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As noted by the CDC, the numbers of P&S cases were highest in the Southeast region in 2002; however, the case count fell from 2001 in the Southeast, and the rate there fell from 3.4 cases/103 to 3.1 cases/103. In the 19 cities reporting more >50 cases, the Southern cities reporting >50 cases each accounted for 39.6% of the total P&S cases in the South for 2002. The increasing urban character of syphilis is apparent in these trends.