STD Rates in San Francisco County, California

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

Data Year: 2023 Source: CDC STI Surveillance Population: 808,977
Combined
1350.2
per 100K
1st / 58
Chlamydia
697.3
per 100K • 5,641 cases
US rate: 490.7
2nd of 58 in California
Higher than 90% of US counties
Gonorrhea
620
per 100K • 5,016 cases
US rate: 178.2
1st of 58 in California
Higher than 99% of US counties
Syphilis P&S
32.9
per 100K • 266 cases
US rate: 15.8
4th of 58 in California
Higher than 91% of US counties

San Francisco County has one of the higher STD burdens in California, with a combined rate of 1,350.2 per 100,000 residents in 2023 — ranking 1st of 58 counties. Reported infections included chlamydia at 697.3 per 100,000 (5,641 cases, 42% above the state rate), gonorrhea at 620.0 per 100,000 (5,016 cases, 226% above the state rate), syphilis at 32.9 per 100,000 (266 cases, 102% 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 San Francisco County.

STD Trends in San Francisco County, 2000–2023

Reported cases per 100,000 residents each year, against the California 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
697.3
per 100K in 2023
0.0 in 2000
Peak 1,078.2 in 2019
Gonorrhea
620.0
per 100K in 2023
0.0 in 2000
Peak 674.3 in 2021
Syphilis (P&S)
32.9
per 100K in 2023
6.6 in 2000
Peak 66.5 in 2017

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

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San Francisco County vs California and the US

Infection San Francisco County California US vs California vs US Rank in California
Chlamydia 697.35,641 cases 491.1 490.7 42% above 42.1% above 2nd of 58
Gonorrhea 6205,016 cases 190.2 178.2 226% above 247.9% above 1st of 58
Syphilis (P&S) 32.9266 cases 16.3 15.8 101.8% above 108.2% above 4th of 58

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

San Francisco County ranks 1st of 58 California counties for combined STD rate in 2023, at 1,350.2 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in San Francisco County, with 5,641 cases at a rate of 697.3 per 100,000 residents.
STDTest.com lists confidential testing locations across San Francisco County and California. 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.