TABLE OF CONTENTS
Nashville Clinic
Lentz Public Health Center
First Response Center
Downtown Clinic for the Homeless
Cayce Place Family Clinic
Nashville Health Center
Vanderbilt Comprehensive Care Clinic
Vanderbilt HIV Vaccine Program
The overall trends in Davidson County, TN, which includes Nashville, show increasingly high rates for the city’s three most common STDs — chlamydia, gonorrhea, and syphilis.
The reported cases of chlamydia have increased dramatically since the low rate of 360.7 in 2001 — the first year in which data was available in Davidson County. In 2018, the infection rate per 100,000 residents was 777.2, which is more than double the lowest recorded rate. In raw numbers, there were 2,086 cases in 2001 and 5,383 cases in 2018. While the rate of infection in Davidson County is low compared to Madison County (959 per 100,000 residents), Davidson is second only to Shelby County for the total number of reported cases.
Gonorrhea rates have fluctuated dramatically from year to year in Davidson County. For example, in 2003, the infection rate was 253.7, and it dropped to just 204.4 in 2004. More recently, rates hit 272 in 2016, falling to 239.6 in 2017 and rising back up to 271.7 in 2018. While the rate remains slightly below the 2017 high, the number of cases is up, hitting 1,882 in 2018 — eight more cases than in 2016. Since the low of 871 cases in 2009, infection numbers have increased by more than 116%.
While syphilis was almost entirely eradicated in the United States in the early 2000s, it has recently resurfaced. Over the past five years, rates in Tennessee increased from a state average of 14.9 in 2014 to 25.7 in 2018. Davidson County and the Nashville area report even higher rates of infection, with a rate that reached 57.6 in 2018 — 124.1% higher than the state infection rate per 100,000.
Many STDs may not have symptoms immediately after infection, but the lack of symptoms doesn’t mean there are no effects. With long-term exposure, patients may experience organ damage and infertility. The only way to be sure about your status is with comprehensive STD testing. Even if you think your risk factors are low, a negative test is the best way to ensure reproductive and sexual health.
Planned Parenthood offers STD testing and treatment at Nashville Health Center. Testing covers a range of possible infections, including bacterial vaginosis, genital warts, chlamydia, gonorrhea, syphilis, HIV, and herpes. This center also provides transmission prevention options such as condoms and HPV vaccines, along with education on how and when to use these methods. Planned Parenthood accepts insurance, including Medicaid, and appointments can be scheduled online. For those without insurance, pricing information is available by calling 866-711-1717.
412 Dr. D.B. Todd, Jr. Boulevard
Nashville, TN 37203
866-711-1717
plannedparenthood.org
Operated by Nashville Public Health, the Sexual Health Center offers a variety of testing, treatment, and counseling options for those who may have contracted an STD. In addition to testing for HIV, chlamydia, gonorrhea, and syphilis, this health center also provides partner contact services to notify those who may have been exposed, helping to reduce and control the spread of disease. To schedule an appointment, call 615-340-5647, Monday and Wednesday through Friday, 8 a.m. to 4:30 p.m. On Tuesdays, the clinic is open until 6 p.m. Walk-ins may be seen based on staffing availability.
Lentz Public Health Center
2500 Charlotte Avenue, Suite 110
Nashville, TN 37209
Multiple Nashville locations
615-340-5647
nashville.gov
Nashville Public Health’s Sexual Health Center also operates a PrEP clinic that provides pre-exposure prophylaxis prescriptions to those at high risk of contracting HIV in addition to standard STD screenings. While insurance information may be requested, all clinic patients pay a $10 co-pay for screenings and appointments. The staff also work to ensure the affordability of prescriptions through a patient assistance program, helping to reduce the out-of-pocket costs to something more manageable than the $3,000 to $4,000 per month estimated cost of PrEP prescription drugs. Walk-ins who arrive before 2:30 p.m. on a weekday may be seen, depending on availability.
Lentz Public Health Center
2500 Charlotte Avenue, Suite 110
Nashville, TN 37209
615-340-5647
nashville.gov
Street Works is a nonprofit organization that offers community outreach designed to educate individuals about the risks and prevention of STDs, with a focus on HIV. It regularly schedules mobile, community-wide HIV awareness events and offers immediate testing at the location. Working with a variety of community partners such as barbershops, nail salons, retail shops, and clinics, Street Works passes out free prevention and safer sex kits that include condoms.
1225 9th Avenue North
Nashville, TN 37208
(615) 259-7676
streetworks.org
For those concerned about possible HIV exposure, Nashville Cares offers walk-in testing that takes about 20 minutes for an initial result. Those who test positive get counseling on managing their disease and case management services to help determine the services a particular patient may need. Nashville Cares offers all of its services regardless of patients’ financial status. The clinic is open from 9 a.m. until 5 p.m., Monday through Friday. Couples testing is by appointment only.
633 Thompson Lane
Nashville, TN 37204
1-800-845-4266
nashvillecares.org
Cempa Community Care offers free testing for HIV, Hep C, chlamydia, gonorrhea, and syphilis. Both Hep C and HIV test results are available within 20 minutes, while it may take up to two weeks to get results for other STDs. Walk-ins are welcome during clinic hours, which run from 8 a.m. until 4:30 p.m., Monday, Wednesday, and Thursday, 8 a.m.. until 5:30 p.m. on Tuesdays and from 8 a.m. until 12 p.m. on Fridays. Counseling is available before and after testing, along with educational services, general health care services, and access to support groups.
1042 East 3rd Street, Suite 200
Chattanooga, TN 37403
Multiple Nashville locations
423-265-2273
cempa.org