TABLE 2n. Reported cases of notifiable diseases, by region and reporting area - United States and U.S. territories, 2016 column labels in same order that data fields appears in each record below: Syphilis, Total, all stages * Syphilis, Congenital Syphilis, Primary and secondary Tetanus Toxic shock syndrome (other than Streptococcal) Trichinellosis Tuberculosis Tularemia tab delimited data: United States 88,042 628 27,814 34 40 26 9,272 230 New England 2,099 4 794 1 3 — 297 6 Connecticut 217 — 110 — N — 52 — Maine 64 — 42 1 — — 23 — Massachusetts 1,447 4 489 — 1 — 190 5 New Hampshire 100 — 40 — — — 15 1 Rhode Island 234 — 90 — 1 — 12 — Vermont 37 — 23 — 1 — 5 — Middle Atlantic 13,113 30 3,682 6 5 2 1,235 9 New Jersey 1,620 12 472 — — — 294 5 New York (excluding New York City) 1,679 3 532 2 1 — 203 — New York City 7,777 10 1,923 1 1 — 565 — Pennsylvania 2,037 5 755 3 3 2 173 4 East North Central 7,931 51 2,799 5 13 4 764 7 Illinois 4,039 18 1,260 1 1 — 342 5 Indiana 778 8 326 1 2 — 109 — Michigan 1,092 13 365 1 7 — 133 1 Ohio 1,599 11 716 2 3 1 140 — Wisconsin 423 1 132 — — 3 40 1 West North Central 2,625 19 1,045 2 1 — 418 89 Iowa 276 1 89 2 N N 48 3 Kansas 303 1 124 — — — 39 25 Minnesota 853 7 306 — — — 168 3 Missouri 955 8 400 — — — 101 34 Nebraska 120 — 67 — 1 — 28 10 North Dakota 61 — 33 — — — 22 — South Dakota 57 2 26 — — — 12 14 South Atlantic 20,082 129 6,394 8 3 2 1,742 3 Delaware 149 — 58 — 2 — 16 — District of Columbia 568 1 161 — — 1 25 — Florida 8,332 59 2,406 5 N — 639 — Georgia 4,112 21 1,350 — — N 302 — Maryland 1,842 16 509 1 N — 220 — North Carolina 2,653 16 1,082 — 1 1 219 1 South Carolina 974 9 316 — — — 102 — Virginia 1,301 5 459 1 N — 205 2 West Virginia 151 2 53 1 — — 14 — East South Central 3,848 17 1,311 5 3 — 367 5 Alabama 905 4 376 1 N — 112 1 Kentucky 570 3 219 2 — — 91 2 Mississippi 925 2 326 1 N — 61 — Tennessee 1,448 8 390 1 3 — 103 2 West South Central 13,426 128 3,119 3 — 4 1,546 61 Arkansas 567 6 150 — — — 91 32 Louisiana 2,599 48 750 — — — 127 — Oklahoma 696 3 264 1 N — 78 26 Texas 9,564 71 1,955 2 N 4 1,250 3 Mountain 4,853 34 1,767 1 12 — 390 42 Arizona 1,904 15 721 1 2 — 188 3 Colorado 739 4 250 — 9 — 64 14 Idaho 127 — 50 — — — 18 3 Montana 24 — 14 — — — 4 3 Nevada 1,313 12 444 — — — 56 — New Mexico 470 3 189 — — — 39 7 Utah 259 — 92 — 1 — 20 5 Wyoming 17 — 7 — — — 1 7 Pacific 20,065 216 6,903 3 — 14 2,513 8 Alaska 24 — 8 1 N 6 57 1 California 17,602 206 5,891 2 — 8 2,062 2 Hawaii 215 1 112 — N — 119 — Oregon 810 6 327 — N — 70 4 Washington 1,414 3 565 — N — 205 1 Territories 1,199 4 495 — — — 172 — American Samoa — — — — N N 1 — Commonwealth of Northern Mariana Islands — — — — — — 27 — Guam 13 — 2 — — — 75 — Puerto Rico 1,184 4 493 — N N 69 — U.S. Virgin Islands 2 — — — — — — — —: No reported cases N: Not Reportable U: Unavailable * Includes syphilis of all stages, including cases where stage of syphilis is not stated. Notes: These are annual cases of selected infectious national notifiable diseases from the National Notifiable Diseases Surveillance System (NNDSS). NNDSS data reported by the 50 states, New York City, the District of Columbia, and the U.S. territories are collated and published. Cases are reported by state health departments to CDC weekly. Annual data may differ from previously reported weekly and quarterly data due to revision of information and delayed reporting. The list of national notifiable infectious diseases and conditions for 2016 and their national surveillance case definitions are available at https://wwwn.cdc.gov/nndss/conditions/notifiable/2016/infectious-diseases/, https://wwwn.cdc.gov/nndss/conditions/notifiable/2016/infectious-diseases/. This list incorporates the Council of State and Territorial Epidemiologists (CSTE) position statements approved in 2015 by CSTE for national surveillance, that were implemented in January 2016, including updated surveillance case definitions for acute hepatitis C and chronic hepatitis C virus infections. 2016 data are reported through June 30, 2017. Publication criteria for the finalized 2016 data are available at https://wonder.cdc.gov/nndss/documents/2016_NNDSS_Publication_Criteria.pdf, /nndss/documents/2016_NNDSS_Publication_Criteria.pdf. See also https://wwwn.cdc.gov/nndss/document/guide_to_interpreting_provisional_and_finalized_nndss_data_tables.pdf, Guide to Interpreting Provisional and Finalized NNDSS Data. Population estimates for incidence rates are July 1st, 2016 estimates obtained from the National Center for Health Statistics (NCHS) postcensal estimates of the resident population of the United States for July 1, 2011 - July 1, 2016, by year, county, single year of age (range: 0 to 85 years), bridged-race (white, black or African American, American Indian or Alaska Native, Asian, or Pacific Islander), Hispanic ethnicity (not Hispanic or Latino, Hispanic or Latino), and sex (Vintage 2016), prepared under a collaborative arrangement with the U.S. Census Bureau. Population estimates for states as of June 26, 2017 are available at https://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm, https://www.cdc.gov/nchs/nvss/bridged_race/data_documentation.htm. Population estimates for territories are the 2016 mid-year estimates from the U.S. Census Bureau International Data Base accessed on July 24, 2017 at https://www.census.gov/population/international/data/idb/informationGateway.php, https://www.census.gov/population/international/data/idb/informationGateway.php. The choice of population denominators for incidence is based on the availability of population data at the time of publication preparation. NNDSS data displayed in the annual tables are accurate as of October 17, 2017; source data may be updated as additional information is received. Annual tables for 2016 are available on https://wonder.cdc.gov/nndss/nndss_annual_tables_menu.asp, CDC WONDER. Annual summary reports from 1993-2015 are available as published in the https://www.cdc.gov/mmwr/mmwr_nd/index.html, MMWR. Annual summary reports from 1952-1992 are available as published in the MMWR in the https://stacks.cdc.gov/, CDC Stacks. https://wwwn.cdc.gov/nndss/, National Notifiable Diseases Surveillance System Provided by https://wonder.cdc.gov, CDC WONDER