STD Rates in Honolulu County, Hawaii

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

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Data Year: 2023 Source: CDC STI Surveillance Population: 989,416
Combined
656.5
per 100K
1st / 4
Chlamydia
491.3
per 100K • 4,861 cases
US rate: 490.7
1st of 4 in Hawaii
Higher than 77% of US counties
Gonorrhea
150.7
per 100K • 1,491 cases
US rate: 178.2
1st of 4 in Hawaii
Higher than 77% of US counties
Syphilis P&S
14.5
per 100K • 143 cases
US rate: 15.8
1st of 4 in Hawaii
Higher than 71% of US counties

Honolulu County has one of the higher STD burdens in Hawaii, with a combined rate of 656.5 per 100,000 residents in 2023 — ranking 1st of 4 counties. Reported infections included chlamydia at 491.3 per 100,000 (4,861 cases, 13% above the state rate), gonorrhea at 150.7 per 100,000 (1,491 cases, 19% above the state rate), syphilis at 14.5 per 100,000 (143 cases, 14% above the state rate). Many STDs show no symptoms, so testing is the only reliable way to know your status. Confidential options are available across Honolulu County.

STD Trends in Honolulu 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
491.3
per 100K in 2023
334.8 in 2000
Peak 656.6 in 2019
Gonorrhea
150.7
per 100K in 2023
49.4 in 2000
Peak 150.7 in 2023
Syphilis (P&S)
14.5
per 100K in 2023
0.1 in 2000
Peak 23.1 in 2021

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

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Honolulu County vs Hawaii and the US

Infection Honolulu County Hawaii US vs Hawaii vs US Rank in Hawaii
Chlamydia 491.34,861 cases 435.6 490.7 12.8% above 0.1% above 1st of 4
Gonorrhea 150.71,491 cases 126.7 178.2 18.9% above 15.4% below 1st of 4
Syphilis (P&S) 14.5143 cases 12.7 15.8 14.2% above 8.2% below 1st 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 Honolulu County, Hawaii

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

STD testing in Honolulu, HI345,482 people → STD testing in Pearl City, HI44,547 people → STD testing in Waipahu, HI40,482 people → STD testing in Kailua, HI39,640 people → STD testing in Kaneohe, HI37,355 people → STD testing in Ewa Gentry, HI26,563 people → STD testing in Kapolei, HI22,232 people → STD testing in Mililani Mauka, HI21,278 people → STD testing in Makakilo, HI20,735 people → STD testing in Wahiawa, HI17,996 people →
Show all 31 cities ↓Show fewer cities ↑
STD testing in Schofield Barracks, HI16,270 people → STD testing in Halawa, HI14,385 people → STD testing in Ewa Beach, HI14,376 people → STD testing in Royal Kunia, HI13,555 people → STD testing in Waimalu, HI13,061 people → STD testing in Waianae, HI12,918 people → STD testing in Nanakuli, HI12,383 people → STD testing in Maili, HI11,570 people → STD testing in Waipio, HI10,870 people → STD testing in Aiea, HI9,087 people → STD testing in Ahuimanu, HI8,452 people → STD testing in Waimanalo, HI6,054 people → STD testing in Hauula, HI3,548 people → STD testing in Kahuku, HI2,375 people → STD testing in Ewa, HI → STD testing in Kaneohe Station, HI → STD testing in Koolauloa, HI → STD testing in Koolaupoko, HI → STD testing in Makakilo City, HI → STD testing in Mililani Town, HI → STD testing in Village Park, HI →

Largest Counties in Hawaii

Hawaii County → Maui County → Kauai County →

All 4 Hawaii counties → STD testing in Hawaii →

FAQs

Honolulu County ranks 1st of 4 Hawaii counties for combined STD rate in 2023, at 656.5 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Honolulu County, with 4,861 cases at a rate of 491.3 per 100,000 residents.
STDTest.com lists confidential testing locations across Honolulu County and Hawaii. Many offer same-day appointments with results in 1–3 days.

Related Resources

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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