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 11, 2021 (Week 49) 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 1,584 1,994 128 998 40,030 38,431 New England - 2 7 12 3 28 848 991 Connecticut - 1 2 2 - 7 2 259 Maine - 0 - - - 4 54 31 Massachusetts - 1 3 9 2 23 622 577 New Hampshire - 0 - - 1 4 71 47 Rhode Island - 1 1 1 - 9 91 74 Vermont - 1 1 - - 4 8 3 Middle Atlantic - 3 51 65 25 143 4,782 4,486 New Jersey - 3 29 24 - 27 610 691 New York (excluding New York City) - 2 12 27 19 41 1,129 727 New York City - 0 - - 3 57 1,926 2,091 Pennsylvania - 1 10 14 3 35 1,117 977 East North Central - 6 99 92 2 124 4,184 3,883 Illinois - 2 19 24 - 48 986 1,356 Indiana - 0 - 6 - 23 538 474 Michigan - 3 32 26 - 28 857 743 Ohio - 3 40 31 - 44 1,322 994 Wisconsin - 2 8 5 2 20 481 316 West North Central - 4 39 48 1 62 1,735 1,606 Iowa - 2 8 - - 13 259 174 Kansas - 1 6 8 - 5 53 140 Minnesota - 2 12 6 1 20 481 384 Missouri - 1 1 28 - 30 527 729 Nebraska - 1 - 1 - 7 153 98 North Dakota - 1 1 3 - 4 37 30 South Dakota - 2 11 2 - 10 225 51 South Atlantic - 11 237 326 36 236 8,742 8,501 Delaware - 1 1 2 - 6 82 94 District of Columbia - 0 - 3 - 10 199 231 Florida - 8 131 147 5 109 3,984 3,165 Georgia - 2 19 78 3 60 1,176 1,631 Maryland - 2 24 28 - 27 706 803 North Carolina - 3 36 30 - 45 1,353 1,216 South Carolina - 2 3 17 - 19 425 601 Virginia - 2 19 14 28 29 689 644 West Virginia - 1 4 7 - 8 128 116 East South Central - 5 99 95 5 77 2,407 2,316 Alabama - 3 33 17 5 24 684 495 Kentucky - 1 12 12 - 20 326 407 Mississippi - 3 26 36 - 21 643 700 Tennessee - 3 28 30 - 31 754 714 West South Central - 16 404 650 - 125 4,579 4,464 Arkansas - 3 38 21 - 29 880 467 Louisiana - 2 2 60 - 30 719 642 Oklahoma - 6 58 47 - 24 84 862 Texas - 14 306 522 - 85 2,896 2,493 Mountain - 9 188 223 3 117 3,586 3,324 Arizona - 6 112 112 1 46 1,449 1,341 Colorado - 2 19 21 - 40 650 596 Idaho - 1 5 2 - 7 77 59 Montana - 2 6 1 2 11 88 42 Nevada - 3 26 44 - 39 666 718 New Mexico - 2 19 41 - 26 532 434 Utah - 1 1 1 - 6 114 123 Wyoming - 0 - 1 - 1 10 11 Pacific - 15 460 483 53 249 9,167 8,860 Alaska - 1 4 7 - 9 148 161 California - 14 391 442 25 205 7,595 7,175 Hawaii - 1 - 10 - 4 - 170 Oregon - 3 27 16 16 31 867 575 Washington - 3 38 8 12 25 557 779 U.S. Territories - 1 2 4 - 10 118 253 American Samoa - 0 - - - 0 - - Commonwealth of Northern Mariana Islands - 0 - - - 0 - - Guam - 0 - - - 0 - - Puerto Rico - 1 2 4 - 10 118 253 U.S. Virgin Islands - 0 - - - 0 - - Non-U.S. Residents - 0 - - - 0 - 1 Total - 49 1,586 1,998 128 1,004 40,148 38,685 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