Syphilis

a condom in package
Rorro Navia / Flickr, Creative Commons, https://flic.kr/p/6QBs6G

North Carolina has some of the highest rates of sexually transmitted diseases in the country. The state has the dubious honor of ranking in the top 10 on three Centers for Disease Control and Prevention lists for 2016:

Condoms
Inga / Wikipedia

Wake County reported more than 200 syphilis cases last year. Wake County's Public Health Director Sue Lynn Ledford says that's a big up-tick compared to fewer than 40 cases in 2003. A majority of new cases involve African-American men who are HIV positive.