Table 16. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases Among Men Who Have Sex with Men by State in Alphabetical Order, United States

About

The table below is from Sexually Transmitted Infections Surveillance, 2023.

2019-2023

State Cases Rates per 100,000 Population
2019 2020 2021 2022 2023 2019 2020 2021 2022 2023
Alabama ND 173 280 358 372 399.7 646.9 827.1 859.4
Alaska 28 20 23 ND 15 340.5 243.2 279.7 182.4
Arizona 612 653 666 658 573 537.4 573.4 584.8 577.8 503.1
Arkansas 114 81 137 155 123 568.3 403.8 682.9 772.6 613.1
California 3,902 3,355 3,401 3,157 2,693 522.4 449.2 455.3 422.7 360.5
Colorado 279 321 271 290 318 238.5 274.4 231.6 247.9 271.8
Connecticut ND 132 ND ND ND 412.0
Delaware ND ND ND 80 51 576.2 367.4
District Of Columbia ND 147 156 184 157 300.8 319.3 376.6 321.3
Florida 1,411 1,531 1,886 ND ND 327.4 355.2 437.6
Georgia ND ND ND 805 770 541.7 518.1
Hawaii 56 ND ND ND 68 277.8 337.3
Idaho ND ND ND ND ND
Illinois ND ND ND ND ND
Indiana 167 231 268 201 163 226.7 313.5 363.7 272.8 221.2
Iowa 68 87 116 91 82 398.2 509.5 679.3 532.9 480.2
Kansas 82 65 138 112 75 381.2 302.2 641.5 520.7 348.7
Kentucky 130 114 ND 178 155 256.6 225.0 351.4 306.0
Louisiana 294 278 320 ND 286 568.5 537.5 618.7 553.0
Maine ND 22 35 31 31 182.0 289.5 256.4 256.4
Maryland 447 420 ND ND ND 527.3 495.4
Massachusetts 415 405 472 486 408 554.0 540.7 630.1 648.8 544.7
Michigan 357 395 381 383 298 303.9 336.2 324.3 326.0 253.6
Minnesota ND ND ND ND ND
Mississippi 185 175 155 200 149 1,071.7 1,013.7 897.9 1,158.5 863.1
Missouri 321 ND ND ND ND 425.6
Montana 20 ND ND ND 16 200.1 160.1
Nebraska ND ND ND ND 60 598.7
Nevada 381 361 360 260 228 742.9 703.9 701.9 507.0 444.6
New Hampshire 22 27 53 36 ND 195.9 240.4 471.8 320.5
New Jersey 365 371 413 505 334 435.6 442.7 492.8 602.6 398.6
New Mexico 144 ND ND ND ND 496.6
New York 1,767 2,008 2,132 2,116 1,652 643.2 730.9 776.1 770.2 601.3
North Carolina 577 661 747 903 694 450.7 516.4 583.6 705.4 542.1
North Dakota 10 9 17 17 ND 236.4 212.7 401.8 401.8
Ohio 401 418 546 603 512 253.1 263.8 344.6 380.6 323.1
Oklahoma 238 186 234 236 225 538.9 421.1 529.8 534.3 509.4
Oregon 181 207 255 322 191 220.0 251.6 310.0 391.5 232.2
Pennsylvania 552 593 634 582 467 459.8 493.9 528.1 484.7 389.0
Rhode Island 68 ND ND 55 43 414.6 335.4 262.2
South Carolina 205 207 266 285 248 525.3 530.4 681.6 730.2 635.4
South Dakota 17 8 32 37 25 440.5 207.3 829.2 958.8 647.8
Tennessee 333 378 286 337 233 369.6 419.5 317.4 374.0 258.6
Texas 992 994 ND 1,341 1,410 193.9 194.3 262.1 275.6
Utah 105 87 134 145 155 311.9 258.4 398.0 430.7 460.4
Vermont ND ND ND 2 ND 40.6
Virginia 377 398 418 426 384 303.9 320.8 336.9 343.4 309.5
Washington 485 ND ND 597 483 346.2 426.2 344.8
West Virginia 25 28 27 26 ND 172.7 193.4 186.5 179.6
Wisconsin ND 208 315 500 404 360.8 546.5 867.4 700.9
Wyoming ND 3 7 5 4 66.0 154.0 110.0 88.0
ND = Not displayed. Cases are not displayed if the variable used to identify sex of sex partners is complete for <70% of male cases.

NOTE: Rates per 100,000 population are calculated based on population estimates of MSM adapted from Grey et al, JMIR Public Health Surveill, 2016. See Technical Notes for more information on syphilis 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. Due to a network security incident in December 2021, the Maryland Department of Health could not finalize their 2021 STI case notification data; 2021 data from Maryland have been suppressed in this table. 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.