STD Rates in Lancaster County, Nebraska

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

Data Year: 2023 Source: CDC STI Surveillance Population: 326,737
Combined
625
per 100K
5th / 83
Chlamydia
495.2
per 100K • 1,618 cases
US rate: 490.7
6th of 83 in Nebraska
Higher than 78% of US counties
Gonorrhea
113.9
per 100K • 372 cases
US rate: 178.2
3rd of 83 in Nebraska
Higher than 69% of US counties
Syphilis P&S
15.9
per 100K • 52 cases
US rate: 15.8
7th of 83 in Nebraska
Higher than 74% of US counties

Lancaster County has one of the higher STD burdens in Nebraska, with a combined rate of 625.0 per 100,000 residents in 2023 — ranking 5th of 83 counties. Reported infections included chlamydia at 495.2 per 100,000 (1,618 cases, 6% above the state rate), gonorrhea at 113.9 per 100,000 (372 cases, 1% below the state rate), syphilis at 15.9 per 100,000 (52 cases, 53% above the state rate). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Lancaster County has confidential testing locations available.

STD Trends in Lancaster County, 2000–2023

Reported cases per 100,000 residents each year, against the Nebraska 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
495.2
per 100K in 2023
234.9 in 2000
Peak 573.5 in 2020
Gonorrhea
113.9
per 100K in 2023
92.6 in 2000
Peak 249.5 in 2020
Syphilis (P&S)
15.9
per 100K in 2023
0.0 in 2000
Peak 15.9 in 2023

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

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Lancaster County vs Nebraska and the US

Infection Lancaster County Nebraska US vs Nebraska vs US Rank in Nebraska
Chlamydia 495.21,618 cases 468.8 490.7 5.6% above 0.9% above 6th of 83
Gonorrhea 113.9372 cases 115.5 178.2 1.4% below 36.1% below 3rd of 83
Syphilis (P&S) 15.952 cases 10.4 15.8 52.9% above 0.6% above 7th of 83

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

Lancaster County ranks 5th of 83 Nebraska counties for combined STD rate in 2023, at 625.0 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Lancaster County, with 1,618 cases at a rate of 495.2 per 100,000 residents.
STDTest.com lists confidential testing locations across Lancaster County and Nebraska. 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.