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Table 30. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases in Selected Metropolitan Statistical Areas (MSAs)* in Alphabetical Order, United States, 2012–2016

  MSAs Cases Rates per 100,000 Population
2012 2013 2014 2015 2016 2012 2013 2014 2015 2016
Atlanta-Sandy Springs-Roswell, GA 745 789 996 1,097 1,018 13.7 14.3 17.7 19.2 17.8
Austin-Round Rock, TX 154 145 227 203 317 8.4 7.7 11.7 10.1 15.8
Baltimore-Columbia-Towson, MD 307 288 282 343 332 11.2 10.4 10.1 12.3 11.9
Birmingham-Hoover, AL 73 69 58 74 115 6.4 6.1 5.1 6.5 10.0
Boston-Cambridge-Newton, MA-NH 204 268 227 271† 320† 4.4 5.7 4.8 5.7† 6.7†
Buffalo-Cheektowaga-Niagara Falls, NY 27 38 49 92 63 2.4 3.4 4.3 8.1 5.5
Charlotte-Concord-Gastonia, NC-SC 116 134 220 333 378 5.1 5.7 9.2 13.7 15.6
Chicago-Naperville-Elgin, IL-IN-WI 759 763 811 1,047 1,202 8.0 8.0 8.5 11.0 12.6
Cincinnati, OH-KY-IN 166 166 153 93 81 7.8 7.8 7.1 4.3 3.8
Cleveland-Elyria, OH 44 32 80 72 156 2.1 1.5 3.9 3.5 7.6
Columbus, OH 159 167 250 274 316 8.2 8.5 12.5 13.6 15.6
Dallas-Fort Worth-Arlington, TX 391 445 508 476 542 5.8 6.5 7.3 6.7 7.6
Denver-Aurora-Lakewood, CO 183 135 153 192 187 6.9 5.0 5.6 6.8 6.6
Detroit-Warren-Dearborn, MI 235 394 317 284 253 5.5 9.2 7.4 6.6 5.9
Hartford-West Hartford-East Hartford, CT 9 14 26 44 32 0.7 1.2 2.1 3.6 2.6
Houston-The Woodlands-Sugar Land, TX 537 363 414 439 411 8.7 5.7 6.4 6.6 6.2
Indianapolis-Carmel-Anderson, IN 150 146 109 172 158 7.8 7.5 5.5 8.6 7.9
Jacksonville, FL 44 40 69 91 118 3.2 2.9 4.9 6.3 8.1
Kansas City, MO-KS 65 155 220 191 201 3.2 7.5 10.6 9.1 9.6
Las Vegas-Henderson-Paradise, NV 97 164 318 305 398 4.8 8.1 15.4 14.4 18.8
Los Angeles-Long Beach-Anaheim, CA 1,049 1,299 1,407 1,832 2,123 8.0 9.9 10.6 13.7 15.9
Louisville-Jefferson County, KY-IN 81 71 83 87 149 6.5 5.6 6.5 6.8 11.7
Memphis, TN-MS-AR 110 105 94 121 173 8.2 7.8 7.0 9.0 12.9
Miami-Fort Lauderdale-West Palm Beach, FL 705 762 821 884 925 12.2 13.1 13.8 14.7 15.4
Milwaukee-Waukesha-West Allis, WI 43 54 52 39 50 2.7 3.4 3.3 2.5 3.2
Minneapolis-St. Paul-Bloomington, MN-WI 116 181 243 228 261 3.4 5.2 7.0 6.5 7.4
Nashville-Davidson-Murfreesboro-Franklin, TN 88 57 74 116 115 5.1 3.2 4.1 6.3 6.3
New Orleans-Metairie, LA 66 103 221 218 235 5.4 8.3 17.7 17.3 18.6
New York-Newark-Jersey City, NY-NJ-PA 1,315 1,491 1,721 2,037 2,551 6.6 7.5 8.6 10.1 12.6
Oklahoma City, OK 54 78 91 113 162 4.2 5.9 6.8 8.3 11.9
Orlando-Kissimmee-Sanford, FL 168 201 239 299 384 7.6 8.9 10.3 12.5 16.1
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 369 396 446 458 639 6.1 6.6 7.4 7.5 10.5
Phoenix-Mesa-Scottsdale, AZ 162 219 416 452 574 3.7 5.0 9.3 9.9 12.5
Pittsburgh, PA 61 39 78 150 100 2.6 1.7 3.3 6.4 4.2
Portland-Vancouver-Hillsboro, OR-WA 209 240 206 261 263 9.1 10.4 8.8 10.9 11.0
Providence-Warwick, RI-MA 58 65 93 111† 115† 3.6 4.1 5.8 6.9† 7.1†
Raleigh, NC 56 70 129 168 137 4.7 5.8 10.4 13.2 10.8
Richmond, VA 64 70 68 73 104 5.2 5.6 5.4 5.7 8.2
Riverside-San Bernardino-Ontario, CA 166 203 288 341 445 3.8 4.6 6.5 7.6 9.9
Sacramento-Roseville-Arden-Arcade, CA 151 147 162 265 272 6.9 6.6 7.2 11.7 12.0
Salt Lake City, UT 34 65 39 49 69 3.0 5.7 3.4 4.2 5.9
San Antonio-New Braunfels, TX 329 310 247 237 243 14.7 13.6 10.6 9.9 10.2
San Diego-Carlsbad, CA 331 333 371 493 524 10.4 10.4 11.4 14.9 15.9
San Francisco-Oakland-Hayward, CA 744 814 767 830 872 16.7 18.0 16.7 17.8 18.7
San Jose-Sunnyvale-Santa Clara, CA 105 146 120 134 222 5.5 7.6 6.1 6.8 11.2
Seattle-Tacoma-Bellevue, WA 248 211 235 311 397 7.0 5.8 6.4 8.3 10.6
St. Louis, MO-IL 95 108 153 112 215 3.4 3.9 5.5 4.0 7.6
Tampa-St. Petersburg-Clearwater, FL 230 226 320 393 436 8.1 7.9 11.0 13.2 14.7
Virginia Beach-Norfolk-Newport News, VA-NC 106 102 85 117 206 6.2 6.0 5.0 6.8 11.9
Washington-Arlington-Alexandria, DC-VA-MD-WV 358 418 226 230 273 6.1 7.0 3.7 3.8 4.5
SELECTED MSAs TOTAL 12,136 13,299 14,982 17,252 19,832 7.1 7.7 8.6 9.8 11.2

* MSAs were selected on the basis of the largest population in the 2010 U.S. Census.

† The variable used to identify county, which is used to classify cases into MSAs, was complete for ≤95% of cases in a state contributing data to this MSA. See Appendix A1.4 for more information.

NOTE: County was misclassified in the 2016 Alabama STD morbidity data resulting in inaccurate county-level case counts and rates. Tables will be updated when corrected data are available.

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