These 10 US States Have The Highest STI Cases

Sexually transmitted infections (STIs) are a global public health challenge. This can lead to many health risks, including serious reproductive, physical, and mental health issues. Furthermore, STIs can also amplify the risk of transmitting HIV. As per a 2019 study by Rowley et al., the rates at which people have contacted STIs are increasing globally, with more than 1 million STIs daily.

New data however indicates that the spread of STI may be slowing down, as the rate of total cases for three major infections fell by 2% in 2023 as compared to the previous year, reveals the Centers for Disease Control and Prevention (CDC).

As per the data, more than 2.4 million people were diagnosed with syphilis, gonorrhoea, and chlamydia last year, which marked a 2% decrease from 2022 and a 4% drop from the year 2019. The data also reveals 10 states in the US with the most number of STIs, despite the drop in the overall cases. The top 10 states, starting with the state on number 10th are:

9. Arkansas: 869.5 cases per 100,000 people

8. South Carolina: 882.8 cases per 100,000 people

7. North Carolina: 911.5 cases per 100,000 people

6. Alabama: 952.3 cases per 100,000 people

5. Georgia: 996.5 cases per 100,000 people

4. South Dakota: 1,013.9 cases per 100,000 people

3. Alaska: 1,063.4 cases per 100,000 people

2. Mississippi: 1,067.7 cases per 100,000 people1. Louisiana: 1,181.5 cases per 100,000 people

As per a 2021 study, published in the book Sexually Transmitted Infections: Adopting a Sexual Health Paradigm, also published in the online portal of the National Center for Biotechnology Information, 2.6 million infections were found to be prevalent in the United States in 2018. 6.9 million infections common to people between the ages of 15 and 59. Another 2021 study states that women are 6 times more likely than men to have a prevalent infection.

The most common STIs as per CDC data are syphilis, chlamydia and gonorrhoea. The latest data shows that the cases were recorded at 734 per 100,000 people.

More than 209,000 cases of syphilis were reported in the US in 2023. While this was the highest number reported since 1950, it was just 1% increase from 2022, with an overall decrease in the total cases of STIs being reported.

As per the World Health Organization (WHO), this is a preventable and curable bacterial STI. However, many people do not get to know about it as it does not have any symptoms. It can be transmitted during oral, vaginal, and anal sex, in pregnancy and through blood transfusion.

Round, painless and hard sore near genitals, anus

Non-itchy rashes on palms and feet

White or grey lesions in moist areas could be anus or labia

Between 2022 and 2023, the cases of chlamydia were steady and decreased by less than 1%. It is one of the most common STIs caused by Chlamydia trachomatis. It does not cause any symptoms, which is why people would not know if they have it. However, it is curable. You can have chlamydia if you have unprotected sex, or can be passed down in pregnancy.

The cases of gonorrhoea also fell in 2023 and dropped by 8%. It is also one of the most common STIs, with 1 in 10 men being infected and 5 in 10 women infected by the same. It is caused by Neisseria gonorrhoeae by vaginal intercourse, oral sex, and anal sex, and can be passed to a child in pregnancy. However, it is curable.

Unusual vaginal discharge in women

Unusual discharge in men from the tip of the penis

Pain or burning sensation while passing the urine

Inflammation of the foreskin in men

Bleeding between periods, heavier periods and bleeding after sex in women