Table 5. Congenital Syphilis — Reported Cases and Rates of Reported Cases by Year of Birth, 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 Live Births
2019 2020 2021 2022 2023 2019 2020 2021 2022 2023
Alabama 15 21 37 43 41 25.6 36.4 63.7 73.9 70.5
Alaska 0 8 5 12 10 0.0 84.5 53.4 128.2 106.8
Arizona 114 121 183 220 233 143.6 157.3 234.9 280.1 296.6
Arkansas 21 23 50 69 64 57.4 65.2 139.0 194.5 180.4
California 444 481 522 616 512 99.4 114.5 124.1 147.0 122.2
Colorado 10 22 30 31 51 15.9 35.8 47.7 49.7 81.8
Connecticut 3 2 7 7 2 8.8 6.0 19.6 19.8 5.7
Delaware 2 2 1 4 5 18.9 19.2 9.5 37.0 46.2
District of Columbia 1 3 6 12 5 11.0 33.8 69.3 148.6 61.9
Florida 145 154 181 277 235 65.9 73.4 83.7 123.4 104.7
Georgia 58 81 93 101 127 45.9 66.1 75.0 80.1 100.7
Hawaii 3 12 20 27 21 17.9 76.0 128.0 173.8 135.2
Idaho 1 2 5 0 0 4.5 9.3 22.3 0.0 0.0
Illinois 32 30 50 87 100 22.8 22.5 37.8 67.8 77.9
Indiana 13 8 20 38 50 16.1 10.2 25.0 47.7 62.8
Iowa 1 1 11 9 12 2.7 2.8 29.9 24.7 32.9
Kansas 9 8 7 13 15 25.4 23.3 20.2 37.8 43.6
Kentucky 9 13 25 35 47 17.0 25.2 47.9 66.9 89.8
Louisiana 68 63 110 115 109 115.4 109.9 191.5 203.6 193.0
Maine 0 0 0 3 2 0.0 0.0 0.0 24.8 16.5
Maryland 32 31 NR 45 69 45.6 45.2 65.4 100.3
Massachusetts 9 10 9 11 14 13.0 15.1 13.0 16.0 20.4
Michigan 17 29 42 36 55 15.8 27.9 40.0 35.2 53.8
Minnesota 21 7 15 21 29 31.8 11.0 23.3 32.8 45.3
Mississippi 3 37 65 77 131 8.2 104.3 184.9 222.1 377.8
Missouri 18 31 66 83 94 25.0 44.7 95.0 120.3 136.3
Montana 1 2 9 15 19 9.0 18.5 80.1 134.2 170.0
Nebraska 0 2 7 12 14 0.0 8.2 28.4 49.3 57.5
Nevada 41 46 45 65 77 116.9 136.7 133.6 195.8 232.0
New Hampshire 2 0 0 3 1 16.9 0.0 0.0 24.8 8.3
New Jersey 15 25 51 50 43 15.1 25.5 50.2 48.6 41.8
New Mexico 28 42 44 76 91 122.0 191.8 205.7 351.6 421.0
New York 27 30 42 50 67 12.2 14.3 19.9 24.1 32.2
North Carolina 27 31 43 57 72 22.7 26.6 35.7 46.9 59.2
North Dakota 0 3 2 2 2 0.0 29.8 19.8 20.9 20.9
Ohio 19 33 51 90 74 14.1 25.5 39.3 70.2 57.7
Oklahoma 42 52 85 110 79 85.5 109.2 175.6 227.6 163.5
Oregon 18 19 27 37 30 43.0 47.7 66.0 93.7 76.0
Pennsylvania 13 15 14 40 37 9.7 11.5 10.6 30.7 28.4
Rhode Island 0 1 2 5 2 0.0 9.9 19.1 48.7 19.5
South Carolina 17 19 19 25 30 29.8 34.1 33.2 43.2 51.9
South Dakota 2 4 16 40 54 17.5 36.5 140.7 357.1 482.1
Tennessee 13 31 40 60 88 16.2 39.4 48.9 72.9 107.0
Texas 530 565 684 922 930 140.4 153.5 183.1 236.6 238.6
Utah 4 1 2 7 16 8.5 2.2 4.3 15.3 35.0
Vermont 0 0 1 0 0 0.0 0.0 18.6 0.0 0.0
Virginia 11 15 18 20 21 11.3 15.8 18.8 20.9 22.0
Washington 17 10 53 52 57 20.0 12.0 63.2 62.4 68.4
West Virginia 6 9 15 13 18 33.1 52.0 87.2 76.8 106.3
Wisconsin 2 7 15 26 25 3.2 11.6 24.3 43.3 41.6
Wyoming 0 1 0 0 2 0.0 16.3 0.0 0.0 33.1
US TOTAL 1,884 2,163 2,881 3,769 3,882 50.3 59.9 78.6 102.8 105.8
Northeast 69 83 126 169 168 11.5 14.4 21.4 28.9 28.7
Midwest 134 163 302 457 524 17.1 21.6 39.7 61.1 70.1
South 1,000 1,150 1,508 1,985 2,071 67.6 80.1 103.2 133.4 139.2
West 681 767 945 1,158 1,119 76.8 90.6 110.8 136.6 132.0
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 0 1 0 1 0.0 0.0 38.1 0.0 39.7
Puerto Rico 7 5 9 5 27 34.4 26.4 46.6 26.2 141.3
US Virgin Islands 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0
TERRITORIES TOTAL 7 5 10 5 28 26.8 20.7 41.5 21.1 118.3
TOTAL 1,891 2,168 2,891 3,774 3,910 50.1 59.6 78.4 102.2 105.9
* Birth parent's state/territory of residence was used to assign case.

NOTE: Cases and rates shown in this table include District of Columbia but exclude US territories. 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.