Montgomery County reports highest STD rate in Alabama for 2025

12 articles · Updated · AL.com · Apr 25

Montgomery County recorded 185 STD cases per 10,000 residents, leading the state, with chlamydia and gonorrhea rates highest and syphilis third highest in Alabama.
Eight of the ten counties with the highest STD rates are in the Black Belt region, an area facing poverty and limited healthcare access. Black Alabamians had the highest diagnosis rates across all three diseases.
Statewide, gonorrhea and chlamydia rates declined, but late latent syphilis cases rose by 58%. The Alabama Department of Public Health offers free home testing kits, fast track testing, and partner therapy to address disparities.

Why is syphilis surging in Alabama while other common STDs are on the decline?

Has the 2024 prenatal screening law begun to protect Alabama's newborns from syphilis?

Are new antibiotics for gonorrhea reaching the rural Alabama communities that need them most?

Can free test kits and modern medicine overcome decades of deep-seated medical mistrust?

Beyond clinics, what will it take to fix the systemic roots of this health crisis?