Improvements in data processing at CDC were applied to 2020 and 2021 data beginning with the tables published for week 47. Case count changes between tables published for week 46 and week 47 may be due to changes in data processing rules and not due to changes in disease levels.TABLE 1hh. Weekly cases* of notifiable diseases, United States, U.S. Territories, and Non-U.S. Residents week ending November 27, 2021 (Week 47) column labels (in same order that data fields appears in each record below): Reporting Area Syphilis, Congenital; Current week Syphilis, Congenital; Previous 52 weeks Max † Syphilis, Congenital; Cum YTD 2021 † Syphilis, Congenital; Cum YTD 2020 † Syphilis, Primary and secondary; Current week Syphilis, Primary and secondary; Previous 52 weeks Max † Syphilis, Primary and secondary; Cum YTD 2021 † Syphilis, Primary and secondary; Cum YTD 2020 † tab delimited data: U.S. Residents, excluding U.S. Territories - 52 1,499 1,904 60 991 38,313 36,826 New England - 2 7 12 4 34 808 940 Connecticut - 1 2 2 - 7 2 250 Maine - 0 - - - 4 54 29 Massachusetts - 1 3 9 3 22 590 548 New Hampshire - 0 - - - 4 66 43 Rhode Island - 1 1 1 1 9 88 67 Vermont - 1 1 - - 4 8 3 Middle Atlantic - 3 47 64 17 143 4,609 4,304 New Jersey - 2 26 23 1 27 610 667 New York (excluding New York City) - 2 11 27 13 41 1,090 702 New York City - 0 - - 1 57 1,844 2,000 Pennsylvania - 1 10 14 2 35 1,065 935 East North Central - 6 91 84 4 124 4,077 3,705 Illinois - 2 19 22 - 48 958 1,298 Indiana - 0 - 6 4 23 534 449 Michigan - 3 29 24 - 27 816 711 Ohio - 3 35 27 - 43 1,303 950 Wisconsin - 2 8 5 - 20 466 297 West North Central - 4 39 46 1 62 1,689 1,531 Iowa - 2 8 - - 13 253 162 Kansas - 1 7 8 - 8 53 127 Minnesota - 2 12 6 - 20 458 374 Missouri - 2 - 26 - 30 527 697 Nebraska - 1 - 1 1 7 147 98 North Dakota - 1 1 3 - 4 33 29 South Dakota - 2 11 2 - 10 218 44 South Atlantic - 10 228 312 3 236 8,541 8,129 Delaware - 1 1 2 - 6 82 90 District of Columbia - 0 - 3 - 10 199 218 Florida - 8 123 140 - 109 3,827 3,025 Georgia - 3 19 74 - 60 1,167 1,573 Maryland - 2 24 26 - 27 706 761 North Carolina - 3 36 28 - 45 1,353 1,158 South Carolina - 2 3 17 - 19 425 567 Virginia - 2 18 14 3 29 654 624 West Virginia - 1 4 8 - 8 128 113 East South Central - 5 98 94 3 77 2,256 2,230 Alabama - 3 33 17 3 24 646 478 Kentucky - 1 12 12 - 20 325 391 Mississippi - 3 25 35 - 21 595 679 Tennessee - 3 28 30 - 31 690 682 West South Central - 16 391 622 3 123 4,329 4,266 Arkansas - 3 37 19 - 29 826 448 Louisiana - 2 2 58 - 29 678 614 Oklahoma - 6 57 45 - 24 52 818 Texas - 14 295 500 3 84 2,773 2,386 Mountain - 12 174 205 - 117 3,384 3,196 Arizona - 9 103 100 - 46 1,374 1,288 Colorado - 2 17 21 - 38 613 577 Idaho - 1 5 2 - 7 74 51 Montana - 2 5 1 - 11 82 39 Nevada - 3 25 41 - 39 639 690 New Mexico - 2 18 38 - 26 487 424 Utah - 1 1 1 - 5 105 117 Wyoming - 0 - 1 - 1 10 10 Pacific - 15 424 465 25 242 8,620 8,525 Alaska - 1 4 6 - 7 - 161 California - 13 367 426 6 205 7,258 6,921 Hawaii - 1 - 10 - 4 - 164 Oregon - 3 26 15 14 31 827 555 Washington - 3 27 8 5 35 535 724 U.S. Territories - 1 2 4 - 10 118 250 American Samoa - 0 - - - 0 - - Commonwealth of Northern Mariana Islands - 0 - - - 0 - - Guam - 0 - - - 0 - - Puerto Rico - 1 2 4 - 10 118 250 U.S. Virgin Islands - 0 - - - 0 - - Non-U.S. Residents - 0 - - - 0 - 1 Total - 52 1,501 1,908 60 997 38,431 37,077 U: Unavailable - The reporting jurisdiction was unable to send the data to CDC or CDC was unable to process the data. -: No reported cases - The reporting jurisdiction did not submit any cases to CDC. N: Not reportable - The disease or condition was not reportable by law, statute, or regulation in the reporting jurisdiction. NN: Not nationally notifiable - This condition was not designated as being nationally notifiable. NP: Nationally notifiable but not published. NC: Not calculated - There is insufficient data available to support the calculation of this statistic. Cum: Cumulative year-to-date counts. Maximum - Maximum case count during the previous 52 weeks. * Case counts for reporting year 2021 are provisional and subject to change. Cases are assigned to the reporting jurisdiction submitting the case to NNDSS, if the case's country of usual residence is the U.S., a U.S. territory, unknown, or null (i.e. country not reported); otherwise, the case is assigned to the 'Non-U.S. Residents' category. Country of usual residence is currently not reported by all jurisdictions or for all conditions. For further information on interpretation of these data, see https://www.cdc.gov/nndss/docs/Readers-Guide-WONDER-Tables-20210421-508.pdf †Previous 52 week maximum and cumulative YTD are determined from periods of time when the condition was reportable in the jurisdiction (i.e., may be less than 52 weeks of data or incomplete YTD data). Notes: These are weekly 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 weekly as numbered tables. Cases reported by state health departments to CDC for weekly publication are subject to ongoing revision of information and delayed reporting. Therefore, numbers listed in later weeks may reflect changes made to these counts as additional information becomes available. Case counts in the tables are presented as published each week. See also https://www.cdc.gov/nndss/docs/Readers-Guide-WONDER-Tables-20210421-508.pdf, Guide to Interpreting Provisional and Finalized NNDSS Data. Weekly tables since 1996 are available on https://wonder.cdc.gov/nndss/nndss_weekly_tables_menu.asp, CDC WONDER. Weekly tables since 2014 are available on https://data.cdc.gov/browse?q=NNDSS&sortBy=newest&utf8=%E2%9C%93, Data.CDC.gov. Weekly tables for 1952–2017 published in the Morbidity and Mortality Weekly Reports (MMWR) are available at https://stacks.cdc.gov/mmwr, CDC Stacks MMWR, and weekly tables starting in 2018 are available at https://stacks.cdc.gov/nndss, CDC Stacks NNDSS (once in CDC Stacks NNDSS select "Weekly Tables" in the "Genre" box at the left). Notices, errata, and other notes are available in the https://wonder.cdc.gov/nndss/NTR.html, Notice To Data Users page. The list of national notifiable infectious diseases and conditions and their national surveillance case definitions are available at https://ndc.services.cdc.gov/, https://ndc.services.cdc.gov/. This list incorporates the Council of State and Territorial Epidemiologists (CSTE) position statements approved by CSTE for national surveillance. Suggested Citation: Centers for Disease Control and Prevention. National Notifiable Diseases Surveillance System, Weekly Tables of Infectious Disease Data. Atlanta, GA. CDC Division of Health Informatics and Surveillance. Available at: https://www.cdc.gov/nndss/data-statistics/index.html, https://www.cdc.gov/nndss/data-statistics/index.html. Acknowledgment: CDC acknowledges the local, state, and territorial health departments that collected the data from a range of case ascertainment sources (e.g., health-care providers, hospitals, laboratories) and reported these data to CDC's National Notifiable Diseases Surveillance System. https://www.cdc.gov/nndss/, National Notifiable Diseases Surveillance System Provided by https://wonder.cdc.gov, CDC WONDER