800 1,216 1,374 8.5 6.8 9.3 14.0 15.8
Washington 632 616 941 1,394 1,786 8.3 8.0 12.2 17.9 22.9
West Virginia 109 160 210 276 288 6.1 8.9 11.8 15.5 16.3
Wisconsin 195 232 502 750 871 3.3 3.9 8.5 12.7 14.7
Wyoming 21 14 17 36 30 3.6 2.4 2.9 6.2 5.1
US TOTAL 47,296 46,997 68,261 87,571 98,791 14.4 14.2 20.6 26.3 29.5
Northeast 5,456 4,990 7,603 8,565 9,780 9.7 8.7 13.3 15.0 17.2
Midwest 5,092 5,571 8,593 11,087 13,333 7.5 8.1 12.5 16.1 19.3
South 20,050 20,560 30,118 40,484 44,427 16.0 16.3 23.7 31.5 34.1
West 16,698 15,876 21,947 27,435 31,251 21.3 20.2 27.9 34.8 39.6
American Samoa 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0
Commonwealth of the Northern Mariana Islands 1 0 2 1 1 1.9 0.0 3.9 1.9 1.9
Guam 21 16 9 15 10 12.5 9.5 5.3 8.9 5.9
Puerto Rico 155 216 391 515 501 4.9 6.6 12.0 16.0 15.6
US Virgin Islands NR 27 28 19 44 25.4 26.4 18.0 41.9
TERRITORIES TOTAL 177 259 430 550 556 5.1 7.1 11.8 15.3 15.5
TOTAL 47,473 47,256 68,691 88,121 99,347 14.3 14.1 20.5 26.2 29.3
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.