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Syphilis

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Syphilis

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  1. Sexually Transmitted Disease Surveillance 2009 Division of STD Prevention Syphilis

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

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. National Center for HIV/AIDS, Viral Hepatitis, STD & TB Prevention Division of STD Prevention