STD Rates in Fresno County, California

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

Data Year: 2023 Source: CDC STI Surveillance Population: 1,017,104
Combined
929.1
per 100K
2nd / 58
Chlamydia
701.6
per 100K • 7,136 cases
US rate: 490.7
1st of 58 in California
Higher than 90% of US counties
Gonorrhea
203.4
per 100K • 2,069 cases
US rate: 178.2
3rd of 58 in California
Higher than 84% of US counties
Syphilis P&S
24.1
per 100K • 245 cases
US rate: 15.8
9th of 58 in California
Higher than 84% of US counties

Fresno County has one of the higher STD burdens in California, with a combined rate of 929.1 per 100,000 residents in 2023 — ranking 2nd of 58 counties. Reported infections included chlamydia at 701.6 per 100,000 (7,136 cases, 43% above the state rate), gonorrhea at 203.4 per 100,000 (2,069 cases, 7% above the state rate), syphilis at 24.1 per 100,000 (245 cases, 48% above the state rate). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Fresno County has confidential testing locations available.

STD Trends in Fresno County, 2000–2023

Reported cases per 100,000 residents each year, against the California 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
701.6
per 100K in 2023
0.0 in 2000
Peak 730.6 in 2017
Gonorrhea
203.4
per 100K in 2023
0.0 in 2000
Peak 266.8 in 2021
Syphilis (P&S)
24.1
per 100K in 2023
0.5 in 2000
Peak 39.9 in 2016

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

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Fresno County vs California and the US

Infection Fresno County California US vs California vs US Rank in California
Chlamydia 701.67,136 cases 491.1 490.7 42.9% above 43% above 1st of 58
Gonorrhea 203.42,069 cases 190.2 178.2 6.9% above 14.1% above 3rd of 58
Syphilis (P&S) 24.1245 cases 16.3 15.8 47.9% above 52.5% above 9th of 58

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

Fresno County ranks 2nd of 58 California counties for combined STD rate in 2023, at 929.1 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Fresno County, with 7,136 cases at a rate of 701.6 per 100,000 residents.
STDTest.com lists confidential testing locations across Fresno County and California. 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.