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CDC's Sexually Transmitted Disease Surveillance 2012
CDC's Sexually Transmitted Disease Surveillance 2012
Transmitted
Disease
Surveillance
2012
Division of STD Prevention
January 2014
Acknowledgments
Publication of this report would not have been possible without the contributions of the state and territorial
health departments, sexually transmitted disease control programs, and public health laboratories that provided
surveillance data to CDC.
This report was prepared by the following CDC staff:
Jim Braxton, Delicia Carey, Darlene Davis, Alison Footman, Elaine Flagg, LaZetta Grier, Alesia Harvey,
Kathleen Hutchins, Sarah Kidd, Jennine Kinsey, Robert Kirkcaldy, Eloisa Llata, Rob Nelson, Fred Rivers, Mark
Stenger, John Su, Elizabeth Torrone, Hillard Weinstock, the Surveillance and Data Management Branch of the
Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.
ii
Copyright Information
All material contained in this report is in the public domain and may be used and reprinted without special
permission; however, citation as to source is appreciated.
Suggested Citation
Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2012. Atlanta: U.S.
Department of Health and Human Services; 2013.
Web Site
http://wonder.cdc.gov/std.html
http://www.cdc.gov/std/healthcomm/fact_sheets.htm
http://www.cdc.gov/STD/treatment/
http://www.cdc.gov/std/program/pupestd.htm
http://www.cdc.gov/std/program/GL-2001.htm
Behavioral Surveillance
iii
Foreword
STDs are hidden epidemics of enormous health and
economic consequence in the United States. They
are hidden because many Americans are reluctant
to address sexual health issues in an open way and
because of the biologic and social characteristics of
these diseases. All Americans have an interest in STD
prevention because all communities are impacted
by STDs and all individuals directly or indirectly
pay for the costs of these diseases. STDs are public
health problems that lack easy solutions because
they are rooted in human behavior and fundamental
societal problems. Many of the strongest predictors of
health, including sexual health, are social, economic,
and environmental. Providing information about
personal health and health services can empower
people to make healthier choices to protect their
health. Indeed, there are many obstacles to effective
prevention efforts. The first hurdle will be to confront
the reluctance of American society to openly confront
issues surrounding sexuality and STDs. Despite the
barriers, there are existing individual- and community-
Eng TR, Butler WT, editors; Institute of Medicine (US). Summary: The hidden epidemic: confronting sexually transmitted diseases.
Washington (DC): National Academy Press; 1997. p. 43.
Preface
Sexually Transmitted Disease Surveillance 2012 presents
statistics and trends for sexually transmitted diseases (STDs)
in the United States through 2012. This annual publication
is intended as a reference document for policy makers,
program managers, health planners, researchers, and others
who are concerned with the public health implications
of these diseases. The figures and tables in this edition
supersede those in earlier publications of these data.
The surveillance information in this report is based
on the following sources of data: (1) notifiable disease
reporting from state and local STD programs; (2) projects
that monitor STD positivity and prevalence in various
settings, including the National Job Training Program,
the STD Surveillance Network, and the Gonococcal
Isolate Surveillance Project; and (3) other national surveys
implemented by federal and private organizations.
The STD surveillance systems operated by state and local
STD control programs, which provide the case report
data for chlamydia, gonorrhea, syphilis, and chancroid,
are the data sources of many of the figures and most of the
statistical tables in this publication. These systems are an
integral part of program management at all levels of STD
prevention and control in the United States. Because of
incomplete diagnosis and reporting, the number of STD
cases reported to the Centers for Disease Control and
Prevention is less than the actual number of cases occurring
in the U.S. population. National summary data of case
reports for other STDs are not available because they are
not nationally notifiable diseases.
Prior to the publication of Sexually Transmitted Disease
Surveillance 2010, when the percentage of unknown,
missing, or invalid values for age group, race/ethnicity,
and sex exceeded 50% for any state, the states incidence
and population data were excluded from the tables that
presented data stratified by one or more of these variables.
For the states for which 50% or more of their data were
valid for age group, race/ethnicity, and sex, the values for
unknown, missing, or invalid data were redistributed on the
basis of the states distribution of known age group, race/
ethnicity, and sex data. Beginning with the publication of
Sexually Transmitted Disease Surveillance 2010, redistribution
methodology is not applied to any of the data. The counts
presented in this report are summations of all valid data
reported in reporting year 2012. Because missing data are
excluded from calculations of rates by age group, race/
ethnicity, and sex, incidence rates by these characteristics,
particularly by race/ethnicity for chlamydia and gonorrhea,
appear somewhat lower than in reports before 2010.
vi
Guide to Acronyms
CDC
CSF
DSTDP
GISP
HEDIS
HHS
HMOs
HIV
HP2020
HPV
HSV
MICs
MPC
MSA
MSM
MSW
NAATs
NDTI
NGU
NHANES
NHDS
NJTP
OMB
P&S
PID
QRNG
RPR
SSuN
STD
VDRL
vii
Contents
Acknowledgements.......................................................................................................................................... ii
Foreword..........................................................................................................................................................v
Preface.............................................................................................................................................................vi
Guide to Acronyms........................................................................................................................................vii
Figures in the National Profile..........................................................................................................................x
Figures in the Special Focus Profiles................................................................................................................xii
Tables in the National Profile........................................................................................................................xiii
Census Regions of the United States............................................................................................................. xvii
National Overview of Sexually Transmitted Diseases (STDs), 2012..................................................................1
National Profile.......................................................................................................................... 3
Chlamydia................................................................................................................................................5
Gonorrhea..............................................................................................................................................14
Syphilis...................................................................................................................................................28
Other Sexually Transmitted Diseases.......................................................................................................40
Tables
National Summary.................................................................................................................................79
Chlamydia..............................................................................................................................................81
Gonorrhea..............................................................................................................................................93
Syphilis.................................................................................................................................................105
Chancroid............................................................................................................................................127
Selected STDs......................................................................................................................................128
Appendix
ix
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
Figure 7.
Figure 8.
Gonorrhea
Figure 11.
Figure 12.
Figure 13.
Figure 14.
Figure 15.
Figure 16.
Figure 17.
Figure 18.
Figure 19.
Figure 20.
Figure 21.
Figure 22.
Figure 23.
Figure 24.
Figure 25.
Figure 26.
Figure 27.
Figure 28.
Syphilis
xi
Figure I.
Figure J.
Figure K.
ChlamydiaPrevalence Among Women Aged 1624 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012............ 62
ChlamydiaPrevalence Among Men Aged 1624 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012............ 62
GonorrheaPrevalence Among Women Aged 1624 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012............ 63
GonorrheaPrevalence Among Men Aged 1624 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012............ 63
Figure U.
Figure V.
Figure W.
Figure X.
xii
Chlamydia
Table 2.
Table 3.
ChlamydiaReported Cases and Rates by State, Ranked by Rates, United States, 2012... 81
ChlamydiaReported Cases and Rates by State/Area and Region in Alphabetical
Order, United States and Outlying Areas, 20082012....................................................... 82
ChlamydiaWomenReported Cases and Rates by State/Area and Region in
Table 4.
Alphabetical Order, United States and Outlying Areas, 20082012.................................. 83
Table 5.
ChlamydiaMenReported Cases and Rates by State/Area and Region in
Alphabetical Order, United States and Outlying Areas, 20082012.................................. 84
Table 6.
ChlamydiaReported Cases and Rates in Selected Metropolitan Statistical Areas
(MSAs) in Alphabetical Order, United States, 20082012................................................ 85
Table 7.
ChlamydiaWomenReported Cases and Rates in Selected Metropolitan
Statistical Areas (MSAs) in Alphabetical Order, United States, 20082012....................... 86
Table 8.
ChlamydiaMenReported Cases and Rates in Selected Metropolitan
Statistical Areas (MSAs) in Alphabetical Order, United States, 20082012....................... 87
Table 9.
ChlamydiaReported Cases and Rates in Counties and Independent Cities
Ranked by Number of Reported Cases, United States, 2012............................................. 88
Table 10. ChlamydiaReported Cases and Rates per 100,000 Population
by Age Group and Sex, United States, 20082012............................................................ 89
Table 11A. ChlamydiaReported Cases by Race/Ethnicity, Age Group, and Sex,
United States, 2012........................................................................................................... 90
Table 11B. ChlamydiaRates per 100,000 Population by Race/Ethnicity, Age Group,
and Sex, United States, 2012............................................................................................. 91
Table 12. ChlamydiaReported Cases and Rates for Women 1525 Years of Age,
United States, 20082012................................................................................................. 92
Gonorrhea
Table 13.
Table 14.
GonorrheaReported Cases and Rates by State, Ranked by Rates, United States, 2012...... 93
GonorrheaReported Cases and Rates by State/Area and Region in Alphabetical
Order, United States and Outlying Areas, 20082012....................................................... 94
Table 15. GonorrheaWomenReported Cases and Rates by State/Area and Region in
Alphabetical Order, United States and Outlying Areas, 20082012.................................. 95
Table 16. GonorrheaMenReported Cases and Rates by State/Area and Region in
Alphabetical Order, United States and Outlying Areas, 20082012.................................. 96
Table 17. GonorrheaReported Cases and Rates in Selected Metropolitan Statistical Areas
(MSAs) in Alphabetical Order, United States, 20082012................................................ 97
Table 18. GonorrheaWomenReported Cases and Rates in Selected Metropolitan
Statistical Areas (MSAs) in Alphabetical Order, United States, 20082012....................... 98
Table 19. GonorrheaMenReported Cases and Rates in Selected Metropolitan
Statistical Areas (MSAs) in Alphabetical Order, United States, 20082012....................... 99
Table 20. GonorrheaReported Cases and Rates in Counties and Independent Cities
Ranked by Number of Reported Cases, United States, 2012........................................... 100
Table 21. GonorrheaReported Cases and Rates per 100,000 Population by
Age Group and Sex, United States, 20082012............................................................... 101
Table 22A. GonorrheaReported Cases by Race/Ethnicity, Age Group, and Sex,
United States, 2012......................................................................................................... 102
xiii
Syphilis
Table 24.
xiv
Chancroid
Table 44.
Selected STDs
Table 45.
xv
Midwest
Northeast
South
West
Midwest
South
Northeast
Alaska
Arizona
California
Colorado
Hawaii
Idaho
Montana
Nevada
New Mexico
Oregon
Utah
Washington
Wyoming
Illinois
Indiana
Iowa
Kansas
Michigan
Minnesota
Missouri
Nebraska
North Dakota
Ohio
South Dakota
Wisconsin
Alabama
Arkansas
Delaware
District of Columbia
Florida
Georgia
Kentucky
Louisiana
Maryland
Mississippi
North Carolina
Oklahoma
South Carolina
Tennessee
Texas
Virginia
West Virginia
Connecticut
Maine
Massachusetts
New Hampshire
New Jersey
New York
Pennsylvania
Rhode Island
Vermont
xvii
Chlamydia
Gonorrhea
Overview
Syphilis
Overview
NATIONAL PROFILE
NATIONAL PROFILE
National Profile
The National Profile section contains figures that show trends and the distribution of nationally reportable
STDs (chlamydia, gonorrhea, syphilis, and chancroid) by age, sex, race/ethnicity, and location for the United
States.
National Profile
Chlamydia
Background
ChlamydiaUnited States
Chlamydia by Region
Chlamydia by State
Chlamydia by Metropolitan
Statistical Area
Chlamydia by County
Chlamydia by Sex
Chlamydia by Age
Chlamydia by Race/Ethnicity
Chlamydia Summary
Figure 1.
Figure 1.
Men
Women
Total
600
450
300
150
0
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
Year
NOTE:
NOTE: As of January 2000, all 50 states and the District of Columbia have regulations that require the reporting of chlamydia cases.
Figure
Figure 2.
2.
West
Midwest
Northeast
South
100
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
Figure 3.
Figure
3.
360
383
348
338
287
370
409
445
423
372
388
444
571
517
482
526
Guam 646
470
415
476
366
270
463
756
432
460
453
395
258
432
524
508
565
580
774
495
VT
275
NH 233
MA 358
RI
410
CT 365
NJ
309
DE 489
MD 455
DC 1102
257
425
638
534
<=300
461
(n= 7)
598
407
Figure 4.
4.
Figure
10
(n= 1,721)
300.1-400.0
(n= 494)
>400.0
(n= 927)
Figure 5.
5.
Men
4000
3200
2400
1600
800
0
15.6
10-14
800
1600
2400
3200
4000
125.3
15-19
774.8
3291.5
20-24
1350.4
3695.5
25-29
721.7
582.7
35-39
187.2
40-44
110.8
257.4
115.8
51.5
45-54
39.5
15.2
55-64
11.0
65+
2.2
3.4
262.6
1388.4
30-34
369.7
Figure 6.
Figure
6.
Age
Women
Total
643.3
Chlamydia
Rates byby
Race/Ethnicity,
United
States
200820012010
2012
ChlamydiaRates
Race/Ethnicity,
United
States,
AI/AN*
Asians
Blacks
Hispanics
NHOPI*
Whites
Multirace
1200
900
600
300
0
2008
2009
2010
2011
2012
Year
* AI/AN= American Indians/Alaska Natives; NHOPI= Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 38 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats during
20082012 (see Appendix Interpreting STD Surveillance Data).
11
Figure7.
7.
Figure
Chlamydia Cases by Reporting Source and Sex, United States, 2003 2012
1,000
800
600
400
200
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
Figure
Figure 8.
8.
Percentage
40
Private Physician/HMO*
STD Clinic
Other HD* Clinic
Family Planning Clinic
Emergency Room
30
20
10
0
Men
Women
12
Figure
Figure 9.
9.
Chlamydia Proportion of STD Clinic Patients* Testing Positive by Age, Sex, and Sexual
Behavior, STD Surveillance Network (SSuN), 2012
Percentage
40
MSM
MSW
Women
30
20
10
0
<=19
20-24
25-29
Age
30-39
>=40
MSM = men who have sex with men; MSW = men who have sex with women only.
SOURCE:
Figure
Figure 10.
10. Chlamydia Prevalence Among Persons Aged 14 39 Years by Sex, Race/Ethnicity, or
Age Group, National Health and Nutrition Examination Survey, 2005 2008
Prevalence, %
8
6
4
2
0
Overall
Men
Women
Sex
NonHispanic
Whites
NonHispanic
Blacks
Mexican
Americans
Race/Ethnicity
14-25
26-39
Age
Men Women
14-25 14-25
Age and Sex
NOTE:
NOTE: Error bars indicate 95% confidence intervals.
13
Gonorrhea
Background
GonorrheaUnited States
Gonorrhea by Region
Gonorrhea by State
Gonorrhea by Metropolitan
Statistical Area (MSA)
Gonorrhea by County
Gonorrhea by Sex
Gonorrhea by Age
Gonorrhea by Race/Ethnicity
15
Susceptibility to Ceftriaxone
Susceptibility to Cefixime
Susceptibility to Cefpodoxime
Susceptibility to Azithromycin
Susceptibility to Spectinomycin
Susceptibility to Ciprofloxacin
Gonorrhea Summary
17
10
18
Figure
Figure 11.
11. Gonorrhea Rates by Year, United States, 1941 2012
1946
1951
1956
1961
1966
1971
1976
1981
1986
1991
1996
2001
2006
2011
Year
NOTE:
SOURCE:
Figure
Figure12.
12. Gonorrhea Rates by Sex, United States, 1992 2012
Men
Women
Total
200
150
100
50
0
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
Year
NOTE:
19
Figure 13.
West
Midwest
Northeast
South
200
150
100
50
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
NOTE:
Figure 14.
14. Gonorrhea Rates by State, United States and Outlying Areas, 2012
Figure
47.4
10.8
37.8
57.7
10.5
7.7
83.1
89.1
Guam 57.6
89.6
55.2
90.4
82.4
85.8
77.6
17.0
116.0
127.4
65.5
141.0 112.6
77.6
117.1
131.2
120.8
142.9
98.0
44.8 85.0
148.3
142.1
146.6
163.2
156.1
230.8 193.0
126.5
100.5
VT 15.8
NH 11.2
MA 39.9
RI 48.2
CT 59.6
NJ 84.9
DE 99.1
MD 97.6
DC 388.7
34.3
49.0
<=19.0
194.0
59.3
102.1
(n= 7)
*NOTE: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 106.3 per 100,000 population.
NOTE:
20
Figure
Figure 15.
15. Gonorrhea Rates by County, United States, 2012
(n= 1,192)
19.1-100.0
(n= 1,300)
>100.0
(n= 650)
NOTE:
Figure 16.
16. Gonorrhea Rates by Age and Sex, United States, 2012
Figure
Men
750
450
300
150
0
5.4
10-14
150
300
254.1
30-34
184.2
40-44
75.1
45-54
44.4
14.4
3.0
105.8
121.6
35-39
107.5
57.7
29.2
11.4
55-64
3.0
65+
0.4
Total
750
578.5
25-29
293.9
600
521.2
20-24
462.8
450
25.3
15-19
239.0
Age
Women
108.7
21
Figure
17.
Figure
17. Gonorrhea Rates by Age Among Women Aged 15 44 Years, United States, 2003 2012
Rate (per 100,000 population)
15-19
20-24
25-29
750
Age Group
30-34
35-39
40-44
600
450
300
150
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
Figure
18.
Figure
18. Gonorrhea Rates by Age Among Men Aged 15 44 Years, United States, 2003 2012
600
30-34
35-39
40-44
15-19
20-24
25-29
480
360
240
120
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
22
NHOPI*
Whites
Multirace
AI/AN*
Asians
Blacks
Hispanics
600
480
360
240
120
0
2008
2009
2010
2011
2012
Year
NOTE: .
* AI/AN= American Indians/Alaska Natives; NHOPI= Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 38 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats during
20082012 (see Appendix Interpreting STD Surveillance Data).
Figure
Figure20.
20. Gonorrhea Cases by Reporting Source and Sex, United States, 2003 2012
200
160
120
80
40
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
23
Figure
Figure 21.
21. GonorrheaPercentage of Reported Cases by Sex and Selected Reporting Sources,
United States, 2012
Percentage
40
Private Physician/HMO*
STD Clinic
Other HD* Clinic
Family Planning Clinic
Emergency Room
30
20
10
0
Men
Women
Figure22.
22. Estimated Proportion of MSM*, MSW*, and Women Among Gonorrhea Cases by Site,
Figure
STD Surveillance Network (SSuN), 2012
Percentage
100
MSM*
MSW*
Women
80
60
40
20
0
San
Francisco
California
Washington
Colorado
Chicago
Louisiana
Alabama
Virginia
Baltimore
Philadelphia
New York
City
Connecticut
* MSM = men who have sex with men; MSW = men who have sex with women only.
Estimate based on interviews (n=6,228) conducted from a random sample of reported cases of gonorrhea in 2012; cases weighted for analysis by county
and to adjust for non-response.
California data excludes San Francisco County (shown separately).
NOTE: See Appendix for jurisdictions included in each project area.
24
Figure 23.
Figure 23. Location of Participating Sentinel Sites and Regional Laboratories, Gonococcal Isolate
Surveillance Project (GISP), United States, 2012
Seattle
Portland
Minneapolis
Denver
San Francisco
Pontiac
New York City
Philadelphia
Cleveland
Chicago
Baltimore
Columbus
Kansas City
Richmond
Las Vegas
Los Angeles
San Diego
Greensboro
Oklahoma City
Orange Co.
Phoenix
Albuquerque
Birmingham
Atlanta
Austin
Dallas
New Orleans
Tripler AMC
Sentinel Sites
Sites and
Regional Labs
Honolulu
Miami
Figure 24. Percentage of Neisseria gonorrhoeae Isolates with Elevated Ceftriaxone Minimum
Figure 24. Inhibitory Concentrations (MICs) (0.125 g/ml), Gonococcal Isolate Surveillance Project
(GISP), 2005 2012
Percentage
0.5
0.4
0.3
0.2
0.1
0.0
2005
2006
2007
2008
2009
2010
2011
2012
Year
25
Figure 25. Percentage of Neisseria gonorrhoeae Isolates with Elevated Cefixime Minimum Inhibitory
Figure 25. Concentrations (MICs) (0.25 g/ml), Gonococcal Isolate Surveillance Project (GISP),
2005 2012
Percentage
1.5
1.2
0.9
0.6
0.3
0.0
2005
2006
2007*
2008*
2009
2010
2011
2012
Year
Figure 26.
Figure 26. Percentage of Neisseria gonorrhoeae Isolates with Elevated Azithromycin Minimum
Inhibitory Concentrations (MICs) (2.0 g/ml), Gonococcal Isolate Surveillance Project
(GISP), 2005 2012
Percentage
0.6
0.5
0.4
0.3
0.2
0.1
0.0
2005
2006
2007
2008
2009
2010
2011
2012
Year
*
NOTE:
26
Figure 27.
Figure 27. Penicillin, Tetracycline, and Ciprofloxacin Resistance Among Neisseria gonorrhoeae
Isolates, Gonococcal Isolate Surveillance Project (GISP), 2012
4.5%
11.8%
Susceptible
PenR
TetR
QRNG
PenR/TetR
PenR/QRNG
TetR/QRNG
PenR/TetR/QRNG
4.4%
2.3%
0.9%
66.6%
4.0%
5.4%
NOTE: PenR=penicillinase producing Neisseria gonorrhoeae and chromosomally mediated penicillin-resistant N. gonorrhoeae; TetR=chromosomally and
plasmid mediated tetracycline-resistant N. gonorrhoeae; and QRNG=quinolone-resistant N. gonorrhoeae.
Figure
28.
Figure 28. Antimicrobial Drugs Used to Treat Gonorrhea Among Participants, Gonococcal Isolate
Surveillance Project (GISP), 1988 2012
Percentage
100 Tetracyclines
Penicillins
80
Other
Ofloxacin
Ciprofloxacin
60
Cefixime
40 Ceftriaxone 250 mg
20 Spectinomycin
0
1988
Ceftriaxone 125 mg
Other Cephalosporins
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
Year
*NOTE: For 2012, Other includes no therapy (1.1%), azithromycin 2g (3.2%), and other less frequently used drugs (0.1%).
27
Syphilis
Background
28
29
Syphilis Summary
10
11
Chen SY, Gibson S, Katz MH, Klausner JD, Dilley JW, Schwarcz
SK, et al. Continuing increases in sexual risk behavior and sexually
transmitted diseases among men who have sex with men: San
Francisco, California, 19992001 [Letter] Am J Public Health.
2002;92:1387-8.
12
31
Figure
Figure 29.
29. SyphilisReported Cases by Stage of Infection, United States, 1941 2012
480
360
240
120
0
1941
1946
1951
1956
1961
1966
1971
1976
1981
1986
1991
1996
2001
2006
2011
Year
Figure 30. Primary and Secondary Syphilis by Sex and Sexual Behavior, 33 areas*, 2007 2012
Figure 30.
Cases
10,000
8,000
6,000
MSM
MSW
Women
4,000
2,000
0
2007
2008
2009
2010
2011
2012
Year
* 32 states and Washington, DC reported sex of partner data for 70% of reported cases of P&S syphilis for each year during 20072012.
MSM = men who have sex with men; MSW = men who have sex with women only.
32
Figure 31.
Figure 31. Primary and Secondary Syphilis Rates by Sex and Male-to-Female Rate Ratios, United
States, 1990 2012
Rate Ratio (log scale)
16:1
20
15
8:1
4:1
10
2:1
5
0
1:1
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
Year
NOTE: Isolates were not tested for cefixime susceptibility in 2007 and 2008.
Figure 32.
Figure 32. Primary and Secondary SyphilisRates by Region, United States, 2003 2012
West
Midwest
Northeast
South
8
6
4
2
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
33
Figure 33.
Figure 33. Primary and Secondary SyphilisRates by State, United States and Outlying Areas, 2012
4.4
0.2
5.5
2.2
1.6
0.7
4.1
7.8
Guam 3.8
4.1
3.1
6.2
2.2
4.9
6.3
3.0
2.3
0.8
6.3
1.5
1.6
2.2
0.4
1.5
VT
NH
MA
RI
CT
NJ
DE
MD
DC
1.3
0.6
2.6
3.9
3.7
3.4
3.4
0.4
3.6
4.2
5.9
3.5
4.8
5.0
4.5
9.5
7.4
1.7
1.0
2.7
4.8
4.2
1.5
2.6
4.2
7.4
26.7
7.2
<=0.2
(n= 2)
0.21-2.2
(n= 16)
>2.2
(n= 36)
NOTE:
NOTE: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 5.1 per 100,000
population.
Figure 34.
Figure 34. Primary and Secondary SyphilisRates by County, United States, 2012
(n= 2,123)
0.21-2.2
(n= 373)
>2.2
(n= 646)
NOTE: In 2012, 2,123 (67.6%) of 3,142 counties in the United States reported no cases of primary and secondary syphilis.
NOTE:
34
Figure 35.
35. Primary and Secondary SyphilisRates by Age and Sex, United States, 2012
Figure
Men
25
20
15
10
Age
10-14
0.0
Women
5
2.5
30-34
19.7
1.8
14.8
35-39
14.8
40-44
0.7
45-54
0.6
10.5
3.2
0.7
1.2
55-64
0.1
65+
0.0
Total
9.3
25
3.9
25-29
24.5
20
2.3
20-24
25.3
15
0.0
15-19
5.8
10
0.9
Figure
36. Primary and Secondary Syphilis Rates by Age Among Women Aged 15 44 Years,
Figure
36.
United States, 2003 2012
Rate (per 100,000 population)
10
Age Group
15-19
20-24
25-29
30-34
35-39
40-44
6
4
2
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
35
Figure 37.
Figure 37. Primary and Secondary Syphilis Rates by Age Among Men Aged 15 44 Years, United
States, 2003 2012
Rate (per 100,000 population)
30
Age Group
15-19
20-24
25-29
24
30-34
35-39
40-44
18
12
6
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
Figure 38. Primary and Secondary Syphilis Rates by Race/Ethnicity, United States, 2008 2012
Figure 38.
12
NHOPI*
Whites
Multirace
8
4
0
2008
2009
2010
2011
2012
Year
* AI/AN = American Indians/Alaska Natives; NHOPI = Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 38 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats during
20082012 (see Appendix Interpreting STD Surveillance Data).
36
Figure 39.
39. Primary and Secondary Syphilis Reported Cases* by Stage, Sex, and Sexual Behavior,
2012
Cases
6400
Primary
Secondary
4800
3200
1600
0
MSW
Women
MSM
* Of the reported male cases of primary and secondary syphilis, 17.4% were missing sex of sex partner information.
MSW = men who have sex with women only; MSM = men who have sex with men.
Figure
Figure40.
40. Primary and Secondary SyphilisReported Cases* by Sex, Sexual Behavior, and Race/
Ethnicity, United States, 2012
Cases
3750
3000
Whites
Blacks
Hispanics
Other
2250
1500
750
0
MSW
Women
MSM
NOTE:
* Of the reported male cases of primary and secondary syphilis, 17.4% were missing sex of sex partner information; 2.0% of reported male cases with sex
of sex partner data were missing race/ethnicity data.
MSW = men who have sex with women only; MSM = men who have sex with men.
37
Figure 41.
41. Primary and Secondary Syphilis Reported Cases by Reporting Source and Sex, United
States, 2003 2012
Cases (in thousands)
10
8
6
4
2
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
NOTE:
Figure 42. Primary and Secondary Syphilis Percentage of Reported Cases* by Sex, Sexual
Figure 42. Behavior, and Selected Reporting Sources, 2012
Percentage, %
40
Correctional Facility
HIV Counseling and Testing Site
Private Physician/HMO
STD Clinic
30
20
10
0
MSW
Women
MSM
* Of the reported male cases of primary and secondary syphilis, 17.4% were missing sex of sex partner information, and 6.2% of reported male cases with
sex of sex partner data were missing source of information data.
HMO = health maintenance organization; MSM = men who have sex with men; MSW = men who have sex with women only.
38
Figure
Figure43.
43. Congenital Syphilis Reported Cases Among Infants by Year of Birth and Rates of
Primary and Secondary Syphilis Among Women, United States, 2003 2012
CS* Cases (in thousands)
0.8
CS Cases
P&S Rate
0.6
0.4
0.2
0.0
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
* CS = congenital syphilis; P&S = primary and secondary syphilis.
39
Human Papillomavirus
Trichomoniasis
41
12
13
14
15
16
17
18
19
20
10
11
42
Figure
Reported
Cases
by Year, Unitedby
States,
1981 2012
Figure44.
41. Chancroid
Primaryand
Secondary
SyphilisRates
Age Among
Men Aged 1544 Years,
United States, 20012010
Cases (in thousands)
5
4
3
2
1
0
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
Year
Figure
Figure45.
45. Human Papillomavirus Prevalence of High-risk and Low-risk Types Among Females
Aged 14 59 Years, National Health and Nutrition Examination Survey, 2003 2006
Prevalence, %
60
Low-risk HPV*
High-risk HPV*
50
40
30
20
10
0
14-19
20-24
25-29
30-39
40-49
50-59
Age
43
Figure
Figure46.
46. Genital Warts Initial Visits to Physicians Offices, United States, 1966 2012
1971
1976
1981
1986
1991
1996
2001
2006
2011
Year
NOTE: The relative standard errors for genital warts estimates of more than 100,000 range from 18% to 30%. See Other Surveillance Data Sources in the
*
Appendix
and Table 45.
SOURCE: IMS Health, Integrated Promotional Services. IMS Health Report, 1966 2012.
Figure 47.
Figure 47. Genital Warts Prevalence Among STD Clinic Patients by Sex, Sex of Partners, and Site,
STD Surveillance Network (SSuN), 2012
Prevalence, %
15
MSM*
MSW*
Women
12
9
6
3
0
San
Francisco
Los
Angeles
Seattle
Denver
Chicago
New
Orleans
Birmingham
Richmond
Baltimore
** MSM = men who have sex with men; MSW = men who have sex with women only.
44
Figure
48.
Figure
48.Genital Herpes Initial Visits to Physicians Offices, United States, 1966 2012
1971
1976
1981
1986
1991
1996
2001
2006
2011
Year
NOTE: The relative standard errors for genital herpes estimates of more than 100,000 range from 18% to 30%. See Other Surveillance Data Sources in the
Appendix and Table 45.
SOURCE: IMS Health, Integrated Promotional Services. IMS Health Report, 1966 2012.
45
Figure
Figure49.
49. Herpes Simplex Virus Type 2 Seroprevalence Among Non-Hispanic Whites and NonHispanic Blacks by Age Group, National Health and Nutrition Examination Survey, 1976
1980, 1988 1994, 1999 2004, 2005 2008
Non-Hispanic Whites
Percentage
100
80
60
40
20
0
All Ages*
14-19
20-29
Age
30-39
40-49
Non-Hispanic Blacks
Percentage
100
80
60
40
20
0
All Ages*
14-19
20-29
Age
30-39
1976 - 1980
1988 - 1994
1999 - 2004
2005 - 2008
40-49
* Age-adjusted by using the 2000 U.S. Census civilian, non-institutionalized population aged 1449 years as the standard.
NOTE: Error bars indicate 95% confidence interval.
46
Figure 50.
Figure 50. Trichomoniasis and Other Vaginal InfectionsWomenInitial Visits to Physicians
Offices, United States, 1966 2012
Visits (in thousands)
4,500
Trichomoniasis
Other Vaginitis
3,600
2,700
1,800
900
0
1966
1971
1976
1981
1986
1991
1996
2001
2006
2011
Year
NOTE:
relativesyphilis;
standard
errors
for trichomoniasis
estimates
* CS = The
congenital
P&S
= primary
and secondary
syphilis.range from 16% to 27% and for other vaginitis estimates range from 8% to 13%. See Other
Surveillance Data Sources in the Appendix and Table 45.
SOURCE: IMS Health, Integrated Promotional Services, IMS Health Report, 19662012.
47
48
* U.S. Census Burea. Income poverty and health insurance coverage in the United States: 2011. [Accessed November 5, 2013].
Available at: http://aspe.hhs.gov/health/reports/2012/uninsuredintheUS/ib.shtml
49
50
Observations
ChlamydiaUnited States
51
GonorrheaUnited States
Congenital Syphilis
Ectopic Pregnancy
53
12
13
14
15
16
17
18
19
20
21
22
23
24
10
11
54
Figure
A.A.
Figure
Chlamydia Women Rates by State, United States and Outlying Areas, 2012
505
534
482
467
405
536
367
604
681
686
530
584
Guam 924
644
746
599
790
819
853
1095
1056
362
557
693
645
829
576
658
654
741
607
678
582
682
499
566
VT
408
NH 322
MA 480
RI
569
CT 516
NJ
448
DE 681
MD 642
DC 1359
357
562
894
747
878
650
571
<=400
(n= 5)
400.1-600
(n= 21)
>600
(n= 28)
NOTE: The total chlamydial infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 639.0 per
100,000 female population.
Figure
FigureB.B.
Gonorrhea Women Rates by State, United States and Outlying Areas, 2012
36.0
11.7
27.0
62.3
8.0
6.8
72.8
68.9
Guam 58.6
35.4
61.3
84.5
9.4
86.8
53.4
81.5
91.8
108.5
75.7
150.1 125.0
92.6
138.6
99.9
143.0
137.3
128.1
164.4
104.9
46.6 90.6
163.4
143.8
162.7
183.8
158.0
250.3 209.7
132.6
110.8
43.6
VT 17.0
NH
9.1
MA 31.7
RI 42.7
CT 62.8
NJ 84.0
DE 106.1
MD 95.7
DC 308.8
<=19.0
(n= 7)
217.4
98.3
>100.0
(n= 22)
NOTE: The total gonorrhea infection rate among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 107.5 per
100,000 female population.
55
Figure C.
Figure C.
Primary and Secondary Syphilis Women Rates by State, United States and Outlying
Areas, 2012
0.3
0.0
0.3
0.3
0.3
0.0
0.0
0.6
Guam 1.3
0.1
0.5
0.4
0.2
1.1
0.1
0.3
0.2
0.6
0.5
0.7
0.9
3.3
1.3
1.5
5.4
0.3
0.0
0.0
0.4
0.2
0.5
0.4
0.4
1.5
1.8
1.4
2.2
2.1
0.5
1.4
0.7
0.4
0.3
0.9
0.4
0.6
0.5
0.1
0.3
VT
NH
MA
RI
CT
NJ
DE
MD
DC
0.3
0.0
1.4
<=0.2
(n= 13)
0.21-4.0
(n= 40)
>4.0
(n= 1)
NOTE: The total rate of primary and secondary syphilis among women in the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was
0.9 per 100,000 females.
Figure
Figure
D. D. Congenital Syphilis Infants Rates by Year of Birth and State, United States and
Outlying Areas, 2012
0.0
0.0
0.0
0.0
2.1
1.4
0.0
0.0
2.7
6.5
Guam 0.0
0.0
15.1
3.4
0.0
19.4
8.8
0.0
1.3
4.1
11.0
15.8 0.0
0.0
3.2
6.0
0.0
3.7
0.0
1.4
0.0
3.5
0.0
0.8
1.2
27.6
1.0
9.9
0.0
6.4
VT
NH
MA
RI
CT
NJ
DE
MD
DC
0.0
0.0
1.3
0.0
0.0
0.9
8.7
16.0
0.0
9.9
49.3
16.7
<=1.0
(n= 26)
1.1-10.0
(n= 20)
>10.0
(n= 8)
NOTE: The total rate of congenital syphilis for infants by year of birth for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was
7.7 per 100,000 live births.
56
Figure
FigureE.
E.
Acute, Unspecified
Chronic
30
15
0
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Year
NOTE: The relative standard errors for acute and unspecified pelvic inflammatory disease (PID) cases ranges from 8%18%. The relative standard error for
chronic PID cases ranges from 12%28%. Data only available through 2010.
SOURCE: 2010 National Hospital Discharge Survey. Atlanta: Centers for Disease Control and Prevention. Available from: http://www.cdc.gov/nchs/nhds.
htm.
Figure F.
F.
Figure
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
NOTE: The relative standard errors for these estimates are 21.6%30%. See Other Data Sources in the Appendix and Table 45.
SOURCE: IMS Health, Integrated Promotional Services. IMS Health Report, 1966 2012.
57
Figure G.
G. Ectopic PregnancyHospitalizations of Women Aged 15 44 Years, United States, 2001
2010
Hospitalizations (in thousands)
50
40
30
20
10
0
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Year
NOTE: The relative standard errors for these estimates are 10% 23%. Data only available through 2010.
Source: 2010 National Hospital Discharge Survey. Atlanta: Centers for Disease Control and Prevention. Available from http://www.cdc.gov/nchs/nhds.
htm.
58
Observations
Chlamydia
Gonorrhea
59
* Laboratory data are provided by the Center for Disease Detection, LLC San Antonio, Texas.
60
61
Figure H.
H. ChlamydiaPrevalence Among Women Aged 16 24 Years Entering the National Job
Figure
Training Program, by State of Residence, United States and Outlying Areas, 2012
7.9
7.2
6.3
5.8
8.9
11.1
6.2
8.4
10.2
13.9
12.3
9.4
11.9
10.8
8.5 11.6
8.7
7.6
12.7
7.5
9.7
10.6
14.9
9.9
11.8
16.2
19.4
Prevalence, %
15.8
15.4
15.9 17.4
15.5
9.2
12.1
13.1
13.9 15.0
13.2
14.0
11.0
5.5
5.7
8.5
VT
NH
MA
RI
CT
NJ
DE
MD
DC
7.7
13.0
16.0
9.8
14.9
(n= 4)
<10.0
(n= 20)
* Fewer than 100 women who resided in these states/areas and entered the National Job Training Program were screened for chlamydia in 2012.
Figure I.
Figure
I.
Chlamydia Prevalence Among Men Aged 16 24 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012
3.9
5.0
4.5
4.5
2.9
4.1
3.7
6.9
4.3
5.0
8.4
6.8
9.5
4.5
11.6
10.8
7.0
10.5
9.6 11.9
6.9
7.0
10.5
5.5
3.7
2.9
4.3
0.6
8.3
5.4
9.4
7.1
10.3
8.0
VT
NH
MA
RI
CT
NJ
DE
MD
DC
3.5
6.0
4.5
9.1
7.0
7.1
9.6
9.5
Prevalence, %
11.8
11.4
13.3 11.0
13.5
8.9
(n= 4)
<10.0
(n= 38)
>=10.0
(n= 11)
* Fewer than 100 men who resided in these states/areas and entered the National Job Training Program were screened for chlamydia in 2012.
62
Figure J.
Figure J.
Gonorrhea Prevalence Among Women Aged 16 24 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012
1.0
0.3
0.0
0.0
0.5
0.3
1.8
2.2
0.8
2.2
1.7
2.9
0.6
2.9
1.3
1.0
1.1
1.7
3.3
Prevalence, %
0.5
3.8
4.8
0.9
1.4
3.4
4.6
2.4
1.4
4.1
1.2
0.9
2.8
1.7
2.9
1.9
0.0
0.0
0.8
0.8
1.0
0.0
VT
NH
MA
RI
CT
NJ
DE
MD
DC
0.2
0.0
3.5
2.9
1.8
(n= 6)
<2.0
(n= 32)
>=2.0
(n= 15)
* Fewer than 100 women who resided in these states/areas and entered the National Job Training Program were screened for gonorrhea in 2012.
NOTE: Many training centers use local laboratories to test female students for gonorrhea; these results are not available to CDC. For this map, gonorrhea
test results for students at centers that submitted specimens to the national contract laboratory were included if the numbers of gonorrhea tests submitted was greater than the 90% of the number of chlamydia tests submitted.
Figure
K.
Figure K. Gonorrhea Prevalence Among Men Aged 16 24 Years Entering the National Job
Training Program, by State of Residence, United States and Outlying Areas, 2012
0.1
0.7
0.7
0.0
1.0
0.0
0.4
0.6
0.0
0.6
0.7
1.3
1.5
1.8
1.0
0.0
0.6
0.9
0.5
0.4
0.3
0.7
1.1
0.0
1.2
0.0
0.7
1.6
1.3
2.4
Prevalence, %
0.0
1.2
0.0
1.1
1.2
1.3
0.4
VT
NH
MA
RI
CT
NJ
DE
MD
DC
1.2
2.8
1.2
(n= 12)
<2.0
(n= 39)
>=2.0
(n= 2)
* Fewer than 100 men who resided in these states/areas and entered the National Job Training Program were screened for gonorrhea in 2012.
NOTE: Many training centers use local laboratories to test male students for gonorrhea; these results are not available to CDC. For this map, gonorrhea test
results for students at centers that submitted specimens to the national contract laboratory were included if the number of gonorrhea tests submitted was
greater than 90% of the number of chlamydia tests submitted.
63
64
65
Observations
Chlamydia
Gonorrhea
67
Congenital Syphilis
2010:9(1):43-60.
11
12
13
14
15
16
17
18
19
10
68
Figure L.
L.
Figure
Men
2250
1350
900
450
Race/Ethnicity
Women
450
900
1350
AI/AN*
317.1
61.7
Asians
158.7
574.7
NHOPI*
261.7
95.9
47.5
262.6
1613.6
Hispanics
192.2
2250
1126.4
Blacks
809.2
1800
924.9
Whites
260.5
Multirace
131.4
Total
643.3
* AI/AN = American Indians/Alaska Natives; NHOPI = Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 47 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats in 2012 (see
Appendix Interpreting STD Surveillance Data).
Figure
Figure M.
M. Gonorrhea Rate Ratios* by Race/Ethnicity, United States, 2008 2012
Rate Ratio
32:1
16:1
AI/AN
Asians
Blacks
8:1
Hispanics
NHOPI
4:1
2:1
1:1
1:2
2008
2009
2010
2011
2012
Year
* Rate ratios are calculated as the gonorrhea rate per 100,000 population for a given racial or ethnic minority population divided by the gonorrhea rate per
100,000 population for non-Hispanic whites. Any population with a lower rate of gonorrhea than the non-Hispanic white population will have a rate ratio
of less than 1:1.
69
Figure
N.N. Gonorrhea Rates by Race/Ethnicity and Sex, United States, 2012
Figure
Men
750
450
300
150
Race/Ethnicity
Women
150
AI/AN*
88.1
20.2
Asians
300
62.1
Hispanics
456.3
58.5
93.4
28.8
Whites
33.1
21.8
Multirace
27.7
105.8
Total
750
13.7
NHOPI*
82.0
600
160.5
Blacks
467.7
450
108.7
* AI/AN = American Indians/Alaska Natives; NHOPI = Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 47 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats in 2012 (see
Appendix Interpreting STD Surveillance Data).
Figure O.
O. Gonorrhea Rate Ratios by Race/Ethnicity and Region, United States, 2012
Figure
Rate Ratio
32:1
West
Midwest
Northeast
South
16:1
8:1
4:1
2:1
1:1
1:2
1:4
AI/AN
Asians
Blacks
Hispanics
NHOPI
* Rate ratios are calculated as the gonorrhea rate per 100,000 population for a given racial or ethnic minority population divided by the gonorrhea rate per
100,000 population for non-Hispanic whites. Any population with a lower rate of gonorrhea than the non-Hispanic white population will have a rate ratio
of less than 1:1.
70
Figure P.
Figure
P.
Primary and Secondary Syphilis Rates by Race/Ethnicity and Sex, United States, 2012
Men
30
18
12
Race/Ethnicity
AI/AN*
5.3
4.0
Asians
Women
Hispanics
10.4
5.1
3.8
9.3
30
4.9
0.8
1.6
Whites
0.3
Multirace
0.2
Total
24
0.1
NHOPI*
14.9
18
0.7
Blacks
28.9
12
0.9
* AI/AN = American Indians/Alaska Natives; NHOPI = Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 47 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats in 2012 (see
Appendix Interpreting STD Surveillance Data).
Figure Q. Primary and Secondary Syphilis Rates Among Females Aged 15 19 Years by Race/
Figure Q. Ethnicity, United States, 2008 2012
Rate (per 100,000 population)
NHOPI*
Whites
Multirace
AI/AN*
Asians
Blacks
Hispanics
20
16
12
8
4
0
2008
2009
2010
2011
2012
Year
* AI/AN= American Indians/Alaska Natives; NHOPI= Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 38 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats during 2008
2012 (see Appendix Interpreting STD Surveillance Data).
71
Figure R.
Figure
R.
Primary and Secondary Syphilis Rates Among Males Aged 15 19 Years by Race/
Ethnicity, United States, 2008 2012
AI/AN*
Asians
Blacks
Hispanics
40
NHOPI*
Whites
Multirace
30
20
10
0
2008
2009
2010
2011
2012
Year
* AI/AN= American Indians/Alaska Natives; NHOPI= Native Hawaiian and Other Pacific Islanders.
NOTE: Includes 38 states and the District of Columbia reporting race/ethnicity data in Office of Management and Budget compliant formats during
20082012 (see Appendix Interpreting STD Surveillance Data).
FigureS.
S.
Figure
2004
2005
2006
2007
2008
2009
2010
2011
2012
Year
* AI/AN= American Indians/Alaska Natives.
NOTE: National Center for Health Statistics bridged race categories are presented to allow the display of data across several years. Cases missing maternal
race/ethnicity information were excluded (< 1% of cases).
72
Special Focus Profiles: STDs in Men Who Have Sex with Men
73
74
Special Focus Profiles: STDs in Men Who Have Sex with Men
Special Focus Profiles: STDs in Men Who Have Sex with Men
75
FigureT.T.
Figure
Percentage
35
Gonorrhea
Chlamydia
28
21
14
7
0
San
Francisco
Los
Angeles
Seattle
Denver
Chicago
New
Orleans
Birmingham
Richmond
Baltimore
Philadelphia
New York
City
Hartford/
New Haven
* Among men who have sex with men who were tested for gonorrhea and/or chlamydia
Figure
Figure
U. U. Primary and Secondary Syphilis and HIV Proportion of MSM* Attending STD Clinics
with Primary and Secondary Syphilis Who are Co-infected with HIV, STD Surveillance
Network (SSuN), 2012
Percentage
100
80
60
40
20
0
San
Francisco
Los
Angeles
Seattle
Denver
New Birmingham
Baltimore
New York
Philadelphia City
Chicago
Orleans
76
FigureV.V.
Figure
Proportion of MSM* Attending STD Clinics with Primary and Secondary Syphilis,
Gonorrhea or Chlamydia by HIV Status, STD Surveillance Network (SSuN), 2012
Percentage
20
HIVHIV+
16
12
8
4
0
P&S
syphilis
GC
urethral
GC
pharyngeal
GC
rectal
CT
urethral
CT
rectal
FigureW.
W. Percentage of Urethral Neisseria gonorrhoeae Isolates Obtained from MSM* Attending
Figure
STD Clinics, Gonococcal Isolate Surveillance Project (GISP), 1990 2012
Percentage
35
28
21
14
7
0
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
Year
* MSM = men who have sex with men.
77
Figure X.
Figure X.
SEA
POR
MIN
PON
CHI
SFO
CLE
DEN
PHI
BAL
COL
KCY
LVG
NYC
LAX
GRB
ORA
ALB
PHX
RIC
OKC
BHM
ATL
50%
DAL
TRP
SDG
% of Isolates
from MSM*
100%
0%
HON
Year
NOR
MIA
100
90
80
70
60
50
40
30
20
10
0
78
San
Francisco
Los
Angeles
Seattle
Denver
Special Focus Profiles: STDs in Men Who Have Sex with Men
TABLES
TABLES
Table 1.
Cases of Sexually Transmitted Diseases Reported by State Health Departments and Rates
per 100,000 Population, United States, 19412012
All Stages
Year*
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
Cases
485,560
479,601
575,593
467,755
359,114
363,647
355,592
314,313
256,463
217,558
174,924
167,762
148,573
130,687
122,392
130,201
123,758
113,884
120,824
122,538
124,658
126,245
124,137
114,325
112,842
105,159
102,581
96,271
92,162
91,382
95,997
91,149
87,469
83,771
80,356
71,761
64,621
64,875
67,049
68,832
72,799
75,579
74,637
69,872
67,563
67,779
87,286
104,546
115,089
Rate
Early Latent
Cases
Cases
Cases
Rate
Cases
202,984
202,064
251,958
202,848
142,187
125,248
122,089
123,312
116,397
113,569
98,311
105,238
98,870
89,123
86,526
95,097
91,309
83,027
86,740
81,798
79,304
79,533
78,076
68,629
67,317
63,541
61,975
58,564
54,587
50,348
49,993
43,456
37,054
31,854
27,096
21,905
22,313
23,038
21,301
20,979
20,168
19,799
17,896
17,829
18,414
18,046
22,988
27,363
22,032
153.9
153.1
195.7
159.6
111.8
93.6
86.6
85.6
79.5
70.2
65.2
69.1
63.8
56.5
53.8
57.5
54.2
48.4
49.7
45.9
43.8
43.3
41.8
36.3
35.1
32.7
31.5
29.4
27.1
24.7
24.2
20.8
17.5
14.9
12.6
10.1
10.2
10.4
9.5
9.2
8.8
8.5
7.7
7.6
7.7
7.5
9.5
11.2
8.9
17,600
16,918
16,164
13,578
12,339
12,106
12,200
13,931
13,952
13,377
11,094
8,553
7,675
6,676
5,354
5,491
5,288
4,866
5,130
4,416
4,163
4,070
4,031
3,516
3,564
3,170
2,894
2,381
2,074
1,953
2,052
1,758
1,527
1,138
916
626
463
434
332
277
287
259
239
305
329
410
480
741
1,837
368.2 68,231
363.4 75,312
447.0 82,204
367.9 78,443
282.3 77,007
271.7 94,957
252.3 93,545
218.2 68,174
175.3 41,942
146.0 23,939
116.1 14,485
110.2 10,449
95.9
8,637
82.9
7,147
76.2
6,454
78.7
6,392
73.5
6,576
66.4
7,176
69.2
9,799
68.8 16,145
68.8 19,851
68.7 21,067
66.5 22,251
60.4 22,969
58.9 23,338
54.2 21,414
52.2 21,053
48.4 19,019
45.7 19,130
44.8 21,982
46.4 23,783
43.6 24,429
41.4 24,825
39.3 25,385
37.3 25,561
33.0 23,731
29.4 20,399
29.2 21,656
29.9 24,874
30.3 27,204
31.7 31,266
32.6 33,613
31.9 32,698
29.6 28,607
28.4 27,131
28.2 27,667
36.0 35,585
42.8 40,474
46.6 45,826
Syphilis
Primary and
Secondary
Rate
51.7
57.0
63.8
61.6
60.5
70.9
66.4
47.3
28.7
16.7
9.6
6.9
5.6
4.5
4.0
3.9
3.9
4.2
5.6
9.1
11.0
11.5
11.9
12.1
12.2
11.0
10.7
9.6
9.5
10.8
11.5
11.7
11.7
11.9
11.9
10.9
9.3
9.8
11.1
12.0
13.6
14.5
14.0
12.1
11.4
11.5
14.7
16.6
18.6
Rate
109,018 82.6
116,245 88.0
149,390 116.0
123,038 96.7
101,719 79.9
107,924 80.6
104,124 73.9
90,598 62.9
75,045 51.3
59,256 39.7
43,316 28.7
36,454 24.0
28,295 18.3
23,861 15.1
20,054 12.5
19,783 12.0
17,796 10.6
16,556
9.7
17,025
9.8
18,017 10.1
19,486 10.8
19,585 10.7
18,235
9.8
17,781
9.4
17,458
9.1
15,950
8.2
15,554
7.9
15,150
7.6
15,402
7.6
16,311
8.0
19,417
9.4
20,784
9.9
23,584 11.2
25,124 11.8
26,569 12.3
25,363 11.7
21,329
9.7
19,628
8.8
20,459
9.1
20,297
8.9
21,033
9.2
21,894
9.5
23,738 10.2
23,131
9.8
21,689
9.1
21,656
9.0
28,233 11.7
35,968 14.7
45,394 18.4
Congenital
Rate
Chlamydia
Cases
Rate
651.1
NR
566.0
NR
520.7
NR
462.0
NR
431.7
NR
354.9
NR
319.6
NR
383.0
NR
382.4
NR
368.3
NR
290.4
NR
218.8
NR
193.9
NR
164.0
NR
130.7
NR
130.4
NR
123.0
NR
114.6
NR
119.7
NR
103.7
NR
97.5
NR
97.7
NR
98.4
NR
87.3
NR
94.8
NR
87.9
NR
82.2
NR
68.0
NR
57.6
NR
52.3
NR
57.7
NR
54.0
NR
48.7
NR
36.0
NR
NR
29.1
NR
19.8
NR
13.9
NR
13.0
NR
9.5
NR
7.7
NR
7.9
7.0
NR
6.6
NR
8.3
7,594
6.5
8.7 25,848 17.4
10.9 58,001 35.2
12.6 91,913 50.8
19.0 157,854 87.1
45.5 200,904 102.5
Gonorrhea
Chancroid
Cases
Rate
Cases
Rate
193,468
212,403
275,070
300,676
287,181
368,020
380,666
345,501
317,950
286,746
254,470
244,957
238,340
242,050
236,197
224,346
214,496
232,386
240,254
258,933
264,158
263,714
278,289
300,666
324,925
351,738
404,836
464,543
534,872
600,072
670,268
767,215
842,621
906,121
999,937
1,001,994
1,002,219
1,013,436
1,004,058
1,004,029
990,864
960,633
900,435
878,556
911,419
892,229
787,532
738,160
733,294
146.7
160.9
213.6
236.5
225.8
275.0
270.0
239.8
217.3
192.5
168.9
160.8
153.9
153.5
147.0
135.7
127.4
135.6
137.6
145.4
145.8
143.6
149.0
158.9
169.5
181.2
205.9
233.4
265.4
294.2
324.1
366.6
398.7
424.7
464.1
460.6
456.0
456.3
447.1
442.1
431.8
414.7
385.1
372.5
383.0
371.5
325.0
301.9
297.1
3,384
5,477
8,354
7,878
5,515
7,091
9,515
7,661
6,707
4,977
4,233
3,738
3,338
3,003
2,649
2,135
1,637
1,595
1,537
1,680
1,438
1,344
1,220
1,247
982
838
784
845
1,104
1,416
1,320
1,414
1,165
945
700
628
455
521
840
788
850
1,392
847
665
2,067
3,045
4,986
4,891
4,697
2.5
4.1
6.4
6.1
4.3
5.2
6.7
5.3
4.6
3.3
2.8
2.5
2.2
1.9
1.7
1.3
1.0
0.9
0.9
0.9
0.8
0.7
0.7
0.7
0.5
0.4
0.4
0.4
0.5
0.7
0.6
0.7
0.6
0.4
0.3
0.3
0.2
0.2
0.4
0.3
0.4
0.6
0.4
0.3
0.9
1.3
2.1
2.0
1.9
79
Table 1.
Cases of Sexually Transmitted Diseases Reported by State Health Departments and Rates
per 100,000 Population, United States, 19412012 (continued)
All Stages
Year*
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Syphilis
Primary and
Secondary
Early Latent
Congenital
Rate
Chlamydia
Cases
Rate
Cases
Rate
Cases
Rate
Cases
Rate
Cases
Cases
Rate
135,590
128,719
114,730
102,612
82,713
69,359
53,240
46,716
38,289
35,386
31,618
32,286
32,919
34,289
33,423
33,288
36,958
40,925
46,292
44,832
45,844
46,040
49,903
54.3
50.9
44.7
39.5
31.4
26.0
19.8
17.1
13.9
12.7
11.2
11.3
11.4
11.8
11.4
11.2
12.3
13.6
15.2
14.6
14.8
14.8
16.0
50,578
42,950
34,009
26,527
20,641
16,543
11,405
8,556
7,007
6,617
5,979
6,103
6,862
7,177
7,980
8,724
9,756
11,466
13,500
13,997
13,774
13,970
15,667
20.3
17.0
13.3
10.2
7.8
6.2
4.2
3.1
2.5
2.4
2.1
2.1
2.4
2.5
2.7
2.9
3.3
3.8
4.4
4.6
4.5
4.5
5.0
55,397
53,855
49,929
41,919
32,017
26,657
20,187
16,631
12,696
11,534
9,465
8,701
8,429
8,361
7,768
8,176
9,186
10,768
12,401
13,066
13,604
13,136
14,503
22.2
21.3
19.5
16.1
12.2
10.0
7.5
6.1
4.6
4.1
3.4
3.0
2.9
2.9
2.6
2.8
3.1
3.6
4.1
4.3
4.4
4.2
4.7
25,750
27,490
26,725
30,746
27,603
24,296
20,366
20,447
17,743
16,655
15,594
16,976
17,168
18,319
17,300
16,049
17,644
18,256
19,945
17,338
18,079
18,576
19,411
10.3
10.9
10.4
11.8
10.5
9.1
7.6
7.5
6.4
6.0
5.5
5.9
6.0
6.3
5.9
5.4
5.9
6.1
6.6
5.6
5.9
6.0
6.2
3,865 92.9
323,663 160.2
4,424 107.6
381,228 179.7
4,067 100.0
409,694 182.3
3,420
85.5
405,332 178.0
2,452
62.0
451,785 192.5
1,863
47.8
478,577 187.8
1,282
32.9
492,631 190.6
1,082
27.9
537,904 205.5
843
21.4
614,250 231.8
580
14.6
662,647 247.2
580
14.3
709,452 251.4
506
12.6
783,242 274.5
460
11.4
834,555 289.4
432
10.6
877,478 301.7
375
9.1
929,462 316.5
339
8.2
976,445 329.4
372
8.7 1,030,911 344.3
435
10.1 1,108,374 367.5
446
10.5 1,210,523 398.1
431
10.4 1,244,180 405.3
387
9.4 1,307,893 423.6
358
8.7 1,412,791 453.4
322
7.8 1,422,976 456.7
Gonorrhea
Chancroid
Cases
Rate
Cases
Rate
690,042
621,918
502,858
444,649
419,602
392,651
328,169
327,665
356,492
360,813
363,136
361,705
351,852
335,104
330,132
339,593
358,366
355,991
336,742
301,174
309,341
321,849
334,826
276.4
245.8
196.0
171.1
163.9
147.5
121.8
120.2
129.2
129.3
128.7
126.8
122.0
115.2
112.4
114.6
119.7
118.0
110.7
98.1
100.2
103.3
107.5
4,212
3,476
1,906
1,292
782
607
386
246
189
110
78
38
48
54
30
17
19
23
25
28
24
8
15
1.7
1.4
0.7
0.5
0.3
0.2
0.1
0.1
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
* For 1941-1946, data were reported for the federal fiscal year ending June 30 of the year indicated. From 1947 to the present, data were reported for the calendar
year ending December 31. For 1941-1958, data for Alaska and Hawaii were not included.
Late and late latent syphilis includes late latent syphilis, latent syphilis of unknown duration, neurosyphilis, and late syphilis with clinical manifestations other than
neurosyphilis.
Rates include all cases of congenitally acquired syphilis per 100,000 live births. As of 1995, cases of congenital syphilis are obtained in hardcopy and electronic
format on the basis of case reporting form CDC 73.126.
NR = No report.
NOTE: Adjustments to the number of cases reported from state health departments were made for hardcopy forms and for electronic data submissions through
May 29, 2013 (see Appendix). The number of cases and the rates shown here supersede those published in previous reports. For more information regarding
reporting, see Appendix, Interpreting STD Surveillance Data. Cases and rates shown in this table exclude the outlying areas of Guam, Puerto Rico, and Virgin Islands.
80
Table 2.
ChlamydiaReported Cases and Rates by State, Ranked by Rates, United States, 2012
Rank*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
State
Mississippi
Alaska
Alabama
Louisiana
South Carolina
New Mexico
Arkansas
Georgia
Illinois
North Carolina
New York
Tennessee
Texas
Delaware
Michigan
South Dakota
Arizona
Missouri
Hawaii
Ohio
U.S. TOTAL
Maryland
Indiana
California
Oklahoma
Virginia
Pennsylvania
North Dakota
Colorado
Wisconsin
Rhode Island
Nevada
Florida
Kentucky
Kansas
Montana
Iowa
Wyoming
Nebraska
Connecticut
Washington
Massachusetts
Oregon
Minnesota
New Jersey
Idaho
Vermont
Utah
West Virginia
Maine
New Hampshire
Cases
23,054
5,462
30,621
27,353
27,149
11,898
16,611
52,418
67,701
50,596
100,546
32,525
127,036
4,438
47,566
3,924
30,444
27,835
6,340
53,141
1,422,976
26,534
29,505
167,695
16,843
34,963
54,993
2,908
21,631
23,726
4,313
11,137
77,644
17,273
11,135
3,827
11,377
2,102
6,748
13,065
24,596
23,550
13,454
18,056
27,271
4,550
1,724
7,615
4,790
3,413
3,072
* States were ranked by rate; then by case count, then in alphabetical order, with rates shown rounded to the nearest tenth.
Total includes cases reported by the District of Columbia with 6,808 cases and a rate of 1,101.6, but excludes outlying areas (Guam with 1,031 cases and rate of
646.0, Puerto Rico with 6,227 cases and rate of 168.0, and Virgin Islands with 802 cases and rate of 758.1).
Chlamydia Tables
81
Table 3.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
82
2008
24,760
4,861
24,769
14,136
148,798
19,180
12,519
3,868
6,924
71,017
42,629
5,982
4,194
59,169
22,154
9,372
9,208
12,163
22,659
2,608
24,669
17,503
44,923
14,351
21,253
24,817
3,101
5,573
9,670
2,109
22,405
9,262
88,359
37,516
1,921
47,117
14,803
10,744
42,233
3,317
26,323
2,956
28,038
100,870
6,021
1,190
31,218
21,402
3,316
20,996
1,577
1,210,523
192,243
262,557
486,162
269,561
687
6,874
587
8,148
1,218,671
2009
25,929
5,166
26,002
14,354
146,796
19,998
12,127
4,718
6,549
72,931
39,828
6,026
3,842
60,542
21,732
9,406
10,510
13,293
27,628
2,431
23,747
19,315
45,714
14,197
23,589
25,868
2,988
5,443
10,045
2,102
23,974
9,493
92,069
41,045
1,957
48,239
15,023
11,497
43,068
3,615
26,654
3,015
29,711
105,910
6,145
1,186
30,903
21,387
3,604
20,906
1,963
1,244,180
199,887
267,529
505,416
271,348
620
7,302
488
8,410
1,252,590
2010
27,041
6,019
26,861
15,424
150,443
19,447
12,649
4,464
5,589
74,744
45,147
6,015
4,208
60,672
22,825
10,542
9,601
16,376
29,151
2,586
26,192
21,080
49,478
15,294
21,417
26,049
3,082
5,114
9,666
2,462
26,142
11,706
99,920
42,048
2,404
51,150
14,302
12,352
47,518
3,480
26,525
3,192
28,327
119,872
6,690
1,257
30,797
21,348
3,876
23,236
2,113
1,307,893
217,094
279,557
531,292
279,950
899
5,960
609
7,468
1,315,361
2011
29,626
5,739
29,251
16,052
166,773
21,811
13,649
4,508
6,585
76,033
54,403
6,001
4,699
64,939
27,801
10,705
10,598
16,629
31,614
3,094
27,212
22,764
49,568
16,902
21,216
27,887
3,406
6,780
10,507
3,010
26,209
11,374
102,763
54,819
2,445
52,653
14,596
13,643
52,884
4,146
28,932
3,409
31,105
124,882
7,086
1,483
36,314
23,280
4,295
24,619
2,092
1,412,791
230,002
298,306
578,821
305,662
1,071
5,634
820
7,525
1,420,316
2012
30,621
5,462
30,444
16,611
167,695
21,631
13,065
4,438
6,808
77,644
52,418
6,340
4,550
67,701
29,505
11,377
11,135
17,273
27,353
3,413
26,534
23,550
47,566
18,056
23,054
27,835
3,827
6,748
11,137
3,072
27,271
11,898
100,546
50,596
2,908
53,141
16,843
13,454
54,993
4,313
27,149
3,924
32,525
127,036
7,615
1,724
34,963
24,596
4,790
23,726
2,102
1,422,976
231,947
303,622
576,656
310,751
1,031
6,227
802
8,060
1,431,036
Chlamydia Tables
2008
531.1
708.3
381.1
495.1
404.8
388.3
357.6
443.0
1,169.9
387.5
440.1
464.4
275.2
458.6
347.4
312.1
328.6
284.9
513.7
198.1
437.9
269.4
449.1
274.9
723.2
419.8
320.5
312.5
371.9
160.3
258.0
466.8
453.3
406.8
299.5
410.2
406.4
283.5
339.3
315.7
587.6
367.6
451.1
414.6
220.0
191.5
401.8
326.8
182.8
373.1
296.1
398.1
350.0
394.5
435.2
380.4
390.4
173.8
534.4
192.2
395.3
2009
550.7
739.6
394.2
496.8
397.2
398.0
344.7
533.0
1,092.1
393.4
405.2
465.3
248.5
468.9
338.3
312.7
372.9
308.1
615.0
184.4
416.7
292.9
458.5
269.6
799.1
432.0
306.5
303.0
380.0
158.7
275.3
472.4
471.1
437.5
302.5
417.9
407.5
300.5
341.7
343.2
584.4
371.1
471.9
427.4
220.7
190.7
392.0
320.9
198.0
369.7
360.7
405.3
361.6
400.3
446.0
379.1
347.5
184.1
444.4
197.6
402.4
2010
565.7
847.5
420.2
529.0
403.8
386.7
353.9
497.1
928.8
397.5
466.0
442.2
268.4
472.9
352.0
346.1
336.5
377.4
643.0
194.7
453.7
321.9
500.6
288.4
721.8
435.0
311.5
280.0
357.9
187.0
297.3
568.5
515.6
441.0
357.4
443.4
381.2
322.4
374.1
330.6
573.5
392.1
446.4
476.7
242.1
200.9
384.9
317.5
209.2
408.6
374.9
423.6
392.5
417.7
463.8
389.1
563.9
160.0
573.1
187.1
420.6
2011
616.9
794.1
451.2
546.4
442.5
426.3
381.2
496.9
1,065.5
399.0
554.3
436.5
296.5
504.6
426.6
349.6
369.1
380.6
691.0
232.9
466.9
345.6
501.9
316.2
712.3
464.0
341.2
368.0
385.8
228.3
297.1
546.2
527.9
567.7
357.5
456.1
385.0
352.4
415.0
394.4
618.3
413.7
485.8
486.4
251.5
236.7
448.5
340.8
231.5
431.0
368.2
453.4
414.3
444.2
498.8
419.5
671.1
152.0
775.2
189.4
450.1
2012
637.6
755.8
469.6
565.4
444.9
422.7
364.9
489.2
1,101.6
407.4
534.0
461.2
287.1
526.1
452.7
371.5
387.8
395.3
597.9
257.0
455.3
357.5
481.6
337.8
774.0
463.1
383.4
366.2
408.9
233.0
309.2
571.4
516.5
524.0
425.2
460.3
444.2
347.5
431.6
410.3
580.2
476.2
507.9
494.8
270.3
275.2
431.8
360.1
258.2
415.4
370.0
456.7
417.8
452.1
496.9
426.5
646.0
168.0
758.1
202.9
453.5
Table 4.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
18,744
3,253
18,358
10,643
104,201
13,825
9,239
2,789
4,438
52,206
31,515
4,422
3,048
43,112
16,513
6,882
7,401
8,622
17,260
1,847
19,337
12,646
33,719
10,266
16,323
18,116
2,227
4,123
7,131
1,548
18,001
6,986
61,280
30,693
1,291
35,021
11,117
7,433
30,509
2,400
20,492
2,185
20,479
79,002
3,982
896
23,172
15,581
2,490
15,229
1,011
893,004
138,366
193,858
369,322
191,458
574
5,834
448
6,856
899,860
2009
19,413
3,364
19,097
10,689
101,716
14,765
8,937
3,573
4,153
52,747
29,074
4,399
2,768
44,560
16,150
6,785
8,209
9,621
20,719
1,705
18,782
13,786
33,860
10,204
17,829
18,825
2,134
3,884
7,112
1,542
18,757
6,987
63,882
33,002
1,297
36,724
11,101
8,136
30,335
2,603
21,124
2,214
21,655
82,551
4,019
889
22,390
15,741
2,684
15,038
1,187
912,718
142,436
197,750
381,107
191,425
512
6,336
435
7,283
920,001
2010
20,030
3,960
19,529
11,303
102,645
14,188
9,223
3,296
3,782
53,318
32,863
4,340
3,014
44,598
16,344
7,612
7,449
11,859
20,564
1,814
19,827
14,753
36,431
10,965
15,958
18,867
2,194
3,561
6,897
1,808
20,128
8,718
68,693
33,836
1,577
38,636
10,297
8,565
33,175
2,478
20,842
2,300
20,559
92,847
4,473
910
22,348
15,634
2,832
16,657
1,305
949,802
152,982
204,997
396,361
195,462
664
4,878
427
5,969
955,771
2011
21,217
3,801
21,196
11,921
114,657
15,751
9,824
3,191
4,357
54,262
39,829
4,314
3,345
46,728
20,065
7,647
8,158
11,990
23,390
2,149
20,004
15,744
36,367
11,827
15,697
20,097
2,390
4,783
7,215
2,184
19,886
8,309
70,466
42,992
1,603
38,914
10,349
9,489
36,463
2,984
22,278
2,491
22,200
95,326
4,821
1,106
26,283
16,641
3,092
17,402
1,357
1,018,552
160,806
216,082
428,378
213,286
783
4,528
591
5,902
1,024,454
2012
22,099
3,670
22,087
12,247
114,396
15,476
9,464
3,181
4,426
55,628
37,456
4,452
3,206
48,575
21,633
8,194
8,440
12,366
20,507
2,420
19,295
16,319
34,510
12,568
16,771
19,745
2,655
4,628
7,628
2,150
20,231
8,724
68,337
39,140
1,898
38,879
12,341
9,425
37,569
3,091
20,497
2,801
22,732
96,405
5,149
1,296
24,670
17,271
3,405
16,727
1,492
1,018,272
160,877
218,598
423,166
215,631
726
5,102
592
6,420
1,024,692
2008
779.8
989.7
566.0
730.6
567.3
564.7
515.0
620.1
1,422.7
560.0
640.4
692.4
402.5
659.0
510.6
452.9
524.8
395.3
760.4
274.0
665.4
378.1
663.8
391.8
1,077.6
599.1
461.1
458.5
559.0
232.2
406.3
694.4
611.1
652.3
404.0
595.4
603.0
389.7
477.6
442.7
891.5
541.7
642.8
648.4
293.8
284.0
586.3
475.1
269.0
538.1
385.2
579.4
490.9
574.2
649.8
541.5
664.1
283.7
775.2
311.5
575.6
2009
799.8
1,000.5
580.6
725.2
551.1
592.1
496.3
784.5
1,311.8
560.3
582.2
686.5
359.5
680.2
495.6
445.7
578.5
438.0
898.1
252.7
639.8
406.8
668.3
385.7
1,172.2
614.9
438.2
429.2
548.3
229.6
422.5
688.3
636.1
688.9
403.0
621.5
595.2
421.9
469.1
480.5
902.7
544.7
671.1
665.5
290.5
281.6
558.7
472.0
289.3
528.4
444.2
586.7
502.6
583.1
661.6
536.2
583.9
307.0
752.2
329.6
583.1
2010
814.4
1,162.6
607.2
761.5
547.8
565.6
502.8
711.9
1,191.2
554.7
662.8
639.1
385.3
682.1
496.2
494.9
518.1
538.0
888.6
267.4
664.9
436.4
723.5
410.4
1,045.7
617.5
445.3
387.0
515.9
271.0
446.1
836.9
686.9
691.9
474.0
654.4
543.6
442.6
509.4
455.4
877.5
565.4
632.1
732.6
325.2
286.6
548.4
463.3
301.5
581.5
472.5
605.1
537.8
602.9
678.5
541.5
846.8
251.4
757.7
287.6
601.0
2011
857.9
1,093.7
650.5
797.3
605.3
617.8
535.1
682.9
1,337.4
557.3
794.6
629.8
422.7
712.9
606.2
495.0
564.4
540.2
1,001.1
316.9
665.1
463.3
723.0
439.7
1,024.6
655.4
480.9
515.7
534.9
327.3
439.9
789.7
702.3
868.1
474.7
658.9
540.8
485.3
558.5
549.5
927.2
606.2
676.3
737.1
343.9
348.3
637.9
486.5
328.8
605.1
487.4
643.4
563.8
633.7
724.2
583.9
996.9
234.3
1,051.7
285.5
638.8
2012
893.5
1,056.0
677.8
819.1
603.9
607.0
515.5
680.7
1,358.6
571.4
747.3
649.9
405.1
741.0
653.6
530.4
583.9
557.2
877.7
356.9
641.5
480.3
686.1
467.2
1,094.7
643.9
534.2
499.0
565.6
322.2
447.5
829.2
681.1
790.3
562.1
658.3
644.9
482.0
575.5
569.2
853.1
681.7
692.5
745.5
367.3
408.1
598.7
504.9
362.1
581.7
535.9
643.3
564.0
641.1
715.4
590.3
924.3
264.0
1,053.5
310.6
639.0
NOTE: Cases reported with unknown sex are not included in this table.
Chlamydia Tables
83
Table 5.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
6,007
1,608
6,401
3,491
44,060
5,319
3,264
1,079
2,438
18,593
10,690
1,560
1,133
16,052
5,572
2,490
1,807
3,508
5,226
761
5,307
4,839
11,007
4,085
4,930
6,701
865
1,441
2,539
561
4,390
2,272
27,056
6,656
629
10,847
3,606
3,311
11,722
915
5,723
767
7,559
21,812
2,039
294
7,985
5,767
825
5,707
563
313,779
53,802
67,105
115,435
77,437
113
1,034
139
1,286
315,065
2009
6,508
1,802
6,904
3,664
44,592
5,228
3,190
1,145
2,390
20,069
10,513
1,626
1,051
15,964
5,502
2,621
2,301
3,647
6,841
726
4,885
5,490
11,675
3,993
5,760
7,043
851
1,549
2,931
560
5,200
2,500
28,171
7,798
654
10,978
3,879
3,361
12,700
1,012
5,418
788
8,055
23,302
2,126
297
8,442
5,645
920
5,740
776
328,783
57,346
68,808
123,236
79,393
108
957
53
1,118
329,901
2010
6,877
2,058
7,331
4,112
47,239
5,259
3,426
1,168
1,789
21,362
11,965
1,675
1,183
15,957
6,451
2,930
2,152
4,488
6,658
768
6,336
6,302
12,926
4,329
5,459
7,182
888
1,548
2,768
654
5,874
2,986
31,224
8,030
822
12,320
3,997
3,786
14,297
1,002
5,653
883
7,748
26,966
2,215
347
8,397
5,711
1,044
6,573
808
353,923
63,894
74,073
132,049
83,907
235
1,076
182
1,493
355,416
2011
7,648
1,938
8,052
4,125
51,554
6,057
3,825
1,317
2,225
21,685
13,978
1,687
1,347
18,083
7,681
3,058
2,440
4,577
7,568
944
7,197
7,000
13,095
5,075
5,519
7,790
1,016
1,987
3,290
826
6,231
3,054
32,126
11,585
841
13,731
3,851
4,154
16,364
1,162
6,585
914
8,905
29,533
2,265
377
9,929
6,639
1,203
7,203
734
389,970
68,855
81,898
147,430
91,787
288
1,106
229
1,623
391,593
2012
8,295
1,792
8,354
4,360
52,983
6,155
3,524
1,257
2,345
22,009
14,521
1,888
1,344
18,977
7,850
3,183
2,695
4,851
6,846
990
7,193
7,193
12,962
5,430
6,281
8,090
1,172
2,093
3,508
922
6,958
3,170
32,147
11,354
1,010
14,262
4,498
4,028
17,388
1,222
6,588
1,123
9,754
30,532
2,466
428
10,247
7,325
1,385
6,999
610
402,557
70,772
84,674
152,316
94,795
305
1,125
210
1,640
404,197
2008
266.0
449.7
196.5
249.6
239.6
213.5
191.2
254.9
871.1
206.5
224.3
240.2
147.8
252.4
177.3
167.9
129.8
168.0
244.1
118.5
194.6
153.5
223.5
157.1
346.2
232.0
178.5
163.0
191.7
86.4
103.3
232.2
285.9
147.4
195.4
193.6
200.5
175.9
193.4
179.9
262.4
191.3
249.5
179.6
147.6
96.2
209.2
176.4
92.8
204.0
208.4
209.3
201.2
204.6
210.3
218.1
126.2
54.5
267.1
63.1
207.3
2009
285.2
497.5
208.8
258.8
241.0
206.6
185.7
266.5
844.3
220.0
217.4
248.5
135.5
251.0
173.9
176.4
164.4
172.2
313.1
112.8
176.7
171.3
238.1
152.4
402.5
240.7
174.4
173.7
217.7
85.8
121.8
251.3
296.6
169.9
201.2
194.9
212.9
177.2
206.9
197.9
243.9
194.1
262.4
188.3
151.8
97.1
217.9
169.6
103.1
204.3
280.1
217.1
212.8
209.0
221.2
221.3
119.0
50.3
102.0
54.6
214.9
2010
296.4
556.8
230.8
287.2
255.1
208.6
196.9
268.5
629.4
232.5
253.0
245.9
150.6
253.6
202.2
194.3
152.0
210.2
300.0
118.1
227.0
199.0
266.6
164.5
378.8
244.8
178.8
170.8
203.0
100.7
137.3
293.5
333.0
172.9
241.9
218.7
215.2
199.7
231.0
197.1
251.2
216.8
250.5
216.2
159.5
112.6
213.9
170.5
114.3
232.9
281.1
233.2
237.8
225.0
235.2
234.1
290.1
60.3
364.7
77.9
231.2
2011
328.3
516.5
249.8
285.9
275.0
235.9
219.2
299.4
761.4
232.6
291.0
244.6
169.7
286.4
239.5
201.5
171.1
212.9
338.1
145.2
255.2
219.5
270.2
191.2
381.5
264.6
202.7
217.1
239.3
126.9
144.9
296.5
340.6
246.3
242.9
243.5
205.1
216.7
263.3
228.6
289.2
221.2
285.3
231.8
160.0
122.1
249.7
194.7
131.5
254.0
253.3
254.4
255.0
247.7
259.1
252.6
355.3
62.3
461.8
85.2
252.3
2012
356.1
477.6
259.1
302.2
282.6
239.8
202.0
285.8
802.5
236.1
302.3
273.7
169.3
300.5
244.8
209.8
189.0
225.6
305.8
152.3
255.0
225.5
267.5
204.5
434.2
274.8
233.8
228.7
255.2
141.7
161.8
307.7
340.8
241.4
291.7
252.9
239.5
210.2
279.8
240.4
289.4
271.8
312.5
239.6
174.2
138.6
257.7
214.8
151.4
246.8
210.5
262.6
262.1
256.1
267.7
260.9
376.3
63.4
423.5
86.1
260.4
NOTE: Cases reported with unknown sex are not included in this table.
84
Chlamydia Tables
Table 6.
MSAs
2008
2009
2010
2011
2012
Atlanta-Sandy Springs-Marietta, GA
20,722
20,292
22,144
27,308
26,401
Austin-Round Rock, TX
8,413
8,456
8,511
9,360
9,810
Baltimore-Towson, MD
13,537
12,883
13,988
14,399
13,578
Birmingham-Hoover, AL
6,690
6,120
6,126
6,834
6,868
Boston-Cambridge-Quincy, MA-NH
11,854
13,285
14,291
15,703
16,339
Buffalo-Cheektowaga-Tonawanda, NY
5,561
5,769
5,938
5,965
6,010
Charlotte-Gastonia-Concord, NC-SC
7,046
8,869
7,458
11,452
9,790
Chicago-Naperville-Joliet, IL-IN-WI
45,803
46,505
45,726
49,590
51,329
Cincinnati-Middletown, OH-KY-IN
10,016
8,872
9,805
10,059
10,256
Cleveland-Elyria-Mentor, OH
8,731
10,439
11,608
12,348
12,339
Columbus, OH
8,314
9,015
9,545
8,953
8,847
Dallas-Fort Worth-Arlington, TX
26,090
27,142
29,314
31,871
31,553
Denver-Aurora, CO
10,996
11,803
14,320
12,710
12,764
Detroit-Warren-Livonia, MI
24,987
25,347
27,751
26,237
24,229
Hartford-West Hartford-East Hartford, CT
4,781
4,467
4,616
4,837
4,562
Houston-Baytown-Sugar Land, TX
21,100
21,032
27,522
26,543
26,869
Indianapolis, IN
8,814
7,716
8,274
10,559
12,175
Jacksonville, FL
7,318
6,745
7,093
7,264
6,813
Kansas City, MO-KS
9,559
9,892
9,443
10,133
10,232
Las Vegas-Paradise, NV
7,753
8,177
7,614
8,337
8,587
Los Angeles-Long Beach-Santa Ana, CA
55,276
54,892
56,033
58,552
60,231
Louisville, KY-IN
4,953
5,294
6,344
6,691
6,886
Memphis, TN-MS-AR
11,896
13,368
12,463
11,685
12,719
Miami-Fort Lauderdale-Miami Beach, FL
18,128
19,101
19,095
19,561
20,933
Milwaukee-Waukesha-West Allis, WI
1,441
10,588
11,512
11,712
10,929
Minneapolis-St. Paul-Bloomington, MN-WI
10,093
9,925
10,870
12,027
12,013
Nashville-Davidson-Murfreesboro, TN
5,574
5,816
5,705
6,713
6,835
New Orleans-Metairie-Kenner, LA
5,109
6,701
6,947
7,998
7,010
New York-Newark-Edison, NY-NJ-PA
80,306
83,904
90,704
93,295
90,855
Oklahoma City, OK
5,650
5,475
4,704
5,087
5,640
Orlando, FL
8,287
9,199
9,491
9,545
9,928
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
28,749
30,449
33,050
34,799
35,513
Phoenix-Mesa-Scottsdale, AZ
14,314
15,615
16,519
17,746
20,358
Pittsburgh, PA
6,920
6,597
7,096
8,436
8,994
Portland-Vancouver-Beaverton, OR-WA
6,499
7,215
7,415
8,509
7,797
Providence-New Bedford-Fall River, RI-MA
4,551
4,865
4,759
5,559
5,941
Richmond, VA
6,783
6,681
7,065
7,845
7,384
Riverside-San Bernardino-Ontario, CA
13,557
16,934
12,263
20,749
20,994
Rochester, NY
5,294
5,767
6,575
5,842
5,827
Sacramento-Arden-Arcade-Roseville, CA
8,395
6,320
8,084
10,866
9,852
Salt Lake City, UT
3,562
3,424
3,717
3,821
4,104
San Antonio, TX
9,734
11,555
12,430
13,066
13,023
San Diego-Carlsbad-San Marcos, CA
14,373
14,169
15,341
15,346
16,524
San Francisco-Oakland-Fremont, CA
17,555
16,642
17,686
18,745
17,171
San Jose-Sunnyvale-Santa Clara, CA
5,796
5,537
5,691
5,965
4,676
Seattle-Tacoma-Bellevue, WA
11,532
11,533
11,510
12,329
12,965
St. Louis, MO-IL
14,092
14,546
14,691
15,556
14,905
Tampa-St. Petersburg-Clearwater, FL
11,230
11,835
12,158
12,595
12,274
Virginia Beach-Norfolk-Newport News, VA-NC
11,867
11,954
11,388
13,669
12,411
Washington-Arlington-Alexandria, DC-VA-MD-WV 20,943
20,116
19,870
22,660
23,727
U.S. MSAs TOTAL
690,544 718,843 752,263 807,431 807,770
2010
420.3
495.9
516.1
543.1
313.9
522.9
424.2
483.3
460.3
558.8
519.7
460.1
563.0
645.9
380.7
462.8
471.1
527.1
464.0
390.2
436.8
494.2
947.0
343.1
739.9
331.4
358.8
594.9
480.0
375.4
444.7
554.0
394.0
301.2
333.1
297.3
561.5
290.3
623.6
376.2
330.6
580.2
495.6
407.9
309.8
334.6
522.3
436.8
681.2
356.0
453.3
2011
509.6
524.8
527.6
603.6
342.0
526.0
637.8
521.7
470.5
597.0
481.7
488.3
488.9
612.2
398.7
436.1
593.7
534.0
493.6
423.2
452.3
516.7
881.5
345.0
749.7
362.4
415.1
671.5
490.6
398.0
439.6
580.7
416.3
357.5
376.1
347.4
618.0
482.0
553.6
499.3
333.4
595.3
488.7
426.9
319.8
352.3
552.1
445.9
813.7
397.3
480.9
2012
492.6
550.0
497.5
606.6
355.9
530.0
545.3
540.0
479.7
596.6
476.0
483.5
491.0
565.3
376.0
441.4
684.5
500.9
498.5
435.9
465.3
531.8
959.5
369.2
699.6
362.0
422.7
588.5
477.8
441.3
457.2
592.6
477.5
381.1
344.6
371.3
581.7
487.7
552.2
452.7
358.1
593.3
526.2
391.0
250.7
370.4
529.0
434.5
738.8
416.0
481.1
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: 2008 Milwaukee County STD morbidity data were misclassified, resulting in incomplete case counts for MSA-Milwaukee-Waukesha-West Allis,WI.
Chlamydia Tables
85
Table 7.
MSAs
2008
2009
2010
2011
2012
Atlanta-Sandy Springs-Marietta, GA
14,898
14,208
15,508
19,457
18,241
Austin-Round Rock, TX
5,933
6,020
6,212
6,644
6,909
Baltimore-Towson, MD
10,774
10,187
10,744
10,668
9,933
Birmingham-Hoover, AL
4,948
4,530
4,525
4,834
4,866
Boston-Cambridge-Quincy, MA-NH
8,458
9,369
9,937
10,747
11,234
Buffalo-Cheektowaga-Tonawanda, NY
4,076
4,254
4,386
4,370
4,317
Charlotte-Gastonia-Concord, NC-SC
5,469
6,747
5,764
8,535
7,278
Chicago-Naperville-Joliet, IL-IN-WI
33,220
34,202
33,360
35,360
36,701
Cincinnati-Middletown, OH-KY-IN
8,031
7,243
7,749
7,774
7,766
Cleveland-Elyria-Mentor, OH
6,487
7,755
8,556
9,065
8,877
Columbus, OH
6,027
6,619
6,886
6,203
6,210
Dallas-Fort Worth-Arlington, TX
20,125
21,235
22,876
24,111
23,892
Denver-Aurora, CO
7,824
8,617
10,458
9,143
9,117
Detroit-Warren-Livonia, MI
18,826
18,870
20,530
19,161
17,460
Hartford-West Hartford-East Hartford, CT
3,474
3,250
3,324
3,470
3,301
Houston-Baytown-Sugar Land, TX
17,287
16,737
21,925
20,985
20,910
Indianapolis, IN
6,352
5,430
5,632
7,190
8,473
Jacksonville, FL
5,392
4,874
5,191
5,213
4,812
Kansas City, MO-KS
7,115
7,278
6,852
7,351
7,360
Las Vegas-Paradise, NV
5,842
5,874
5,537
5,777
5,942
Los Angeles-Long Beach-Santa Ana, CA
38,100
36,965
37,486
38,802
39,470
Louisville, KY-IN
3,504
3,821
4,646
4,867
5,023
Memphis, TN-MS-AR
9,199
10,170
9,529
8,743
9,345
Miami-Fort Lauderdale-Miami Beach, FL
13,144
13,788
13,566
13,815
14,692
Milwaukee-Waukesha-West Allis, WI
1,116
7,747
8,376
8,397
7,760
Minneapolis-St. Paul-Bloomington, MN-WI
7,037
7,028
7,710
8,275
8,233
Nashville-Davidson-Murfreesboro, TN
3,916
4,136
4,027
4,741
4,696
New Orleans-Metairie-Kenner, LA
3,722
4,875
5,065
5,956
5,241
New York-Newark-Edison, NY-NJ-PA
56,829
59,274
63,280
64,705
62,227
Oklahoma City, OK
4,119
3,912
3,292
3,518
3,951
Orlando, FL
6,160
6,740
6,777
6,993
7,373
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
20,708
21,297
22,863
23,928
24,166
Phoenix-Mesa-Scottsdale, AZ
10,725
11,405
11,892
12,696
14,396
Pittsburgh, PA
5,092
4,884
5,146
5,963
6,325
Portland-Vancouver-Beaverton, OR-WA
4,468
5,069
5,091
5,824
5,359
Providence-New Bedford-Fall River, RI-MA
3,327
3,503
3,433
4,022
4,256
Richmond, VA
4,981
4,843
5,282
5,710
5,201
Riverside-San Bernardino-Ontario, CA
10,009
12,305
8,810
15,241
15,296
Rochester, NY
3,594
3,859
4,448
3,935
3,891
Sacramento-Arden-Arcade-Roseville, CA
5,997
4,589
5,754
7,874
7,122
Salt Lake City, UT
2,254
2,173
2,434
2,558
2,719
San Antonio, TX
7,206
8,566
8,972
9,286
9,436
San Diego-Carlsbad-San Marcos, CA
10,257
10,050
10,538
10,395
11,102
San Francisco-Oakland-Fremont, CA
11,514
10,618
10,940
11,733
10,391
San Jose-Sunnyvale-Santa Clara, CA
4,218
3,989
3,951
4,187
3,260
Seattle-Tacoma-Bellevue, WA
7,975
8,062
8,000
8,259
8,460
St. Louis, MO-IL
10,166
10,481
10,489
11,108
10,393
Tampa-St. Petersburg-Clearwater, FL
8,099
8,323
8,527
8,913
8,738
Virginia Beach-Norfolk-Newport News, VA-NC
8,789
8,503
8,098
9,786
8,763
Washington-Arlington-Alexandria, DC-VA-MD-WV 14,967
14,429
14,146
15,811
16,247
U.S. MSAs TOTAL
501,750 518,703 538,520 572,099 567,131
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: 2008 Milwaukee County STD morbidity data were misclassified, resulting in incomplete case counts for MSA-Milwaukee-Waukesha-West Allis,WI.
Cases reported with unknown sex are not included in this table.
86
Chlamydia Tables
Table 8.
MSAs
2008
2009
2010
2011
2012
Atlanta-Sandy Springs-Marietta, GA
5,585
5,923
6,471
7,549
7,906
Austin-Round Rock, TX
2,472
2,430
2,290
2,710
2,890
Baltimore-Towson, MD
2,754
2,665
3,231
3,723
3,608
Birmingham-Hoover, AL
1,740
1,588
1,545
1,852
1,985
Boston-Cambridge-Quincy, MA-NH
3,383
3,891
4,334
4,946
5,086
Buffalo-Cheektowaga-Tonawanda, NY
1,485
1,515
1,552
1,595
1,693
Charlotte-Gastonia-Concord, NC-SC
1,549
2,102
1,684
2,877
2,493
Chicago-Naperville-Joliet, IL-IN-WI
12,578
12,273
12,250
14,110
14,518
Cincinnati-Middletown, OH-KY-IN
1,963
1,565
2,022
2,283
2,488
Cleveland-Elyria-Mentor, OH
2,216
2,579
3,016
3,283
3,462
Columbus, OH
2,275
2,319
2,627
2,747
2,637
Dallas-Fort Worth-Arlington, TX
5,962
5,903
6,432
7,757
7,651
Denver-Aurora, CO
3,161
3,184
3,862
3,564
3,647
Detroit-Warren-Livonia, MI
5,996
6,329
7,134
7,011
6,718
Hartford-West Hartford-East Hartford, CT
1,303
1,217
1,292
1,367
1,245
Houston-Baytown-Sugar Land, TX
3,776
4,259
5,560
5,556
5,954
Indianapolis, IN
2,451
2,275
2,636
3,345
3,689
Jacksonville, FL
1,912
1,868
1,893
2,047
2,001
Kansas City, MO-KS
2,444
2,614
2,591
2,782
2,872
Las Vegas-Paradise, NV
1,911
2,301
2,076
2,558
2,644
Los Angeles-Long Beach-Santa Ana, CA
16,886
17,728
18,343
19,577
20,633
Louisville, KY-IN
1,436
1,460
1,686
1,794
1,833
Memphis, TN-MS-AR
2,697
3,197
2,928
2,942
3,374
Miami-Fort Lauderdale-Miami Beach, FL
4,934
5,304
5,523
5,721
6,238
Milwaukee-Waukesha-West Allis, WI
321
2,767
3,134
3,312
3,169
Minneapolis-St. Paul-Bloomington, MN-WI
3,056
2,897
3,160
3,752
3,775
Nashville-Davidson-Murfreesboro, TN
1,658
1,680
1,670
1,972
2,101
New Orleans-Metairie-Kenner, LA
1,349
1,804
1,687
2,017
1,769
New York-Newark-Edison, NY-NJ-PA
23,441
24,602
27,324
28,367
28,518
Oklahoma City, OK
1,473
1,536
1,410
1,457
1,688
Orlando, FL
2,117
2,452
2,705
2,539
2,555
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
8,040
9,129
10,146
10,817
11,314
Phoenix-Mesa-Scottsdale, AZ
3,586
4,210
4,626
5,047
5,960
Pittsburgh, PA
1,828
1,712
1,947
2,471
2,668
Portland-Vancouver-Beaverton, OR-WA
2,029
2,146
2,323
2,685
2,437
Providence-New Bedford-Fall River, RI-MA
1,222
1,360
1,325
1,536
1,683
Richmond, VA
1,793
1,817
1,759
2,089
2,171
Riverside-San Bernardino-Ontario, CA
3,548
4,622
3,437
5,412
5,683
Rochester, NY
1,700
1,908
2,127
1,907
1,936
Sacramento-Arden-Arcade-Roseville, CA
2,346
1,682
2,287
2,960
2,712
Salt Lake City, UT
1,308
1,251
1,283
1,263
1,385
San Antonio, TX
2,527
2,986
3,458
3,780
3,587
San Diego-Carlsbad-San Marcos, CA
4,078
4,097
4,785
4,925
5,418
San Francisco-Oakland-Fremont, CA
5,968
5,909
6,645
6,948
6,739
San Jose-Sunnyvale-Santa Clara, CA
1,558
1,513
1,649
1,667
1,353
Seattle-Tacoma-Bellevue, WA
3,538
3,471
3,509
4,070
4,505
St. Louis, MO-IL
3,925
4,065
4,200
4,444
4,494
Tampa-St. Petersburg-Clearwater, FL
3,050
3,441
3,601
3,657
3,532
Virginia Beach-Norfolk-Newport News, VA-NC
3,064
3,422
3,284
3,864
3,640
Washington-Arlington-Alexandria, DC-VA-MD-WV
5,897
5,623
5,680
6,823
7,418
U.S. MSAs TOTAL
187,289 198,591 212,139 233,477 239,475
2009
219.0
279.3
205.5
290.7
174.1
279.3
245.7
260.4
147.5
256.3
260.8
182.0
248.8
294.6
208.6
144.8
265.7
288.3
257.4
237.7
276.9
237.6
509.4
195.9
363.5
178.4
216.0
315.1
266.1
254.3
237.9
316.4
190.6
150.8
192.4
175.1
302.3
222.5
377.0
160.3
218.7
293.7
267.4
274.9
161.0
203.7
296.7
257.0
418.3
209.8
242.6
2010
252.4
266.2
247.6
283.9
196.7
283.2
197.2
265.0
194.1
302.1
291.4
204.7
305.4
342.6
219.0
188.0
307.6
288.7
260.1
211.4
289.9
269.0
463.4
205.0
414.1
195.2
214.8
296.8
300.3
228.4
258.9
352.4
221.8
171.1
211.4
171.2
289.1
163.6
415.1
217.1
226.7
328.6
308.0
310.8
179.0
205.0
308.3
267.2
400.6
209.1
261.3
2011
289.0
303.2
283.2
339.4
222.4
291.1
330.1
303.6
218.3
329.9
301.0
240.9
275.4
337.4
231.3
183.5
385.4
309.1
276.7
258.1
306.3
283.8
462.5
207.8
435.5
228.8
249.5
348.1
309.2
231.1
238.8
373.9
237.9
216.5
240.2
198.4
340.2
252.6
371.7
277.4
218.9
350.4
312.3
320.5
178.0
233.1
325.6
267.0
469.1
245.4
284.0
2012
302.7
323.4
274.4
363.8
228.7
309.0
286.0
312.4
237.9
347.9
289.0
237.6
281.8
323.3
210.7
196.6
425.1
302.1
285.6
266.8
322.9
290.0
530.4
226.6
416.7
230.2
265.8
305.3
310.9
267.7
240.3
391.1
280.9
233.7
218.0
217.4
353.6
265.2
377.4
254.2
240.1
332.5
343.6
310.9
144.5
258.0
329.3
257.9
441.9
266.8
291.3
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: 2008 Milwaukee County STD morbidity data were misclassified, resulting in incomplete case counts for MSA-Milwaukee-Waukesha-West Allis,WI.
Cases reported with unknown sex are not included in this table.
Chlamydia Tables
87
Table 9.
Rank
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Cases
51,589
37,946
21,933
20,803
19,224
19,044
17,532
17,023
16,524
16,223
12,777
11,781
11,777
11,586
10,221
10,109
10,064
9,905
9,612
9,213
8,642
8,620
8,587
8,153
7,714
7,383
7,098
7,063
6,868
6,808
6,782
6,772
6,576
6,562
6,444
6,361
6,286
6,084
6,037
6,025
5,935
5,829
5,521
5,509
5,467
5,379
5,331
5,237
5,191
5,096
5,088
5,072
5,014
5,000
4,883
4,761
4,659
4,442
4,313
4,292
4,106
4,081
4,077
4,003
4,001
3,997
3,948
3,938
3,923
3,813
Cumulative Percentage
3
6
7
9
10
11
13
14
15
16
17
18
19
20
20
21
22
22
23
24
24
25
26
26
27
27
28
28
29
29
30
30
31
31
31
32
32
33
33
34
34
34
35
35
36
36
36
37
37
37
38
38
39
39
39
40
40
40
41
41
41
41
42
42
42
43
43
43
43
44
Counties and independent cities were ranked in descending order by number of cases reported then by rate in 2012.
88
Chlamydia Tables
Table 10.
ChlamydiaReported Cases and Rates per 100,000 Population by Age Group and
Sex, United States, 20082012
Age
Group
Rates*
Male
3.8
0.5
14.0
695.9
1,050.7
554.1
268.5
141.1
79.3
33.8
10.1
2.6
Female
6.8
1.9
130.9
3,251.4
3,153.2
1,221.0
495.5
206.3
87.3
30.3
8.2
2.0
398.1
4.8
0.9
69.6
1,992.6
2,111.3
878.7
390.2
176.7
87.0
33.7
9.7
2.4
209.3
3.1
0.3
13.7
730.5
1,090.5
561.7
280.4
143.5
83.3
35.6
10.6
2.8
579.4
6.5
1.5
127.6
3,314.7
3,187.3
1,209.1
502.0
209.7
90.3
31.8
8.7
2.1
405.3
4.8
0.9
70.3
2,002.4
2,265.3
936.1
417.8
190.2
93.9
35.8
9.7
2.4
217.1
3.2
0.3
15.0
757.0
1,195.6
625.0
312.4
157.9
92.3
39.0
10.4
2.7
586.7
6.3
1.6
127.4
3,299.5
3,367.4
1,247.4
521.0
221.2
94.6
32.5
8.9
2.1
423.6
3.7
0.7
74.4
2,120.8
2,450.8
1,008.2
447.5
207.9
102.9
40.6
11.1
2.6
233.2
2.8
0.2
16.5
816.3
1,307.8
681.7
340.1
173.2
100.0
45.0
12.5
3.2
605.1
4.6
1.2
134.3
3,485.2
3,630.0
1,337.0
553.0
241.1
105.2
36.0
9.7
2.1
453.4
3.8
0.7
69.3
2,001.7
2,501.5
1,052.7
476.5
222.8
113.5
45.4
13.0
2.7
254.4
2.6
0.2
15.6
774.8
1,350.4
721.7
369.7
187.2
110.8
51.5
15.2
3.4
643.4
5.0
1.3
125.3
3,291.5
3,695.5
1,388.4
582.7
257.4
115.8
39.5
11.0
2.2
456.7
262.6
643.3
2012
Total
5.3
1.2
71.3
1,947.7
2,075.9
881.4
381.4
174.0
83.7
32.2
9.1
2.3
2011
Unknown Sex
4
3
40
1,310
1,161
503
240
119
68
53
6
7
226
3,740
7
0
47
851
839
336
159
73
46
32
5
3
281
2,679
18
4
81
1,520
1,316
494
253
102
89
48
15
9
219
4,168
5
1
74
1,447
1,465
549
254
112
74
44
7
9
228
4,269
7
0
27
659
772
311
131
73
41
28
6
7
85
2,147
2010
Female
696
185
12,816
340,975
322,054
126,901
47,757
21,510
9,398
6,832
1,424
453
2,003
893,004
676
154
12,447
347,597
332,946
127,708
49,103
21,354
9,467
7,183
1,573
471
2,039
912,718
619
158
12,860
354,252
355,994
130,561
51,925
22,421
9,931
7,423
1,674
481
1,503
949,802
458
118
13,588
366,818
393,534
140,628
56,562
23,711
11,120
8,182
1,903
486
1,444
1,018,552
495
134
12,673
346,430
400,629
146,037
59,594
25,313
12,245
8,961
2,161
525
3,075
1,018,272
2009
Male
409
52
1,441
76,741
113,948
60,629
26,740
14,908
8,525
7,386
1,634
427
939
313,779
339
33
1,405
80,725
120,975
62,437
28,344
14,859
8,750
7,818
1,787
472
839
328,783
327
26
1,590
85,570
131,686
66,470
31,230
15,861
9,594
8,635
1,834
464
636
353,923
284
24
1,743
90,764
147,948
73,357
34,971
16,911
10,460
9,910
2,300
569
729
389,970
272
17
1,655
86,150
152,772
77,666
38,011
18,274
11,596
11,332
2,783
602
1,427
402,557
2008
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Cases
Total
1,109
240
14,297
419,026
437,163
188,033
74,737
36,537
17,991
14,271
3,064
887
3,168
1,210,523
1,022
187
13,899
429,173
454,760
190,481
77,606
36,286
18,263
15,033
3,365
946
3,159
1,244,180
964
188
14,531
441,342
488,996
197,525
83,408
38,384
19,614
16,106
3,523
954
2,358
1,307,893
747
143
15,405
459,029
542,947
214,534
91,787
40,734
21,654
18,136
4,210
1,064
2,401
1,412,791
774
151
14,355
433,239
554,173
224,014
97,736
43,660
23,882
20,321
4,950
1,134
4,587
1,422,976
* No population data are available for unknown sex and age; therefore, rates are not calculated.
NOTE: This table should be used only for age comparisons. Cases in the 04 age group may include cases due to perinatal transmission.
Chlamydia Tables
89
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
American Indians/
Alaska Natives
Total
7
1
162
4,493
5,793
2,684
1,218
539
276
187
35
6
8
15,409
Male
3
0
13
792
1,232
648
347
121
89
43
12
3
3
3,306
Female
4
1
149
3,696
4,556
2,033
871
418
187
144
23
3
4
12,089
Native Hawaiians/
Other Pacific Islanders
Total
2
0
15
726
1,175
576
245
94
33
20
3
2
6
2,897
Total
91
27
1,587
50,694
70,044
31,919
14,810
6,989
3,229
2,250
402
72
480
182,594
Male
1
0
1
103
248
163
78
29
11
11
2
1
0
648
Hispanics
Male
29
2
186
9,275
17,616
9,966
4,849
2,402
1,277
1,014
188
36
121
46,961
Total
6
1
54
2,558
5,473
3,106
1,646
897
534
453
123
28
32
14,911
Asians
Male
4
0
5
361
1,247
847
554
329
236
211
54
15
10
3,873
Female
2
1
49
2,191
4,216
2,252
1,090
566
297
242
69
13
21
11,009
Whites, Non-Hispanic
Female
1
0
14
622
927
413
167
65
22
9
1
1
6
2,248
Total
146
12
2,076
92,549
137,204
53,703
21,386
8,992
5,212
4,750
1,165
226
559
327,980
Female
60
25
1,400
41,389
52,379
21,934
9,955
4,582
1,950
1,234
213
36
356
135,513
Total
278
43
3,176
97,387
123,626
50,886
23,693
11,167
6,467
5,503
1,428
461
2,370
326,485
Male
49
1
130
13,558
35,035
18,379
8,403
3,850
2,619
3,045
819
167
153
86,208
Female
97
11
1,946
78,939
102,091
35,297
12,971
5,136
2,591
1,704
346
59
403
241,591
Blacks, Non-Hispanic
Total
171
49
5,502
142,812
161,101
59,342
24,657
10,158
5,155
4,242
1,010
164
945
415,308
Total
1
2
73
1,828
1,861
655
224
88
62
42
12
0
1
4,849
Male
72
4
738
34,129
50,036
22,964
11,126
5,146
2,935
2,660
609
106
314
130,839
Multirace
Male
1
0
4
286
478
258
98
42
40
35
8
0
1
1,251
Female
99
45
4,759
108,564
110,974
36,337
13,519
5,004
2,216
1,582
401
58
628
284,186
Female
0
2
69
1,542
1,383
397
126
46
22
7
4
0
0
3,598
Other/Unknown
Male
86
7
344
18,438
32,629
16,493
8,522
4,323
2,959
2,826
758
201
752
88,338
Female
187
36
2,812
78,527
90,486
34,199
15,088
6,798
3,478
2,655
666
254
1,550
236,736
* Includes 47 states and the District of Columbia reporting race/ethnicity data in the Office of Management and Budget compliant formats in 2012.
90
Chlamydia Tables
Table 11B. ChlamydiaRates per 100,000 Population by Race/Ethnicity, Age Group, and Sex,
United States*, 2012
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
American Indians/
Alaska Natives
Total
4.4
0.6
96.7
2,509.8
3,310.1
1,753.7
858.0
407.4
199.6
62.3
15.4
3.4
728.2
Male
3.7
0.0
15.3
863.2
1,381.1
846.1
491.8
185.3
131.0
29.8
11.1
3.8
317.1
Female
5.0
1.3
180.8
4,235.1
5,309.5
2,658.7
1,220.0
623.9
265.8
92.5
19.3
3.0
Total
0.8
0.1
6.8
313.0
558.0
285.0
148.7
77.9
50.0
24.7
8.6
2.1
1,126.4
112.9
Native Hawaiians/
Other Pacific Islanders
Asians
Male
1.0
0.0
1.3
86.3
250.1
161.0
107.4
60.7
47.1
24.8
8.5
2.6
61.7
Blacks, Non-Hispanic
Female
0.5
0.2
12.4
548.9
874.5
399.5
184.3
93.0
52.3
24.7
8.7
1.7
Total
6.9
2.0
211.4
4,977.7
5,706.2
2,459.0
1,061.5
464.8
225.9
89.5
28.4
5.4
158.7
1,229.4
Whites, Non-Hispanic
Total
5.3
0.0
40.6
1,841.9
2,528.1
1,283.5
605.0
266.9
98.4
31.7
7.0
6.2
Male
5.2
0.0
5.2
512.5
1,027.1
709.2
376.3
161.4
65.2
34.9
9.5
6.8
Female
5.4
0.0
78.4
3,219.8
4,151.0
1,886.3
844.7
376.6
132.0
28.4
4.6
5.7
Total
1.6
0.1
19.8
830.1
1,175.4
473.1
195.2
85.0
42.8
16.8
4.5
0.7
Male
1.0
0.0
2.4
236.4
590.6
320.2
152.0
72.3
42.8
21.7
6.4
1.2
Female
2.1
0.2
38.1
1,458.3
1,778.4
629.0
239.0
97.7
42.7
12.0
2.6
0.3
Total
0.1
0.3
11.3
326.2
418.9
185.5
72.9
34.3
26.3
9.7
4.0
0.0
590.4
261.7
924.9
179.6
95.9
260.5
90.2
Total
1.9
0.6
36.7
1,191.0
1,699.0
795.4
380.4
192.6
98.3
43.0
12.8
2.7
380.3
Hispanics
Male
1.2
0.1
8.4
421.4
805.1
467.0
238.2
129.1
75.9
38.4
12.4
3.1
Female
2.5
1.1
66.1
2,013.6
2,707.7
1,167.6
535.9
259.2
121.8
47.7
13.1
2.4
192.2
574.7
Male
5.7
0.3
55.8
2,333.5
3,556.0
1,962.9
1,004.8
497.9
271.4
118.8
37.4
8.8
809.2
Multirace
Male
0.2
0.0
1.2
101.7
222.4
153.9
67.5
34.6
35.7
17.0
5.5
0.0
47.5
Female
8.1
3.7
372.1
7,719.1
7,836.3
2,922.4
1,112.1
434.4
184.6
63.2
20.8
3.2
1,613.6
Female
0.0
0.6
21.7
552.2
603.2
214.1
77.7
34.0
17.7
3.1
2.5
0.0
131.4
* Includes 47 states and the District of Columbia reporting race/ethnicity data in the Office of Management and Budget compliant formats in 2012.
Chlamydia Tables
91
Table 12.
ChlamydiaReported Cases and Rates for Women 1525 Years of Age, United
States, 20082012
2012
2011
2010
2009
2008
Age
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
Cases
25,468
47,865
73,080
96,581
97,981
87,892
74,816
63,397
52,641
43,308
35,773
25,118
47,662
72,782
98,822
103,213
92,398
78,650
64,631
53,362
43,905
35,465
25,432
48,233
73,089
100,399
107,099
99,175
84,674
69,755
56,264
46,126
37,155
25,792
48,942
75,143
104,501
112,440
107,958
95,195
77,799
62,339
50,243
40,711
24,453
45,041
69,465
99,459
108,012
104,425
96,456
81,292
65,473
52,983
41,911
NOTE: This table should be used only for age comparisons. Cases with unknown sex are not included in this table.
92
Chlamydia Tables
Table 13.
GonorrheaReported Cases and Rates by State, Ranked by Rates, United States, 2012
Rank*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
State
Mississippi
Louisiana
Alabama
South Carolina
Georgia
North Carolina
Arkansas
Ohio
Tennessee
Illinois
Missouri
Michigan
Texas
Pennsylvania
Oklahoma
New York
Indiana
U.S. TOTAL
Florida
Alaska
Delaware
Kentucky
Maryland
New Mexico
Arizona
California
South Dakota
Virginia
New Jersey
Nevada
Wisconsin
Kansas
Nebraska
Iowa
Connecticut
Hawaii
Minnesota
Colorado
North Dakota
Rhode Island
Washington
West Virginia
Massachusetts
Oregon
Maine
Utah
Vermont
New Hampshire
Montana
Idaho
Wyoming
Cases
6,875
8,873
9,270
7,638
15,326
14,318
4,307
16,493
9,098
18,149
7,889
12,584
32,473
15,390
4,441
22,571
7,338
334,826
19,462
726
899
4,283
5,686
1,883
5,809
33,579
707
6,885
7,486
2,264
4,704
2,228
1,429
2,006
2,133
815
3,082
2,822
335
507
3,238
831
2,628
1,464
456
479
99
147
108
167
44
* States were ranked by 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 2,402 cases and a rate of 388.7, but excludes outlying areas (Guam with 92 cases and rate of 57.6,
Puerto Rico with 345 cases and rate of 9.3, and Virgin Islands with 136 cases and rate of 128.6).
Gonorrhea Tables
93
Table 14.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
94
2008
9,740
578
3,449
4,514
25,787
3,757
2,801
1,045
2,656
23,326
16,272
610
187
20,674
8,769
1,700
2,274
4,548
9,455
96
6,666
2,129
17,064
3,037
7,494
8,014
122
1,460
2,172
100
5,298
1,403
17,108
15,972
143
16,803
5,185
1,225
11,071
307
9,442
375
8,780
32,199
477
37
10,337
3,127
746
6,087
124
336,742
38,947
86,400
168,377
43,018
109
273
120
502
337,244
2009
7,498
990
3,250
4,460
23,228
2,823
2,558
971
2,561
20,878
13,687
631
110
19,962
6,835
1,658
2,505
3,827
8,996
143
6,395
1,976
14,704
2,303
7,241
6,488
80
1,376
1,726
113
4,762
1,082
17,004
13,870
151
15,988
4,673
1,113
10,138
322
8,318
344
7,926
29,295
341
50
7,789
2,285
475
5,201
74
301,174
37,066
77,515
148,860
37,733
59
230
115
404
301,578
2010
7,933
1,273
3,249
4,769
26,441
2,787
2,569
1,010
2,104
20,163
15,852
759
147
15,777
6,496
1,803
2,084
4,345
8,912
162
7,413
2,483
13,627
2,119
6,195
7,159
102
1,187
1,728
151
5,872
1,229
18,320
14,111
204
16,496
4,369
1,076
12,883
291
7,970
468
7,121
31,788
310
58
7,402
2,864
579
5,091
40
309,341
42,789
72,511
152,036
42,005
97
312
151
560
309,901
2012
9,270
726
5,809
4,307
33,579
2,822
2,133
899
2,402
19,462
15,326
815
167
18,149
7,338
2,006
2,228
4,283
8,873
456
5,686
2,628
12,584
3,082
6,875
7,889
108
1,429
2,264
147
7,486
1,883
22,571
14,318
335
16,493
4,441
1,464
15,390
507
7,638
707
9,098
32,473
479
99
6,885
3,238
831
4,704
44
334,826
51,417
76,944
153,067
53,398
92
345
136
573
335,399
Gonorrhea Tables
2008
208.9
84.2
53.1
158.1
70.2
76.1
80.0
119.7
448.8
127.3
168.0
47.4
12.3
160.2
137.5
56.6
81.2
106.5
214.4
7.3
118.3
32.8
170.6
58.2
255.0
135.6
12.6
81.9
83.5
7.6
61.0
70.7
87.8
173.2
22.3
146.3
142.4
32.3
88.9
29.2
210.8
46.6
141.3
132.4
17.4
6.0
133.1
47.7
41.1
108.2
23.3
110.7
70.9
129.8
150.7
60.7
61.9
6.9
109.2
11.8
109.4
2009
159.2
141.7
49.3
154.4
62.8
56.2
72.7
109.7
427.1
112.6
139.2
48.7
7.1
154.6
106.4
55.1
88.9
88.7
200.3
10.8
112.2
30.0
147.5
43.7
245.3
108.4
8.2
76.6
65.3
8.5
54.7
53.8
87.0
147.9
23.3
138.5
126.7
29.1
80.4
30.6
182.4
42.3
125.9
118.2
12.2
8.0
98.8
34.3
26.1
92.0
13.6
98.1
67.0
116.0
131.4
52.7
33.1
5.8
104.7
9.5
96.9
2010
166.0
179.2
50.8
163.6
71.0
55.4
71.9
112.5
349.7
107.2
163.6
55.8
9.4
123.0
100.2
59.2
73.0
100.1
196.6
12.2
128.4
37.9
137.9
40.0
208.8
119.5
10.3
65.0
64.0
11.5
66.8
59.7
94.5
148.0
30.3
143.0
116.5
28.1
101.4
27.6
172.3
57.5
112.2
126.4
11.2
9.3
92.5
42.6
31.2
89.5
7.1
100.2
77.4
108.3
132.7
58.4
60.8
8.4
142.1
14.0
99.1
2011
190.1
136.2
70.4
159.5
73.0
46.2
68.4
91.2
415.7
103.3
167.4
49.8
10.2
132.4
100.8
62.7
76.9
103.5
200.4
20.5
110.8
35.7
130.6
42.7
195.2
129.8
8.5
73.4
73.4
9.9
83.3
88.3
106.4
180.8
36.7
144.9
111.2
38.5
108.1
34.2
178.4
73.1
119.7
120.5
9.8
7.7
80.5
40.1
42.9
83.8
8.1
103.3
85.4
110.8
133.8
61.4
60.2
9.2
131.4
14.5
102.2
2012
193.0
100.5
89.6
146.6
89.1
55.2
59.6
99.1
388.7
102.1
156.1
59.3
10.5
141.0
112.6
65.5
77.6
98.0
194.0
34.3
97.6
39.9
127.4
57.7
230.8
131.2
10.8
77.6
83.1
11.2
84.9
90.4
116.0
148.3
49.0
142.9
117.1
37.8
120.8
48.2
163.2
85.8
142.1
126.5
17.0
15.8
85.0
47.4
44.8
82.4
7.7
107.5
92.6
114.6
131.9
73.3
57.6
9.3
128.6
14.4
106.3
Table 15.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
5,582
321
1,577
2,520
11,625
1,978
1,686
606
1,259
12,279
8,687
298
90
11,342
5,056
1,024
1,459
2,511
5,177
43
3,604
1,100
10,047
1,657
4,357
4,542
92
891
1,012
49
2,813
783
8,349
8,876
93
9,784
2,964
553
6,210
135
5,704
247
4,801
17,029
137
19
5,847
1,522
425
3,744
71
182,577
20,404
49,886
92,228
20,059
58
128
86
272
182,849
2009
4,240
516
1,475
2,562
9,430
1,502
1,491
564
1,233
10,745
7,253
264
51
11,248
3,985
1,049
1,541
2,132
5,125
62
3,457
976
8,536
1,270
4,335
3,585
46
821
826
54
2,435
570
7,927
7,868
88
9,766
2,809
505
5,650
146
5,004
190
4,365
16,071
70
29
4,314
949
281
3,113
44
162,568
18,770
45,192
82,358
16,248
32
126
90
248
162,816
2010
4,432
698
1,553
2,729
10,546
1,514
1,449
621
1,073
10,240
8,297
314
68
8,924
3,598
1,179
1,235
2,487
4,824
75
4,028
1,004
7,971
1,248
3,602
3,951
56
675
830
59
3,115
610
8,718
8,314
140
10,034
2,493
477
7,268
121
4,905
290
3,884
17,246
75
24
4,146
1,044
326
3,164
19
165,693
21,833
42,409
83,647
17,804
45
141
96
282
165,975
2012
5,187
385
2,827
2,432
13,045
1,362
1,153
496
1,006
9,570
7,921
299
63
9,837
4,139
1,170
1,339
2,328
5,080
240
2,878
1,076
7,194
1,676
3,834
4,209
58
784
982
61
3,798
857
10,021
8,093
207
9,706
2,652
528
8,360
232
4,416
446
4,721
17,151
132
54
3,734
1,230
438
2,640
19
172,066
24,995
43,347
81,937
21,787
46
157
92
295
172,361
2008
232.2
97.7
48.6
173.0
63.3
80.8
94.0
134.7
403.6
131.7
176.5
46.7
11.9
173.4
156.3
67.4
103.5
115.1
228.1
6.4
124.0
32.9
197.8
63.2
287.6
150.2
19.0
99.1
79.3
7.3
63.5
77.8
83.3
188.6
29.1
166.3
160.8
29.0
97.2
24.9
248.2
61.2
150.7
139.8
10.1
6.0
147.9
46.4
45.9
132.3
27.0
118.5
72.4
147.7
162.3
56.7
67.1
6.2
148.8
12.4
117.0
2009
174.7
153.5
44.8
173.8
51.1
60.2
82.8
123.8
389.5
114.1
145.2
41.2
6.6
171.7
122.3
68.9
108.6
97.1
222.2
9.2
117.8
28.8
168.5
48.0
285.0
117.1
9.4
90.7
63.7
8.0
54.8
56.2
78.9
164.2
27.3
165.3
150.6
26.2
87.4
27.0
213.8
46.7
135.3
129.6
5.1
9.2
107.6
28.5
30.3
109.4
16.5
104.5
66.2
133.3
143.0
45.5
36.5
6.1
155.6
11.2
103.2
2010
180.2
204.9
48.3
183.9
56.3
60.4
79.0
134.1
338.0
106.5
167.3
46.2
8.7
136.5
109.2
76.7
85.9
112.8
208.5
11.1
135.1
29.7
158.3
46.7
236.0
129.3
11.4
73.4
62.1
8.8
69.0
58.6
87.2
170.0
42.1
169.9
131.6
24.7
111.6
22.2
206.5
71.3
119.4
136.1
5.5
7.6
101.7
30.9
34.7
110.5
6.9
105.6
76.7
124.7
143.2
49.3
57.4
7.3
170.3
13.6
104.4
2011
206.3
148.2
67.9
179.7
57.1
50.4
75.1
100.8
371.1
102.7
171.4
39.9
10.0
144.9
111.5
78.8
94.1
117.0
225.3
18.0
115.1
31.9
151.1
48.1
218.3
136.8
10.3
88.7
65.2
8.8
86.6
87.9
96.8
203.4
44.1
169.5
125.1
30.8
117.7
30.8
207.3
97.1
125.3
127.4
4.7
7.6
89.6
31.2
49.7
101.1
9.0
108.0
84.7
126.5
143.6
51.4
56.0
7.2
167.3
13.4
106.8
2012
209.7
110.8
86.8
162.7
68.9
53.4
62.8
106.1
308.8
98.3
158.0
43.6
8.0
150.1
125.0
75.7
92.6
104.9
217.4
35.4
95.7
31.7
143.0
62.3
250.3
137.3
11.7
84.5
72.8
9.1
84.0
81.5
99.9
163.4
61.3
164.4
138.6
27.0
128.1
42.7
183.8
108.5
143.8
132.6
9.4
17.0
90.6
36.0
46.6
91.8
6.8
108.7
87.6
127.1
138.5
59.6
58.6
8.1
163.7
14.3
107.5
NOTE: Cases reported with unknown sex are not included in this table.
Gonorrhea Tables
95
Table 16.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
4,151
257
1,869
1,993
14,025
1,777
1,113
439
1,383
10,995
7,465
312
97
9,331
3,693
676
815
2,030
4,233
53
3,054
1,026
6,876
1,380
3,135
3,472
29
568
1,160
51
2,483
619
8,751
7,023
50
6,693
2,212
672
4,860
172
3,712
128
3,979
15,150
340
18
4,477
1,600
321
2,332
53
153,103
18,527
36,014
75,752
22,810
51
145
34
230
153,333
2009
3,250
474
1,775
1,898
13,705
1,319
1,067
407
1,328
10,099
6,368
367
58
8,710
2,831
609
964
1,690
3,849
81
2,922
996
6,004
1,033
2,906
2,903
34
553
900
59
2,326
512
9,072
5,902
62
6,068
1,857
608
4,484
176
3,289
153
3,560
13,215
271
21
3,465
1,334
194
2,061
30
137,819
18,282
31,951
66,199
21,387
27
104
25
156
137,975
2010
3,430
575
1,696
2,038
15,773
1,273
1,120
389
1,028
9,906
7,421
445
78
6,824
2,884
624
849
1,854
3,540
86
3,377
1,479
5,634
871
2,593
3,208
46
512
898
92
2,727
619
9,601
5,712
64
6,421
1,873
599
5,615
170
3,056
177
3,235
14,524
235
33
3,248
1,818
253
1,926
21
142,470
20,923
29,994
67,477
24,076
52
171
55
278
142,748
2012
4,034
341
2,981
1,873
20,431
1,460
978
403
1,386
9,892
7,301
516
104
8,283
3,188
836
889
1,948
3,793
216
2,806
1,551
5,372
1,395
3,039
3,680
50
641
1,280
86
3,673
1,025
12,529
6,180
127
6,787
1,789
936
7,025
275
3,196
259
4,368
15,286
347
45
3,145
2,008
393
2,064
25
162,235
26,378
33,521
70,832
31,504
46
188
44
278
162,513
2008
183.8
71.9
57.4
142.5
76.3
71.3
65.2
103.7
494.1
122.1
156.7
48.0
12.7
146.7
117.5
45.6
58.6
97.2
197.7
8.3
112.0
32.5
139.6
53.1
220.2
120.2
6.0
64.2
87.6
7.9
58.4
63.3
92.5
155.5
15.5
119.4
123.0
35.7
80.2
33.8
170.2
31.9
131.4
124.8
24.6
5.9
117.3
48.9
36.1
83.4
19.6
102.1
69.3
109.8
138.0
64.3
56.9
7.6
65.3
11.3
100.9
2009
142.4
130.9
53.7
134.1
74.1
52.1
62.1
94.7
469.2
110.7
131.7
56.1
7.5
137.0
89.5
41.0
68.9
79.8
176.1
12.6
105.7
31.1
122.5
39.4
203.1
99.2
7.0
62.0
66.9
9.0
54.5
51.5
95.5
128.6
19.1
107.7
101.9
32.0
73.0
34.4
148.1
37.7
116.0
106.8
19.3
6.9
89.4
40.1
21.7
73.4
10.8
91.0
67.9
97.0
118.8
59.6
29.8
5.5
48.1
7.6
89.9
2010
147.8
155.6
53.4
142.4
85.2
50.5
64.4
89.4
361.7
107.8
156.9
65.3
9.9
108.5
90.4
41.4
60.0
86.8
159.5
13.2
121.0
46.7
116.2
33.1
179.9
109.4
9.3
56.5
65.9
14.2
63.7
60.8
102.4
123.0
18.8
114.0
100.9
31.6
90.7
33.4
135.8
43.4
104.6
116.5
16.9
10.7
82.7
54.3
27.7
68.2
7.3
93.9
77.9
91.1
120.2
67.2
64.2
9.6
110.2
14.5
92.9
2011
164.2
125.0
72.9
138.3
88.5
42.0
61.4
80.9
465.4
103.8
160.0
59.7
10.5
119.0
89.4
46.3
59.5
89.0
167.0
23.1
106.1
39.8
109.0
37.3
170.8
122.5
6.8
57.7
81.6
10.9
79.1
88.7
116.4
155.2
29.2
119.1
91.0
46.3
97.8
38.0
147.2
48.9
113.9
113.4
14.9
7.8
70.8
49.0
36.0
66.3
7.2
97.7
86.1
94.5
122.2
71.1
64.2
11.3
90.7
15.6
96.7
2012
173.2
90.9
92.5
129.8
109.0
56.9
56.1
91.6
474.3
106.1
152.0
74.8
13.1
131.2
99.4
55.1
62.4
90.6
169.5
33.2
99.5
48.6
110.9
52.5
210.1
125.0
10.0
70.0
93.1
13.2
85.4
99.5
132.8
131.4
36.7
120.4
95.3
48.8
113.0
54.1
140.4
62.7
140.0
120.0
24.5
14.6
79.1
58.9
42.9
72.8
8.6
105.8
97.7
101.4
124.5
86.7
56.8
10.6
88.7
14.6
104.7
NOTE: Cases reported with unknown sex are not included in this table.
96
Gonorrhea Tables
Table 17.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
8,084
2,388
4,146
2,891
1,464
1,898
3,249
16,181
3,926
2,770
3,853
9,197
2,625
10,850
1,029
7,290
4,194
2,979
3,268
1,918
9,832
2,300
4,475
5,471
446
2,345
1,541
2,045
15,116
2,403
2,704
7,724
2,211
2,569
1,033
455
2,698
2,199
1,345
1,771
346
3,113
2,066
5,065
712
2,182
5,003
3,852
4,935
5,557
197,714
7,466
1,973
3,869
1,970
1,352
1,574
3,165
15,864
3,219
3,089
3,192
7,930
1,995
9,366
961
6,232
2,975
2,015
3,192
1,553
9,774
2,125
4,536
5,239
3,588
1,800
1,225
2,082
15,254
2,066
2,663
7,407
2,317
1,866
826
427
1,900
1,921
1,465
1,124
244
3,697
1,829
4,375
563
1,700
3,620
3,818
3,647
5,321
181,371
8,337
1,932
4,369
2,363
1,881
1,227
2,424
12,380
3,379
3,608
3,351
8,766
2,344
9,160
1,126
7,652
2,969
2,128
3,213
1,604
11,156
2,272
4,086
5,506
3,425
1,665
1,292
1,991
17,507
1,700
2,495
9,694
2,335
2,069
926
382
1,742
1,924
1,319
1,676
204
3,729
2,021
4,867
586
2,189
4,137
3,516
3,429
5,234
189,287
8,567
2,009
3,634
2,550
1,671
1,543
3,328
13,188
3,516
3,930
3,022
8,732
1,662
8,924
1,036
6,864
2,962
2,040
2,920
1,740
11,105
2,462
3,849
5,352
3,349
1,880
1,654
2,069
20,855
1,845
2,277
10,123
3,340
2,473
1,318
475
1,441
2,330
1,066
1,913
199
3,731
2,173
5,009
680
1,971
5,017
3,655
2,810
5,477
195,736
8,287
2,204
2,974
2,340
1,995
2,172
2,743
14,304
3,228
4,203
2,849
7,835
2,055
8,062
744
7,590
3,542
1,948
2,929
1,968
13,102
2,073
4,495
5,291
3,277
2,526
1,852
2,166
20,921
1,947
2,328
11,026
4,526
3,048
1,183
643
1,699
3,031
1,153
2,324
345
3,672
2,620
5,263
1,020
2,323
4,811
3,422
2,625
5,360
204,044
150.4
144.5
155.4
258.7
32.4
168.8
190.9
169.1
182.2
132.6
217.3
146.0
104.7
245.2
86.4
127.3
244.5
226.8
163.2
102.8
76.4
184.8
348.1
101.0
28.8
72.6
99.4
180.3
79.5
199.2
131.6
132.3
51.6
109.3
46.8
28.5
220.1
53.4
130.1
83.9
31.0
153.2
68.8
118.5
39.1
65.2
177.6
140.9
297.6
103.7
120.4
136.4
115.7
143.8
174.2
29.5
140.1
181.3
165.6
148.2
147.7
177.2
123.0
78.2
212.7
80.4
106.2
170.6
151.7
154.4
81.6
75.9
168.8
347.6
94.4
230.0
55.0
77.4
175.0
80.0
168.3
127.9
124.1
53.1
79.2
36.8
26.7
153.5
46.4
141.5
52.8
21.6
178.4
59.9
101.3
30.6
49.9
128.0
139.0
217.8
97.2
109.1
158.2
112.6
161.2
209.5
41.3
108.1
137.9
130.9
158.6
173.7
182.5
137.6
92.2
213.2
92.9
128.7
169.1
158.1
157.9
82.2
87.0
177.0
310.5
98.9
220.1
50.8
81.3
170.5
92.6
135.7
116.9
162.5
55.7
87.8
41.6
23.9
138.4
45.5
125.1
78.0
18.1
174.0
65.3
112.3
31.9
63.6
147.1
126.3
205.1
93.8
114.1
159.9
112.6
133.2
225.2
36.4
136.1
185.4
138.8
164.4
190.0
162.6
133.8
63.9
208.2
85.4
112.8
166.5
150.0
142.3
88.3
85.8
190.1
290.4
94.4
214.4
56.7
102.3
173.7
109.7
144.4
104.9
168.9
78.3
104.8
58.3
29.7
113.5
54.1
101.0
87.9
17.4
170.0
69.2
114.1
36.5
56.3
178.1
129.4
167.3
96.0
116.6
154.6
123.6
109.0
206.7
43.5
191.5
152.8
150.5
151.0
203.2
153.3
120.0
79.1
188.1
61.3
124.7
199.1
143.2
142.7
99.9
101.2
160.1
339.1
93.3
209.8
76.1
114.5
181.9
110.0
152.3
107.2
184.0
106.2
129.2
52.3
40.2
133.8
70.4
109.3
106.8
30.1
167.3
83.4
119.9
54.7
66.4
170.8
121.1
156.3
94.0
121.5
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: 2008 Milwaukee County STD morbidity data were misclassified, resulting in incomplete case counts for MSA-Milwaukee-Waukesha-West Allis,WI.
Gonorrhea Tables
97
Table 18.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
3,967
1,177
2,302
1,655
720
1,059
1,697
8,594
2,696
1,469
2,062
4,953
1,345
6,226
609
3,749
2,290
1,587
1,888
880
4,214
1,228
2,472
2,661
300
1,210
783
984
7,089
1,294
1,424
4,098
988
1,524
420
209
1,436
1,237
744
917
88
1,557
803
1,863
312
965
2,756
2,006
2,875
2,711
102,093
3,633
980
2,181
1,056
624
878
1,750
8,712
2,181
1,808
1,873
4,556
1,035
5,204
551
3,302
1,603
1,048
1,821
746
3,641
1,133
2,537
2,439
2,098
928
625
1,098
6,886
1,188
1,364
3,811
1,022
1,161
322
196
1,010
1,024
744
557
37
1,921
620
1,421
248
604
1,908
1,907
2,008
2,637
92,637
3,954
910
2,397
1,323
708
669
1,334
6,741
2,330
2,082
1,917
4,788
1,261
5,217
633
4,174
1,545
1,152
1,810
779
3,947
1,263
2,285
2,480
2,070
950
597
1,014
8,124
962
1,171
5,125
1,071
1,274
371
159
994
976
714
907
41
1,886
535
1,710
249
686
2,188
1,834
1,858
2,673
95,838
4,136
935
1,941
1,417
730
828
1,776
7,015
2,264
2,371
1,552
4,645
885
5,114
596
3,805
1,572
1,121
1,596
742
3,944
1,413
2,191
2,361
1,980
1,028
759
1,110
9,670
1,034
1,090
5,361
1,568
1,501
482
232
808
1,196
525
990
42
1,835
609
1,531
243
649
2,701
1,887
1,559
2,695
98,035
3,901
993
1,527
1,280
738
1,173
1,499
7,464
2,052
2,426
1,509
4,157
965
4,406
422
4,044
1,842
983
1,590
847
4,359
1,115
2,415
2,198
1,814
1,318
831
1,165
8,918
1,081
1,087
5,581
2,118
1,857
393
294
927
1,562
560
1,212
88
1,865
847
1,493
372
732
2,468
1,701
1,399
2,348
97,936
145.8
145.9
166.6
286.0
31.0
181.9
196.0
177.1
244.5
135.5
229.8
158.2
107.9
275.1
99.8
131.2
262.4
236.4
185.3
96.0
65.0
192.2
370.2
95.6
37.9
74.6
99.4
166.6
72.3
211.5
137.3
135.9
46.7
125.0
38.0
25.4
227.9
60.2
140.6
85.6
16.0
150.3
53.9
86.7
35.2
57.7
189.6
143.0
339.3
98.8
122.4
131.1
117.4
156.5
180.6
26.5
151.0
196.6
179.0
196.4
166.6
205.2
142.2
81.4
230.8
90.0
112.8
180.6
154.1
173.1
79.8
56.2
175.9
374.6
85.9
262.8
56.4
77.7
177.8
70.1
190.6
129.7
123.6
47.4
95.2
28.6
23.8
158.5
49.6
140.5
51.7
6.6
182.0
40.7
65.5
27.6
35.4
130.8
135.4
234.4
94.3
109.8
146.2
106.3
170.5
226.6
30.1
113.9
147.6
139.3
214.0
193.0
205.0
148.2
98.6
235.6
101.7
139.6
171.8
167.0
174.2
80.4
60.7
192.3
333.9
86.4
259.0
57.2
73.5
169.2
82.9
151.3
107.5
166.0
50.8
104.6
32.9
19.2
153.0
46.0
131.8
82.8
7.3
173.0
34.7
77.8
27.2
39.7
150.9
127.7
218.1
93.3
113.0
150.6
105.1
137.2
241.6
30.8
141.3
192.2
144.4
207.3
220.9
164.1
140.5
67.8
231.6
95.8
124.4
172.6
160.6
152.4
75.8
60.2
213.2
317.8
80.9
247.0
61.2
91.8
181.5
98.2
159.7
98.4
173.0
73.2
123.2
42.1
28.1
123.3
55.3
96.8
89.3
7.4
164.4
39.0
68.9
26.2
37.0
186.0
129.7
182.1
92.2
114.4
142.0
111.6
108.0
218.2
31.2
200.1
162.2
153.7
187.9
226.1
159.5
125.7
73.9
199.6
67.8
132.2
202.3
140.8
151.8
86.5
66.5
168.2
350.2
75.3
226.3
78.5
100.5
190.5
90.6
166.9
98.1
180.1
98.9
152.4
34.3
35.6
141.5
72.2
103.3
109.3
15.5
167.1
54.2
67.1
40.0
41.7
169.9
116.9
163.4
80.3
114.3
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: 2008 Milwaukee County STD morbidity data were misclassified, resulting in incomplete case counts for MSA-Milwaukee-Waukesha-West Allis,WI.
Cases reported with unknown sex are not included in this table.
98
Gonorrhea Tables
Table 19.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
4,054
1,208
1,841
1,235
742
839
1,542
7,586
1,224
1,295
1,788
4,243
1,278
4,502
418
3,525
1,902
1,392
1,380
1,038
5,543
1,070
2,003
2,801
145
1,135
758
1,050
8,017
1,103
1,277
3,626
1,222
1,045
611
246
1,261
961
601
835
258
1,556
1,254
3,179
398
1,216
2,247
1,822
2,058
2,823
95,153
3,786
991
1,675
913
726
696
1,405
7,141
1,019
1,254
1,289
3,374
958
4,005
410
2,926
1,369
966
1,371
807
6,081
990
1,998
2,799
1,470
872
600
976
8,363
876
1,297
3,593
1,295
704
504
231
886
895
721
558
207
1,775
1,206
2,933
314
1,094
1,712
1,887
1,633
2,681
88,232
4,306
1,022
1,968
1,024
1,173
558
1,083
5,610
1,043
1,517
1,431
3,975
1,083
3,924
493
3,465
1,421
973
1,403
825
7,156
1,007
1,800
3,024
1,354
715
694
919
9,358
736
1,320
4,565
1,264
795
555
223
745
944
605
756
163
1,843
1,482
3,127
333
1,501
1,949
1,678
1,569
2,554
93,031
4,338
1,073
1,690
1,094
940
715
1,542
6,150
1,251
1,559
1,470
4,086
777
3,794
440
3,056
1,383
919
1,324
998
7,124
1,043
1,658
2,987
1,368
852
895
953
11,149
775
1,186
4,756
1,770
971
836
243
628
1,126
541
917
157
1,896
1,552
3,454
430
1,322
2,316
1,761
1,249
2,779
97,293
4,323
1,196
1,447
1,057
1,257
999
1,237
6,819
1,176
1,777
1,340
3,675
1,090
3,642
322
3,546
1,691
965
1,339
1,119
8,712
954
2,080
3,093
1,463
1,205
1,013
1,001
11,974
866
1,241
5,439
2,407
1,191
790
349
770
1,467
593
1,104
257
1,807
1,766
3,746
626
1,591
2,340
1,721
1,224
2,999
105,806
152.6
142.8
143.2
229.1
33.7
154.7
184.5
160.9
116.3
128.9
204.2
133.9
101.5
208.2
72.0
122.8
225.7
216.8
140.3
109.3
86.7
176.6
324.1
106.4
19.1
70.6
99.4
193.2
87.1
185.5
125.5
128.4
56.5
92.3
55.5
31.9
211.7
46.7
119.1
80.4
45.5
156.3
83.0
149.5
42.7
72.7
164.8
136.9
253.7
107.9
117.7
140.0
113.9
129.2
167.2
32.5
128.3
164.3
151.5
96.0
124.6
145.0
104.0
74.8
186.4
70.3
99.5
159.9
149.1
135.0
83.3
95.0
161.1
318.4
103.4
193.1
53.7
77.1
170.5
90.5
145.0
125.8
124.5
58.6
62.0
45.2
29.7
147.4
43.1
142.5
53.2
36.2
174.6
78.7
136.5
33.4
64.2
125.0
141.0
199.6
100.0
107.8
167.9
118.8
150.8
188.2
53.2
101.8
126.8
121.4
100.1
151.9
158.7
126.5
85.6
188.5
83.5
117.2
165.8
148.4
140.8
84.0
113.1
160.7
284.9
112.3
178.9
44.2
89.3
161.7
102.8
119.2
126.4
158.6
60.6
69.8
50.5
28.8
122.4
44.9
118.1
71.8
28.8
175.1
95.4
146.3
36.1
87.7
143.1
124.5
191.4
94.0
114.6
166.1
120.1
128.5
200.5
42.3
130.5
176.9
132.3
119.6
156.7
161.1
126.9
60.0
182.6
74.5
100.9
159.4
138.8
131.7
100.7
111.5
165.0
260.7
108.5
179.9
52.0
113.2
164.5
121.5
122.9
111.5
164.4
83.4
85.1
74.8
31.4
102.3
52.5
105.4
85.9
27.2
175.8
98.4
159.4
45.9
75.7
169.7
128.6
151.6
100.0
118.4
165.5
133.8
110.1
193.7
56.5
182.3
141.9
146.7
112.4
178.6
146.8
114.1
84.2
175.3
54.5
117.1
194.8
145.7
133.2
112.9
136.3
150.9
327.0
112.4
192.4
73.5
128.2
172.8
130.5
137.3
116.7
188.0
113.5
104.3
70.7
45.1
125.4
68.5
115.6
103.5
44.5
167.5
112.0
172.8
66.8
91.1
171.4
125.7
148.6
107.9
128.7
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: 2008 Milwaukee County STD morbidity data were misclassified, resulting in incomplete case counts for MSA-Milwaukee-Waukesha-West Allis,WI.
Cases reported with unknown sex are not included in this table.
Gonorrhea Tables
99
Table 20.
Rank
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Cases
12,042
11,933
7,293
6,609
6,462
4,551
4,442
4,325
3,835
3,708
3,665
3,620
3,374
3,311
3,141
3,132
2,620
2,594
2,482
2,402
2,401
2,392
2,367
2,341
2,206
2,196
2,158
2,151
2,101
2,050
1,968
1,946
1,944
1,923
1,868
1,858
1,848
1,781
1,777
1,763
1,728
1,677
1,649
1,617
1,545
1,537
1,506
1,483
1,473
1,465
1,431
1,361
1,340
1,332
1,310
1,296
1,280
1,242
1,204
1,187
1,173
1,170
1,169
1,132
1,123
1,104
1,103
1,096
1,093
1,093
Cumulative Percentage
3
7
9
11
13
14
15
17
18
19
20
21
22
23
24
25
26
27
27
28
29
29
30
31
32
32
33
33
34
35
35
36
36
37
38
38
39
39
40
40
41
41
42
42
43
43
44
44
45
45
45
46
46
47
47
47
48
48
48
49
49
50
50
50
51
51
51
52
52
52
Counties and independent cities were ranked in descending order by number of cases reported then by rate in 2012.
100
Gonorrhea Tables
Table 21.
GonorrheaReported Cases and Rates per 100,000 Population by Age Group and
Sex, United States, 20082012
Age
Group
Rates*
Male
1.1
0.4
5.8
276.3
431.5
264.4
161.4
99.8
72.7
39.4
13.5
3.3
Female
1.9
1.1
31.2
632.5
603.6
265.2
118.1
55.4
29.5
11.0
2.4
0.5
110.7
1.1
0.4
14.9
403.9
467.3
230.0
123.7
68.0
42.8
20.8
6.4
1.4
102.1
0.8
0.1
5.0
248.3
396.5
234.1
142.1
86.9
61.9
33.3
11.0
2.7
118.5
1.4
0.8
25.3
566.0
540.3
224.6
104.1
48.4
23.3
8.6
2.0
0.5
98.1
1.2
0.3
14.6
400.4
489.3
241.2
127.2
68.2
44.3
21.2
6.0
1.3
91.0
0.7
0.1
4.6
247.7
424.1
252.2
148.1
87.8
64.9
33.8
10.5
2.4
104.5
1.7
0.5
24.7
557.6
554.1
228.4
105.5
48.4
23.8
8.9
1.8
0.5
100.2
0.9
0.4
15.6
407.2
504.3
250.2
132.4
72.0
46.1
23.4
7.2
1.4
93.9
0.4
0.1
5.2
252.7
438.7
262.9
156.0
91.9
66.5
37.3
12.4
2.7
105.6
1.4
0.7
26.2
567.7
569.6
236.0
108.0
51.8
25.6
9.8
2.4
0.4
103.3
1.0
0.3
15.1
376.8
520.1
274.6
153.2
82.6
52.1
27.7
8.5
1.6
97.7
0.7
0.2
5.4
239.0
462.8
293.9
184.2
107.5
75.1
44.4
14.4
3.0
108.0
1.2
0.5
25.3
521.2
578.5
254.1
121.6
57.7
29.2
11.4
3.0
0.4
107.5
105.8
108.7
2012
Total
1.5
0.7
18.3
451.2
516.4
265.6
140.6
78.0
51.2
25.1
7.8
1.7
2011
Unknown Sex
1
1
5
275
304
163
97
53
41
30
13
7
72
1,062
2
0
5
199
223
120
65
46
25
29
1
0
72
787
10
1
32
381
337
165
82
50
22
22
4
4
68
1,178
3
1
27
290
341
136
69
41
23
29
6
3
40
1,009
4
0
4
118
162
88
48
30
18
16
2
2
33
525
2010
Female
190
105
3,059
66,326
61,647
27,563
11,387
5,773
3,170
2,481
423
103
350
182,577
141
77
2,471
59,353
56,436
23,719
10,178
4,928
2,446
1,954
363
108
394
162,568
167
53
2,498
59,867
58,574
23,907
10,510
4,907
2,495
2,043
338
105
229
165,693
136
66
2,648
59,747
61,756
24,821
11,044
5,096
2,708
2,222
471
99
191
171,005
122
52
2,559
54,852
62,711
26,722
12,436
5,670
3,089
2,594
586
105
568
172,066
2009
Male
119
36
596
30,468
46,796
28,928
16,077
10,552
7,809
8,612
2,186
545
379
153,103
83
13
507
27,444
43,986
26,016
14,364
8,997
6,504
7,311
1,848
446
300
137,819
70
10
486
28,002
46,708
26,818
14,809
8,812
6,745
7,490
1,852
411
257
142,470
43
15
548
28,102
49,633
28,288
16,044
8,972
6,955
8,222
2,270
485
258
149,835
72
16
573
26,578
52,351
31,631
18,936
10,493
7,858
9,773
2,642
537
775
162,235
2008
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Cases
Total
310
142
3,660
97,069
108,747
56,654
27,561
16,378
11,020
11,123
2,622
655
801
336,742
226
90
2,983
86,996
100,645
49,855
24,607
13,971
8,975
9,294
2,212
554
766
301,174
247
64
3,016
88,250
105,619
50,890
25,401
13,769
9,262
9,555
2,194
520
554
309,341
182
82
3,223
88,139
111,730
53,245
27,157
14,109
9,686
10,473
2,747
587
489
321,849
198
68
3,136
81,548
115,224
58,441
31,420
16,193
10,965
12,383
3,230
644
1,376
334,826
*No population data are available for unknown sex and age; therefore, rates are not calculated.
NOTE: This table should be used only for age comparisons. Cases in the 04 age group may include cases due to perinatal transmission.
Gonorrhea Tables
101
Table 22A. GonorrheaReported Cases by Race/Ethnicity, Age Group, and Sex, United States*,
2012
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
American Indians/
Alaska Natives
Total
2
0
27
581
925
533
291
135
61
68
13
5
2
2,643
Male
0
0
2
143
319
190
131
61
29
36
6
1
1
919
Female
2
0
25
438
605
343
160
74
32
32
7
4
1
1,723
Native Hawaiians/
Other Pacific Islanders
Total
0
0
3
82
149
92
62
13
13
12
0
1
4
431
Total
16
14
197
5,947
9,920
5,724
3,296
1,640
1,076
852
162
38
101
28,983
Male
0
0
0
28
63
50
30
9
11
9
0
1
2
203
Hispanics
Male
5
2
41
2,148
4,918
3,315
2,042
1,067
780
650
120
33
53
15,174
Total
0
0
7
298
638
469
328
182
145
118
33
8
6
2,232
Asians
Male
0
0
2
92
339
274
200
126
116
89
24
6
2
1,270
Female
0
0
5
205
298
193
125
55
28
29
9
2
3
952
Whites, Non-Hispanic
Female
0
0
3
54
86
42
31
4
2
3
0
0
2
227
Total
37
5
272
9,505
18,074
11,463
6,383
3,511
2,779
3,399
900
163
119
56,610
Female
11
12
156
3,795
4,995
2,403
1,251
571
293
202
42
5
47
13,783
Total
46
16
653
14,613
18,431
9,207
5,448
2,995
2,129
2,460
736
209
591
57,534
Male
14
1
29
2,217
6,878
5,444
3,514
2,145
1,930
2,747
756
146
63
25,884
Female
23
4
243
7,282
11,188
6,010
2,863
1,362
848
652
144
17
55
30,691
Blacks, Non-Hispanic
Total
78
25
1,620
43,422
57,589
25,486
12,472
6,030
3,568
4,070
1,067
149
502
156,078
Total
2
0
21
386
451
230
99
53
41
39
10
0
0
1,332
Male
30
7
303
14,806
26,786
14,299
7,962
4,105
2,666
3,302
923
133
288
75,610
Multirace
Male
1
0
1
77
197
130
61
38
30
32
7
0
0
574
Female
48
18
1,317
28,581
30,767
11,169
4,502
1,921
898
765
143
16
213
80,358
Female
1
0
20
309
254
100
38
15
11
7
3
0
0
758
Other/Unknown
Male
18
3
127
4,760
8,210
4,682
2,988
1,816
1,403
1,846
569
164
339
26,925
Female
24
13
522
9,785
10,119
4,475
2,438
1,162
717
602
166
43
224
30,290
* Includes 47 states and the District of Columbia reporting race/ethnicity data in the Office of Management and Budget compliant formats in 2012.
102
Gonorrhea Tables
Table 22B. GonorrheaRates per 100,000 Population by Race/Ethnicity, Age Group, and Sex,
United States*, 2012
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
American Indians/
Alaska Natives
Total
1.2
0.0
16.1
324.6
528.5
348.2
205.0
102.0
44.1
22.7
5.7
2.8
124.9
Male
0.0
0.0
2.4
155.9
357.6
248.1
185.7
93.4
42.7
24.9
5.5
1.3
88.1
Female
2.5
0.0
30.3
501.9
705.1
448.6
224.1
110.4
45.5
20.6
5.9
4.1
160.5
Native Hawaiians/
Other Pacific Islanders
Total
0.0
0.0
0.9
36.5
65.0
43.0
29.6
15.8
13.6
6.4
2.3
0.6
Asians
Male
0.0
0.0
0.5
22.0
68.0
52.1
38.8
23.3
23.2
10.5
3.8
1.1
16.9
Female
0.0
0.0
1.3
51.4
61.8
34.2
21.1
9.0
4.9
3.0
1.1
0.3
20.2
13.7
Whites, Non-Hispanic
Blacks, Non-Hispanic
Total
3.1
1.0
62.3
1,513.5
2,039.8
1,056.1
536.9
275.9
156.3
85.8
30.0
4.9
462.0
Total
0.0
0.0
8.1
208.0
320.6
205.0
153.1
36.9
38.8
19.0
0.0
3.1
Male
0.0
0.0
0.0
139.3
260.9
217.6
144.7
50.1
65.2
28.6
0.0
6.8
Female
0.0
0.0
16.8
279.5
385.1
191.8
156.8
23.2
12.0
9.5
0.0
0.0
Total
0.4
0.1
2.6
85.3
154.8
101.0
58.3
33.2
22.8
12.0
3.4
0.5
Male
0.3
0.0
0.5
38.7
115.9
94.9
63.6
40.3
31.6
19.6
5.9
1.1
Female
0.5
0.1
4.8
134.5
194.9
107.1
52.8
25.9
14.0
4.6
1.1
0.1
Total
0.2
0.0
3.3
68.9
101.5
65.1
32.2
20.7
17.4
9.0
3.3
0.0
87.8
82.0
93.4
31.0
28.8
33.1
24.8
Total
0.3
0.3
4.6
139.7
240.6
142.6
84.7
45.2
32.8
16.3
5.2
1.4
60.4
Hispanics
Male
0.2
0.1
1.9
97.6
224.8
155.3
100.3
57.3
46.3
24.6
7.9
2.9
Female
0.5
0.5
7.4
184.6
258.2
127.9
67.3
32.3
18.3
7.8
2.6
0.3
62.1
58.5
Male
2.4
0.6
22.9
1,012.3
1,903.7
1,222.3
719.1
397.2
246.5
147.4
56.6
11.0
467.7
Multirace
Female
3.9
1.5
103.0
2,032.2
2,172.6
898.3
370.3
166.8
74.8
30.6
7.4
0.9
456.3
Male
0.2
0.0
0.3
27.4
91.6
77.5
42.0
31.3
26.8
15.5
4.8
0.0
Female
0.2
0.0
6.3
110.7
110.8
53.9
23.4
11.1
8.9
3.1
1.9
0.0
21.8
27.7
* Includes 47 states and the District of Columbia reporting race/ethnicity data in the Office of Management and Budget compliant formats in 2012.
Gonorrhea Tables
103
Table 23.
GonorrheaReported Cases and Rates for Women 1525 Years of Age, United
States, 20082012
2012
2011
2010
2009
2008
Age
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
15
16
17
18
19
20
21
22
23
24
25
Cases
5,379
9,518
14,078
18,572
18,779
16,611
14,169
12,058
10,316
8,493
7,346
4,458
8,150
12,226
16,770
17,749
15,433
13,321
10,933
9,151
7,598
6,429
4,502
8,286
12,397
16,743
17,939
16,320
14,015
11,087
9,329
7,823
6,546
4,466
8,128
12,308
16,973
17,872
16,865
14,559
12,202
9,861
8,269
6,804
4,241
7,316
11,006
15,580
16,709
15,849
15,029
12,800
10,449
8,584
7,343
NOTE: This table should be used only for age comparisons. Cases with unknown sex are not included in this table.
104
Gonorrhea Tables
Table 24.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
1,187
9
1,394
508
6,911
352
173
60
370
4,585
2,833
68
26
1,565
351
75
125
218
2,024
27
1,088
479
546
266
745
542
10
36
325
41
1,009
189
5,515
999
4
763
257
97
902
55
412
6
1,284
6,336
40
18
789
438
44
187
9
46,292
8,219
4,466
23,739
9,868
45
797
1
843
47,135
2009
1,138
4
1,084
552
6,033
269
179
87
431
3,860
2,717
88
31
1,915
324
65
151
239
1,964
15
993
473
636
217
745
514
5
45
306
37
890
208
4,623
1,524
8
795
296
132
1,028
64
507
10
1,317
6,975
55
1
755
322
32
166
7
44,832
7,310
4,846
24,132
8,544
12
725
2
739
45,571
2010
781
15
905
534
6,115
342
234
44
495
4,070
2,347
73
20
2,236
412
68
110
311
2,484
41
1,015
639
683
350
823
512
5
33
412
43
947
151
4,860
1,233
6
1,076
272
173
1,007
79
580
12
1,193
6,413
133
4
800
535
26
186
6
45,844
7,854
5,684
23,421
8,885
11
723
4
738
46,582
2012
705
34
787
468
8,015
503
121
106
589
4,483
2,432
43
53
2,423
531
143
129
390
1,779
22
1,243
806
786
335
456
426
3
35
445
64
883
234
5,312
1,036
14
1,138
256
424
1,349
93
623
29
1,067
7,057
101
12
906
709
24
269
12
49,903
8,662
6,258
23,620
11,363
27
704
2
733
50,636
2008
25.5
1.3
21.4
17.8
18.8
7.1
4.9
6.9
62.5
25.0
29.2
5.3
1.7
12.1
5.5
2.5
4.5
5.1
45.9
2.1
19.3
7.4
5.5
5.1
25.4
9.2
1.0
2.0
12.5
3.1
11.6
9.5
28.3
10.8
0.6
6.6
7.1
2.6
7.2
5.2
9.2
0.7
20.7
26.0
1.5
2.9
10.2
6.7
2.4
3.3
1.7
15.2
15.0
6.7
21.2
13.9
25.6
20.2
0.9
19.9
15.3
2009
24.2
0.6
16.4
19.1
16.3
5.4
5.1
9.8
71.9
20.8
27.6
6.8
2.0
14.8
5.0
2.2
5.4
5.5
43.7
1.1
17.4
7.2
6.4
4.1
25.2
8.6
0.5
2.5
11.6
2.8
10.2
10.3
23.7
16.2
1.2
6.9
8.0
3.5
8.2
6.1
11.1
1.2
20.9
28.1
2.0
0.2
9.6
4.8
1.8
2.9
1.3
14.6
13.2
7.3
21.3
11.9
6.7
18.3
1.8
17.4
14.6
2010
16.3
2.1
14.2
18.3
16.4
6.8
6.5
4.9
82.3
21.6
24.2
5.4
1.3
17.4
6.4
2.2
3.9
7.2
54.8
3.1
17.6
9.8
6.9
6.6
27.7
8.5
0.5
1.8
15.3
3.3
10.8
7.3
25.1
12.9
0.9
9.3
7.3
4.5
7.9
7.5
12.5
1.5
18.8
25.5
4.8
0.6
10.0
8.0
1.4
3.3
1.1
14.8
14.2
8.5
20.4
12.3
6.9
19.4
3.8
18.5
14.9
2011
15.8
1.5
14.0
15.8
18.0
7.2
5.3
13.7
89.3
21.7
19.3
2.3
2.6
18.9
7.2
2.3
2.6
7.7
44.7
1.8
21.9
11.7
7.7
6.9
25.1
6.9
0.9
2.0
15.8
2.5
11.0
10.2
24.6
13.0
0.7
8.3
7.1
6.5
8.8
8.0
13.7
1.7
16.0
24.0
2.3
1.6
9.0
10.4
0.5
3.6
1.1
14.8
14.4
8.6
19.3
13.5
16.3
18.1
6.6
17.7
14.8
2012
14.7
4.7
12.1
15.9
21.3
9.8
3.4
11.7
95.3
23.5
24.8
3.1
3.3
18.8
8.1
4.7
4.5
8.9
38.9
1.7
21.3
12.2
8.0
6.3
15.3
7.1
0.3
1.9
16.3
4.9
10.0
11.2
27.3
10.7
2.0
9.9
6.8
11.0
10.6
8.8
13.3
3.5
16.7
27.5
3.6
1.9
11.2
10.4
1.3
4.7
2.1
16.0
15.6
9.3
20.4
15.6
16.9
19.0
1.9
18.5
16.0
Syphilis Tables
105
Table 25.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
2,243
344
685
504
383
20
224
1,452
105
127
311
1,780
269
304
71
2,088
189
308
237
299
3,572
91
748
2,408
138
223
277
491
6,097
161
460
812
857
98
64
71
226
452
51
243
35
598
828
1,044
156
359
322
680
248
956
34,709
2,187
352
567
412
411
40
345
1,797
227
170
252
2,148
223
412
67
2,038
156
235
220
273
3,278
123
777
1,969
117
182
302
462
5,087
210
408
959
682
70
114
76
207
416
52
212
40
739
495
932
141
256
294
631
236
1,004
33,003
1,916
362
531
234
544
43
287
2,085
484
182
245
1,955
293
459
85
1,891
233
228
145
389
3,003
197
758
2,259
121
309
258
684
5,335
148
391
930
645
72
153
95
213
428
66
183
95
730
607
1,150
183
439
403
503
236
1,191
34,376
1,549
425
710
276
607
48
347
2,266
436
151
236
1,813
319
522
55
1,872
267
188
141
402
3,247
187
586
2,315
117
326
226
663
5,255
114
485
1,029
676
92
220
111
157
527
59
258
48
736
609
1,271
159
589
271
516
212
1,315
35,006
1,820
478
726
226
570
70
274
2,268
527
140
314
2,138
434
607
21
2,251
333
177
166
403
3,540
205
590
2,591
159
313
267
539
5,606
148
499
1,119
624
128
410
125
197
775
91
249
74
983
717
1,595
233
559
281
582
296
1,372
38,810
41.7
20.8
25.7
45.1
8.5
1.8
13.2
15.2
4.9
6.1
17.5
28.3
10.7
6.9
6.0
36.5
11.0
23.5
11.8
16.0
27.7
7.3
58.2
44.5
8.9
6.9
17.9
43.3
32.1
13.3
22.4
13.9
20.0
4.2
2.9
4.4
18.4
11.0
4.9
11.5
3.1
29.4
27.6
24.4
8.6
10.7
11.4
24.9
15.0
17.8
21.1
39.9
20.6
21.1
36.4
9.0
3.6
19.8
18.8
10.5
8.1
14.0
33.3
8.7
9.4
5.6
34.7
8.9
17.7
10.6
14.3
25.5
9.8
59.5
35.5
7.5
5.6
19.1
38.8
26.7
17.1
19.6
16.1
15.6
3.0
5.1
4.7
16.7
10.0
5.0
10.0
3.5
35.7
16.2
21.6
7.7
7.5
10.4
23.0
14.1
18.3
19.9
36.4
21.1
19.6
20.7
11.9
3.8
16.3
22.0
22.7
8.8
13.3
30.7
11.5
10.7
7.0
31.8
13.3
16.9
7.1
19.9
23.4
15.3
57.6
40.6
7.8
9.4
16.2
58.6
28.2
11.8
18.3
15.6
15.4
3.1
6.9
5.9
16.9
10.1
6.3
8.5
8.5
34.1
19.6
26.5
10.0
12.8
14.3
18.1
14.1
21.3
20.7
28.9
23.8
26.0
24.4
13.2
4.2
19.3
23.8
20.4
7.3
12.7
27.8
12.3
12.2
4.5
30.8
15.0
13.8
6.9
20.4
25.1
14.4
44.2
40.8
7.5
9.8
14.0
55.7
27.6
8.9
22.3
17.2
15.9
3.9
9.7
6.9
12.4
12.2
5.6
11.9
4.2
33.5
19.4
28.9
8.5
16.8
9.6
18.3
12.6
23.1
20.8
34.0
26.8
26.6
20.0
12.4
6.2
15.3
23.9
24.6
6.8
16.9
32.8
16.7
14.2
1.7
37.0
18.7
13.0
8.1
20.5
27.3
15.8
44.5
45.7
10.2
9.4
16.5
45.3
29.5
11.6
23.0
18.7
14.6
5.4
18.1
7.8
15.5
18.0
8.6
11.4
6.5
44.8
22.8
36.3
12.5
16.0
10.0
20.6
17.6
24.1
23.1
MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
106
Syphilis Tables
Table 26.
Primary and Secondary SyphilisReported Cases and Rates by State, Ranked by Rates,
United States, 2012
Rank*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
State
Georgia
California
Louisiana
Maryland
Florida
Texas
New York
Illinois
Arkansas
Oregon
Mississippi
U.S. TOTAL
New Mexico
South Carolina
Massachusetts
Alabama
Washington
Delaware
Rhode Island
Tennessee
Nevada
Colorado
Pennsylvania
Ohio
North Carolina
Virginia
Indiana
Kentucky
Arizona
Michigan
New Hampshire
Missouri
New Jersey
Iowa
Minnesota
Oklahoma
South Dakota
Hawaii
Idaho
Wisconsin
Connecticut
Alaska
Utah
Maine
Vermont
Kansas
Wyoming
North Dakota
Nebraska
West Virginia
Montana
Cases
937
2,953
339
431
1,369
1,627
1,224
804
173
212
150
15,667
101
225
316
216
302
38
44
266
113
208
494
425
347
285
224
150
202
295
36
157
229
70
118
83
18
23
26
91
55
11
42
17
6
24
4
4
8
8
2
* States were ranked by 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 165 cases and a rate of 26.7, but excludes outlying areas (Guam with 6 cases and rate of 3.8, Puerto
Rico with 306 cases and rate of 8.3, and Virgin Islands with 0 cases and rate of 0.0).
Syphilis Tables
107
Table 27.
Primary and Secondary SyphilisReported Cases and Rates by State/Area and Region in
Alphabetical Order, United States and Outlying Areas, 20082012
Cases
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
108
2008
449
1
317
206
2,204
128
34
16
146
1,044
914
29
7
554
140
16
30
93
707
10
378
216
210
116
184
224
7
15
77
20
226
44
1,217
287
0
351
86
26
272
18
98
1
413
1,405
25
11
266
181
13
65
3
13,500
2,024
1,722
6,705
3,049
6
167
0
173
13,673
2009
417
0
231
275
1,900
105
65
27
163
1,041
953
33
3
750
158
23
32
92
741
4
314
238
230
71
237
173
4
5
91
14
212
61
1,182
579
4
360
97
57
341
20
123
0
403
1,644
31
0
299
139
8
44
3
13,997
2,076
1,850
7,413
2,658
2
227
0
229
14,226
2010
260
3
230
205
2,065
138
98
9
134
1,184
795
35
6
908
175
19
19
139
546
32
328
285
235
149
228
152
3
12
130
22
244
53
1,098
396
3
528
92
71
369
41
155
4
277
1,230
65
4
279
266
6
49
0
13,774
2,193
2,253
6,263
3,065
1
228
0
229
14,003
Syphilis Tables
2012
216
11
202
173
2,953
208
55
38
165
1,369
937
23
26
804
224
70
24
150
339
17
431
316
295
118
150
157
2
8
113
36
229
101
1,224
347
4
425
83
212
494
44
225
18
266
1,627
42
6
285
302
8
91
4
15,667
2,421
2,238
6,809
4,199
6
306
0
312
15,979
2008
9.6
0.1
4.9
7.2
6.0
2.6
1.0
1.8
24.7
5.7
9.4
2.3
0.5
4.3
2.2
0.5
1.1
2.2
16.0
0.8
6.7
3.3
2.1
2.2
6.3
3.8
0.7
0.8
3.0
1.5
2.6
2.2
6.2
3.1
0.0
3.1
2.4
0.7
2.2
1.7
2.2
0.1
6.6
5.8
0.9
1.8
3.4
2.8
0.7
1.2
0.6
4.4
3.7
2.6
6.0
4.3
3.4
4.2
0.0
4.1
4.4
2009
8.9
0.0
3.5
9.5
5.1
2.1
1.8
3.1
27.2
5.6
9.7
2.5
0.2
5.8
2.5
0.8
1.1
2.1
16.5
0.3
5.5
3.6
2.3
1.3
8.0
2.9
0.4
0.3
3.4
1.1
2.4
3.0
6.0
6.2
0.6
3.1
2.6
1.5
2.7
1.9
2.7
0.0
6.4
6.6
1.1
0.0
3.8
2.1
0.4
0.8
0.6
4.6
3.8
2.8
6.5
3.7
1.1
5.7
0.0
5.4
4.6
2010
5.4
0.4
3.6
7.0
5.5
2.7
2.7
1.0
22.3
6.3
8.2
2.6
0.4
7.1
2.7
0.6
0.7
3.2
12.0
2.4
5.7
4.4
2.4
2.8
7.7
2.5
0.3
0.7
4.8
1.7
2.8
2.6
5.7
4.2
0.4
4.6
2.5
1.9
2.9
3.9
3.4
0.5
4.4
4.9
2.4
0.6
3.5
4.0
0.3
0.9
0.0
4.5
4.0
3.4
5.5
4.3
0.6
6.1
0.0
5.7
4.5
2011
4.7
0.7
4.2
6.2
6.5
2.6
1.8
3.0
26.7
6.6
6.9
1.0
0.8
6.8
2.7
0.7
0.8
3.0
9.8
0.9
7.8
4.0
2.9
2.6
6.4
2.3
0.7
0.5
5.0
1.4
2.6
3.4
5.6
4.5
0.1
3.8
2.2
2.5
2.9
4.4
4.7
0.0
4.3
4.6
0.5
1.4
2.6
4.8
0.2
1.1
0.0
4.5
3.8
3.2
5.3
4.9
3.1
6.9
0.0
6.5
4.5
2012
4.5
1.5
3.1
5.9
7.8
4.1
1.5
4.2
26.7
7.2
9.5
1.7
1.6
6.2
3.4
2.3
0.8
3.4
7.4
1.3
7.4
4.8
3.0
2.2
5.0
2.6
0.2
0.4
4.1
2.7
2.6
4.9
6.3
3.6
0.6
3.7
2.2
5.5
3.9
4.2
4.8
2.2
4.2
6.3
1.5
1.0
3.5
4.4
0.4
1.6
0.7
5.0
4.4
3.3
5.9
5.8
3.8
8.3
0.0
7.9
5.1
Table 28.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
171
0
56
81
110
3
0
6
7
193
96
7
1
38
16
3
5
14
307
0
77
6
60
5
66
29
1
3
14
0
21
6
52
44
0
63
25
2
21
0
12
1
119
450
1
0
25
5
4
14
2
2,242
100
237
1,697
208
1
29
0
30
2,272
2009
137
0
22
104
79
6
1
11
10
147
101
6
0
55
13
6
9
4
349
0
42
5
40
0
73
15
0
0
7
0
26
6
55
108
1
63
24
1
42
1
10
0
122
490
0
0
22
6
2
10
1
2,232
130
212
1,756
134
1
23
0
24
2,256
2010
75
0
20
82
74
2
5
1
2
147
82
7
0
108
20
3
1
8
251
0
26
16
23
9
69
3
0
3
7
1
16
3
47
55
1
132
16
1
36
2
9
0
49
333
2
2
20
5
0
6
0
1,780
125
309
1,225
121
1
18
0
19
1,799
2012
38
1
16
49
116
3
9
2
6
134
66
2
2
73
22
7
2
13
127
2
45
15
30
7
34
12
0
1
4
0
19
9
45
37
0
85
6
6
34
1
34
1
31
269
0
0
21
9
2
11
0
1,458
125
251
914
168
1
20
0
21
1,479
2008
7.1
0.0
1.7
5.6
0.6
0.1
0.0
1.3
2.2
2.1
2.0
1.1
0.1
0.6
0.5
0.2
0.4
0.6
13.5
0.0
2.6
0.2
1.2
0.2
4.4
1.0
0.2
0.3
1.1
0.0
0.5
0.6
0.5
0.9
0.0
1.1
1.4
0.1
0.3
0.0
0.5
0.2
3.7
3.7
0.1
0.0
0.6
0.2
0.4
0.5
0.8
1.5
0.4
0.7
3.0
0.6
1.2
1.4
0.0
1.4
1.5
2009
5.6
0.0
0.7
7.1
0.4
0.2
0.1
2.4
3.2
1.6
2.0
0.9
0.0
0.8
0.4
0.4
0.6
0.2
15.1
0.0
1.4
0.1
0.8
0.0
4.8
0.5
0.0
0.0
0.5
0.0
0.6
0.6
0.5
2.3
0.3
1.1
1.3
0.1
0.6
0.2
0.4
0.0
3.8
4.0
0.0
0.0
0.5
0.2
0.2
0.4
0.4
1.4
0.5
0.6
3.0
0.4
1.1
1.1
0.0
1.1
1.4
2010
3.0
0.0
0.6
5.5
0.4
0.1
0.3
0.2
0.6
1.5
1.7
1.0
0.0
1.7
0.6
0.2
0.1
0.4
10.8
0.0
0.9
0.5
0.5
0.3
4.5
0.1
0.0
0.3
0.5
0.1
0.4
0.3
0.5
1.1
0.3
2.2
0.8
0.1
0.6
0.4
0.4
0.0
1.5
2.6
0.1
0.6
0.5
0.1
0.0
0.2
0.0
1.1
0.4
0.9
2.1
0.3
1.3
0.9
0.0
0.9
1.1
2011
2.2
0.3
0.5
5.1
0.5
0.2
0.3
0.2
2.1
1.4
1.2
0.0
0.1
1.2
0.4
0.3
0.0
0.9
7.7
0.0
1.6
0.7
0.5
0.2
2.9
0.2
0.2
0.1
0.5
0.1
0.3
0.2
0.4
0.6
0.0
1.8
0.6
0.0
0.5
0.6
1.0
0.0
1.0
2.0
0.0
0.0
0.4
0.2
0.0
0.2
0.0
0.9
0.4
0.7
1.7
0.4
2.5
0.9
0.0
0.9
0.9
2012
1.5
0.3
0.5
3.3
0.6
0.1
0.5
0.4
1.8
1.4
1.3
0.3
0.3
1.1
0.7
0.5
0.1
0.6
5.4
0.3
1.5
0.4
0.6
0.3
2.2
0.4
0.0
0.1
0.3
0.0
0.4
0.9
0.4
0.7
0.0
1.4
0.3
0.3
0.5
0.2
1.4
0.2
0.9
2.1
0.0
0.0
0.5
0.3
0.2
0.4
0.0
0.9
0.4
0.7
1.5
0.5
1.3
1.0
0.0
1.0
0.9
NOTE: Cases reported with unknown sex are not included in this table.
Syphilis Tables
109
Table 29.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
278
1
261
125
2,092
125
34
10
139
850
818
22
6
516
124
13
25
79
400
10
301
210
150
111
118
195
6
12
63
20
205
38
1,165
243
0
288
61
24
251
18
86
0
294
955
24
11
241
176
9
51
1
11,255
1,924
1,485
5,007
2,839
5
138
0
143
11,398
2009
280
0
208
171
1,821
99
64
16
153
894
852
27
3
695
145
17
23
88
392
4
272
233
190
71
164
158
4
5
84
14
186
55
1,127
471
3
297
73
56
299
19
113
0
281
1,154
31
0
277
133
6
34
2
11,764
1,946
1,638
5,657
2,523
1
204
0
205
11,969
2010
185
3
210
123
1,990
136
93
8
132
1,037
713
28
6
800
155
16
18
131
284
32
302
269
212
140
159
149
3
9
123
21
228
50
1,051
341
2
396
76
70
333
39
146
4
228
896
63
2
259
261
6
43
0
11,981
2,068
1,944
5,026
2,943
0
210
0
210
12,191
2012
178
10
186
124
2,823
205
46
36
159
1,235
870
21
24
731
202
63
22
137
212
15
386
301
265
111
116
145
2
7
109
36
210
92
1,175
310
4
340
77
206
460
43
191
17
235
1,358
42
6
264
293
6
80
4
14,190
2,292
1,987
5,894
4,017
5
286
0
291
14,481
2008
12.3
0.3
8.0
8.9
11.4
5.0
2.0
2.4
49.7
9.4
17.2
3.4
0.8
8.1
3.9
0.9
1.8
3.8
18.7
1.6
11.0
6.7
3.0
4.3
8.3
6.8
1.2
1.4
4.8
3.1
4.8
3.9
12.3
5.4
0.0
5.1
3.4
1.3
4.1
3.5
3.9
0.0
9.7
7.9
1.7
3.6
6.3
5.4
1.0
1.8
0.4
7.5
7.2
4.5
9.1
8.0
5.6
7.3
0.0
7.0
7.5
2009
12.3
0.0
6.3
12.1
9.8
3.9
3.7
3.7
54.1
9.8
17.6
4.1
0.4
10.9
4.6
1.1
1.6
4.2
17.9
0.6
9.8
7.3
3.9
2.7
11.5
5.4
0.8
0.6
6.2
2.1
4.4
5.5
11.9
10.3
0.9
5.3
4.0
3.0
4.9
3.7
5.1
0.0
9.2
9.3
2.2
0.0
7.1
4.0
0.7
1.2
0.7
7.8
7.2
5.0
10.2
7.0
1.1
10.7
0.0
10.0
7.8
2010
8.0
0.8
6.6
8.6
10.7
5.4
5.3
1.8
46.4
11.3
15.1
4.1
0.8
12.7
4.9
1.1
1.3
6.1
12.8
4.9
10.8
8.5
4.4
5.3
11.0
5.1
0.6
1.0
9.0
3.2
5.3
4.9
11.2
7.3
0.6
7.0
4.1
3.7
5.4
7.7
6.5
1.0
7.4
7.2
4.5
0.6
6.6
7.8
0.7
1.5
0.0
7.9
7.7
5.9
9.0
8.2
0.0
11.8
0.0
11.0
7.9
2011
7.5
1.1
8.0
7.3
12.4
5.0
3.4
5.9
54.1
12.0
12.9
2.0
1.5
12.7
5.0
1.0
1.7
5.1
12.0
1.8
14.3
7.6
5.4
5.0
10.1
4.4
1.2
1.0
9.4
2.6
5.1
6.7
11.1
8.5
0.3
5.9
3.8
5.1
5.5
8.5
8.7
0.0
7.8
7.2
1.0
2.9
4.9
9.4
0.4
2.1
0.0
8.1
7.4
5.8
9.1
9.3
3.7
13.4
0.0
12.6
8.2
2012
7.6
2.7
5.8
8.6
15.1
8.0
2.6
8.2
54.4
13.2
18.1
3.0
3.0
11.6
6.3
4.2
1.5
6.4
9.5
2.3
13.7
9.4
5.5
4.2
8.0
4.9
0.4
0.8
7.9
5.5
4.9
8.9
12.5
6.6
1.2
6.0
4.1
10.7
7.4
8.5
8.4
4.1
7.5
10.7
3.0
1.9
6.6
8.6
0.7
2.8
1.4
9.3
8.5
6.0
10.4
11.1
6.2
16.1
0.0
15.3
9.3
NOTE: Cases reported with unknown sex are not included in this table.
110
Syphilis Tables
Table 30.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
765
107
270
188
173
3
58
535
62
64
135
328
103
100
8
456
80
67
102
72
920
36
234
509
45
105
85
170
1,353
61
126
214
211
38
21
25
92
157
9
102
23
195
345
478
42
153
121
191
98
297
10,132
809
99
204
145
203
10
138
732
124
71
115
502
92
151
25
432
81
57
80
86
858
57
189
518
28
67
92
138
1,301
70
109
289
169
29
53
28
97
115
11
73
28
216
190
438
59
115
83
180
102
324
10,182
651
107
212
82
240
11
106
881
272
82
120
342
120
146
32
330
108
49
43
125
766
105
165
652
29
140
73
92
1,219
55
103
307
161
36
66
47
89
157
16
57
54
183
274
543
91
236
118
183
92
311
10,479
581
114
308
89
191
14
145
853
228
55
122
317
116
203
15
322
91
47
57
126
876
92
120
630
35
127
84
101
1,162
39
174
302
213
49
90
55
52
182
19
131
9
188
293
626
68
276
92
199
64
360
10,702
745
154
307
73
204
27
105
759
166
44
159
391
183
235
9
537
150
44
65
97
1,049
84
110
705
43
116
88
66
1,293
54
168
369
162
61
209
58
66
166
16
151
34
329
331
744
105
248
95
230
106
358
12,068
14.2
6.5
10.1
16.8
3.8
0.3
3.4
5.6
2.9
3.1
7.6
5.2
4.1
2.3
0.7
8.0
4.7
5.1
5.1
3.9
7.1
2.9
18.2
9.4
2.9
3.3
5.5
15.0
7.1
5.1
6.1
3.7
4.9
1.6
1.0
1.6
7.5
3.8
0.9
4.8
2.1
9.6
11.5
11.2
2.3
4.6
4.3
7.0
5.9
5.5
6.2
14.8
5.8
7.6
12.8
4.4
0.9
7.9
7.6
5.7
3.4
6.4
7.8
3.6
3.4
2.1
7.4
4.6
4.3
3.9
4.5
6.7
4.5
14.5
9.3
1.8
2.0
5.8
11.6
6.8
5.7
5.2
4.8
3.9
1.2
2.4
1.7
7.8
2.8
1.1
3.4
2.5
10.4
6.2
10.1
3.2
3.4
2.9
6.6
6.1
5.9
6.1
12.4
6.2
7.8
7.3
5.3
1.0
6.0
9.3
12.8
3.9
6.5
5.4
4.7
3.4
2.6
5.5
6.1
3.6
2.1
6.4
6.0
8.2
12.5
11.7
1.9
4.3
4.6
7.9
6.5
4.4
4.8
5.1
3.8
1.5
3.0
2.9
7.1
3.7
1.5
2.7
4.8
8.5
8.9
12.5
5.0
6.9
4.2
6.6
5.5
5.6
6.3
10.8
6.4
11.3
7.9
4.2
1.2
8.1
9.0
10.7
2.7
6.6
4.9
4.5
4.7
1.2
5.3
5.1
3.5
2.8
6.4
6.8
7.1
9.1
11.1
2.2
3.8
5.2
8.5
6.1
3.1
8.0
5.0
5.0
2.1
4.0
3.4
4.1
4.2
1.8
6.0
0.8
8.6
9.3
14.3
3.6
7.9
3.3
7.0
3.8
6.3
6.4
13.9
8.6
11.2
6.4
4.4
2.4
5.8
8.0
7.8
2.1
8.6
6.0
7.0
5.5
0.7
8.8
8.4
3.2
3.2
4.9
8.1
6.5
8.3
12.4
2.8
3.5
5.4
5.5
6.8
4.2
7.7
6.2
3.8
2.6
9.2
3.6
5.2
3.9
1.5
6.9
3.0
15.0
10.5
16.9
5.6
7.1
3.4
8.1
6.3
6.3
7.2
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
Syphilis Tables
111
Table 31.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
51
16
70
77
4
0
9
40
14
13
19
116
1
27
0
114
8
16
20
11
31
3
71
74
11
5
14
53
60
16
21
17
24
6
0
0
6
5
0
18
1
58
12
12
3
2
16
54
12
15
1,246
2009
59
14
33
44
3
0
14
46
26
14
15
153
3
26
0
113
6
11
8
7
22
1
67
54
9
0
23
36
69
16
19
37
8
4
0
1
3
5
1
16
0
42
6
9
5
4
9
29
11
19
1,120
2010
2011
2012
2008
2009
2010
2011
2012
44
18
19
21
12
0
6
107
107
6
11
103
0
9
3
77
12
11
1
6
17
4
33
55
5
5
10
30
52
12
7
33
12
2
2
3
6
1
3
12
0
28
3
20
3
2
3
33
3
13
985
40
12
39
10
14
2
14
77
99
3
10
63
1
20
2
69
5
11
4
4
16
7
22
47
5
5
3
17
37
6
10
28
9
4
0
3
10
8
0
7
0
39
13
27
4
3
3
26
7
16
881
33
8
39
7
5
1
11
77
63
5
14
56
3
27
3
97
10
4
1
2
26
9
22
63
5
7
1
9
53
1
15
30
14
5
9
1
10
3
1
5
0
59
12
28
3
6
9
29
5
15
921
1.9
2.0
5.1
13.3
0.2
0.0
1.0
0.8
1.3
1.2
2.1
3.7
0.1
1.2
0.0
4.0
0.9
2.4
2.0
1.2
0.5
0.5
10.6
2.7
1.4
0.3
1.8
9.0
0.6
2.6
2.0
0.6
1.1
0.5
0.0
0.0
1.0
0.2
0.0
1.7
0.2
5.6
0.8
0.6
0.3
0.1
1.1
3.8
1.4
0.5
1.5
2.1
1.7
2.4
7.5
0.1
0.0
1.6
0.9
2.3
1.3
1.6
4.8
0.2
1.2
0.0
3.9
0.7
1.6
0.8
0.7
0.3
0.2
9.9
1.9
1.1
0.0
2.9
5.8
0.7
2.6
1.8
1.2
0.4
0.3
0.0
0.1
0.5
0.2
0.2
1.5
0.0
4.0
0.4
0.4
0.6
0.2
0.6
2.1
1.3
0.7
1.3
1.6
2.1
1.4
3.6
0.5
0.0
0.7
2.2
9.8
0.6
1.2
3.2
0.0
0.4
0.5
2.6
1.3
1.6
0.1
0.6
0.3
0.6
4.8
1.9
0.6
0.3
1.2
5.0
0.5
1.9
0.6
1.1
0.6
0.2
0.2
0.4
0.9
0.0
0.6
1.1
0.0
2.6
0.2
0.9
0.3
0.1
0.2
2.3
0.4
0.5
1.2
1.5
1.3
2.8
1.7
0.6
0.3
1.5
1.6
9.1
0.3
1.1
1.9
0.1
0.9
0.3
2.3
0.5
1.6
0.4
0.4
0.2
1.1
3.2
1.6
0.6
0.3
0.4
2.8
0.4
0.9
0.9
0.9
0.4
0.3
0.0
0.4
1.5
0.4
0.0
0.6
0.0
3.5
0.8
1.2
0.4
0.2
0.2
1.8
0.8
0.5
1.0
1.2
0.9
2.8
1.2
0.2
0.2
1.2
1.6
5.8
0.5
1.5
1.7
0.2
1.2
0.5
3.2
1.1
0.6
0.1
0.2
0.4
1.4
3.2
2.2
0.6
0.4
0.1
1.5
0.5
0.2
1.4
1.0
0.7
0.4
0.8
0.1
1.5
0.1
0.2
0.5
0.0
5.3
0.8
1.3
0.3
0.3
0.6
2.0
0.6
0.5
1.1
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: Cases reported with unknown sex are not included in this table.
112
Syphilis Tables
Table 32.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
714
91
200
111
169
3
49
495
48
51
116
212
102
73
8
342
72
51
82
61
889
33
163
435
34
100
71
117
1,293
45
105
197
187
32
21
25
86
150
9
84
22
137
333
466
39
151
105
137
86
282
8,884
2009
750
85
171
101
200
10
124
686
98
57
100
349
89
125
25
319
75
46
72
79
836
56
122
464
19
67
69
102
1,232
54
90
252
161
25
53
27
94
110
10
57
28
174
184
429
54
111
74
151
91
305
9,062
2010
607
89
193
61
228
11
100
774
165
76
109
239
120
137
29
253
96
38
42
119
749
101
132
597
24
135
63
55
1,167
43
96
274
149
34
64
44
83
156
13
45
54
155
271
523
88
234
115
150
89
298
9,487
2012
712
146
268
66
199
26
94
682
103
39
145
335
180
208
6
440
140
40
64
95
1,019
75
88
642
38
109
87
57
1,236
53
153
339
148
56
200
57
56
163
15
144
34
270
318
713
102
242
86
201
101
343
11,133
2008
2009
2010
2011
2012
26.9
10.8
15.6
20.6
7.7
0.6
5.9
10.5
4.6
5.1
13.2
6.7
8.1
3.4
1.4
11.9
8.5
7.9
8.3
6.4
13.9
5.4
26.4
16.5
4.5
6.2
9.3
21.5
14.0
7.6
10.3
7.0
8.6
2.8
1.9
3.2
14.4
7.3
1.8
8.1
3.9
13.8
22.1
21.9
4.2
9.0
7.7
10.3
10.6
10.8
11.0
27.7
9.8
13.2
18.5
8.9
1.8
14.5
14.6
9.2
5.7
11.2
10.8
7.0
5.8
4.3
10.8
8.8
7.1
7.1
8.2
13.1
9.1
19.4
17.1
2.5
4.1
8.9
17.8
13.3
8.9
8.7
8.7
7.3
2.2
4.8
3.5
15.6
5.3
2.0
5.4
4.9
17.1
12.0
20.0
5.7
6.5
5.4
11.3
11.1
11.4
11.1
23.7
10.3
14.8
11.2
10.4
2.0
11.7
16.7
15.8
7.6
12.1
7.6
9.5
6.6
4.9
8.6
11.2
5.8
4.2
12.1
11.8
16.1
20.9
22.2
3.2
8.3
8.1
9.7
12.8
7.0
9.2
9.5
7.1
3.0
5.8
5.7
13.6
7.4
2.5
4.3
9.5
14.7
17.4
24.5
9.5
13.7
8.4
11.1
10.9
11.0
11.7
20.7
11.4
20.5
14.5
8.0
2.2
15.0
16.7
12.3
5.2
12.3
7.9
8.9
8.8
2.2
8.4
9.9
5.4
5.3
12.3
13.4
13.4
15.4
21.2
3.9
7.4
10.2
14.5
12.3
5.2
15.4
9.5
9.5
3.9
8.0
6.7
6.8
8.0
3.7
11.4
1.6
13.8
17.7
27.5
6.8
15.6
6.5
12.6
6.9
12.4
11.9
27.3
16.3
20.4
12.1
8.9
4.7
10.8
14.7
9.8
3.9
15.9
10.4
13.9
10.0
1.0
14.5
16.1
6.0
6.4
9.6
15.9
11.9
13.8
23.3
5.0
6.6
11.0
9.8
13.5
8.4
14.4
11.7
7.0
4.9
17.9
7.4
9.1
7.6
2.9
13.5
5.9
25.0
20.2
32.9
10.9
13.9
6.3
14.7
12.3
12.3
13.5
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
NOTE: Cases reported with unknown sex are not included in this table.
Syphilis Tables
113
Table 33.
Rank
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Cases
943
679
496
489
394
378
346
331
321
281
269
267
251
213
189
178
171
167
165
163
161
159
155
151
137
137
136
135
134
134
129
122
113
106
104
101
98
97
97
88
83
78
76
75
74
73
72
71
63
62
62
61
61
61
57
56
55
55
55
53
52
52
49
49
49
49
48
48
47
47
Cumulative Percentage
6
10
13
16
19
21
23
25
27
29
31
33
34
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
51
52
53
54
54
55
56
56
57
58
58
59
59
60
60
61
61
62
62
62
63
63
64
64
64
65
65
65
66
66
66
67
67
67
68
68
68
69
69
69
70
Counties and independent cities were ranked in descending order by number of cases reported then by rate in 2012.
114
Syphilis Tables
Table 34.
Primary and Secondary SyphilisReported Cases and Rates* Among Men and Women
and Male-To-Female Rate Ratios in the Counties and Independent Cities Ranked in the
Top 30 for Cases in 2012, United States, 20112012
Male
2011
County/Independent City
Maricopa County, AZ
Alameda County, CA
Los Angeles County, CA
Sacramento County, CA
San Diego County, CA
San Francisco County, CA
Washington, D.C.
Broward County, FL
Hillsborough County, FL
Miami-Dade County, FL
Orange County, FL
DeKalb County, GA
Fulton County, GA
Cook County, IL
Baltimore (City), MD
Wayne County, MI
Bronx County, NY
Kings County, NY
New York County, NY
Queens County, NY
Franklin County, OH
Hamilton County, OH
Multnomah County, OR
Philadelphia County, PA
Bexar County, TX
Dallas County, TX
Harris County, TX
Tarrant County, TX
Travis County, TX
King County, WA
Cases
198
121
795
112
279
378
158
214
104
311
124
93
333
705
200
125
145
262
346
104
106
109
71
185
145
151
218
94
91
232
Rates
10.3
16.1
16.3
15.9
17.7
91.5
54.1
24.8
16.8
25.0
21.5
27.7
71.7
27.9
68.5
14.4
22.1
21.9
45.9
9.5
18.5
28.4
19.2
25.5
16.8
12.6
10.5
10.4
17.0
23.6
Female
2012
Cases
147
126
918
128
318
483
159
255
136
325
126
163
376
615
221
148
170
257
373
152
139
77
131
247
265
168
405
135
130
208
Rates
7.7
16.8
18.8
18.2
20.2
116.9
54.4
29.5
21.9
26.2
21.9
48.5
81.0
24.3
75.7
17.1
25.9
21.5
49.4
13.9
24.2
20.0
35.4
34.1
30.8
14.0
19.4
14.9
24.2
21.2
2011
Cases
8
12
15
5
13
7
7
21
20
19
9
5
29
68
33
15
8
6
7
2
9
85
0
22
39
28
55
30
9
2
Rates
0.4
1.5
0.3
0.7
0.8
1.8
2.1
2.3
3.1
1.4
1.5
1.4
6.0
2.5
10.1
1.6
1.1
0.4
0.8
0.2
1.5
20.4
0.0
2.7
4.4
2.3
2.6
3.2
1.7
0.2
2012
Cases
12
9
23
5
12
11
6
26
19
21
11
4
18
64
30
23
7
10
4
7
12
57
3
22
56
21
84
28
7
5
Rates
0.6
1.2
0.5
0.7
0.8
2.8
1.8
2.8
2.9
1.6
1.9
1.1
3.7
2.4
9.2
2.5
1.0
0.7
0.5
0.6
2.0
13.7
0.8
2.7
6.3
1.7
4.0
3.0
1.3
0.5
Male-to-Female
Rate Ratio
2011
25.8
10.7
54.3
22.7
22.1
50.8
25.8
10.8
5.4
17.9
14.3
19.8
12.0
11.2
6.8
9.0
20.1
54.8
57.4
47.5
12.3
1.4
39.4
9.4
3.8
5.5
4.0
3.3
10.0
118.0
2012
12.8
14.0
37.6
26.0
25.3
41.8
30.2
10.5
7.6
16.4
11.5
44.1
21.9
10.1
8.2
6.8
25.9
30.7
98.8
23.2
12.1
1.5
44.3
12.6
4.9
8.2
4.9
5.0
18.6
42.4
Syphilis Tables
115
Table 35.
2012
2011
2010
2009
2008
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Cases
Total
1
2
27
903
2,397
2,256
1,733
1,809
1,776
2,027
458
105
6
13,500
1
1
19
1,005
2,812
2,405
1,857
1,612
1,643
2,033
517
90
2
13,997
1
0
18
932
2,907
2,455
1,794
1,454
1,553
2,056
493
107
4
13,774
9
1
15
864
2,987
2,546
1,846
1,382
1,503
2,123
554
138
2
13,970
1
0
9
880
3,280
2,911
2,209
1,563
1,618
2,439
614
123
20
15,667
Male
0
0
8
585
1,877
1,851
1,489
1,568
1,573
1,790
412
97
5
11,255
0
0
4
661
2,242
2,027
1,571
1,409
1,476
1,815
475
83
1
11,764
0
0
7
617
2,429
2,131
1,597
1,313
1,448
1,877
457
102
3
11,981
5
1
6
606
2,582
2,277
1,657
1,265
1,408
1,999
510
135
2
12,453
1
0
5
640
2,859
2,641
2,023
1,443
1,544
2,310
586
121
17
14,190
Rates*
Female
1
2
19
318
520
404
244
241
202
236
46
8
1
2,242
1
1
15
344
570
377
286
203
167
218
42
7
1
2,232
1
0
11
313
474
322
197
140
104
176
36
5
1
1,780
4
0
9
258
403
268
187
115
91
120
43
3
0
1,501
0
0
4
238
418
266
182
120
70
128
27
2
3
1,458
Unknown Sex
0
0
0
0
0
1
0
0
1
1
0
0
0
3
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
2
4
2
0
1
1
3
0
0
0
13
0
0
0
0
2
1
2
2
4
4
1
0
0
16
0
0
0
2
3
4
4
0
4
1
1
0
0
19
Total
0.0
0.0
0.1
4.2
11.4
10.6
8.8
8.6
8.3
4.6
1.4
0.3
Male
0.0
0.0
0.1
5.3
17.3
16.9
15.0
14.8
14.6
8.2
2.5
0.6
Female
0.0
0.0
0.2
3.0
5.1
3.9
2.5
2.3
1.9
1.0
0.3
0.0
4.4
0.0
0.0
0.1
4.7
13.1
11.1
9.3
7.8
7.8
4.6
1.5
0.2
7.5
0.0
0.0
0.0
6.0
20.2
18.2
15.5
13.6
14.1
8.3
2.8
0.5
1.5
0.0
0.0
0.2
3.3
5.5
3.6
2.9
2.0
1.6
1.0
0.2
0.0
4.6
0.0
0.0
0.1
4.2
13.5
11.6
9.0
7.2
7.4
4.6
1.4
0.3
7.8
0.0
0.0
0.1
5.5
22.1
20.0
16.0
13.1
13.9
8.5
2.6
0.6
1.4
0.0
0.0
0.1
2.9
4.5
3.1
2.0
1.4
1.0
0.8
0.2
0.0
4.5
0.0
0.0
0.1
4.0
13.5
12.0
9.0
7.1
7.1
4.7
1.5
0.3
7.9
0.0
0.0
0.1
5.5
22.8
21.2
16.1
13.0
13.5
9.1
2.8
0.8
1.1
0.0
0.0
0.1
2.5
3.7
2.5
1.8
1.2
0.9
0.5
0.2
0.0
4.5
0.0
0.0
0.0
4.1
14.8
13.7
10.8
8.0
7.7
5.5
1.6
0.3
8.1
0.0
0.0
0.0
5.8
25.3
24.5
19.7
14.8
14.8
10.5
3.2
0.7
0.9
0.0
0.0
0.0
2.3
3.9
2.5
1.8
1.2
0.7
0.6
0.1
0.0
5.0
9.3
0.9
* No population data are available for unknown sex and age; therefore, rates are not calculated.
NOTE: This table should be used only for age comparisons. Cases in the 04 and 59 age groups may include cases due to congenital
transmission.
116
Syphilis Tables
This page
was intentionally
left blank.
Syphilis Tables
117
Table 36A. Primary and Secondary SyphilisReported Cases by Race/Ethnicity, Age Group, and
Sex, United States*, 2012
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
American Indians/
Alaska Natives
Total
0
0
0
4
19
10
9
7
3
9
1
0
0
62
Male
0
0
0
4
16
8
9
6
3
8
1
0
0
55
Female
0
0
0
0
3
2
0
1
0
1
0
0
0
7
Native Hawaiians/
Other Pacific Islanders
Total
0
0
0
2
7
8
6
2
3
9
2
2
0
41
Total
0
0
0
145
573
533
436
307
306
355
55
15
8
2,733
Male
0
0
0
1
5
8
6
2
3
8
2
2
0
37
Hispanics
Male
0
0
0
116
531
495
411
290
295
337
52
15
8
2,550
Asians
Total
0
0
0
10
46
56
33
42
31
33
10
1
0
262
Male
0
0
0
7
42
54
32
41
31
33
10
1
0
251
Female
0
0
0
3
4
1
1
1
0
0
0
0
0
10
Whites, Non-Hispanic
Female
0
0
0
1
2
0
0
0
0
1
0
0
0
4
Total
0
0
3
128
603
668
639
541
673
1,207
345
63
4
4,874
Female
0
0
0
28
40
37
24
17
10
18
3
0
0
177
Total
0
0
0
11
54
69
51
37
47
76
17
8
1
371
Male
0
0
2
99
542
618
599
515
654
1,169
340
63
4
4,605
Other/Unknown
Male
0
0
0
6
46
67
47
34
43
73
17
8
0
341
Female
0
0
1
29
61
50
40
26
19
37
4
0
0
267
Blacks, Non-Hispanic
Total
1
0
5
502
1,631
1,200
758
419
370
501
134
24
7
5,552
Total
0
0
0
2
23
18
18
14
9
21
1
0
0
106
Male
1
0
3
342
1,361
1,043
654
357
332
444
116
22
5
4,680
Multirace
Male
0
0
0
1
22
18
17
12
9
20
1
0
0
100
Female
0
0
2
160
270
157
103
62
38
57
18
2
2
871
Female
0
0
0
1
1
0
1
2
0
1
0
0
0
6
Female
0
0
0
4
8
1
3
3
2
3
0
0
1
25
* Includes 47 states and the District of Columbia reporting race/ethnicity data in the Office of Management and Budget compliant formats in 2012.
118
Syphilis Tables
Table 36B. Primary and Secondary SyphilisRates per 100,000 Population by Race/Ethnicity, Age
Group, and Sex, United States*, 2012
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
Age
Group
04
59
1014
1519
2024
2529
3034
3539
4044
4554
5564
65+
Unknown Age
TOTAL
American Indians/
Alaska Natives
Total
0.0
0.0
0.0
2.2
10.9
6.5
6.3
5.3
2.2
3.0
0.4
0.0
2.9
Male
0.0
0.0
0.0
4.4
17.9
10.4
12.8
9.2
4.4
5.5
0.9
0.0
5.3
Female
0.0
0.0
0.0
0.0
3.5
2.6
0.0
1.5
0.0
0.6
0.0
0.0
Total
0.0
0.0
0.0
1.2
4.7
5.1
3.0
3.6
2.9
1.8
0.7
0.1
0.7
2.0
Native Hawaiians/
Other Pacific Islanders
Male
0.0
0.0
0.0
5.0
20.7
34.8
28.9
11.1
17.8
25.4
9.5
13.5
Female
0.0
0.0
0.0
5.2
9.0
0.0
0.0
0.0
0.0
3.2
0.0
0.0
Total
0.0
0.0
0.0
1.1
5.2
5.9
5.8
5.1
5.5
4.3
1.3
0.2
8.4
14.9
1.6
2.7
5.7
Hispanics
Male
0.0
0.0
0.0
5.3
24.3
23.2
20.2
15.6
17.5
12.8
3.4
1.3
Female
0.0
0.0
0.0
1.4
2.1
2.0
1.3
1.0
0.6
0.7
0.2
0.0
10.4
0.8
Male
0.0
0.0
0.0
1.7
8.4
10.3
6.2
7.6
6.2
3.9
1.6
0.2
Total
0.0
0.0
0.2
17.5
57.8
49.7
32.6
19.2
16.2
10.6
3.8
0.8
Male
0.1
0.0
0.2
23.4
96.7
89.2
59.1
34.5
30.7
19.8
7.1
1.8
Female
0.0
0.0
0.2
11.4
19.1
12.6
8.5
5.4
3.2
2.3
0.9
0.1
0.1
16.4
28.9
4.9
Female
0.0
0.0
0.0
0.5
1.1
0.9
0.7
0.5
0.3
0.3
0.0
0.0
Total
0.0
0.0
0.0
0.4
5.2
5.1
5.9
5.5
3.8
4.9
0.3
0.0
0.3
2.0
4.0
Male
0.0
0.0
0.0
1.7
9.1
10.8
10.8
9.7
10.7
8.3
2.7
0.5
5.1
Blacks, Non-Hispanic
Female
0.0
0.0
0.0
0.8
0.8
0.2
0.2
0.2
0.0
0.0
0.0
0.0
Whites, Non-Hispanic
Total
0.0
0.0
0.0
5.1
15.1
17.8
14.8
5.7
8.9
14.2
4.7
6.2
Total
0.0
0.0
0.0
3.4
13.9
13.3
11.2
8.5
9.3
6.8
1.8
0.6
Asians
Multirace
Male
0.0
0.0
0.0
0.4
10.2
10.7
11.7
9.9
8.0
9.7
0.7
0.0
3.8
Female
0.0
0.0
0.0
0.4
0.4
0.0
0.6
1.5
0.0
0.4
0.0
0.0
0.2
* Includes 47 states and the District of Columbia reporting race/ethnicity data in the Office of Management and Budget compliant formats in 2012.
Total includes unknown sex.
NOTE: These tables should be used only for race/ethnicity comparisons. See Table 35 for age-specific cases and rates and Tables 2729 for total and sexspecific cases and rates.
Cases in the 04 and 59 age groups may include cases due to congenital transmission.
No population data exist for unknown sex, unknown age, or unknown race; therefore no rates are calculated.
Syphilis Tables
119
Table 37.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
120
2008
440
2
258
144
1,648
91
28
23
77
1,252
563
9
6
271
83
11
54
47
809
10
313
149
99
47
232
145
1
0
168
4
415
45
1,372
221
2
224
117
18
309
7
192
3
312
1,733
10
6
238
98
16
78
1
12,401
2,300
1,017
6,729
2,355
2
241
0
243
12,644
2009
419
0
196
172
1,621
63
40
23
158
1,254
768
15
3
344
55
9
58
64
799
10
261
135
155
46
312
146
0
6
137
6
401
40
1,266
357
0
221
172
29
361
14
284
2
333
1,932
7
1
233
64
8
66
0
13,066
2,234
1,108
7,549
2,175
1
164
0
165
13,231
2010
277
5
166
202
1,788
129
51
14
239
1,294
636
15
4
502
103
4
63
88
742
6
279
195
121
73
386
133
2
1
178
5
386
41
1,358
328
0
189
149
33
355
20
344
0
363
1,874
20
0
275
109
4
52
3
13,604
2,376
1,241
7,494
2,493
0
191
3
194
13,798
2012
237
8
147
152
2,519
194
52
38
244
1,384
639
9
21
690
148
15
54
139
343
2
361
231
150
96
253
135
0
8
214
9
410
68
1,413
244
0
171
146
94
484
24
336
3
255
1,767
8
6
303
181
10
86
2
14,503
2,631
1,556
6,851
3,465
1
222
0
223
14,726
Syphilis Tables
2008
9.4
0.3
4.0
5.0
4.5
1.8
0.8
2.6
13.0
6.8
5.8
0.7
0.4
2.1
1.3
0.4
1.9
1.1
18.3
0.8
5.6
2.3
1.0
0.9
7.9
2.5
0.1
0.0
6.5
0.3
4.8
2.3
7.0
2.4
0.3
2.0
3.2
0.5
2.5
0.7
4.3
0.4
5.0
7.1
0.4
1.0
3.1
1.5
0.9
1.4
0.2
4.1
4.2
1.5
6.0
3.3
1.1
6.1
0.0
5.7
4.1
2009
8.9
0.0
3.0
6.0
4.4
1.3
1.1
2.6
26.3
6.8
7.8
1.2
0.2
2.7
0.9
0.3
2.1
1.5
17.8
0.8
4.6
2.0
1.6
0.9
10.6
2.4
0.0
0.3
5.2
0.5
4.6
2.0
6.5
3.8
0.0
1.9
4.7
0.8
2.9
1.3
6.2
0.2
5.3
7.8
0.3
0.2
3.0
1.0
0.4
1.2
0.0
4.3
4.0
1.7
6.7
3.0
0.6
4.1
0.0
3.9
4.3
2010
5.8
0.7
2.6
6.9
4.8
2.6
1.4
1.6
39.7
6.9
6.6
1.1
0.3
3.9
1.6
0.1
2.2
2.0
16.4
0.5
4.8
3.0
1.2
1.4
13.0
2.2
0.2
0.1
6.6
0.4
4.4
2.0
7.0
3.4
0.0
1.6
4.0
0.9
2.8
1.9
7.4
0.0
5.7
7.5
0.7
0.0
3.4
1.6
0.2
0.9
0.5
4.4
4.3
1.9
6.5
3.5
0.0
5.1
2.8
4.9
4.4
2011
5.6
0.4
2.9
5.7
5.4
3.0
1.6
5.4
35.9
6.4
4.4
0.4
0.7
4.5
1.5
0.4
1.2
2.5
10.7
0.6
5.7
3.5
1.3
2.3
10.5
2.1
0.1
0.2
6.1
0.4
5.1
2.7
6.4
3.4
0.1
1.4
3.8
1.6
3.2
1.9
7.4
0.0
4.0
6.2
0.3
0.2
3.6
2.1
0.0
1.0
0.0
4.2
4.4
2.0
5.6
3.9
2.5
5.7
0.0
5.4
4.2
2012
4.9
1.1
2.3
5.2
6.7
3.8
1.5
4.2
39.5
7.3
6.5
0.7
1.3
5.4
2.3
0.5
1.9
3.2
7.5
0.2
6.2
3.5
1.5
1.8
8.5
2.2
0.0
0.4
7.9
0.7
4.6
3.3
7.3
2.5
0.0
1.5
3.9
2.4
3.8
2.3
7.2
0.4
4.0
6.9
0.3
1.0
3.7
2.7
0.5
1.5
0.4
4.7
4.7
2.3
5.9
4.8
0.6
6.0
0.0
5.6
4.7
Table 38.
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
402
109
214
199
124
10
62
251
23
48
89
496
68
45
10
555
56
86
79
166
910
20
199
563
60
43
54
239
1,628
72
148
305
160
43
11
13
81
89
5
39
10
203
179
281
25
91
70
275
69
224
9,201
613
135
153
150
116
3
78
324
42
70
64
592
57
88
13
421
27
82
64
135
1,070
17
259
644
46
45
64
243
1,530
123
132
362
131
25
22
16
59
88
6
38
4
290
80
253
22
56
90
225
78
306
9,551
529
137
148
67
161
0
90
476
88
20
42
647
109
76
18
370
70
91
59
174
991
46
256
749
35
68
70
193
1,595
76
138
348
126
27
33
26
77
86
7
43
12
305
177
373
29
91
106
117
84
441
10,097
352
137
198
90
176
7
95
531
67
25
36
500
139
82
18
351
65
50
40
162
1,132
43
180
682
33
112
37
108
1,556
65
142
398
153
30
58
26
69
144
9
51
7
252
162
396
35
134
84
139
108
402
9,868
491
170
206
74
158
11
60
630
78
13
49
604
177
113
9
421
102
57
61
207
1,393
72
188
831
57
91
50
88
1,654
79
136
408
120
46
101
35
78
138
6
38
7
269
236
528
44
142
89
176
90
497
11,378
7.5
6.6
8.0
17.8
2.7
0.9
3.6
2.6
1.1
2.3
5.0
7.9
2.7
1.0
0.8
9.7
3.3
6.5
3.9
8.9
7.1
1.6
15.5
10.4
3.9
1.3
3.5
21.1
8.6
6.0
7.2
5.2
3.7
1.8
0.5
0.8
6.6
2.2
0.5
1.8
0.9
10.0
6.0
6.6
1.4
2.7
2.5
10.1
4.2
4.2
5.6
11.2
7.9
5.7
13.3
2.5
0.3
4.5
3.4
1.9
3.3
3.6
9.2
2.2
2.0
1.1
7.2
1.5
6.2
3.1
7.1
8.3
1.4
19.8
11.6
2.9
1.4
4.0
20.4
8.0
10.0
6.3
6.1
3.0
1.1
1.0
1.0
4.8
2.1
0.6
1.8
0.4
14.0
2.6
5.9
1.2
1.6
3.2
8.2
4.7
5.6
5.7
10.0
8.0
5.5
5.9
3.5
0.0
5.1
5.0
4.1
1.0
2.3
10.2
4.3
1.8
1.5
6.2
4.0
6.8
2.9
8.9
7.7
3.6
19.5
13.5
2.2
2.1
4.4
16.5
8.4
6.1
6.5
5.8
3.0
1.1
1.5
1.6
6.1
2.0
0.7
2.0
1.1
14.2
5.7
8.6
1.6
2.6
3.8
4.2
5.0
7.9
6.1
6.6
7.7
7.3
7.9
3.8
0.6
5.3
5.6
3.1
1.2
1.9
7.7
5.3
1.9
1.5
5.8
3.7
3.7
1.9
8.2
8.7
3.3
13.6
12.0
2.1
3.4
2.3
9.1
8.2
5.1
6.5
6.6
3.6
1.3
2.6
1.6
5.4
3.3
0.9
2.3
0.6
11.5
5.2
9.0
1.9
3.8
3.0
4.9
6.4
7.0
5.9
9.2
9.5
7.5
6.5
3.4
1.0
3.3
6.6
3.6
0.6
2.6
9.3
6.8
2.6
0.7
6.9
5.7
4.2
3.0
10.5
10.8
5.6
14.2
14.7
3.6
2.7
3.1
7.4
8.7
6.2
6.3
6.8
2.8
1.9
4.5
2.2
6.1
3.2
0.6
1.7
0.6
12.3
7.5
12.0
2.4
4.1
3.2
6.2
5.4
8.7
6.8
* MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
Syphilis Tables
121
Table 39.
Late and Late Latent Syphilis*Reported Cases and Rates by State/Area and Region in
Alphabetical Order, United States and Outlying Areas, 20082012
Cases
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
286
6
789
149
2,995
133
109
20
147
2,272
1,345
30
13
720
128
48
41
77
485
7
374
114
227
102
320
171
2
21
71
17
364
96
2,903
480
2
185
51
53
313
30
120
2
548
3,071
5
1
281
159
14
43
5
19,945
3,858
1,690
10,040
4,357
37
381
1
419
20,364
2009
289
4
629
95
2,449
101
72
36
110
1,547
982
39
24
805
110
33
58
81
413
1
387
100
246
99
188
189
1
34
75
17
270
107
2,160
578
3
206
25
46
321
29
100
8
568
3,271
17
0
221
118
16
56
4
17,338
2,970
1,847
8,907
3,614
9
328
2
339
17,677
2010
235
7
493
116
2,223
75
83
19
121
1,572
898
23
9
799
134
45
28
84
1,163
3
386
158
322
128
200
225
0
20
99
16
314
57
2,387
499
3
349
31
69
280
18
80
8
542
3,204
47
0
245
159
16
84
3
18,079
3,259
2,145
9,411
3,264
10
302
1
313
18,392
2012
248
14
424
132
2,509
101
14
29
180
1,693
842
11
6
902
159
58
51
99
1,065
3
439
258
334
120
53
133
1
18
117
19
243
64
2,667
444
10
526
27
117
365
25
56
8
545
3,585
51
0
317
226
6
91
6
19,411
3,594
2,410
9,760
3,647
20
175
2
197
19,608
2008
6.1
0.9
12.1
5.2
8.1
2.7
3.1
2.3
24.8
12.4
13.9
2.3
0.9
5.6
2.0
1.6
1.5
1.8
11.0
0.5
6.6
1.8
2.3
2.0
10.9
2.9
0.2
1.2
2.7
1.3
4.2
4.8
14.9
5.2
0.3
1.6
1.4
1.4
2.5
2.9
2.7
0.2
8.8
12.6
0.2
0.2
3.6
2.4
0.8
0.8
0.9
6.6
7.0
2.5
9.0
6.1
21.0
9.6
0.9
9.9
6.6
2009
6.1
0.6
9.5
3.3
6.6
2.0
2.0
4.1
18.3
8.3
10.0
3.0
1.6
6.2
1.7
1.1
2.1
1.9
9.2
0.1
6.8
1.5
2.5
1.9
6.4
3.2
0.1
1.9
2.8
1.3
3.1
5.3
11.1
6.2
0.5
1.8
0.7
1.2
2.5
2.8
2.2
1.0
9.0
13.2
0.6
0.0
2.8
1.8
0.9
1.0
0.7
5.6
5.4
2.8
7.9
5.0
5.0
8.3
1.8
8.0
5.7
2010
4.9
1.0
7.7
4.0
6.0
1.5
2.3
2.1
20.1
8.4
9.3
1.7
0.6
6.2
2.1
1.5
1.0
1.9
25.7
0.2
6.7
2.4
3.3
2.4
6.7
3.8
0.0
1.1
3.7
1.2
3.6
2.8
12.3
5.2
0.4
3.0
0.8
1.8
2.2
1.7
1.7
1.0
8.5
12.7
1.7
0.0
3.1
2.4
0.9
1.5
0.5
5.9
5.9
3.2
8.2
4.5
6.3
8.1
0.9
7.8
5.9
2011
5.2
0.4
6.6
3.4
6.0
1.6
1.9
5.3
26.5
8.6
7.9
0.9
1.1
7.4
3.1
1.3
0.6
2.2
23.8
0.3
8.1
4.1
3.4
2.0
8.0
2.5
0.1
1.2
4.6
0.8
3.2
4.1
12.5
5.0
0.4
3.0
1.0
2.4
2.6
1.7
1.6
1.7
7.5
12.9
1.5
0.0
2.8
3.5
0.3
1.4
1.1
6.0
6.2
3.4
8.2
4.7
10.7
5.5
6.6
5.7
6.0
2012
5.2
1.9
6.5
4.5
6.7
2.0
0.4
3.2
29.1
8.9
8.6
0.8
0.4
7.0
2.4
1.9
1.8
2.3
23.3
0.2
7.5
3.9
3.4
2.2
1.8
2.2
0.1
1.0
4.3
1.4
2.8
3.1
13.7
4.6
1.5
4.6
0.7
3.0
2.9
2.4
1.2
1.0
8.5
14.0
1.8
0.0
3.9
3.3
0.3
1.6
1.1
6.2
6.5
3.6
8.4
5.0
12.5
4.7
1.9
5.0
6.2
* Late and late latent syphilis includes late latent syphilis, latent syphilis of unknown duration, neurosyphilis, and late syphilis with clinical manifestations other than
neurosyphilis.
122
Syphilis Tables
Table 40.
Late and Late Latent Syphilis*Reported Cases and Rates in Selected Metropolitan
Statistical Areas (MSAs) in Alphabetical Order, United States, 20082012
Cases
MSAs
Atlanta-Sandy Springs-Marietta, GA
Austin-Round Rock, TX
Baltimore-Towson, MD
Birmingham-Hoover, AL
Boston-Cambridge-Quincy, MA-NH
Buffalo-Cheektowaga-Tonawanda, NY
Charlotte-Gastonia-Concord, NC-SC
Chicago-Naperville-Joliet, IL-IN-WI
Cincinnati-Middletown, OH-KY-IN
Cleveland-Elyria-Mentor, OH
Columbus, OH
Dallas-Fort Worth-Arlington, TX
Denver-Aurora, CO
Detroit-Warren-Livonia, MI
Hartford-West Hartford-East Hartford, CT
Houston-Baytown-Sugar Land, TX
Indianapolis, IN
Jacksonville, FL
Kansas City, MO-KS
Las Vegas-Paradise, NV
Los Angeles-Long Beach-Santa Ana, CA
Louisville, KY-IN
Memphis, TN-MS-AR
Miami-Fort Lauderdale-Miami Beach, FL
Milwaukee-Waukesha-West Allis, WI
Minneapolis-St. Paul-Bloomington, MN-WI
Nashville-Davidson-Murfreesboro, TN
New Orleans-Metairie-Kenner, LA
New York-Newark-Edison, NY-NJ-PA
Oklahoma City, OK
Orlando, FL
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
Phoenix-Mesa-Scottsdale, AZ
Pittsburgh, PA
Portland-Vancouver-Beaverton, OR-WA
Providence-New Bedford-Fall River, RI-MA
Richmond, VA
Riverside-San Bernardino-Ontario, CA
Rochester, NY
Sacramento-Arden-Arcade-Roseville, CA
Salt Lake City, UT
San Antonio, TX
San Diego-Carlsbad-San Marcos, CA
San Francisco-Oakland-Fremont, CA
San Jose-Sunnyvale-Santa Clara, CA
Seattle-Tacoma-Bellevue, WA
St. Louis, MO-IL
Tampa-St. Petersburg-Clearwater, FL
Virginia Beach-Norfolk-Newport News, VA-NC
Washington-Arlington-Alexandria, DC-VA-MD-WV
U.S. MSAs TOTAL
2008
2009
2010
2011
2012
2008
2009
2010
2011
2012
1,068
127
186
110
86
7
100
650
20
15
84
934
98
154
51
1,024
53
153
55
52
1,722
34
306
1,326
32
75
138
75
3,089
26
184
287
468
17
32
33
53
202
37
100
2
190
292
277
84
115
129
212
80
425
15,069
756
116
193
112
92
27
127
727
58
29
71
1,020
74
171
29
1,139
48
95
70
49
1,332
48
316
797
43
70
145
78
2,237
16
165
304
368
16
39
31
50
210
34
94
8
221
211
239
58
84
120
223
55
362
12,977
723
118
162
84
142
32
91
703
117
79
82
941
64
232
34
1,149
55
87
43
85
1,238
46
326
853
57
101
115
391
2,502
17
149
271
345
9
54
22
47
185
43
81
29
232
148
230
62
112
177
195
59
425
13,544
611
168
196
95
240
27
106
866
131
70
76
979
64
229
22
1,168
111
89
44
111
1,222
50
278
984
49
87
105
453
2,522
10
166
325
299
13
72
30
36
201
31
69
32
286
154
244
54
177
94
175
40
536
14,197
573
154
203
79
207
32
108
853
275
82
99
1,130
74
252
3
1,268
81
73
40
98
1,091
49
291
1,032
59
105
129
380
2,651
15
192
338
332
21
99
32
52
465
69
59
33
366
144
321
84
169
96
171
100
515
15,144
19.9
7.7
7.0
9.8
1.9
0.6
5.9
6.8
0.9
0.7
4.7
14.8
3.9
3.5
4.3
17.9
3.1
11.7
2.7
2.8
13.4
2.7
23.8
24.5
2.1
2.3
8.9
6.6
16.3
2.2
9.0
4.9
10.9
0.7
1.4
2.1
4.3
4.9
3.6
4.7
0.2
9.4
9.7
6.5
4.6
3.4
4.6
7.8
4.8
7.9
9.2
13.8
6.8
7.2
9.9
2.0
2.4
7.3
7.6
2.7
1.4
3.9
15.8
2.9
3.9
2.4
19.4
2.8
7.2
3.4
2.6
10.3
3.8
24.2
14.4
2.8
2.1
9.2
6.6
11.7
1.3
7.9
5.1
8.4
0.7
1.7
1.9
4.0
5.1
3.3
4.4
0.7
10.7
6.9
5.5
3.2
2.5
4.2
8.1
3.3
6.6
7.8
13.7
6.9
6.0
7.4
3.1
2.8
5.2
7.4
5.5
3.8
4.5
14.8
2.5
5.4
2.8
19.3
3.1
6.5
2.1
4.4
9.7
3.6
24.8
15.3
3.7
3.1
7.2
33.5
13.2
1.4
7.0
4.5
8.2
0.4
2.4
1.4
3.7
4.4
4.1
3.8
2.6
10.8
4.8
5.3
3.4
3.3
6.3
7.0
3.5
7.6
8.2
11.4
9.4
7.2
8.4
5.2
2.4
5.9
9.1
6.1
3.4
4.1
15.0
2.5
5.3
1.8
19.2
6.2
6.5
2.1
5.6
9.4
3.9
21.0
17.4
3.1
2.6
6.5
38.0
13.3
0.8
7.6
5.4
7.0
0.6
3.2
1.9
2.8
4.7
2.9
3.2
2.8
13.0
4.9
5.6
2.9
5.1
3.3
6.2
2.4
9.4
8.5
10.7
8.6
7.4
7.0
4.5
2.8
6.0
9.0
12.9
4.0
5.3
17.3
2.8
5.9
0.2
20.8
4.6
5.4
1.9
5.0
8.4
3.8
22.0
18.2
3.8
3.2
8.0
31.9
13.9
1.2
8.8
5.6
7.8
0.9
4.4
2.0
4.1
10.8
6.5
2.7
2.9
16.7
4.6
7.3
4.5
4.8
3.4
6.1
6.0
9.0
9.0
* Late and late latent syphilis includes late latent syphilis, latent syphilis of unknown duration, neurosyphilis, and late syphilis with clinical manifestations other than
neurosyphilis.
MSAs were selected on the basis of the largest population in the 2000 U.S. Census.
Syphilis Tables
123
Table 41.
Rank*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Louisiana
Arkansas
Texas
Florida
Maryland
Illinois
Arizona
Ohio
Georgia
South Carolina
HEALTHY PEOPLE 2020 TARGET
Alaska
Delaware
U.S. TOTAL
California
Alabama
Michigan
Pennsylvania
Nebraska
Kentucky
New Mexico
New York
Nevada
Oregon
Minnesota
Wisconsin
Massachusetts
Missouri
Tennessee
Virginia
New Jersey
North Carolina
Colorado
Connecticut
Hawaii
Idaho
Indiana
Iowa
Kansas
Maine
Mississippi
Montana
New Hampshire
North Dakota
Oklahoma
Rhode Island
South Dakota
Utah
Vermont
Washington
West Virginia
Wyoming
Cases
32
11
78
37
12
27
14
16
14
6
1
1
322
34
4
7
6
1
2
1
8
1
1
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
* States were ranked by rate; then by case count, then in alphabetical order, with rates shown rounded to the nearest tenth.
Total includes cases reported by the District of Columbia, with 0 cases, but excludes outlying areas (Guam with 0 cases, Puerto Rico with 1 case and rate of
2.2, and Virgin Islands with 0 cases).
124
Syphilis Tables
Table 42.
State/Area*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Northeast
Midwest
South
West
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
12
0
30
9
64
0
2
1
0
17
11
0
0
20
0
0
0
1
23
0
23
0
10
1
9
2
0
0
9
0
4
4
23
11
0
3
3
0
8
0
2
0
11
127
0
0
4
0
1
1
0
446
37
37
265
107
0
8
0
8
454
2009
13
0
28
10
63
0
2
1
0
18
14
1
1
16
1
0
3
2
11
0
31
0
5
1
8
6
0
0
3
0
7
0
15
10
1
8
2
0
5
1
0
0
13
128
0
0
2
1
0
0
0
431
30
41
263
97
0
6
0
6
437
2010
9
0
16
11
39
0
2
2
1
20
18
0
1
27
0
0
0
0
33
0
22
1
5
0
9
2
0
0
5
0
3
0
17
10
0
10
0
0
3
0
1
0
11
105
1
0
1
1
0
1
0
387
26
45
253
63
0
2
0
2
389
2012
4
1
14
11
34
0
0
1
0
37
14
0
0
27
0
0
0
2
32
0
12
1
7
1
0
1
0
1
1
0
1
1
8
1
0
16
0
1
6
0
6
0
1
78
0
0
1
0
0
1
0
322
16
54
200
52
0
1
0
1
323
2008
18.6
0.0
30.2
22.1
11.6
0.0
5.0
8.3
0.0
7.3
7.5
0.0
0.0
11.3
0.0
0.0
0.0
1.7
35.2
0.0
29.8
0.0
8.3
1.4
20.0
2.5
0.0
0.0
22.8
0.0
3.5
13.3
9.2
8.4
0.0
2.0
5.5
0.0
5.4
0.0
3.2
0.0
12.9
31.3
0.0
0.0
3.7
0.0
4.7
1.4
0.0
10.5
5.5
4.2
16.4
10.1
0.0
17.5
0.0
15.7
10.6
2009
20.8
0.0
30.2
25.1
12.0
0.0
5.1
8.7
0.0
8.1
9.9
5.3
4.2
9.3
1.2
0.0
7.2
3.5
16.9
0.0
41.3
0.0
4.3
1.4
18.6
7.6
0.0
0.0
8.0
0.0
6.3
0.0
6.0
7.9
11.1
5.5
3.7
0.0
3.4
8.7
0.0
0.0
15.8
31.8
0.0
0.0
1.9
1.1
0.0
0.0
0.0
10.4
4.5
4.7
16.7
9.5
0.0
13.4
0.0
12.0
10.5
2010
14.4
0.0
17.2
27.6
7.4
0.0
5.1
17.3
11.1
9.0
12.7
0.0
4.2
15.8
0.0
0.0
0.0
0.0
50.8
0.0
29.3
1.3
4.3
0.0
21.0
2.5
0.0
0.0
13.3
0.0
2.7
0.0
6.9
7.9
0.0
6.9
0.0
0.0
2.0
0.0
1.6
0.0
13.4
26.1
1.9
0.0
1.0
1.1
0.0
1.4
0.0
9.4
3.9
5.2
16.0
6.2
0.0
4.5
0.0
4.0
9.3
2011
16.0
0.0
16.2
37.7
7.6
0.0
0.0
0.0
11.1
14.9
7.1
0.0
0.0
10.5
0.0
0.0
0.0
3.5
27.7
0.0
32.0
0.0
6.8
0.0
14.0
1.3
0.0
0.0
8.0
0.0
4.5
0.0
5.2
4.7
0.0
9.0
3.7
0.0
3.4
0.0
0.0
0.0
9.7
24.6
0.0
0.0
0.0
2.2
0.0
1.4
0.0
8.7
3.5
4.7
14.8
5.9
0.0
4.5
0.0
4.0
8.6
2012
6.4
8.8
15.1
27.6
6.5
0.0
0.0
8.7
0.0
16.7
9.9
0.0
0.0
15.8
0.0
0.0
0.0
3.5
49.3
0.0
16.0
1.3
6.0
1.4
0.0
1.3
0.0
3.7
2.7
0.0
0.9
3.4
3.2
0.8
0.0
11.0
0.0
2.1
4.1
0.0
9.9
0.0
1.2
19.4
0.0
0.0
1.0
0.0
0.0
1.4
0.0
7.8
2.4
6.2
12.7
5.1
0.0
2.2
0.0
2.0
7.7
Syphilis Tables
125
Table 43.
Congenital SyphilisReported Cases and Rates per 100,000 Live Births in Infants by
Year of Birth and Race/Ethnicity of Mother, United States, 20082012
Year of Birth
2008
Whites, Non-Hispanic
Cases
Rate
67
2.9
Blacks, Non-Hispanic
Cases
Rate
226
35.9
Cases
135
Hispanics
Rate
13.0
2009
65
2.9
216
35.1
128
12.8
2010
63
2.8
216
35.1
91
9.1
2011
50
2.2
211
34.3
73
7.3
2012
47
2.1
182
29.6
79
7.9
Year of Birth
2008
2009
Asians/Pacific Islanders
Cases
Rate
7
2.9
11
4.6
11.8
Cases
0
Multirace
Rate
NA
NA
2010
3.7
2.4
NA
2011
14
5.8
4.7
NA
2012
2.5
4.7
NA
Rate
NA
Cases
446
Year of Birth
2008
Cases
1
Other
Rate
NA
Cases
4
Unknown
Total
Rate
10.5
2009
NA
NA
431
10.4
2010
NA
NA
387
9.4
2011
NA
NA
358
8.7
2012
NA
NA
322
7.8
NA = Not applicable.
126
Syphilis Tables
Table 44.
State/Area
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
U.S. TOTAL
Guam
Puerto Rico
Virgin Islands
OUTLYING AREAS
TOTAL
2008
0
0
0
0
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
2
4
0
1
0
0
0
0
1
0
0
8
0
0
0
1
0
0
0
25
0
0
0
0
25
2009
0
0
0
0
1
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
1
0
0
8
0
0
1
0
0
6
0
28
0
0
0
0
28
2010
1
0
0
0
5
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
0
1
12
0
0
0
1
0
0
0
24
0
0
0
0
24
2012
1
0
0
0
7
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
1
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
15
0
0
0
0
15
Chancroid Tables
2008
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2009
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2010
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2011
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2012
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
127
Table 45.
Year
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Genital Warts
56,000
72,000
87,000
61,000
119,000
128,000
165,000
198,000
202,000
181,000
217,000
221,000
269,000
200,000
218,000
191,000
256,000
203,000
224,000
263,000
275,000
351,000
290,000
220,000
275,000
282,000
218,000
167,000
239,000
253,000
191,000
145,000
211,000
240,000
220,000
233,000
266,000
264,000
316,000
357,000
422,000
312,000
385,000
357,000
376,000
453,000
353,000
Vaginal
Trichomoniasis*
579,000
515,000
463,000
421,000
529,000
484,000
574,000
466,000
427,000
500,000
473,000
324,000
329,000
363,000
358,000
369,000
268,000
424,000
381,000
291,000
338,000
293,000
191,000
165,000
213,000
198,000
182,000
207,000
199,000
141,000
245,000
176,000
164,000
171,000
222,000
210,000
150,000
179,000
221,000
165,000
200,000
205,000
204,000
216,000
149,000
168,000
219,000
Other Vaginitis*
1,155,000
1,277,000
1,460,000
1,390,000
1,500,000
1,281,000
1,810,000
1,858,000
1,907,000
1,919,000
1,690,000
1,713,000
2,149,000
1,662,000
1,670,000
1,742,000
1,859,000
1,932,000
2,450,000
2,728,000
3,118,000
3,087,000
3,583,000
3,374,000
4,474,000
3,822,000
3,428,000
3,755,000
4,123,000
3,927,000
3,472,000
3,100,000
3,200,000
3,077,000
3,470,000
3,365,000
3,315,000
3,516,000
3,602,000
4,071,000
3,891,000
3,723,000
3,571,000
3,063,000
3,192,000
3,102,000
3,452,000
Pelvic Inflammatory
Disease
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
423,000
283,000
374,000
424,000
381,000
425,000
457,000
403,000
431,000
413,000
358,000
377,000
335,000
407,000
332,000
262,000
286,000
260,000
233,000
250,000
254,000
244,000
197,000
123,000
132,000
176,000
106,000
146,000
104,000
100,000
113,000
90,000
106,000
*Women only.
Women aged 15-44 years only.
NA = Not available.
NOTE: Standard errors for estimates under 100,000 are not available. The relative standard errors for estimates 100,000-300,000 are from 20% to 30%;
300,000-600,000 are from 16% to 20%; 600,000-1,000,000 are from 13% to 16%; and 1,000,000-5,000,000 are from 9% to 13%.
SOURCE: National Disease and Therapeutic Index (IMS Health). See Other Data Sources in the Appendix for more information.
128
Selected STDs
APPENDIX
APPENDIX
Reporting Formats
National Electronic
Telecommunications System for
Surveillance
129
Reporting Practices
Although most state and local STD programs
generally adhere to the national notifiable STD case
definitions collaboratively developed by the Council
of State and Territorial Epidemiologists and CDC,
differences in policies and systems for collecting
surveillance data may exist. Thus, comparisons of case
numbers and rates between jurisdictions should be
interpreted with caution.
However, because case definitions and surveillance
activities within a given area remain relatively stable
over time, trends should be minimally affected by these
differences.
131
132
133
* The Clinical Laboratory Standards Institute criteria for decreased susceptibility and resistance to ceftriaxone, cefixime, cefpodoxime, and
azithromycin and for susceptibility to azithromycin have not been established for N. gonorrhoeae.
134
135
Table A1. Selected STDsPercentage of Unknown, Missing, or Invalid Values for Selected
Variables by State and by Nationally Notifiable STD, 2012
Primary and Secondary Syphilis
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana*
Nebraska*
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota*
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont*
Virginia
Washington
West Virginia*
Wisconsin
Wyoming*
U.S. TOTAL
Gonorrhea
Chlamydia
Percentage
Percentage
Unknown Percentage Percentage Percentage Unknown Percentage Percentage
Race/
Unknown Unknown Unknown
Race/
Unknown Unknown
Ethnicity
Age
Sex
Sex Partner
Ethnicity
Age
Sex
0.0
0.0
0.5
1.2
3.6
5.8
0.0
0.0
1.2
0.4
3.0
0.0
0.0
1.9
1.8
8.6
0.0
0.0
0.0
5.9
0.2
6.3
0.7
7.6
4.0
1.3
0.0
25.0
3.5
0.0
3.5
12.9
4.2
0.0
25.0
0.2
0.0
4.7
4.0
0.0
0.0
0.0
1.9
0.1
0.0
0.0
0.0
21.9
0.0
8.8
0.0
2.6
0.0
0.0
0.0
0.0
0.1
0.0
1.8
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.7
0.0
0.7
0.0
0.0
0.0
0.0
0.0
5.2
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.5
0.0
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.3
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.1
32.9
100.0
99.0
12.1
8.1
3.4
12.7
89.5
18.2
6.1
45.8
13.0
23.1
20.0
2.7
4.3
4.2
2.7
13.6
5.9
6.0
21.2
8.5
10.2
4.0
2.5
50.0
87.5
1.8
2.8
14.0
3.0
21.2
4.9
0.0
7.8
4.8
28.3
13.8
2.3
2.7
11.1
1.9
2.9
11.9
0.0
4.9
6.0
0.0
59.3
0.0
13.7
28.8
0.3
15.0
9.6
26.1
13.9
34.5
2.8
34.2
7.7
28.6
43.3
30.5
17.5
11.1
8.7
14.9
20.6
10.6
12.1
19.5
23.1
29.4
20.1
17.2
7.4
4.6
22.8
26.7
10.2
38.8
32.2
31.5
13.1
17.0
20.6
8.5
8.3
26.9
8.9
32.3
3.1
2.4
6.5
0.0
2.0
17.5
16.5
6.6
21.2
9.1
19.2
0.1
0.0
0.0
0.1
0.5
0.0
0.1
0.0
0.1
0.0
0.1
0.1
0.6
0.0
0.0
0.0
0.0
0.5
0.0
0.2
0.4
0.0
0.1
0.0
0.0
0.0
0.0
0.1
0.0
0.0
12.9
0.0
0.1
0.0
0.3
0.2
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.1
0.0
0.0
0.0
0.1
0.0
0.0
0.0
0.4
0.5
0.0
0.0
0.0
0.3
0.0
0.1
0.0
0.4
0.0
0.7
0.0
0.0
0.2
0.1
0.0
0.0
0.2
0.0
0.0
0.0
0.0
0.1
0.4
0.0
0.0
0.0
0.3
0.1
0.0
0.2
0.1
0.1
0.3
0.3
0.0
0.0
0.0
0.0
0.0
0.3
0.3
0.1
0.1
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.2
Percentage
Unknown Percentage Percentage
Race/
Unknown Unknown
Ethnicity
Age
Sex
32.9
1.0
19.9
12.9
33.7
28.1
53.4
3.2
36.4
21.4
37.7
51.2
32.0
23.1
14.7
13.2
33.9
28.4
12.3
25.1
28.7
33.6
31.7
24.9
21.5
12.0
6.6
33.5
31.2
10.2
57.0
30.7
40.1
17.0
22.4
26.5
11.9
20.6
34.1
17.8
36.7
17.9
2.9
9.2
0.0
1.6
28.2
21.6
7.3
22.3
16.1
25.8
0.1
0.0
0.0
0.1
0.4
0.0
0.3
0.0
0.1
0.0
0.1
0.1
0.2
0.0
0.0
0.0
0.0
0.6
0.0
0.4
0.3
0.1
0.1
0.0
0.0
0.0
0.0
0.1
0.0
0.0
11.1
0.0
0.1
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.1
0.0
0.0
0.1
0.0
0.0
0.1
0.1
0.0
0.0
0.0
0.3
0.7
0.0
0.0
0.0
0.2
0.0
0.6
0.0
0.5
0.0
0.8
0.0
0.0
0.2
0.1
0.0
0.0
0.3
0.0
0.1
0.2
0.2
0.2
0.3
0.0
0.0
0.0
0.4
0.0
0.0
0.3
0.0
0.1
0.2
0.0
0.0
0.0
0.0
0.1
0.0
0.2
0.0
0.1
0.1
0.0
0.0
0.1
0.0
0.0
0.0
0.0
0.2
* Percentages for primary and secondary syphilis are based on less than 10 cases.
NOTE: Unknown includes unknown, missing, or invalid data values.
136
Table A2. Reported Cases of STDs by Reporting Source and Sex, United States, 2012
Non-STD Clinic
Disease
Chlamydia
Gonorrhea
Primary Syphilis
Secondary Syphilis
Early Latent Syphilis
Late and Late Latent Syphilis
Chancroid
Male
279,690
108,491
2,596
7,042
8,697
10,121
5
Female
840,146
135,498
185
831
1,478
4,694
7
Total*
1,121,526
244,386
2,785
7,887
10,184
14,833
12
STD Clinic
Male
76,126
35,150
1,261
2,386
2,835
2,170
1
Female
62,748
16,035
68
264
567
746
0
Total
Total*
138,979
51,221
1,329
2,651
3,405
2,917
1
Male
402,557
162,235
4,076
10,114
12,327
13,458
7
Female
1,018,272
172,066
280
1,178
2,164
5,929
8
Total
1,422,976
334,826
4,360
11,307
14,503
19,411
15
Late and late latent syphilis includes late latent syphilis, latent syphilis of unknown duration, neurosyphilis, and late syphilis with clinical manifestations other than
neurosyphilis.
137
Table A3. Healthy People 2020 (HP 2020) Sexually Transmitted Diseases Objectives
HP2020 Objectives
1
4
5
7
8
Baseline
Year
Baseline
2010
2011
2012
HP 2020
Target
2008
7.4%
8.0%
8.3%
IPP no
longer
collected
6.7%
2008
12.8%
11.4%
10.4%
11.0%
11.5%
2008
7.0%
7.2%
8.0%
7.0%
6.3%
2008
52.7%
54.6%
54.9%
53.5%
70.9%
2008
59.4%
62.3%
63.4%
63.6%
80.0%
2008
40.1%
40.8%
41.5%
41.1%
61.3%
2008
43.5%
45.7%
48.4%
49.2%
74.6%
2006-2008
4.0%
4.2%*
N/A
N/A
3.6%
2008
284.0
256.9
264.2
264.7
257.0
2008
219.4
208.1
216.6
232.1
198.0
2008
1.5
1.1
1.0
0.9
1.4
b. Among males
2008
7.5
7.9
8.2
9.3
6.8
2008
10.1
8.7
8.5
7.8
9.1
2003-2006
3.2
2.0**
N/A
N/A
N/A
2003-2006
6.2
6.1**
N/A
N/A
N/A
2003-2006
40.3
38.3**
N/A
N/A
N/A
2005-2008
10.5%
8.8%***
N/A
N/A
N/A
HP2020
Objectives
1a
1b, 1c
2a, 2b
3a, 3b
4
5a, 5b
6a, 6b
7
8a, 8b
8c
9
Data Source
* 20062010
** 20072010
*** 20092010 data among 2029 years old
138
Table A4. Government Performance and Results Act (GPRA) Sexually Transmitted Diseases Goals,
Measures, and Target
Actual
GPRA Goals
1
1a, 1b
1c, 1d, 1e
1f, 1g, 1h, 1i
2a, 2b
2c
Target
2012
2013
90,000
106,000
99,667
13.3
8.4
658.8
505.4
13.9
13.1
9.1
663
536.9
13.6
12.4
8.9
618.5
545.3
12.4
12.3
7.8
708.4
528.8
12.9
54.6
54.9
N/A
59.8
62.3
63.4
N/A
70.1
40.8
41.5
N/A
48.0
45.7
48.4
N/A
55.5
2.5
9.4
2.1
8.7
2.1
7.8
3.0
10.0
84.8
83.0
N/A
81.3
2010
2011
113,000
Data Source
* Median state-specific chlamydia prevalence/positivity among states with >100 females in this age group entering the National Job Training Program.
In FY 2013 CDC improved the calculation of these data to increase the stability of estimate over time. Data for 2010 and later years reflect this improved
calculation method.
GPRA= Government Performance and Results Act; PID= pelvic inflammatory disease; P&S= primary and secondary.
139
A sexually transmitted disease characterized by painful genital ulceration and inflammatory inguinal
adenopathy. The disease is caused by infection with Haemophilus ducreyi.
Case classification
Probable: a clinically compatible case with both a) no evidence of Treponema pallidum infection by darkfield
microscopic examination of ulcer exudate or by a serologic test for syphilis performed 7 days after onset of
ulcers and b) either a clinical presentation of the ulcer(s) not typical of disease caused by herpes simplex virus
(HSV) or a culture negative for HSV.
Confirmed: a clinically compatible case that is laboratory confirmed
Infection with Chlamydia trachomatis may result in urethritis, epididymitis, cervicitis, acute salpingitis, or
other syndromes when sexually transmitted; however, the infection is often asymptomatic in women. Perinatal
infections may result in inclusion conjunctivitis and pneumonia in newborns. Other syndromes caused by C.
trachomatis include lymphogranuloma venereum (see Lymphogranuloma Venereum) and trachoma.
Case classification
A sexually transmitted infection commonly manifested by urethritis, cervicitis, or salpingitis. Infection may be
asymptomatic.
Centers for Disease Control and Prevention. Case definitions for infectious conditions under public health surveillance, 1997. MMWR
Morb Mortal Wkly Rep. 1997;46(No. RR-10).
140
Case classification
Syphilis is a complex sexually transmitted disease that has a highly variable clinical course. Classification by
a clinician with expertise in syphilis may take precedence over the following case definitions developed for
surveillance purposes.
Syphilis, primary
Clinical description
A stage of infection with Treponema pallidum characterized by one or more chancres (ulcers); chancres might
differ considerably in clinical appearance.
Laboratory criteria for diagnosis
Demonstration of T. pallidum in clinical specimens by darkfield microscopy, direct fluorescent antibody
(DFA-TP), or equivalent methods
Case classification
Probable: a clinically compatible case with one or more ulcers (chancres) consistent with primary syphilis and a
reactive serologic test (nontreponemal: Venereal Disease Research Laboratory [VDRL] or rapid plasma reagin
[RPR]; treponemal: fluorescent treponemal antibody absorbed [FTA-ABS] or microhemagglutination assay for
antibody to T. pallidum [MHA-TP])
Confirmed: a clinically compatible case that is laboratory confirmed
Syphilis, secondary
Clinical description
A stage of infection caused by T. pallidum and characterized by localized or diffuse mucocutaneous lesions,
often with generalized lymphadenopathy. The primary chancre may still be present.
Laboratory criteria for diagnosis
Demonstration of T. pallidum in clinical specimens by darkfield microscopy, DFA-TP, or equivalent
methods
Case classification
Probable: a clinically compatible case with a nontreponemal (VDRL or RPR) titer 4
Confirmed: a clinically compatible case that is laboratory confirmed
141
Syphilis, latent
Clinical description
A stage of infection caused by T. pallidum in which organisms persist in the body of the infected person
without causing symptoms or signs. Latent syphilis is subdivided into early, late, and unknown categories
based on the duration of infection.
Case classification
Probable: no clinical signs or symptoms of syphilis and the presence of one of the following:
No past diagnosis of syphilis, a reactive nontreponemal test (i.e., VDRL or RPR), and a reactive
treponemal test (i.e., FTA-ABS or MHA-TP)
A past history of syphilis therapy and a current nontreponemal test titer demonstrating fourfold or greater
increase from the last nontreponemal test titer
Neurosyphilis
Note
Since neurosyphilis can occur at almost any stage of syphilis, , it was classified and reported, between 1996
and 2005, as one of several mutually exclusive stages of syphilis. In 2005, the Division of STD Prevention
requested that STD control programs discontinue classifying and reporting neurosyphilis as a distinct stage of
syphilis. Since 2005, if the patient has confirmed or probably neurosyphilis, the case should be reported as the
appropriate state of syphilis and neurological manifestations should be noted.
Clinical description
Evidence of central nervous system infection with T. pallidum
Laboratory criteria for diagnosis
A reactive serologic test for syphilis and reactive VDRL in cerebrospinal fluid (CSF) Case classification
Case classification
Probable: syphilis of any stage, a negative VDRL in CSF, and both of the following:
Elevated CSF protein or leukocyte count in the absence of other known causes of these abnormalities
Clinical symptoms or signs consistent with neurosyphilis without other known causes for these clinical
abnormalities
Confirmed: syphilis of any stage that meets the laboratory criteria for neurosyphilis
Syphilis, late, with clinical manifestations other than Neurosyphilis (late benign syphilis
and cardiovascular syphilis)
Clinical description
Clinical manifestations of late syphilis other than neurosyphilis may include inflammatory lesions of the
cardiovascular system, skin, and bone. Rarely, other structures (e.g., the upper and lower respiratory tracts,
mouth, eye, abdominal organs, reproductive organs, lymph nodes, and skeletal muscle) may be involved. Late
syphilis usually becomes clinically manifest only after a period of 1530 years of untreated infection.
Laboratory criteria for diagnosis
Demonstration of T. pallidum in late lesions by fluorescent antibody or special stains (although organisms
are rarely visualized in late lesions)
Case classification
Probable: characteristic abnormalities or lesions of the cardiovascular system, skin, bone, or other structures
with a reactive treponemal test, in the absence of other known causes of these abnormalities, and without CSF
abnormalities and clinical symptoms or signs consistent with neurosyphilis
Confirmed: a clinically compatible case that is laboratory confirmed
Comment
Analysis of CSF for evidence of neurosyphilis is necessary in the evaluation of late syphilis with clinical
manifestations.
Syphilitic Stillbirth
Clinical description
A fetal death that occurs after a 20-week gestation or in which the fetus weighs >500 g and the mother had
untreated or inadequately* treated syphilis at delivery
STD Surveillance 2012
143
Comment
For reporting purposes, syphilitic stillbirths should be reported as cases of congenital syphilis.
A condition caused by infection in utero with Treponema pallidum. A wide spectrum of severity exists, and
only severe cases are clinically apparent at birth. An infant or child (aged <2 years) may have signs such as
hepatosplenomegaly, rash, condyloma lata, snuffles, jaundice (nonviral hepatitis), pseudoparalysis, anemia, or
edema (nephrotic syndrome and/or malnutrition). An older child may have stigmata (e.g., interstitial keratitis,
nerve deafness, anterior bowing of shins, frontal bossing, mulberry molars, Hutchinson teeth, saddle nose,
rhagades, or Clutton joints).
Case classification
Probable: a condition affecting an infant whose mother had untreated or inadequately treated* syphilis at
delivery, regardless of signs in the infant, or an infant or child who has a reactive treponemal test for syphilis
and any one of the following:
Any evidence of congenital syphilis on physical examination
Any evidence of congenital syphilis on radiographs of long bones
A reactive cerebrospinal fluid (CSF) venereal disease research laboratory (VDRL)
An elevated CSF cell count or protein (without other cause)
A reactive fluorescent treponemal antibody absorbed19S-IgM antibody test or IgM enzyme-linked
immunosorbent assay
Confirmed: a case that is laboratory confirmed
Comment
Congenital and acquired syphilis may be difficult to distinguish when a child is seropositive after infancy. Signs
of congenital syphilis may not be obvious, and stigmata may not yet have developed. Abnormal values for
CSF VDRL, cell count, and protein, as well as IgM antibodies, may be found in either congenital or acquired
syphilis. Findings on radiographs of long bones may help because radiographic changes in the metaphysis
and epiphysis are considered classic signs of congenitally acquired syphilis. The decision may ultimately be
based on maternal history and clinical judgment. In a young child, the possibility of sexual abuse should
be considered as a cause of acquired rather than congenital syphilis, depending on the clinical picture. For
reporting purposes, congenital syphilis includes cases of congenitally acquired syphilis among infants and
children as well as syphilitic stillbirths.
* Inadequate treatment consists of any nonpenicillin therapy or penicillin administered < 30 days before delivery.
144
Case classification
Probable: a clinically compatible case (in which primary and secondary syphilis have been excluded by
appropriate serologic tests and darkfield microscopy, when available) with either a diagnosis of genital herpes
based on clinical presentation (without laboratory confirmation) or a history of one or more previous episodes
of similar genital lesions
Confirmed: a clinically compatible case that is laboratory confirmed
Comment
Genital herpes should be reported only once per patient. The first diagnosis for a patient with no previous
diagnosis should be reported.
An infection characterized by the presence of visible, exophytic (raised) growths on the internal or external
genitalia, perineum, or perianal region
Case classification
Probable: a clinically compatible case without histopathologic diagnosis and without microscopic or serologic
evidence that the growth is the result of secondary syphilis
Confirmed: a clinically compatible case that is laboratory confirmed
Comment
Genital warts should be reported only once per patient. The first diagnosis for a patient with no previous
diagnosis should be reported.
Centers for Disease Control and Prevention. Case definitions for infectious conditions under public health surveillance, 1997. MMWR
Morb Mortal Wkly Rep. 1997;46(No. RR-10).
145
Granuloma Inguinale
Clinical description
A slowly progressive ulcerative disease of the skin and lymphatics of the genital and perianal area caused by
infection with Calymmatobacterium granulomatis. A clinically compatible case would have one or more painless
or minimally painful granulomatous lesions in the anogenital area.
Case classification
Lymphogranuloma Venereum
Clinical description
Infection with L1, L2, or, L3 serovars of Chlamydia trachomatis may result in a disease characterized by genital lesions,
suppurative regional lymphadenopathy, or hemorrhagic proctitis. The infection is usually sexually transmitted.
Case classification
Probable: a clinically compatible case with one or more tender fluctuant inguinal lymph nodes or characteristic
proctogenital lesions with supportive laboratory findings of a single C. trachomatis complement fixation titer of >64
Confirmed: a clinically compatible case that is laboratory confirmed
Cervical inflammation that is not the result of infection with Neisseria gonorrhoeae or Trichomonas vaginalis.
Cervical inflammation is defined by the presence of one of the following criteria:
Mucopurulent secretion (from the endocervix) that is yellow or green when viewed on a white, cottontipped swab (positive swab test)
Induced endocervical bleeding (bleeding when the first swab is placed in the endocervix)
No evidence of N. gonorrhoeae by culture, Gram stain, or antigen or nucleic acid detection, and no
evidence of T. vaginalis on wet mount
Case classification
Confirmed: a clinically compatible case in a female who does not have either gonorrhea or trichomoniasis
Comment
Mucopurulent cervicitis (MPC) is a clinical diagnosis of exclusion. The syndrome may result from infection
with any of several agents (see Chlamydia trachomatis, Genital Infections). If gonorrhea, trichomoniasis, and
146
chlamydia are excluded, a clinically compatible illness should be classified as MPC. An illness in a female that
meets the case definition of MPC and C. trachomatis infection should be classified as chlamydia.
Urethral inflammation that is not the result of infection with Neisseria gonorrhoeae. Urethral inflammation may
be diagnosed by the presence of one of the following criteria:
A visible abnormal urethral discharge, or
A positive leukocyte esterase test from a male aged <60 years who does not have a history of kidney
disease or bladder infection, prostate enlargement, urogenital anatomic anomaly, or recent urinary tract
instrumentation, or
Microscopic evidence of urethritis (5 white blood cells per high-power field) on a Gram stain of a
urethral smear
No evidence of N. gonorrhoeae infection by culture, Gram stain, or antigen or nucleic acid detection
Case classification
Confirmed: a clinically compatible case in a male in whom gonorrhea is not found, either by culture, Gram
stain, or antigen or nucleic acid detection
Comment
Nongonococcal urethritis (NGU) is a clinical diagnosis of exclusion. The syndrome may result from infection
with any of several agents (see Chlamydia trachomatis, Genital Infection). If gonorrhea and chlamydia are
excluded, a clinically compatible illness should be classified as NGU. An illness in a male that meets the case
definition of NGU and C. trachomatis infection should be classified as chlamydia.
A clinical syndrome resulting from the ascending spread of microorganisms from the vagina and endocervix to
the endometrium, fallopian tubes, and/or contiguous structures. In a female who has lower abdominal pain and
who has not been diagnosed as having an established cause other than pelvic inflammatory disease (PID) (e.g.,
ectopic pregnancy, acute appendicitis, and functional pain), all the following clinical criteria must be present:
Lower abdominal tenderness, and
Tenderness with motion of the cervix, and
Adnexal tenderness
In addition to the preceding criteria, at least one of the following findings must also be present:
Meets the surveillance case definition of C. trachomatis infection or gonorrhea
Temperature >100.4 F (>38.0 C)
Leukocytosis >10,000 white blood cells/mm3
Purulent material in the peritoneal cavity obtained by culdocentesis or laparoscopy
Pelvic abscess or inflammatory complex detected by bimanual examination or by sonography
Patient is a sexual contact of a person known to have gonorrhea, chlamydia, or nongonococcal urethritis
Case classification
Comment
147
Contributors
We gratefully acknowledge the contributions of state STD project directors, STD program managers, state
and territorial epidemiologists, and laboratory directors. The persons listed were in the positions shown as of
September 3, 2013.
State/City/Outlying Area
Alabama
Alaska
Arizona
Arkansas
California
Los Angeles
San Francisco
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Chicago
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Baltimore
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
New York City
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Philadelphia
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Government of the Marshall Islands
Northern Marianas (CNMI)
Guam
Puerto Rico
Republic of Palau
Virgin Islands
148
STD Project Directors STD Program Managers State Epidemiologists Laboratory Directors
Anthony Merriweather
Ward Hurlburt
Brenda Flattum
Kellye McCarthy
Heidi Bauer
Christine Wigen
Susan Philip
Melanie Mattson
Heidi Jenkins
Catherine Mosley
Michael Kharfen
Adrian Cooksey
Michelle Allen
Peter Whiticar
Aimee Shipman
Rich Zimmerman
Nanette Benbow
Andrea Allen
Randy Mayer
Jennifer VandeVelde
Vacant
DeAnn Gruber
James Markiewicz
Barbara Conrad
Patrick Chaulk
Vacant
Amna Osman
Marcie Babcock
Nicholas Mosca
Ingrid Denney
Laurie Kops
Jeri Weberg-Bryce
Sandra Noffsinger
Donna M. Mombourquette
Vacant
Daniel Burke
Alison Muse
Susan Blank
Jacquelyn Clymore
Kirby Kruger
Jamie Blair
Jan Fox
Veda Latin
Beth Butler
Melinda Salmon
Vacant
Vacant
Amanda Gill
Brad Beasely
Feipe Rocha
Emily Holmes
Daniel Daltry
Theresa Henry
Mark Aubin
Susan Hall
Diane Christen
Elizabeth Ponausuia
Vita Skilling
Justina Langidrik
Joseph Villagomz
Josie OMallan
Greduvel Duran-Guzman
Victor Yano
Gritell Martinez
Anthony Merriweather
Donna Cecere
Roxanne Ereth
Brandi Roberts
Romni Neiman
Vacant
Wendy Wolf
Rebecca Jordan
Vacant
Catherine Mosley
Michael Kharfen
Adrian Cooksey
Michelle Allen
Gerald Luke Hasty, Jr.
Vacant
Rich Zimmerman
Vacant
Andrea Allen
George Walton
Jennifer VandeVelde
Chang Lee
Jeff Hitt
Sarah Bly
Barbara Conrad
Patrick Chaulk
David Goudreau
Karen Krzanowski
Marcie Babcock
David Peyton
Ken Palermo
Laurie Kops
Jeri Weberg-Bryce
Jon Basilio
Lindsay Pierce
Patricia Mason
Vacant
Vacant
Vacant
Pete Moore
Lindsey VanderBusch
Jen Keagy
Kristen Eberly
Doug Harger
Faith Blough
Melinda Salmon
Jaime Comella
Janice Tapp
Amanda Gill
Vacant
Lynn Meinor
Vacant
Tammie Woodson
Mark Aubin
Ken Gould
Anthony Wade
Tai Wright
Vacant
Vacant
Vacant
Vacant
Vacant
Trinidad Garcia-Vargas
Johana Ngiruchelbad
Vacant
Appendix: Contributors
Mary McIntyre
Joe McLaughlin
Kenneth Komatsu
Dirk Haselow
Gilberto Chavez
Gilberto Chavez
Gilberto Chavez
Lisa Miller (Acting)
Matthew Cartter
Marjorie Shannon
John Davies-Cole
Carina Blackmore
Cherie Drenzek
Sarah Park
Christine Hahn
Craig Conover
Craig Conover
Pamela Pontones
Patricia Quinlisk
Charles Hunt
Kraig Humbaugh
Raoult Ratard
Stephen Sears
David Blythe
David Blythe
Alfred DeMaria
Corrine Miller
Ruth Lynfield
Thomas Dobbs
George Turabelidze
Carol Ballew
Thomas Safranek
Ishan Azzam
Christine Adamski
Christina Tan
Michael Landen (Acting)
Debra Blog
Debra Blog
Megan Davies
Tracy Miller
Mary DiOrio
Kristy Bradley
Katrina Hedberg
Maria Moll (Acting)
Maria Moll (Acting)
Utpala Bandy
Linda Bell
Lon Kightlinger
Tim Jones
Linda Gaul
Allyn Nakashima
Patsy Kelso
David Trump
Wayne Turnberg
Loretta Haddy
Jeffrey Davis
Tracy Murphy
Sharmain Mageo
Vita Skilling
James Hosfschneider
Josephine OMallan
Hayde Garca Daz
Julie Erb-Alvarez
Thomas Morris
Sharon Massingale
Bernard Jilly
Victor Waddell
Glen Baker
Paul Kimsey
Nicole Green (Acting)
Mark Pandori
Laura Gillim-Ross
John Fontana
Christina Pleasanton
Alpha Diallo (Acting)
Susanne R. Crowe (Acting)
Elizabeth Franko
A. Christian Whelen
Christopher Ball
Tom Johnson
Susan Gerber
Judith Lovchik
Christopher Atchison
Leo Henning
Paul Bachner
Stephen Martin
Kenneth Pote
Robert Myers
Jack DeBoy
Michael Pentella
Sandip Shah
Joanne Bartkus
Daphne Ware
Bill Whitmar
Ron Paul
Steve Hinrichs
L. Dee Brown
Christine Bean
Onesia Bishop
David Mills
Jill Taylor (Acting)
Jennifer Rakeman
Scott Zimmerman
Myra Kosse
Rosemarie Gearhart
S. Terrance Dunn
Michael Skeels
Julia Kiehlbauch
Kerry Buchs
Ewa King
Shahiedy Shahied
Michael Smith
James Gibson
Grace Kubin
Robyn Atkinson-Dunn
Mary Celotti
Thomas York
Romesh Gautom
Sharon Lee Cibrik
Charles Brokopp
Richard Harris
Utoofili Mago
Paul Lalita
Joseph Villagomez
Josie OMallan
Myriam Garcia-Negron (Acting)
Francis Permeteet
Joseph Mark