Table 11. Primary and Secondary Syphilis Among Men — 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 492 413 568 842 978 20.8 16.9 23.2 34.1 39.4
Alaska 79 111 115 93 100 20.7 28.9 29.9 24.1 26.0
Arizona 1,050 1,140 1,500 1,619 1,331 29.0 31.9 41.3 44.0 35.9
Arkansas 283 296 564 572 526 19.1 19.9 37.8 38.0 34.7
California 6,735 6,119 6,678 6,049 5,035 34.3 30.9 34.0 31.0 25.9
Colorado 424 541 574 686 722 14.6 18.5 19.5 23.1 24.3
Connecticut 189 250 246 193 211 10.9 14.1 13.9 10.9 11.9
Delaware 77 81 99 183 126 16.4 16.8 20.3 37.0 25.2
District of Columbia 283 224 240 253 232 84.6 68.2 75.3 79.1 72.1
Florida 2,729 3,000 3,773 3,793 3,484 26.0 28.3 35.2 34.7 31.4
Georgia 1,555 1,500 1,550 1,678 1,641 30.1 28.7 29.4 31.5 30.5
Hawaii 95 127 171 162 121 13.4 17.3 23.6 22.4 16.8
Idaho 38 45 64 86 59 4.2 4.9 6.7 8.8 6.0
Illinois 1,213 1,252 1,180 1,138 1,088 19.5 19.8 18.8 18.3 17.5
Indiana 282 438 578 507 447 8.5 13.0 17.1 14.9 13.1
Iowa 97 170 266 229 226 6.2 10.6 16.6 14.3 14.1
Kansas 157 124 238 245 271 10.8 8.4 16.2 16.6 18.4
Kentucky 337 333 378 473 415 15.3 14.9 16.9 21.1 18.5
Louisiana 537 527 722 830 825 23.7 23.1 31.9 36.9 36.9
Maine 49 37 52 66 58 7.4 5.5 7.7 9.7 8.4
Maryland 747 733 NR 644 695 25.5 24.3 — 21.5 23.1
Massachusetts 547 545 666 709 625 16.3 15.9 19.5 20.7 18.3
Michigan 583 674 765 766 665 11.9 13.5 15.4 15.4 13.4
Minnesota 311 332 419 481 358 11.1 11.6 14.6 16.8 12.5
Mississippi 432 445 486 577 522 30.0 30.8 33.9 40.4 36.6
Missouri 639 576 864 956 876 21.2 19.0 28.4 31.3 28.6
Montana 47 37 52 169 157 8.7 6.7 9.3 29.7 27.4
Nebraska 114 86 130 134 128 11.8 8.7 13.2 13.5 12.9
Nevada 649 617 740 645 562 42.0 39.4 46.7 40.2 35.0
New Hampshire 43 45 65 68 47 6.4 6.6 9.4 9.7 6.7
New Jersey 557 643 752 845 620 12.8 14.1 16.5 18.5 13.6
New Mexico 376 326 476 522 542 36.2 30.9 45.2 49.6 51.6
New York 2,634 2,754 3,094 3,112 2,471 27.9 27.9 31.9 32.3 25.9
North Carolina 936 1,115 1,510 1,929 1,664 18.4 21.8 29.3 36.8 31.4
North Dakota 31 21 43 45 61 7.9 5.2 10.8 11.2 15.2
Ohio 635 882 1,391 1,816 1,398 11.1 15.2 23.9 31.3 24.1
Oklahoma 547 602 808 797 708 27.9 30.5 40.7 39.8 35.1
Oregon 349 475 661 771 550 16.7 22.5 31.2 36.4 26.1
Pennsylvania 857 911 1,117 1,166 913 13.7 14.2 17.5 18.2 14.3
Rhode Island 94 78 183 110 71 18.2 14.5 34.1 20.5 13.2
South Carolina 408 451 599 716 643 16.4 18.1 23.7 27.8 24.6
South Dakota 33 39 251 426 347 7.4 8.7 55.2 92.1 74.2
Tennessee 571 626 697 808 732 17.1 18.5 20.4 23.3 20.9
Texas 1,917 2,122 2,818 3,324 3,280 13.3 14.6 19.1 22.1 21.6
Utah 126 119 179 216 269 7.8 7.2 10.6 12.6 15.5
Vermont 10 3 8 2 3 3.2 0.9 2.5 0.6 0.9
Virginia 579 603 631 787 758 13.8 14.1 14.8 18.3 17.6
Washington 698 672 1,160 1,385 1,108 18.3 17.3 29.8 35.3 28.2
West Virginia 59 82 119 132 104 6.6 9.2 13.4 14.9 11.8
Wisconsin 162 294 508 539 404 5.6 10.0 17.2 18.2 13.7
Wyoming 10 10 11 15 11 3.4 3.4 3.7 5.0 3.7
US TOTAL 32,402 33,646 41,349 44,309 39,188 20.0 20.5 25.2 26.8 23.6
Northeast 4,980 5,266 6,183 6,271 5,019 18.2 18.6 22.0 22.4 18.0
Midwest 4,257 4,888 6,633 7,282 6,269 12.6 14.3 19.4 21.3 18.3
South 12,489 13,153 16,152 18,338 17,333 20.3 21.1 25.8 28.9 27.1
West 10,676 10,339 12,381 12,418 10,567 27.3 26.2 31.4 31.4 26.7
American Samoa 0 0 0 0 0 0.0 0.0 0.0 0.0 0.0
Commonwealth of the Northern Mariana Islands 1 2 0 0 1 3.6 7.3 0.0 0.0 3.7
Guam 5 4 7 1 3 5.8 4.6 8.1 1.1 3.4
Puerto Rico 277 220 270 289 321 18.3 14.1 17.5 19.0 21.2
US Virgin Islands NR 3 1 6 3 — 5.9 2.0 12.0 6.0
TERRITORIES TOTAL 283 229 278 296 328 17.1 13.1 16.0 17.3 19.3
TOTAL 32,685 33,875 41,627 44,605 39,516 20.0 20.4 25.1 26.7 23.6
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.
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Content Source:
National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention; About Division of STD Prevention