STD Report Shows Small Rise Overall, Higher Rates for People of Color, Young Gay Men


Reported cases of gonorrhea rose slightly and syphilis declined somewhat during 2010, but the syphilis rate among young black men has increased dramatically over the past 5 years, largely driven by increases among men who have sex with men (MSM), according to the latest sexually transmitted disease (STD) surveillance report from the Centers for Disease Control and Prevention (CDC).

The report notes that the observed rise in chlamydia cases is thought to be due to increased screening rather than a real increase in prevalence, but still fewer than half of sexually active young women receive the recommended annual screening.

"This new data shows a persistence of the same trends that we have been seeing for years -- that MSM and communities of color are continuing to bear a disproportionate share of the STDs in this country," said William Smith, Executive Director of the National Coalition of STD Directors (NCSD), in a press release issued by the group. "The 2010 STD data released today shows that we need to look closely at further investments in STD prevention as a means to prevent HIV as well."

Across all 3 diseases, people of color and young people are most affected, according to NCSD's summary. Although the 2010 figures show that overall syphilis rates declined compared with 2009, the rate among Hispanics rose by more than 9%. The rate among black men fell by 8.5% in 2010, but they continue to have the highest rate of any demographic group, with young black men -- primarily MSM -- showing a "shocking" increase of 134% between 2006 and 2010. Gay and bisexual men account for two-thirds of all syphilis cases in the U.S.

Below is the text of a CDC summary of the 2010 STD surveillance report. The full report is available at

STD Trends in the United States: 2010 National Data for Gonorrhea, Chlamydia, and Syphilis

This document summarizes 2010 national data on gonorrhea, chlamydia, and syphilis that are published in CDC’s report, Sexually Transmitted Disease Surveillance, 2010. The data are based on state and local STD case reports from a variety of private and public sources, the majority of which come from non-STD clinic settings, such as private physician offices and health maintenance organizations.

19 Million

STDs are one of the most critical health challenges facing the nation today. CDC estimates that there are 19 million new infections every year in the United States.

$17 Billion

STDs cost the U.S. health care system $17 billion every year -- and cost individuals even more in immediate and life-long health consequences.

CDC’s surveillance report includes data on the three STDs that physicians are required to report to local or state public health authorities -- gonorrhea, chlamydia, and syphilis -- which represent only a fraction of the true burden of STDs. Some common STDs, like human papillomavirus (HPV) and genital herpes, are not required to be reported.

The latest CDC data show troubling trends in three treatable STDs:

For more detailed data on each disease, see the Snapshot and Table.

Less than half of people who should be screened receive recommended STD screening services

Undetected and untreated STDs can increase a person’s risk for HIV and cause other serious health consequences, such as infertility. STD screening can help detect disease early and, when combined with treatment, is one of the most effective tools available to protect one’s health and prevent the spread of STDs to others.

STDs in the United States: A Look Beyond the Data

STDs primarily affect young people, but the health consequences can last a lifetime

Young people represent 25 percent of the sexually experienced population in the United States, but account for nearly half of new STDs. The long-lasting health effects are particularly serious for young people:

A range of factors place some populations at greater risk for STDs

STDs affect people of all races, ages, and sexual orientations, though some individuals experience greater challenges in protecting their health. When individual risk behaviors are combined with barriers to quality health information and STD prevention services, the risk of infection increases. While everyone should have the opportunity to make choices that allow them to live healthy lives regardless of their income, education, or racial/ethnic background, the reality is that if an individual lacks resources or has difficult living conditions, the journey to health and wellness can be harder. Even with similar levels of individual risk, African Americans and Latinos sometimes face barriers that contribute to increased rates of STDs and are more affected by these diseases than whites.

CDC and Partners Working to Expand STD Prevention Efforts

CDC closely tracks STDs to guide prevention programs and clinical recommendations for STD services. CDC also funds state and local health departments and community-based organizations to implement and support local prevention efforts to reduce risk behavior and increase STD and HIV testing among populations at greatest risk. Through the Get Yourself Tested multimedia campaign, CDC, MTV, and the Kaiser Family Foundation are raising STD awareness among young people.



Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance, 2010. November 2011.

Centers for Disease Control and Prevention. STD Trends in the United States: 2010 National Data for Gonorrhea, Chlamydia, and Syphilis. November 17, 2011