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Sexually Transmitted Disease Surveillance 2009 Division of STD Prevention. Syphilis. Syphilis—Reported Cases by Stage of Infection, United States, 1941–2009. Primary and Secondary Syphilis—Rates by Sex and Male-to-Female Rate Ratios, United States, 1990–2009. Rate (per 100,000 population).

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Syphilis

Sexually Transmitted Disease Surveillance 2009

Division of STD Prevention

Syphilis


Syphilis reported cases by stage of infection united states 1941 2009

Syphilis—Reported Cases by Stage of Infection, United States, 1941–2009


Primary and secondary syphilis rates by sex and male to female rate ratios united states 1990 2009

Primary and Secondary Syphilis—Rates by Sex and Male-to-Female Rate Ratios, United States, 1990–2009

Rate (per 100,000 population)

Rate Ratio (log scale)

16:1

25

Male Rate

Female Rate

20

Total Rate

8:1

Male-to-Female Rate Ratio

15

4:1

10

2:1

5

1:1

0

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

Year


Primary and secondary syphilis rates by region united states 2000 2009

Primary and Secondary Syphilis—Rates by Region, United States, 2000–2009

Rate (per 100,000 population)

10

West

Midwest

8

Northeast

South

6

4

2

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year


Primary and secondary syphilis rates by state united states and outlying areas 2009

Primary and Secondary Syphilis—Rates by State, United States and Outlying Areas, 2009

2.1

VT

NH

MA

RI

CT

NJ

DE

MD

DC

0.0

1.1

3.7

1.9

1.9

2.4

3.1

5.6

27.5

0.4

0.3

0.6

1.4

1.5

0.8

0.2

0.0

6.1

Guam

1.1

0.6

2.3

0.8

2.7

0.3

3.5

3.1

5.8

1.1

2.5

2.1

5.2

0.4

3.8

1.1

2.9

2.2

6.3

6.5

2.7

3.6

Rate per 100,000

population

9.6

3.1

2.7

9.8

8.1

8.9

<0.2

(n = 5)

16.8

6.8

0.21–2.2

(n = 19)

0.0

5.7

>2.2

(n = 30)

Virgin

Islands

0.0

Puerto Rico

5.7

2.6

NOTE: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 4.6 per 100,000 population.


Primary and secondary syphilis rates by county united states 2009

Primary and Secondary Syphilis—Rates by County, United States, 2009

Rate per 100,000

population

<0.2

(n = 2,196)

0.21–2.2

(n = 353)

>2.2

(n = 592)

NOTE: In 2009, a total of 2,194 (69.9%) of 3,141 counties in the United States reported no cases of primary and secondary syphilis.


Primary and secondary syphilis rates by age and sex united states 2009

Primary and Secondary Syphilis—Rates by Age and Sex, United States, 2009

Men

Rate (per 100,000 population)

Women

25

20

15

10

5

0

0

5

10

15

20

25

Age

10–14

0.0

0.2

15–19

6.0

3.3

20–24

20.7

5.6

25–29

18.5

3.6

30–34

15.8

3.0

35–39

13.3

1.9

13.7

1.6

40–44

45–54

8.3

1.0

0.2

2.9

55–64

65+

0.5

0.0

Total

7.8

1.4


Primary and secondary syphilis rates by age among women aged 15 44 years united states 2000 2009

Primary and Secondary Syphilis—Rates by Age Among Women Aged 15–44 Years, United States, 2000–2009

Rate (per 100,000 population)

6

Age Group

15–19

30–34

5

20–24

35–39

40–44

25–29

4

3

2

1

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year


Primary and secondary syphilis rates by age among men aged 15 44 years united states 2000 2009

Primary and Secondary Syphilis—Rates by Age Among Men Aged 15–44 Years, United States, 2000–2009

Rate (per 100,000 population)

25

Age Group

30–34

15–19

35–39

20–24

20

40–44

25–29

15

10

5

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year


Primary and secondary syphilis rates by race ethnicity united states 2000 2009

Primary and Secondary Syphilis—Rates by Race/Ethnicity, United States, 2000–2009

Rate (per 100,000 population)

25

American Indians/Alaska Natives

Asians/Pacific Islanders

Blacks

20

Hispanics

Whites

15

10

5

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year


Primary and secondary syphilis reported cases by stage sex and sexual behavior united states 2009

Primary and Secondary Syphilis—Reported Cases* by Stage, Sex, and Sexual Behavior, United States, 2009

Cases

6,000

Primary

Secondary

5,000

4,000

3,000

2,000

1,000

0

Women

MSM†

MSW†

* Of the reported male cases of primary and secondary syphilis, 20% were missing sex of sex partner information.

† MSW = men who have sex with women only; MSM = men who have sex with men.


Syphilis

Primary and Secondary Syphilis—Reported Cases* by Sex, Sexual Behavior, and Race/Ethnicity,† United States, 2009

Cases

3,000

Whites

Blacks

2,500

Hispanics

Other

2,000

1,500

1,000

500

0

Women

MSM‡

MSW‡

* Of the reported male cases of primary and secondary syphilis, 20% were missing sex of sex partner information; 1.7% of reported male cases with sex of sex partner data were missing race/ethnicity data.

† No imputation was done for race/ethnicity.

‡ MSW = men who have sex with women only; MSM = men who have sex with men.


Primary and secondary syphilis reported cases by reporting source and sex united states 2000 2009

Primary and Secondary Syphilis—Reported Cases by Reporting Source and Sex, United States, 2000–2009

Cases (in thousands)

8

Non-STD* Clinic , Men

7

Non-STD Clinic, Women

STD Clinic, Men

6

STD Clinic, Women

5

4

3

2

1

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year

* STD = sexually transmitted disease.


Syphilis

Primary and Secondary Syphilis—Percentage of Reported Cases* by Sex, Sexual Behavior, and Selected Reporting Sources, 2009

Percentage

Correctional Facility

50

HIV Counseling and Testing Site

Private Physician/HMO†

STD† Clinic

40

30

20

10

0

MSW†

Women

MSM†

* Of the reported male cases of primary and secondary syphilis, 20% were missing sex of sex partner information, and 1.7% of reported male cases with sex of sex partner data were missing source of information data.

† HMO = health maintenance organization; STD = sexually transmitted disease; MSW = men who have sex with women only; MSM = men who have sex with men.


Syphilis

Congenital Syphilis—Reported Cases Among Infants by Year of Birth and Rates of Primary and Secondary Syphilis Among Women, United States, 2000–2009

CS* cases (in thousands)

P&S* rate (per 100,000 women)

0.8

4

CS Cases

P&S Rate

0.6

3

0.4

2

0.2

1

0.0

0

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

Year

* CS = congenital syphilis; P&S = primary and secondary syphilis.


Syphilis

National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention

Division of STD Prevention


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