Primary and Secondary Syphilis Rate: The incidence of primary and
secondary syphilis in Hawai'i has been below the U.S.
rate since 1981, and has been near or below the "Healthy
People 2020" objective since 1994. Between 1980 and
2012, the rate for Hawai'i dropped 87 percent. In April
2001, however, the Hawai'i Department of Health issued
a medical alert due to an increase in the number of
syphilis cases. Characteristics of those cases match
characteristics of recent syphilis outbreaks along the
U.S. West Coast suggesting the possibility of syphilis
reemerging in Hawai'i.1 This is reflected
in an increase of syphilis rates from 2000 to 2010.
In 2005, Hawai'i
ranked 38 among all states for the reported rate of