STD Rates in Orange County, Texas

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

Data Year: 2023 Source: CDC STI Surveillance Population: 85,733
Combined
408.2
per 100K
115th / 247
Chlamydia
305.6
per 100K • 262 cases
US rate: 490.7
120th of 247 in Texas
Higher than 54% of US counties
Gonorrhea
89.8
per 100K • 77 cases
US rate: 178.2
100th of 247 in Texas
Higher than 62% of US counties
Syphilis P&S
12.8
per 100K • 11 cases
Based on 11 cases — interpret with care
US rate: 15.8

Orange County reported a combined STD rate of 408.2 per 100,000 residents in 2023, placing it 115th of 247 Texas counties — in the upper half of the state. Reported infections included chlamydia at 305.6 per 100,000 (262 cases, 38% below the state rate), gonorrhea at 89.8 per 100,000 (77 cases, 49% below the state rate), syphilis at 12.8 per 100,000 (11 cases, too few for a reliable comparison). 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 Texas 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
305.6
per 100K in 2023
241.3 in 2000
Peak 354.8 in 2010
Gonorrhea
89.8
per 100K in 2023
93.0 in 2000
Peak 129.5 in 2022
Syphilis (P&S)
12.8
per 100K in 2023
0.0 in 2000
Peak 17.1 in 2009

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

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Orange County vs Texas and the US

Infection Orange County Texas US vs Texas vs US Rank in Texas
Chlamydia 305.6262 cases 491.9 490.7 37.9% below 37.7% below 120th of 247
Gonorrhea 89.877 cases 176.4 178.2 49.1% below 49.6% below 100th of 247
Syphilis (P&S) 12.811 cases 15 15.8 Too few cases Too few cases

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Texas’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 115th of 247 Texas counties for combined STD rate in 2023, at 408.2 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Orange County, with 262 cases at a rate of 305.6 per 100,000 residents.
STDTest.com lists confidential testing locations across Orange County and Texas. 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.