STD Rates in Smith County, Texas

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

Data Year: 2023 Source: CDC STI Surveillance Population: 245,221
Combined
675.3
per 100K
34th / 247
Chlamydia
517.9
per 100K • 1,270 cases
US rate: 490.7
37th of 247 in Texas
Higher than 79% of US counties
Gonorrhea
146.4
per 100K • 359 cases
US rate: 178.2
36th of 247 in Texas
Higher than 76% of US counties
Syphilis P&S
11
per 100K • 27 cases
US rate: 15.8
83rd of 247 in Texas
Higher than 63% of US counties

Smith County has one of the higher STD burdens in Texas, with a combined rate of 675.3 per 100,000 residents in 2023 — ranking 34th of 247 counties. Reported infections included chlamydia at 517.9 per 100,000 (1,270 cases, 5% above the state rate), gonorrhea at 146.4 per 100,000 (359 cases, 17% below the state rate), syphilis at 11.0 per 100,000 (27 cases, 27% 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 Smith County.

STD Trends in Smith 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
517.9
per 100K in 2023
402.5 in 2000
Peak 569.6 in 2022
Gonorrhea
146.4
per 100K in 2023
232.3 in 2000
Peak 277.5 in 2001
Syphilis (P&S)
11.0
per 100K in 2023
1.1 in 2000
Peak 11.0 in 2023

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

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Smith County vs Texas and the US

Infection Smith County Texas US vs Texas vs US Rank in Texas
Chlamydia 517.91,270 cases 491.9 490.7 5.3% above 5.5% above 37th of 247
Gonorrhea 146.4359 cases 176.4 178.2 17% below 17.8% below 36th of 247
Syphilis (P&S) 1127 cases 15 15.8 26.7% below 30.4% below 83rd of 247

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

Smith County ranks 34th of 247 Texas counties for combined STD rate in 2023, at 675.3 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Smith County, with 1,270 cases at a rate of 517.9 per 100,000 residents.
STDTest.com lists confidential testing locations across Smith 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.