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Table 33. Primary and Secondary Syphilis — Reported Cases and Rates of Reported Cases in Counties and Independent Cities* Ranked by Number of Reported Cases, United States, 2016

Rank* County/Independent City Cases Rate per 100,000 Population Cumulative Percentage
1 Los Angeles County, CA 1,814 17.8 6
2 Cook County, IL 1,018 19.4 10
3 New York County, NY 719 43.7 12
4 Maricopa County, AZ 542 13.0 14
5 Miami-Dade County, FL 537 19.9 16
6 San Diego County, CA 524 15.9 18
7 San Francisco County, CA 522 60.4 20
8 Kings County, NY 497 18.8 22
9 Philadelphia County, PA 428 27.3 23
10 Fulton County, GA 410 40.6 25
11 Clark County, NV 398 18.8 26
12 Bronx County, NY 396 27.2 28
13 Fresno County, CA 390 40.0 29
14 Harris County, TX 357 7.9 30
15 Dallas County, TX 333 13.0 31
16 Orange County, CA 309 9.7 33
17 Orange County, FL 297 23.1 34
18 Mecklenburg County, NC 295 28.5 35
19 Broward County, FL 295 15.6 36
20 King County, WA 293 13.8 37
21 Queens County, NY 287 12.3 38
22 Franklin County, OH 286 22.8 39
23 Riverside County, CA 279 11.8 40
24 Travis County, TX 278 23.6 41
25 San Joaquin County, CA 266 36.6 42
26 DeKalb County, GA 265 36.1 43
27 Kern County, CA 257 29.1 44
28 Sacramento County, CA 228 15.2 45
29 Bexar County, TX 224 11.8 45
30 Hillsborough County, FL 217 16.1 46
31 Santa Clara County, CA 217 11.3 47
32 Baltimore (City), MD 197 31.7 48
33 Pinellas County, FL 187 19.7 48
34 Alameda County, CA 184 11.2 49
35 Hennepin County, MN 170 13.9 50
36 San Bernardino County, CA 166 7.8 50
37 Multnomah County, OR 165 20.9 51
38 Wayne County, MI 158 9.0 51
39 Shelby County, TN 149 15.9 52
40 Orleans Parish, LA 143 36.7 52
41 Jackson County, MO 141 20.5 53
42 Cuyahoga County, OH 139 11.1 53
43 Marion County, IN 138 14.7 54
44 Oklahoma County, OK 129 16.6 54
45 Wake County, NC 127 12.4 55
46 El Paso County, TX 126 15.1 55
47 Tarrant County, TX 125 6.3 56
48 Bernalillo County, NM 120 17.7 56
49 Jefferson County, KY 117 15.3 57
50 Prince George's County, MD 110 12.1 57
51 Pima County, AZ 108 10.7 57
52 Caddo Parish, LA 107 42.6 58
53 Denver County, CO 107 15.7 58
54 Gwinnett County, GA 107 11.9 58
55 Hudson County, NJ 103 15.3 59
56 East Baton Rouge Parish, LA 102 22.8 59
57 Duval County, FL 102 11.2 60
58 Jefferson County, AL 100 15.1 60
59 Middlesex County, MA 99 6.2 60
60 Essex County, NJ 98 12.3 61
61 Guilford County, NC 96 18.5 61
62 Palm Beach County, FL 93 6.5 61
63 Cobb County, GA 88 11.9 62
64 Allegheny County, PA 87 7.1 62
65 Contra Costa County, CA 86 7.6 62
66 St. Louis (City), MO 85 26.9 63
67 Alachua County, FL 84 32.3 63
68 Stanislaus County, CA 83 15.4 63
69 Honolulu County, HI 83 8.3 63
70 Richland County, SC 80 19.7 64

* The top 70 counties and independent cities ranked in descending order by number of cases reported in 2016 then by rate are displayed.

NOTE: Relative rankings of counties may be impacted by completeness of the variable used to identify county. In 2016, the variable used to identify county was complete for ≤95% of cases in Massachusetts. See Appendix A1.4 for more information.

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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