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Annual Summary of Disease Activity

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Gonorrhea   
Annual Summary of Reportable Diseases

Gonorrhea is the second most commonly reported sexually-transmitted infection (STI) in Minnesota. Gonorrhea often has no symptoms, particularly in women. Untreated gonorrhea can cause serious and permanent health issues and it can be transmitted to infants during pregnancy. 

Published 5/6/2026

2024 Highlights

  • Cases of reported gonorrhea decreased 8% in 2024 compared to 2023.
  • Thirty-four percent of all gonorrhea cases occurred among young adults, aged 15 to 24 years old.
  • Eighty-three percent of cases occurred in the Twin Cities metropolitan area. 

Disease

2020

2021

2022

2023

2024

N

R

N

R

N

R

N

R

N

R

Gonorrhea

10,217

193.0

9,671

182.0

8,161

154.0

7,717

135.0

7,131

125.0

N=Number; R=Rate
Note: Data exclude cases diagnosed in federal or private correctional facilities. 2022 intercensal estimates used to compute rates.

Category

Gonorrhea

Number

Rate

Total

7,131

125.0

Residence

Minneapolis

2,637

620.0

St. Paul

1,146

378.0

Suburban**

2,148

89.0

Greater Minnesota

1,181

46.0

Age

<15 years

53

8.0

15-19 years

927

248.0

20-24 years

1,554

419.0

25-29 years

1,228

339.0

30-34 years

1,134

299.0

35-39 years

835

212.0

40-44 years

543

143.0

45-49 years

349

109.0

50-54 years

198

58.0

55+ years

310

18.0

Gender

Male

4,239

148.0

Female

2,874

101.0

Other/unknown^^

18

x

Race^/Ethnicity

White, non-Hispanic

2,101

47.0

Black, non-Hispanic

2,982

705.0

American Indian/ Alaska Native

319

532.0

Asian/PI

210

67.0

Other^^

158

x

Unknown^^

743

x

Hispanic^^

618

181.0

* Residence information missing for 96 cases of chlamydia and 19 cases of gonorrhea.
** Suburban is defined as the metropolitan area (Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington Counties), excluding the cities of Minneapolis and St. Paul.
^ Case counts include persons by race alone. Population counts used to calculate results include race alone or in combination.
^^ No comparable population data available to calculate rates.
^^^ Persons of Hispanic ethnicity may be of any race.
Note: Data exclude cases diagnosed in federal or private correctional facilities. 2022 intercensal estimates used to compute rates.

In 2024, 7,131 gonorrhea cases (124.7 per 100,000 population) were reported. This was an 8% decrease compared to 2023 (Table 3). Adolescents and young adults are at greatest risk for gonorrhea, with rates of 248 per 100,000 among 15-to-19- year-olds, 419 per 100,000 among 20-to-24-year-olds, and 339 per 100,000 among 25-to-29-year-olds. Gonorrhea rates for males (148 per 100,000) were higher than females (101 per 100,000).  

Communities of color were disproportionately affected by gonorrhea. The incidence of gonorrhea among Black, non-Hispanics (705 per 100,000) was 14.9 times higher than the rate among white, non-Hispanics (47 per 100,000). Rates among Asian/Pacific Islanders (67 per 100,000), Hispanic, any race (181 per 100,000), and American Indian/Alaska Natives (532 per 100,000) were up to 11 times higher than among white, non-Hispanic persons. Gonorrhea rates were highest in the cities of Minneapolis and St. Paul.  The incidence in Minneapolis (620 per 100,000) was over 1.6 times higher than the rate in St. Paul (378 per 100,000), more than 6.9 times higher than the rate in the remaining Twin Cities metropolitan area (89 per 100,000), and more than 13 times higher than the rate in Greater Minnesota (46 per 100,000).  

More about Gonorrhea 

For up to date information:

Archive of Gonorrhea Annual Summaries

  • Cases of reported gonorrhea decreased 5.5 percent in 2023 compared to 2022.
  • Thirty-eight percent of all gonorrhea cases occurred among young adults, aged 15 to 24 years old.
  • Eighty-four percent of cases occurred in the Twin Cities metropolitan and suburban areas. 

In 2023, 7,727 gonorrhea cases (135.2 per 100,000 population) were reported. This was a five percent decrease compared to 2022. Adolescents and young adults are at greatest risk for gonorrhea, with rates of 318 per 100,000 among 15 to 19- year-olds, 507 per 100,000 among 20 to 24-year olds, and 374 per 100,000 among 25 to 29-year-olds. Gonorrhea rates for males (160 per 100,000) were higher than females (110 per 100,000).  

Communities of color are disproportionately affected by gonorrhea. The incidence of gonorrhea among black, non-Hispanics (788 per 100,000) was 15.6 times higher than the rate among white, non-Hispanics (50.4 per 100,000). Rates among Asian/Pacific Islanders (64 per 100,000), Hispanic, any race (187.8 per 100,000), and American Indian/Alaska Natives (551 per 100,000) were up to 10.1 times higher than among white, non-Hispanic persons. Gonorrhea rates were highest in the cities of Minneapolis and St. Paul (Table Title). The incidence in Minneapolis (633 per 100,000) was over 1.5 times higher than the rate in St. Paul (428 per 100,000), more than 6 times higher than the rate in the suburban metropolitan area (136 per 100,000), and more than 12.8 times higher than the rate in Greater Minnesota (49.3 per 100,000). 

Gonorrhea is the second most commonly reported STD in Minnesota. In 2022, 8,161 cases (153.9 per 100,000 population) were reported. This is a 16% decrease compared to 2021. Adolescents and young adults are at greatest risk for gonorrhea, with rates of 320 per 100,000 among 15 to 19- year-olds, 553 per 100,000 among 20 to 24-year-olds, and 427 per 100,000 among 25 to 29-year-olds. Gonorrhea rates for males (178 per 100,000) were higher than females (130 per 100,000). 

Communities of color are disproportionately affected by gonorrhea. The incidence of gonorrhea among black, non-Hispanics (1102 per 100,000) is 19.2 times higher than the rate among white, non-Hispanics (57 per 100,000). Rates among Asian/ Pacific Islanders (98 per 100,000), Hispanic, any race (249 per 100,000), and American Indian/Alaska Natives (547 per 100,000) are up to 9.5 times higher than among white, non-Hispanic persons. Gonorrhea rates are highest in the cities of Minneapolis and St. Paul. The incidence Minneapolis (693 per 100,000) is over 1.5 times higher than the rate in St. Paul (442 per 100,000), more than 6 times higher than the rate in the suburban metropolitan area (111 per 100,000), and more than 9 times higher than the rate in Greater Minnesota (72 per 100,000).

Gonorrhea is the second most commonly reported STD in Minnesota. In 2021, 9,671 cases (182 per 100,000 population) were reported. This is a 5% decrease compared to 2020. Adolescents and young adults are at greatest risk for gonorrhea, with rates of 361 per 100,000 among 15 to 19- year-olds, 642 per 100,000 among 20 to 24-year old, and 532 per 100,000 among 25 to 29-year-olds. Gonorrhea rates for males (202 per 100,000) were higher than females (163 per 100,000). 

Communities of color are disproportionately affected by gonorrhea. The incidence of gonorrhea among black, non-Hispanics (1370 per 100,000) is 20.6 times higher than the rate among white, non-Hispanics (67 per 100,000). Rates among Asian/Pacific Islanders (98 per 100,000), Hispanic, any race (249 per 100,000), and American Indian/Alaska Natives (609 per 100,000) are up to 9 times higher than among white, non-Hispanic persons. 

Gonorrhea rates are highest in the cities of Minneapolis and St. Paul. The incidence in Minneapolis (764 per 100,000) is over 1.5 times higher than the rate in St. Paul (514 per 100,000), almost 6 times higher than the rate in the suburban metropolitan area (126 per 100,000), and almost 8 times higher than the rate in Greater Minnesota (97 per 100,000).

Gonorrhea is the second most commonly reported STD in Minnesota. In 2020, 10,217 cases (193 per 100,000 population) were reported. This is the highest reported rate of gonorrhea in the last decade with a 27% rate increase compared to 2019. 

Adolescents and young adults are at greatest risk for gonorrhea, with rates of 452 per 100,000 among 15 to 19- year-olds, 714 per 100,000 among 20 to 24-year-olds, and 560 per 100,000 among 25 to 29-year-olds. Gonorrhea rates for males (206 per 100,000) were higher than females (179 per 100,000). 

Communities of color are disproportionately affected by gonorrhea. The incidence of gonorrhea among black, non-Hispanics (1429 per 100,000) is 20 times higher than the rate among white, non-Hispanics (72 per 100,000). Rates among Asian/ Pacific Islanders (96 per 100,000), Hispanic, any race (194 per 100,000), and American Indian/Alaska Natives (633 per 100,000) are up to 9 times higher than among white, non-Hispanic persons. 

Gonorrhea rates are highest in the cities of Minneapolis and St. Paul. The incidence in Minneapolis (777 per 100,000) is over 1.5 times higher than the rate in St. Paul (535 per 100,000), almost 7 times higher than the rate in the suburban metropolitan area (141 per 100,000), and almost 9 times higher than the rate in Greater Minnesota (93 per 100,000). In 2020, the seven-county metro suburban area had the highest increase at 37%.

Gonorrhea is the second most commonly reported STD in Minnesota. In 2019, 8,063 cases (152 per 100,000 population) were reported. This is the highest reported rate of gonorrhea in the last decade with a 7% rate increase compared to 2018.

Adolescents and young adults are at greatest risk for gonorrhea, with rates of 324 per 100,000 among 15 to 19-year-olds, 553 per 100,000 among 20 to 24-year-olds, and 462 per 100,000 among 25 to 29-year-olds. Gonorrhea rates for males (165 per 100,000) were higher than females (139 per 100,000).

Communities of color are disproportionately affected by gonorrhea. The incidence of gonorrhea among black, non-Hispanics (1042 per 100,000) is 18 times higher than the rate among white, non-Hispanics (59 per 100,000). Rates among Asian/ Pacific Islanders (89 per 100,000), Hispanic, any race (194 per 100,000), and American Indian/Alaskan Natives (654 per 100,000) are up to 11 times higher than among white, non-Hispanic persons.

Gonorrhea rates are highest in the cities of Minneapolis and St. Paul. The incidence in Minneapolis (685 per 100,000) is over 1.5 times higher than the rate in St. Paul (416 per 100,000), almost 7 times higher than the rate in the suburban metropolitan area (103 per 100,000), and almost 9 times higher than the rate in Greater Minnesota (79 per 100,000). In 2019, the city of Minneapolis saw the largest increase in cases at 11%.

Gonorrhea is the second most commonly reported STD in Minnesota. In 2018, 7,542 cases (142 per 100,000 population) were reported. This is the highest reported rate of gonorrhea in the last decade with a 15% rate increase compared to 2017 (Table 3).

Adolescents and young adults are at greatest risk for gonorrhea, with rates of 339 per 100,000 among 15 to 19- year-olds, 543 per 100,000 among 20 to 24-year-olds, and 434 per 100,000 among 25 to 29-year-olds. Gonorrhea rates for males (159 per 100,000) were higher than females (125 per 100,000).

Communities of color are disproportionately affected by gonorrhea. The incidence of gonorrhea among black, non- Hispanics (926 per 100,000) is 16 times higher than the rate among white, non-Hispanics (57 per 100,000). Rates among Asian/Pacific Islanders (85 per 100,000), Hispanic, any race (184 per 100,000), and American Indian/Alaska Natives (658 per 100,000) are up to 12 times higher than among white, non- Hispanic persons.

Gonorrhea rates are highest in the cities of Minneapolis and St. Paul. The incidence in Minneapolis (617 per 100,000) is over 1.5 times higher than the rate in St. Paul (393 per 100,000), 6 times higher than the rate in the suburban metropolitan area (99 per 100,000), and 8 times higher than the rate in Greater Minnesota (73 per 100,000). In 2018, the city of Minneapolis saw the largest increase in cases at 35%.

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Last Updated: 05/06/2026

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