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 December 4, 2021 (Week 48) 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 - 49 1,529 1,956 129 997 39,245 37,465 New England - 2 7 12 - 34 813 957 Connecticut - 1 2 2 - 7 2 252 Maine - 0 - - - 4 54 31 Massachusetts - 1 3 9 - 22 590 560 New Hampshire - 0 - - - 4 68 44 Rhode Island - 1 1 1 - 9 91 67 Vermont - 1 1 - - 4 8 3 Middle Atlantic - 3 48 64 31 143 4,703 4,389 New Jersey - 2 26 23 - 27 610 678 New York (excluding New York City) - 2 12 27 20 41 1,110 709 New York City - 0 - - 3 57 1,890 2,051 Pennsylvania - 1 10 14 8 35 1,093 951 East North Central - 6 97 87 7 124 4,126 3,771 Illinois - 2 19 22 - 48 967 1,322 Indiana - 0 - 6 4 23 538 458 Michigan - 3 31 25 - 28 835 721 Ohio - 3 39 29 - 43 1,314 968 Wisconsin - 2 8 5 3 20 472 302 West North Central - 4 39 48 - 62 1,705 1,562 Iowa - 2 8 - - 13 253 167 Kansas - 1 7 8 - 8 53 132 Minnesota - 2 12 6 - 20 461 379 Missouri - 1 - 28 - 30 527 709 Nebraska - 1 - 1 - 7 149 98 North Dakota - 1 1 3 - 4 37 30 South Dakota - 2 11 2 - 10 225 47 South Atlantic - 11 231 320 19 236 8,637 8,282 Delaware - 1 1 2 - 6 82 91 District of Columbia - 0 - 3 - 10 199 222 Florida - 8 125 143 10 109 3,910 3,081 Georgia - 2 19 77 6 60 1,173 1,589 Maryland - 2 24 27 - 27 706 783 North Carolina - 3 36 29 - 45 1,353 1,182 South Carolina - 2 3 17 - 19 425 583 Virginia - 2 19 14 3 29 661 637 West Virginia - 1 4 8 - 8 128 114 East South Central - 5 98 95 9 77 2,296 2,254 Alabama - 3 33 17 9 24 666 482 Kentucky - 1 12 12 - 20 326 395 Mississippi - 3 25 36 - 21 614 684 Tennessee - 3 28 30 - 31 690 693 West South Central - 16 391 635 10 124 4,518 4,343 Arkansas - 3 37 21 2 29 859 457 Louisiana - 2 2 59 - 29 701 623 Oklahoma - 6 57 45 - 24 83 838 Texas - 14 295 510 8 85 2,875 2,425 Mountain - 9 181 217 7 117 3,484 3,250 Arizona - 6 108 109 3 46 1,414 1,309 Colorado - 2 17 21 1 40 635 586 Idaho - 1 5 2 2 7 77 55 Montana - 2 6 1 1 11 84 41 Nevada - 3 26 42 - 39 649 700 New Mexico - 2 18 40 - 26 504 429 Utah - 1 1 1 - 6 111 120 Wyoming - 0 - 1 - 1 10 10 Pacific - 15 437 478 46 249 8,963 8,657 Alaska - 1 4 7 - 9 148 161 California - 14 380 437 17 205 7,423 7,016 Hawaii - 1 - 10 - 4 - 167 Oregon - 3 26 16 19 31 847 569 Washington - 3 27 8 10 35 545 744 U.S. Territories - 1 2 4 - 10 118 251 American Samoa - 0 - - - 0 - - Commonwealth of Northern Mariana Islands - 0 - - - 0 - - Guam - 0 - - - 0 - - Puerto Rico - 1 2 4 - 10 118 251 U.S. Virgin Islands - 0 - - - 0 - - Non-U.S. Residents - 0 - - - 0 - 1 Total - 49 1,531 1,960 129 1,003 39,363 37,717 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