Table 1

Estimated annual burden and cost of STDs in the USA

CostsReported cases 2009Estimated annual new cases*Estimated annual direct (millions)
Chlamydia1 244 1802.8 million$701
Gonorrhoea301 174718 000$138
HIV42 95960 000§$8900
Syphilis13 99770 000$25
Hepatitis B403380 000$47
HPVNA6.2 million$5800
Genital herpesNA1.6 million$1100
TrichomoniasisNA7.4 million$198
Total1 606 34318.9 million$17 billion
  • * US annual estimated new cases (Weinstock et al.1)

  • Updated to 2010 $US using medical care component of CPI. Total may differ from sum of all diseases due to rounding. Adapted from Chesson et al.3

  • HIV and hepatitis B estimates include costs of sexually acquired cases only.

  • § Annual new HIV cases, 2008 estimate; all other annual cases are 2004 estimates (Hall HI, Ruiguang S, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA 2009;300:520–9.).

  • HPV, human papillomavirus.