STD Rates in Orange County, North Carolina

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

Data Year: 2023 Source: CDC STI Surveillance Population: 150,613
Combined
670.5
per 100K
46th / 100
Chlamydia
473.4
per 100K • 713 cases
US rate: 490.7
50th of 100 in North Carolina
Higher than 76% of US counties
Gonorrhea
183.2
per 100K • 276 cases
US rate: 178.2
41st of 100 in North Carolina
Higher than 82% of US counties
Syphilis P&S
13.9
per 100K • 21 cases
US rate: 15.8
48th of 100 in North Carolina
Higher than 70% of US counties

Orange County reported a combined STD rate of 670.5 per 100,000 residents in 2023, placing it 46th of 100 North Carolina counties — in the upper half of the state. Reported infections included chlamydia at 473.4 per 100,000 (713 cases, 22% below the state rate), gonorrhea at 183.2 per 100,000 (276 cases, 25% below the state rate), syphilis at 13.9 per 100,000 (21 cases, 30% below the state rate). Many STDs show no symptoms, so testing is the only reliable way to know your status. Confidential options are available across Orange County.

STD Trends in Orange County, 2000–2023

Reported cases per 100,000 residents each year, against the North Carolina 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
473.4
per 100K in 2023
0.0 in 2000
Peak 541.0 in 2017
Gonorrhea
183.2
per 100K in 2023
0.0 in 2000
Peak 183.2 in 2023
Syphilis (P&S)
13.9
per 100K in 2023
0.9 in 2000
Peak 13.9 in 2023

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

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Orange County vs North Carolina and the US

Infection Orange County North Carolina US vs North Carolina vs US Rank in North Carolina
Chlamydia 473.4713 cases 607.9 490.7 22.1% below 3.5% below 50th of 100
Gonorrhea 183.2276 cases 243.2 178.2 24.7% below 2.8% above 41st of 100
Syphilis (P&S) 13.921 cases 19.9 15.8 30.2% below 12% below 48th of 100

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

Orange County ranks 46th of 100 North Carolina counties for combined STD rate in 2023, at 670.5 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Orange County, with 713 cases at a rate of 473.4 per 100,000 residents.
STDTest.com lists confidential testing locations across Orange County and North Carolina. 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.