Table 17. Early Non-Primary Non-Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States and Territories

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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 540 479 676 881 1,042 11.0 9.5 13.4 17.4 20.4
Alaska 78 130 132 116 80 10.7 17.7 18.0 15.8 10.9
Arizona 1,179 1,249 1,476 1,581 1,826 16.2 17.5 20.3 21.5 24.6
Arkansas 267 234 527 454 530 8.8 7.8 17.4 14.9 17.3
California 8,284 7,673 8,504 8,859 7,430 21.0 19.4 21.7 22.7 19.1
Colorado 453 519 519 606 611 7.9 9.0 8.9 10.4 10.4
Connecticut 159 207 284 275 116 4.5 5.7 7.9 7.6 3.2
Delaware 65 70 89 55 90 6.7 7.1 8.9 5.4 8.7
District of Columbia 414 369 233 494 367 58.7 53.5 34.8 73.5 54.1
Florida 4,142 4,423 5,731 6,035 5,667 19.3 20.5 26.3 27.1 25.1
Georgia 1,733 1,719 1,804 1,814 2,026 16.3 16.0 16.7 16.6 18.4
Hawaii 95 90 105 106 100 6.7 6.2 7.3 7.4 7.0
Idaho 40 36 61 65 61 2.2 2.0 3.2 3.4 3.1
Illinois 1,345 1,227 1,167 1,265 1,365 10.6 9.6 9.2 10.1 10.9
Indiana 326 471 624 612 650 4.8 6.9 9.2 9.0 9.5
Iowa 100 163 216 293 295 3.2 5.1 6.8 9.2 9.2
Kansas 282 234 239 271 342 9.7 8.0 8.1 9.2 11.6
Kentucky 395 352 576 667 656 8.8 7.8 12.8 14.8 14.5
Louisiana 576 614 798 884 897 12.4 13.2 17.3 19.3 19.6
Maine 53 28 40 30 30 3.9 2.1 2.9 2.2 2.1
Maryland 991 891 NR 734 904 16.4 14.4 11.9 14.6
Massachusetts 625 548 626 780 720 9.1 7.8 9.0 11.2 10.3
Michigan 558 566 732 749 872 5.6 5.6 7.3 7.5 8.7
Minnesota 367 368 415 535 387 6.5 6.4 7.3 9.4 6.7
Mississippi 1,222 1,275 592 429 478 41.1 43.1 20.1 14.6 16.3
Missouri 647 556 787 781 768 10.5 9.0 12.8 12.6 12.4
Montana 25 21 22 84 141 2.3 1.9 2.0 7.5 12.4
Nebraska 46 50 78 98 119 2.4 2.5 4.0 5.0 6.0
Nevada 522 496 723 829 696 16.9 16.0 23.0 26.1 21.8
New Hampshire 49 32 39 33 27 3.6 2.3 2.8 2.4 1.9
New Jersey 827 790 1,134 1,167 963 9.3 8.5 12.2 12.6 10.4
New Mexico 203 243 215 267 383 9.7 11.5 10.2 12.6 18.1
New York 4,376 4,770 5,524 5,672 4,516 22.5 23.6 27.8 28.8 23.1
North Carolina 989 1,105 1,331 1,711 1,712 9.4 10.6 12.6 16.0 15.8
North Dakota 10 12 22 22 22 1.3 1.5 2.8 2.8 2.8
Ohio 519 555 874 1,083 1,086 4.4 4.7 7.4 9.2 9.2
Oklahoma 339 380 568 608 692 8.6 9.6 14.2 15.1 17.1
Oregon 357 304 478 523 408 8.5 7.2 11.3 12.3 9.6
Pennsylvania 1,138 1,166 1,478 1,661 1,333 8.9 9.0 11.4 12.8 10.3
Rhode Island 109 97 119 107 100 10.3 8.8 10.9 9.8 9.1
South Carolina 681 796 972 995 1,009 13.2 15.6 18.7 18.8 18.8
South Dakota 8 38 353 730 706 0.9 4.3 39.4 80.2 76.8
Tennessee 639 686 839 888 822 9.4 9.9 12.0 12.6 11.5
Texas 4,065 5,411 7,283 8,534 8,065 14.0 18.6 24.7 28.4 26.4
Utah 120 81 131 181 165 3.7 2.5 3.9 5.4 4.8
Vermont 11 11 4 2 9 1.8 1.7 0.6 0.3 1.4
Virginia 679 646 642 790 832 8.0 7.5 7.4 9.1 9.5
Washington 721 617 866 1,044 973 9.5 8.0 11.2 13.4 12.5
West Virginia 83 111 99 103 108 4.6 6.2 5.6 5.8 6.1
Wisconsin 193 230 375 401 365 3.3 3.9 6.4 6.8 6.2
Wyoming 10 6 10 9 11 1.7 1.0 1.7 1.5 1.9
US TOTAL 41,655 43,145 51,830 56,913 53,573 12.7 13.0 15.6 17.1 16.0
Northeast 7,347 7,649 9,248 9,727 7,814 13.1 13.3 16.2 17.1 13.7
Midwest 4,401 4,470 5,882 6,840 6,977 6.4 6.5 8.5 9.9 10.1
South 17,820 19,561 23,458 26,076 25,897 14.2 15.5 18.4 20.3 19.9
West 12,087 11,465 13,242 14,270 12,885 15.4 14.6 16.8 18.1 16.3
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 3 0 0.0 0.0 0.0 5.8 0.0
Guam 5 0 5 2 0 3.0 0.0 3.0 1.2 0.0
Puerto Rico 458 332 400 524 627 14.3 10.1 12.3 16.3 19.6
US Virgin Islands NR 9 12 8 11 8.5 11.3 7.6 10.5
TERRITORIES TOTAL 463 341 417 537 638 13.4 9.3 11.5 14.9 17.8
TOTAL 42,118 43,486 52,247 57,450 54,211 12.7 13.0 15.6 17.1 16.0
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.