• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: 737-255-4300

    Email the HIV/STD Program

    Email data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Border Report Section 5 - Sexually Transmitted Diseases


The Texas-Mexico border region has the lowest rates of gonorrhea and primary/secondary syphilis but has the highest rate of congenital syphilis. According to the CDC, congenital syphilis occurs when a mother with syphilis passes the infection on to her baby during pregnancy. In the U.S., there has been a sharp increase in congenital syphilis cases. This high rate among the Texas-Mexico border population might be the result of reduced access to healthcare, especially prenatal care.

Chlamydia rates are slightly higher in the Texas-Mexico border region compared to other Texas regions (table 7). Chlamydia infection is often asymptomatic. It is possible that missed opportunities for screening may result in more untreated infections. Some infections may be detected when women in underserved areas access the healthcare system for prenatal care or delivery.

Lower rates of gonorrhea and primary/secondary syphilis may reflect a lower community prevalence of these diseases. Since these infections are often symptomatic, infected individuals may be more motivated to seek treatment (see table 7).

Table 7: Sexually Transmitted Disease Diagnoses by Region, 2017

Chlamydia
Diagnoses

Gonorrhea
Diagnoses

Primary & Secondary
Syphilis Diagnoses

Congenital Syphilis
Diagnoses

Number

Rate*

Number

Rate*

Number

Rate*

Number

Rate**

Texas

144,801

511.6

45,346

160.2

2,152

7.6

164

40.7

Austin TGA

12,543

592.8

4,199

198.5

343

16.2

3†

11.2

Dallas EMA

26,300

526.8

9,261

185.5

462

9.3

31

45.7

Fort Worth TGA

9,326

386.4

3,007

124.6

201

8.3

8

24.5

Houston EMA

31,471

510.5

9,603

155.8

367

6.0

52

56.0

San Antonio TGA

13,435

589.0

4,616

200.0

317

13.7

13

40.4

East Texas TGA

12,199

444.4

3,965

144.5

91

3.3

11

30.8

All Other Texas

26,496

554.1

8,846

185.0

253

5.3

15

22.4

Texas-Mexico Border

13,031

468.3

1,849

66.4

118

4.2

31

63.8

Counties where rate for any STD exceeded Texas-Mexico Border Region average

Brewster

47

471.4

7

70.2

0

0.0

0

0.0

Brooks

50

660.8

9

118.9

1†

13.2

0

0.0

Cameron

2,083

446.2

282

60.4

2†

0.4

6

82.9

Dimmit

83

779.7

9

84.5

0

0.0

0

0.0

Duval

180

1,451.8

23

185.5

0

0.0

0

0.0

El Paso

4,269

472.0

726

80.3

104

11.5

2†

14.8

Frio

101

525.2

13

67.6

1†

5.2

0

0.0

Hidalgo

3,806

408.8

525

56.4

2†

0.2

17

105.7

Pecos

52

312.1

12

72.0

2†

12.0

0

0.0

Reeves

58

397.1

14

95.9

0

0.0

0

0.0

Webb

1,239

418.9

128

43.3

2†

0.7

6

112.0

* Rate per 100,000 population
** Rate per 100,000 live births
† Rates calculated with a numerator of ≤5 are statistically unstable and should be interpreted with caution
Source: Texas STD-MIS Surveillance System as of July 13, 2018 



Border Report

Table of Contents | Executive Summary | HIV, STDs, and TB in the Texas-Mexico Border Region | Population and Demographics of the Texas-Mexico Border Region | HIV Diagnoses and People Living with HIV | Sexually Transmitted Diseases | Tuberculosis


Last updated June 17, 2020