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The table below is from Sexually Transmitted Infections Surveillance, 2023.
2023
| Rank* | State | Cases | Rate per 100,000 Population |
|---|---|---|---|
| 1 | Alaska | 2,280 | 310.9 |
| 2 | Louisiana | 13,192 | 288.4 |
| 3 | Georgia | 30,307 | 274.8 |
| 4 | South Dakota | 2,329 | 253.3 |
| 5 | Mississippi | 7,382 | 251.1 |
| 6 | North Carolina | 26,353 | 243.2 |
| 7 | New York | 46,102 | 235.6 |
| 8 | Alabama | 11,592 | 226.9 |
| 9 | South Carolina | 11,950 | 222.4 |
| 10 | Maryland | 12,802 | 207.1 |
| 11 | Florida | 46,726 | 206.7 |
| 12 | Nevada | 6,538 | 204.7 |
| 13 | Illinois | 25,387 | 202.3 |
| 14 | Missouri | 12,513 | 201.9 |
| 15 | Arkansas | 5,932 | 193.4 |
| 16 | Arizona | 14,172 | 190.7 |
| 17 | California | 74,103 | 190.2 |
| 18 | Tennessee | 13,286 | 186.4 |
| US TOTAL† | 601,319 | 179.5 | |
| 19 | Texas | 53,793 | 176.4 |
| 20 | Oklahoma | 6,905 | 170.3 |
| 21 | New Mexico | 3,574 | 169.0 |
| 22 | Ohio | 19,795 | 168.0 |
| 23 | Virginia | 13,795 | 158.3 |
| 24 | Rhode Island | 1,672 | 152.6 |
| 25 | Michigan | 15,274 | 152.2 |
| 26 | Delaware | 1,567 | 151.9 |
| 27 | North Dakota | 1,154 | 147.2 |
| 28 | Pennsylvania | 18,758 | 144.7 |
| 29 | Indiana | 9,881 | 144.0 |
| 30 | Kansas | 4,234 | 144.0 |
| 31 | Massachusetts | 9,786 | 139.8 |
| 32 | Minnesota | 7,717 | 134.5 |
| 33 | Kentucky | 6,081 | 134.4 |
| 34 | Washington | 10,129 | 129.6 |
| 35 | Colorado | 7,563 | 128.7 |
| 36 | Hawaii | 1,818 | 126.7 |
| 37 | Wisconsin | 7,007 | 118.5 |
| 38 | Oregon | 4,960 | 117.2 |
| 39 | Iowa | 3,747 | 116.8 |
| 40 | Nebraska | 2,285 | 115.5 |
| 41 | Connecticut | 4,098 | 113.3 |
| 42 | New Jersey | 10,134 | 109.1 |
| 43 | Utah | 2,664 | 77.9 |
| 44 | Montana | 767 | 67.7 |
| 45 | West Virginia | 968 | 54.7 |
| 46 | Maine | 620 | 44.4 |
| 47 | Wyoming | 247 | 42.3 |
| 48 | New Hampshire | 588 | 41.9 |
| 49 | Idaho | 778 | 39.6 |
| 50 | Vermont | 220 | 34.0 |
| * States were ranked by unrounded rate, then case count, then in alphabetical order, with rates shown rounded to the nearest tenth.
† Total includes cases reported by the District of Columbia with 5,794 cases and a rate of 853.3, but excludes US territories. NOTE: See Technical Notes for more information on gonorrhea case reporting. 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. 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. |