STD Rates in Buncombe County, North Carolina

2023 CDC surveillance data for Buncombe County, North Carolina — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 275,917
Combined
439.6
per 100K
65th / 100
Chlamydia
313.5
per 100K • 865 cases
US rate: 490.7
66th of 100 in North Carolina
Higher than 56% of US counties
Gonorrhea
113.1
per 100K • 312 cases
US rate: 178.2
59th of 100 in North Carolina
Higher than 69% of US counties
Syphilis P&S
13
per 100K • 36 cases
US rate: 15.8
51st of 100 in North Carolina
Higher than 68% of US counties

Buncombe County recorded a combined STD rate of 439.6 per 100,000 residents in 2023, ranking 65th of 100 counties in North Carolina. Reported infections included chlamydia at 313.5 per 100,000 (865 cases, 48% below the state rate), gonorrhea at 113.1 per 100,000 (312 cases, 53% below the state rate), syphilis at 13.0 per 100,000 (36 cases, 35% below the state rate). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Buncombe County has confidential testing locations available.

STD Trends in Buncombe County, 2000–2023

Reported cases per 100,000 residents each year, against the North Carolina rate (dashed). In a county this size a handful of cases moves the rate a long way, so read the shape rather than any single year.

Chlamydia
313.5
per 100K in 2023
0.0 in 2000
Peak 475.1 in 2019
Gonorrhea
113.1
per 100K in 2023
0.0 in 2000
Peak 217.8 in 2020
Syphilis (P&S)
13.0
per 100K in 2023
0.5 in 2000
Peak 20.1 in 2022

Source: CDC NCHHSTP AtlasPlus county surveillance, 2000–2023.

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Buncombe County vs North Carolina and the US

Infection Buncombe County North Carolina US vs North Carolina vs US Rank in North Carolina
Chlamydia 313.5865 cases 607.9 490.7 48.4% below 36.1% below 66th of 100
Gonorrhea 113.1312 cases 243.2 178.2 53.5% below 36.5% below 59th of 100
Syphilis (P&S) 1336 cases 19.9 15.8 34.7% below 17.7% below 51st of 100

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among North Carolina’s counties. The US rate is all 50 states combined. Comparisons are left out where fewer than 20 cases were reported, because a rate built on so few cases can swing widely from one year to the next.

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FAQs

Buncombe County ranks 65th of 100 North Carolina counties for combined STD rate in 2023, at 439.6 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Buncombe County, with 865 cases at a rate of 313.5 per 100,000 residents.
STDTest.com lists confidential testing locations across Buncombe County and North Carolina. Many offer same-day appointments with results in 1–3 days.
Data sourced from the CDC's annual STI Surveillance Report. Rates are per 100,000 population and reflect reported cases only — actual prevalence is likely higher due to undiagnosed infections. While we strive for accuracy, STDTest.com makes no representations or warranties regarding the completeness or accuracy of this data and is not responsible for any errors or omissions. This page is for informational purposes only and does not constitute medical advice.