STD Rates in Cooke County, Texas

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

Data Year: 2023 Source: CDC STI Surveillance Population: 43,787
Combined
333.5
per 100K
145th / 247
Chlamydia
267.2
per 100K • 117 cases
US rate: 490.7
147th of 247 in Texas
Higher than 46% of US counties
Gonorrhea
61.7
per 100K • 27 cases
US rate: 178.2
148th of 247 in Texas
Higher than 48% of US counties
Syphilis P&S
4.6
per 100K • 2 cases
Based on 2 cases — interpret with care
US rate: 15.8

Cooke County recorded a combined STD rate of 333.5 per 100,000 residents in 2023, ranking 145th of 247 counties in Texas. Reported infections included chlamydia at 267.2 per 100,000 (117 cases, 46% below the state rate), gonorrhea at 61.7 per 100,000 (27 cases, 65% below the state rate), syphilis at 4.6 per 100,000 (2 cases, too few for a reliable comparison). Many STDs show no symptoms, so testing is the only reliable way to know your status. Confidential options are available across Cooke County.

STD Trends in Cooke 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
267.2
per 100K in 2023
192.1 in 2000
Peak 340.5 in 2014
Gonorrhea
61.7
per 100K in 2023
71.3 in 2000
Peak 103.2 in 2020
Syphilis (P&S)
4.6
per 100K in 2023
0.0 in 2000
Peak 5.1 in 2016

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

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Cooke County vs Texas and the US

Infection Cooke County Texas US vs Texas vs US Rank in Texas
Chlamydia 267.2117 cases 491.9 490.7 45.7% below 45.5% below 147th of 247
Gonorrhea 61.727 cases 176.4 178.2 65% below 65.4% below 148th of 247
Syphilis (P&S) 4.62 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

Cooke County ranks 145th of 247 Texas counties for combined STD rate in 2023, at 333.5 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Cooke County, with 117 cases at a rate of 267.2 per 100,000 residents.
STDTest.com lists confidential testing locations across Cooke 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.