Trends in Primary and Secondary Syphilis Among Men Who Have Sex with Men in the United States
James D. Heffelfinger, MD, MPH,
Emmett B. Swint, MS,
Stuart M. Berman, MD, ScM and
Hillard S. Weinstock, MD, MPH
James D. Heffelfinger is with the Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. At the time of this study, Emmett B. Swint, Stuart M. Berman, and Hillard S. Weinstock are with the Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta.
FIGURE 1—Reported primary and secondary syphilis rates (per 100 000 population), by state, among (a) men in 2000, (b) men in 2003, (c) women in 2000, and (d) women in 2003: United States.
FIGURE 2—US cities with increases of more than 50 reported primary and secondary syphilis cases, by number of cases and gender, in (a) Los Angeles, Calif, (b) San Diego, Calif, (c) San Francisco, Calif, (d) San Jose, Calif, (e)Miami, Fla, (f) Atlanta, Ga, (g) New York, NY, (h) Columbus, Ohio, and (i) Houston, Tex: United States, 20002003.