Dallas County faces steep costs from STIs

August 29, 2025

Dallas—A new report released by Dallas County Health and Human Services (DCHHS), The Economic Cost of Sexually Transmitted Infections in Dallas County, TX, reveals that the economic burden of sexually transmitted infections (STIs) in the county reached a staggering $398.6 million in 2022. 

Published in the ‘Dallas County Medical Society Journal,’ the report highlights the persistent and growing public health and economic threat posed by STIs, particularly HIV, which accounts for over 95 percent of total costs. 

“These numbers are a wake-up call. Prevention and early treatment aren’t just good medicine, they’re smart economics,” said Dr. Philip Huang, director of DCHHS. “Investing in STI prevention, early diagnosis, and treatment is both a public health and fiscal imperative.” 

Key Findings: 

• Total STI costs in Dallas County in 2022: $398.6 million 

• HIV accounted for $382.5 million, or 95.9% of total costs 

• Congenital syphilis costs rose 33.8% from 2021, reaching $8.6 million 

• Non-HIV STI costs in 2022 (Chlamydia, Gonorrhea and Syphilis) were $16.1 million. 

As Dallas County continues to battle the rising rates of STIs, health officials stress the importance of continued public health initiatives, including prevention, education, and accessible treatment options. Investments in STI prevention and care can help reduce the financial burden on individuals and the healthcare system.

SOURCE Dallas County Health and Human Services





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