STD Rates in Wake County, North Carolina

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

Data Year: 2023 Source: CDC STI Surveillance Population: 1,190,377
Combined
751.5
per 100K
39th / 100
Chlamydia
527.9
per 100K • 6,284 cases
US rate: 490.7
42nd of 100 in North Carolina
Higher than 80% of US counties
Gonorrhea
208.1
per 100K • 2,477 cases
US rate: 178.2
35th of 100 in North Carolina
Higher than 85% of US counties
Syphilis P&S
15.5
per 100K • 184 cases
US rate: 15.8
42nd of 100 in North Carolina
Higher than 73% of US counties

Wake County reported a combined STD rate of 751.5 per 100,000 residents in 2023, placing it 39th of 100 North Carolina counties — in the upper half of the state. Reported infections included chlamydia at 527.9 per 100,000 (6,284 cases, 13% below the state rate), gonorrhea at 208.1 per 100,000 (2,477 cases, 14% below the state rate), syphilis at 15.5 per 100,000 (184 cases, 22% below the state rate). Confidential STD testing is available throughout Wake County — knowing your status is the only way to catch infections that often show no symptoms.

STD Trends in Wake 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
527.9
per 100K in 2023
0.0 in 2000
Peak 594.0 in 2018
Gonorrhea
208.1
per 100K in 2023
0.0 in 2000
Peak 208.1 in 2023
Syphilis (P&S)
15.5
per 100K in 2023
4.9 in 2000
Peak 21.2 in 2022

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

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Wake County vs North Carolina and the US

Infection Wake County North Carolina US vs North Carolina vs US Rank in North Carolina
Chlamydia 527.96,284 cases 607.9 490.7 13.2% below 7.6% above 42nd of 100
Gonorrhea 208.12,477 cases 243.2 178.2 14.4% below 16.8% above 35th of 100
Syphilis (P&S) 15.5184 cases 19.9 15.8 22.1% below 1.9% below 42nd 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

Wake County ranks 39th of 100 North Carolina counties for combined STD rate in 2023, at 751.5 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Wake County, with 6,284 cases at a rate of 527.9 per 100,000 residents.
STDTest.com lists confidential testing locations across Wake 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.