STD Rates in Comal County, Texas

2023 CDC surveillance data for Comal County, Texas — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 193,936
Combined
250
per 100K
194th / 247
Chlamydia
191.3
per 100K • 371 cases
US rate: 490.7
199th of 247 in Texas
Higher than 26% of US counties
Gonorrhea
51
per 100K • 99 cases
US rate: 178.2
161st of 247 in Texas
Higher than 42% of US counties
Syphilis P&S
7.7
per 100K • 15 cases
Based on 15 cases — interpret with care
US rate: 15.8

Comal County is among the lower-burden counties in Texas, reporting a combined STD rate of 250.0 per 100,000 residents in 2023 — 194th of 247 counties. Reported infections included chlamydia at 191.3 per 100,000 (371 cases, 61% below the state rate), gonorrhea at 51.0 per 100,000 (99 cases, 71% below the state rate), syphilis at 7.7 per 100,000 (15 cases, too few for a reliable comparison). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Comal County has confidential testing locations available.

STD Trends in Comal County, 2000–2023

Reported cases per 100,000 residents each year, against the Texas 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
191.3
per 100K in 2023
105.4 in 2000
Peak 414.6 in 2016
Gonorrhea
51.0
per 100K in 2023
35.6 in 2000
Peak 102.2 in 2020
Syphilis (P&S)
7.7
per 100K in 2023
0.0 in 2000
Peak 7.7 in 2023

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

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Comal County vs Texas and the US

Infection Comal County Texas US vs Texas vs US Rank in Texas
Chlamydia 191.3371 cases 491.9 490.7 61.1% below 61% below 199th of 247
Gonorrhea 5199 cases 176.4 178.2 71.1% below 71.4% below 161st of 247
Syphilis (P&S) 7.715 cases 15 15.8 Too few cases Too few cases –

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Texas’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

Comal County ranks 194th of 247 Texas counties for combined STD rate in 2023, at 250.0 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Comal County, with 371 cases at a rate of 191.3 per 100,000 residents.
STDTest.com lists confidential testing locations across Comal County and Texas. 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.