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How many people are living with HIV in Texas?

Answered in plain language, anchored to CDC, HIV.gov, and NIH.

Educational information only — not medical advice. Talk to your healthcare provider about your specific situation.
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The most recent statewide figure published by Texas DSHS is 108,486 Texans living with HIV in 2022, up 12% over five years[1]. CDC's residence-based table lists 105,388 Texans living with diagnosed HIV as of December 2023[7], and CDC's Texas fact sheet puts total PLHIV, including undiagnosed, at 125,100[4].

Texas's current count, and why it is dated

Texas publishes on a slower cycle than some states, so the numbers come from three places. The 2022 Texas HIV Program Annual Report gives 108,486 Texans living with HIV in 2022[1]. The downloadable DSHS surveillance report is still built on data through December 31, 2021, when 102,800 people were living with diagnosed HIV in the state[2]. CDC's residence-based table gives 105,388 people with diagnosed HIV as of December 2023 — 55,968 with HIV that has not progressed to stage 3 and 49,420 who have ever had a stage 3 (AIDS) classification[7].

There is no published statewide 2023 total from DSHS in the documents reviewed for this page. The Texas Health Data People Living with HIV dashboard covers cases diagnosed through December 31, 2023 but publishes no static statewide total[3]. If you need a 2023 figure, use CDC's 105,388 and label it as people living with diagnosed HIV.

Adding undiagnosed HIV, CDC's Texas fact sheet estimates 125,100 people living with HIV and reports that 83.6% of Texans with HIV knew their status in 2022, with 61.5% of those with diagnosed HIV virally suppressed[4]. The fact sheet does not state a year for the 125,100 estimate, so treat it as approximate.

Where in Texas people are living with HIV

By county in 2021, people living with HIV were concentrated in the big metros: Harris (Houston) 28,659 (1,158 new diagnoses), Dallas 20,210 (795), Bexar (San Antonio) 7,082 (332), Tarrant (Fort Worth) 6,568 (311), and Travis (Austin) 5,418 (226)[2].

More recent local reporting fills the gap. The Dallas EMA counted 27,869 people living with diagnosed HIV in 2023, a 37% increase from 2014, with 1,102 new diagnoses and 65.7% virally suppressed[5]. Houston's health department reports 27,979 adult HIV cases presumed living — 79.43% of 35,226 reported cases — in its cumulative report through March 31, 2024, noting that 2023–2024 data are provisional[6].

Texas's five EHE priority counties

Texas has 5 of the 48 federal EHE priority counties: Bexar, Dallas, Harris, Tarrant, and Travis[8]. Together they accounted for 67,937 of the state's 102,800 people living with diagnosed HIV (about 66%) and 2,822 of 4,377 new diagnoses (about 64%) in 2021 — sums computed from the county table in the DSHS surveillance report[2].

Funding follows that geography. CDC awarded Texas $47.5 million in FY2024 for HIV prevention and care, including $9.5 million in EHE funding[4]. Texas, Harris County, and Dallas County each have their own federal EHE indicator dashboards if you want to track local progress[3].

The number of Texans living with HIV increased 12% between 2017 and 2022, reaching 108,486. DSHS attributes that rise to the effectiveness of HIV treatment — people are living longer — rather than to more new infections, noting Texas has averaged about 4,400 new diagnoses annually over roughly 2012–2022[1].

New diagnoses dipped to 3,595 in 2020 and rebounded to 4,377 in 2021[2], reaching 4,910 in 2022[1]. Status awareness improved from 79% in 2012 to almost 84% in 2021[1]. In the Dallas EMA, the number of people living with HIV, engagement in care, ART use, and viral suppression each rose about 20% from 2018 to 2023[5] — more people diagnosed, and more of them getting to undetectable.

Related questions

Which Texas county has the most people living with HIV?

Harris County (Houston), with 28,659 people living with HIV in 2021, followed by Dallas County with 20,210. More recently the Dallas EMA reported 27,869 people living with diagnosed HIV in 2023, and Houston reported 27,979 adult cases presumed living in its cumulative report through March 2024.

Why is the HIV population in Texas growing?

Texas DSHS attributes the 12% rise between 2017 and 2022 to the effectiveness of HIV treatment — people living with HIV are living longer — rather than to more new infections. New diagnoses have averaged about 4,400 a year.

How many Texans with HIV know their status?

83.6% in 2022, according to CDC's Texas fact sheet, which also reports that 61.5% of people with diagnosed HIV in Texas were virally suppressed.

Is there a 2023 statewide HIV total for Texas?

Not from Texas DSHS in the documents reviewed here — the state's downloadable surveillance report still covers data through 2021, and the Texas Health Data dashboard publishes no static statewide total. CDC's residence-based figure of 105,388 people living with diagnosed HIV as of December 2023 is the best available 2023 number.

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Last reviewed: August 30, 2026 by the RiseUpToHIV. Educational content only — not medical advice.

References & Sources

  1. Texas DSHS — 2022 Texas HIV Program Annual Report. Statewide 2022 figure of 108,486 people living with HIV, the 12% five-year increase, 2022 new diagnoses, and status-awareness trend. ↩ ↩ ↩ ↩ ↩
  2. Texas DSHS — Texas HIV Surveillance Report (data through December 31, 2021). 2021 statewide and county counts of people living with diagnosed HIV and new diagnoses. ↩ ↩ ↩ ↩
  3. Texas Health Data — People Living with HIV dashboard. Interactive dashboard covering cases diagnosed through December 31, 2023; publishes no static statewide total. ↩ ↩
  4. CDC — HIV Prevention in Texas fact sheet (2025). Estimated 125,100 people living with HIV including undiagnosed, 83.6% status awareness, 61.5% viral suppression, and FY2024 funding. ↩ ↩ ↩
  5. Dallas County Ryan White Planning Council — Dallas EMA HIV Data Overview 2023. Dallas EMA 2023 count of people living with diagnosed HIV, new diagnoses, viral suppression, and 2018–2023 growth. ↩ ↩
  6. Houston Health Department — HIV surveillance report (through March 31, 2024). Cumulative Houston/Harris County adult cases presumed living; 2023–2024 data are provisional. ↩
  7. CDC — HIV and AIDS data through December 2023 (state tables). Federal residence-based count for Texas as of December 2023, with stage-3 breakdown. ↩ ↩
  8. HIV.gov — EHE Priority Jurisdictions. Confirms Texas's five EHE priority counties. ↩

Community publications like POZ, Positively Aware, and TheBody inform framing and lived-experience context on RiseUpToHIV. Every clinical, epidemiological, or public-health claim above is anchored to a primary source.