STD Rates in Hawaii County, Hawaii

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

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Data Year: 2023 Source: CDC STI Surveillance Population: 207,609
Combined
420.5
per 100K
2nd / 4
Chlamydia
333.8
per 100K • 693 cases
US rate: 490.7
2nd of 4 in Hawaii
Higher than 59% of US counties
Gonorrhea
77.1
per 100K • 160 cases
US rate: 178.2
3rd of 4 in Hawaii
Higher than 57% of US counties
Syphilis P&S
9.6
per 100K • 20 cases
US rate: 15.8
3rd of 4 in Hawaii
Higher than 60% of US counties

Hawaii County reported a combined STD rate of 420.5 per 100,000 residents in 2023, placing it 2nd of 4 Hawaii counties — in the upper half of the state. Reported infections included chlamydia at 333.8 per 100,000 (693 cases, 23% below the state rate), gonorrhea at 77.1 per 100,000 (160 cases, 39% below the state rate), syphilis at 9.6 per 100,000 (20 cases, 24% below the state rate). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Hawaii County has confidential testing locations available.

STD Trends in Hawaii County, 2000–2023

Reported cases per 100,000 residents each year, against the Hawaii 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
333.8
per 100K in 2023
222.0 in 2000
Peak 401.1 in 2013
Gonorrhea
77.1
per 100K in 2023
16.1 in 2000
Peak 83.9 in 2018
Syphilis (P&S)
9.6
per 100K in 2023
0.0 in 2000
Peak 9.6 in 2023

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

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Hawaii County vs Hawaii and the US

Infection Hawaii County Hawaii US vs Hawaii vs US Rank in Hawaii
Chlamydia 333.8693 cases 435.6 490.7 23.4% below 32% below 2nd of 4
Gonorrhea 77.1160 cases 126.7 178.2 39.1% below 56.7% below 3rd of 4
Syphilis (P&S) 9.620 cases 12.7 15.8 24.4% below 39.2% below 3rd of 4

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Hawaii’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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Largest cities in Hawaii County, Hawaii

Largest first, by Census population. Each city page lists nearby clinics, free and low-cost testing, and labs.

STD testing in Hilo, HI50,404 people → STD testing in Hawaiian Paradise Park, HI13,203 people → STD testing in Waimea, HI9,286 people → STD testing in Honokaa, HI1,963 people → STD testing in Kealakekua, HI1,919 people → STD testing in Keaau, HI1,436 people → STD testing in Pahoa, HI1,361 people → STD testing in Naalehu, HI872 people → STD testing in Kailua Kona, HI → STD testing in Waikoloa, HI →
Show all 12 cities ↓Show fewer cities ↑
STD testing in Kalaoa, HI → STD testing in Pahoa Kalapana, HI →

Largest Counties in Hawaii

Honolulu County → Maui County → Kauai County →

All 4 Hawaii counties → STD testing in Hawaii →

FAQs

Hawaii County ranks 2nd of 4 Hawaii counties for combined STD rate in 2023, at 420.5 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Hawaii County, with 693 cases at a rate of 333.8 per 100,000 residents.
STDTest.com lists confidential testing locations across Hawaii County and Hawaii. Many offer same-day appointments with results in 1–3 days.

Related Resources

STD Testing Window Periods How Soon After Sex to Test STD Symptoms Guide Testing Timeline Chart All Testing Clinics STD Statistics and Data
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.
Sources