Counties with the highest STI rates in Alabama

Emma Rubin // Stacker
- Chlamydia cases: 612.1 per 100K (#6 nationally, 31,060 cases)
- Gonorrhea cases: 261.7 per 100K (#7 nationally, 13,279 cases)
- Primary and secondary syphilis cases: 23.5 per 100K (#12 nationally, 1,190 cases)
- Gonorrhea cases: 261.7 per 100K (#7 nationally, 13,279 cases)
- Primary and secondary syphilis cases: 23.5 per 100K (#12 nationally, 1,190 cases)
State-level statistics
Canva
- Chlamydia cases: 359.5 per 100K people (233 cases)
- Gonorrhea cases: 158.9 per 100K people (103 cases)
- Syphilis cases (non-congenital): 12.3 per 100K people (8 cases)
--- Primary and secondary syphilis: 10.8 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 1.5 per 100K people (1 case)
- Gonorrhea cases: 158.9 per 100K people (103 cases)
- Syphilis cases (non-congenital): 12.3 per 100K people (8 cases)
--- Primary and secondary syphilis: 10.8 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 1.5 per 100K people (1 case)
#50. Walker County

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- Chlamydia cases: 367.0 per 100K people (46 cases)
- Gonorrhea cases: 183.5 per 100K people (23 cases)
- Syphilis cases (non-congenital): 16.0 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 16.0 per 100K people (2 cases)
- Gonorrhea cases: 183.5 per 100K people (23 cases)
- Syphilis cases (non-congenital): 16.0 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 16.0 per 100K people (2 cases)
#49. Choctaw County

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- Chlamydia cases: 409.1 per 100K people (56 cases)
- Gonorrhea cases: 189.9 per 100K people (26 cases)
- Syphilis cases (non-congenital): 51.1 per 100K people (7 cases)
--- Primary and secondary syphilis: 43.8 per 100K people (6 cases)
--- Nonprimary and nonsecondary early syphilis: 7.3 per 100K people (1 case)
- Gonorrhea cases: 189.9 per 100K people (26 cases)
- Syphilis cases (non-congenital): 51.1 per 100K people (7 cases)
--- Primary and secondary syphilis: 43.8 per 100K people (6 cases)
--- Nonprimary and nonsecondary early syphilis: 7.3 per 100K people (1 case)
#48. Lamar County
JNix // Shutterstock
- Chlamydia cases: 422.8 per 100K people (60 cases)
- Gonorrhea cases: 133.9 per 100K people (19 cases)
- Syphilis cases (non-congenital): 7.0 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 7.0 per 100K people (1 case)
- Gonorrhea cases: 133.9 per 100K people (19 cases)
- Syphilis cases (non-congenital): 7.0 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 7.0 per 100K people (1 case)
#47. Clay County

JNix // Shutterstock
- Chlamydia cases: 448.9 per 100K people (68 cases)
- Gonorrhea cases: 250.9 per 100K people (38 cases)
- Syphilis cases (non-congenital): 6.6 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 6.6 per 100K people (1 case)
- Gonorrhea cases: 250.9 per 100K people (38 cases)
- Syphilis cases (non-congenital): 6.6 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 6.6 per 100K people (1 case)
#46. Washington County

Wayne James // Shutterstock
- Chlamydia cases: 462.6 per 100K people (435 cases)
- Gonorrhea cases: 196.7 per 100K people (185 cases)
- Syphilis cases (non-congenital): 40.4 per 100K people (38 cases)
--- Primary and secondary syphilis: 21.3 per 100K people (20 cases)
--- Nonprimary and nonsecondary early syphilis: 19.1 per 100K people (18 cases)
- Gonorrhea cases: 196.7 per 100K people (185 cases)
- Syphilis cases (non-congenital): 40.4 per 100K people (38 cases)
--- Primary and secondary syphilis: 21.3 per 100K people (20 cases)
--- Nonprimary and nonsecondary early syphilis: 19.1 per 100K people (18 cases)
#45. Lauderdale County

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- Chlamydia cases: 468.1 per 100K people (125 cases)
- Gonorrhea cases: 333.3 per 100K people (89 cases)
- Syphilis cases (non-congenital): 15.0 per 100K people (4 cases)
--- Primary and secondary syphilis: 7.5 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 7.5 per 100K people (2 cases)
- Gonorrhea cases: 333.3 per 100K people (89 cases)
- Syphilis cases (non-congenital): 15.0 per 100K people (4 cases)
--- Primary and secondary syphilis: 7.5 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 7.5 per 100K people (2 cases)
#44. Geneva County

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- Chlamydia cases: 469.2 per 100K people (484 cases)
- Gonorrhea cases: 214.2 per 100K people (221 case)
- Syphilis cases (non-congenital): 10.7 per 100K people (11 case)
--- Primary and secondary syphilis: 3.9 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 6.8 per 100K people (7 cases)
- Gonorrhea cases: 214.2 per 100K people (221 case)
- Syphilis cases (non-congenital): 10.7 per 100K people (11 case)
--- Primary and secondary syphilis: 3.9 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 6.8 per 100K people (7 cases)
#43. Etowah County

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- Chlamydia cases: 474.4 per 100K people (178 cases)
- Gonorrhea cases: 197.2 per 100K people (74 cases)
- Syphilis cases (non-congenital): 8.0 per 100K people (3 cases)
--- Primary and secondary syphilis: 2.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (2 cases)
- Gonorrhea cases: 197.2 per 100K people (74 cases)
- Syphilis cases (non-congenital): 8.0 per 100K people (3 cases)
--- Primary and secondary syphilis: 2.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (2 cases)
#42. Covington County

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- Chlamydia cases: 475.5 per 100K people (588 cases)
- Gonorrhea cases: 270.9 per 100K people (335 cases)
- Syphilis cases (non-congenital): 17.8 per 100K people (22 cases)
--- Primary and secondary syphilis: 11.3 per 100K people (14 cases)
--- Nonprimary and nonsecondary early syphilis: 6.5 per 100K people (8 cases)
- Gonorrhea cases: 270.9 per 100K people (335 cases)
- Syphilis cases (non-congenital): 17.8 per 100K people (22 cases)
--- Primary and secondary syphilis: 11.3 per 100K people (14 cases)
--- Nonprimary and nonsecondary early syphilis: 6.5 per 100K people (8 cases)
#41. Morgan County

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- Chlamydia cases: 493.7 per 100K people (875 cases)
- Gonorrhea cases: 228.0 per 100K people (404 cases)
- Syphilis cases (non-congenital): 20.9 per 100K people (37 cases)
--- Primary and secondary syphilis: 10.2 per 100K people (18 cases)
--- Nonprimary and nonsecondary early syphilis: 10.7 per 100K people (19 cases)
- Gonorrhea cases: 228.0 per 100K people (404 cases)
- Syphilis cases (non-congenital): 20.9 per 100K people (37 cases)
--- Primary and secondary syphilis: 10.2 per 100K people (18 cases)
--- Nonprimary and nonsecondary early syphilis: 10.7 per 100K people (19 cases)
#40. Lee County

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- Chlamydia cases: 516.8 per 100K people (212 cases)
- Gonorrhea cases: 251.1 per 100K people (103 cases)
- Syphilis cases (non-congenital): 14.6 per 100K people (6 cases)
--- Primary and secondary syphilis: 2.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 12.2 per 100K people (5 cases)
- Gonorrhea cases: 251.1 per 100K people (103 cases)
- Syphilis cases (non-congenital): 14.6 per 100K people (6 cases)
--- Primary and secondary syphilis: 2.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 12.2 per 100K people (5 cases)
#39. Tallapoosa County

Wayne James // Shutterstock
- Chlamydia cases: 516.8 per 100K people (297 cases)
- Gonorrhea cases: 297.5 per 100K people (171 case)
- Syphilis cases (non-congenital): 27.8 per 100K people (16 cases)
--- Primary and secondary syphilis: 12.2 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 15.7 per 100K people (9 cases)
- Gonorrhea cases: 297.5 per 100K people (171 case)
- Syphilis cases (non-congenital): 27.8 per 100K people (16 cases)
--- Primary and secondary syphilis: 12.2 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 15.7 per 100K people (9 cases)
#38. Colbert County

JNix // Shutterstock
- Chlamydia cases: 521.2 per 100K people (98 cases)
- Gonorrhea cases: 276.6 per 100K people (52 cases)
- Syphilis cases (non-congenital): 31.9 per 100K people (6 cases)
--- Primary and secondary syphilis: 21.3 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 10.6 per 100K people (2 cases)
- Gonorrhea cases: 276.6 per 100K people (52 cases)
- Syphilis cases (non-congenital): 31.9 per 100K people (6 cases)
--- Primary and secondary syphilis: 21.3 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 10.6 per 100K people (2 cases)
#37. Pickens County

Thomas Burks // Shutterstock
- Chlamydia cases: 541.2 per 100K people (119 cases)
- Gonorrhea cases: 300.2 per 100K people (66 cases)
- Syphilis cases (non-congenital): 81.9 per 100K people (18 cases)
--- Primary and secondary syphilis: 13.6 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 68.2 per 100K people (15 cases)
- Gonorrhea cases: 300.2 per 100K people (66 cases)
- Syphilis cases (non-congenital): 81.9 per 100K people (18 cases)
--- Primary and secondary syphilis: 13.6 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 68.2 per 100K people (15 cases)
#36. Randolph County

EWY Media // Shutterstock
- Chlamydia cases: 545.0 per 100K people (632 cases)
- Gonorrhea cases: 233.7 per 100K people (271 case)
- Syphilis cases (non-congenital): 18.1 per 100K people (21 case)
--- Primary and secondary syphilis: 6.0 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 12.1 per 100K people (14 cases)
- Gonorrhea cases: 233.7 per 100K people (271 case)
- Syphilis cases (non-congenital): 18.1 per 100K people (21 case)
--- Primary and secondary syphilis: 6.0 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 12.1 per 100K people (14 cases)
#35. Calhoun County

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- Chlamydia cases: 556.1 per 100K people (63 cases)
- Gonorrhea cases: 123.6 per 100K people (14 cases)
- Syphilis cases (non-congenital): 8.8 per 100K people (1 case)
--- Primary and secondary syphilis: 8.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 123.6 per 100K people (14 cases)
- Syphilis cases (non-congenital): 8.8 per 100K people (1 case)
--- Primary and secondary syphilis: 8.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#34. Conecuh County

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- Chlamydia cases: 556.5 per 100K people (497 cases)
- Gonorrhea cases: 213.9 per 100K people (191 case)
- Syphilis cases (non-congenital): 16.8 per 100K people (15 cases)
--- Primary and secondary syphilis: 1.1 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 15.7 per 100K people (14 cases)
- Gonorrhea cases: 213.9 per 100K people (191 case)
- Syphilis cases (non-congenital): 16.8 per 100K people (15 cases)
--- Primary and secondary syphilis: 1.1 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 15.7 per 100K people (14 cases)
#33. Elmore County

JNix // Shutterstock
- Chlamydia cases: 577.0 per 100K people (341 case)
- Gonorrhea cases: 225.1 per 100K people (133 cases)
- Syphilis cases (non-congenital): 32.2 per 100K people (19 cases)
--- Primary and secondary syphilis: 18.6 per 100K people (11 case)
--- Nonprimary and nonsecondary early syphilis: 13.5 per 100K people (8 cases)
- Gonorrhea cases: 225.1 per 100K people (133 cases)
- Syphilis cases (non-congenital): 32.2 per 100K people (19 cases)
--- Primary and secondary syphilis: 18.6 per 100K people (11 case)
--- Nonprimary and nonsecondary early syphilis: 13.5 per 100K people (8 cases)
#32. Autauga County

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- Chlamydia cases: 577.8 per 100K people (313 cases)
- Gonorrhea cases: 324.9 per 100K people (176 cases)
- Syphilis cases (non-congenital): 20.3 per 100K people (11 case)
--- Primary and secondary syphilis: 16.6 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 3.7 per 100K people (2 cases)
- Gonorrhea cases: 324.9 per 100K people (176 cases)
- Syphilis cases (non-congenital): 20.3 per 100K people (11 case)
--- Primary and secondary syphilis: 16.6 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 3.7 per 100K people (2 cases)
#31. Coffee County

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- Chlamydia cases: 602.2 per 100K people (2,380 cases)
- Gonorrhea cases: 330.0 per 100K people (1,304 cases)
- Syphilis cases (non-congenital): 20.7 per 100K people (82 cases)
--- Primary and secondary syphilis: 9.1 per 100K people (36 cases)
--- Nonprimary and nonsecondary early syphilis: 11.6 per 100K people (46 cases)
- Gonorrhea cases: 330.0 per 100K people (1,304 cases)
- Syphilis cases (non-congenital): 20.7 per 100K people (82 cases)
--- Primary and secondary syphilis: 9.1 per 100K people (36 cases)
--- Nonprimary and nonsecondary early syphilis: 11.6 per 100K people (46 cases)
#30. Madison County
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- Chlamydia cases: 607.6 per 100K people (223 cases)
- Gonorrhea cases: 264.3 per 100K people (97 cases)
- Syphilis cases (non-congenital): 5.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 2.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 2.7 per 100K people (1 case)
- Gonorrhea cases: 264.3 per 100K people (97 cases)
- Syphilis cases (non-congenital): 5.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 2.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 2.7 per 100K people (1 case)
#29. Escambia County

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- Chlamydia cases: 619.4 per 100K people (505 cases)
- Gonorrhea cases: 327.5 per 100K people (267 cases)
- Syphilis cases (non-congenital): 27.0 per 100K people (22 cases)
--- Primary and secondary syphilis: 8.6 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 18.4 per 100K people (15 cases)
- Gonorrhea cases: 327.5 per 100K people (267 cases)
- Syphilis cases (non-congenital): 27.0 per 100K people (22 cases)
--- Primary and secondary syphilis: 8.6 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 18.4 per 100K people (15 cases)
#28. Talladega County

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- Chlamydia cases: 620.2 per 100K people (306 cases)
- Gonorrhea cases: 379.0 per 100K people (187 cases)
- Syphilis cases (non-congenital): 30.4 per 100K people (15 cases)
--- Primary and secondary syphilis: 22.3 per 100K people (11 case)
--- Nonprimary and nonsecondary early syphilis: 8.1 per 100K people (4 cases)
- Gonorrhea cases: 379.0 per 100K people (187 cases)
- Syphilis cases (non-congenital): 30.4 per 100K people (15 cases)
--- Primary and secondary syphilis: 22.3 per 100K people (11 case)
--- Nonprimary and nonsecondary early syphilis: 8.1 per 100K people (4 cases)
#27. Dale County

JNix // Shutterstock
- Chlamydia cases: 645.6 per 100K people (223 cases)
- Gonorrhea cases: 361.9 per 100K people (125 cases)
- Syphilis cases (non-congenital): 23.2 per 100K people (8 cases)
--- Primary and secondary syphilis: 8.7 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 14.5 per 100K people (5 cases)
- Gonorrhea cases: 361.9 per 100K people (125 cases)
- Syphilis cases (non-congenital): 23.2 per 100K people (8 cases)
--- Primary and secondary syphilis: 8.7 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 14.5 per 100K people (5 cases)
#26. Chambers County
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- Chlamydia cases: 658.0 per 100K people (125 cases)
- Gonorrhea cases: 279.0 per 100K people (53 cases)
- Syphilis cases (non-congenital): 21.1 per 100K people (4 cases)
--- Primary and secondary syphilis: 15.8 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (1 case)
- Gonorrhea cases: 279.0 per 100K people (53 cases)
- Syphilis cases (non-congenital): 21.1 per 100K people (4 cases)
--- Primary and secondary syphilis: 15.8 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (1 case)
#25. Marengo County

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- Chlamydia cases: 661.6 per 100K people (130 cases)
- Gonorrhea cases: 244.3 per 100K people (48 cases)
- Syphilis cases (non-congenital): 5.1 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 5.1 per 100K people (1 case)
- Gonorrhea cases: 244.3 per 100K people (48 cases)
- Syphilis cases (non-congenital): 5.1 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 5.1 per 100K people (1 case)
#24. Monroe County
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- Chlamydia cases: 662.9 per 100K people (149 cases)
- Gonorrhea cases: 293.6 per 100K people (66 cases)
- Syphilis cases (non-congenital): 4.4 per 100K people (1 case)
--- Primary and secondary syphilis: 4.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 293.6 per 100K people (66 cases)
- Syphilis cases (non-congenital): 4.4 per 100K people (1 case)
--- Primary and secondary syphilis: 4.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#23. Bibb County
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- Chlamydia cases: 665.9 per 100K people (81 case)
- Gonorrhea cases: 378.2 per 100K people (46 cases)
- Syphilis cases (non-congenital): 41.1 per 100K people (5 cases)
--- Primary and secondary syphilis: 16.4 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 24.7 per 100K people (3 cases)
- Gonorrhea cases: 378.2 per 100K people (46 cases)
- Syphilis cases (non-congenital): 41.1 per 100K people (5 cases)
--- Primary and secondary syphilis: 16.4 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 24.7 per 100K people (3 cases)
#22. Sumter County

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- Chlamydia cases: 681.2 per 100K people (732 cases)
- Gonorrhea cases: 474.6 per 100K people (510 cases)
- Syphilis cases (non-congenital): 37.2 per 100K people (40 cases)
--- Primary and secondary syphilis: 19.5 per 100K people (21 case)
--- Nonprimary and nonsecondary early syphilis: 17.7 per 100K people (19 cases)
- Gonorrhea cases: 474.6 per 100K people (510 cases)
- Syphilis cases (non-congenital): 37.2 per 100K people (40 cases)
--- Primary and secondary syphilis: 19.5 per 100K people (21 case)
--- Nonprimary and nonsecondary early syphilis: 17.7 per 100K people (19 cases)
#21. Houston County

John H. Davis // Shutterstock
- Chlamydia cases: 688.0 per 100K people (404 cases)
- Gonorrhea cases: 323.6 per 100K people (190 cases)
- Syphilis cases (non-congenital): 64.7 per 100K people (38 cases)
--- Primary and secondary syphilis: 32.4 per 100K people (19 cases)
--- Nonprimary and nonsecondary early syphilis: 32.4 per 100K people (19 cases)
- Gonorrhea cases: 323.6 per 100K people (190 cases)
- Syphilis cases (non-congenital): 64.7 per 100K people (38 cases)
--- Primary and secondary syphilis: 32.4 per 100K people (19 cases)
--- Nonprimary and nonsecondary early syphilis: 32.4 per 100K people (19 cases)
#20. Russell County

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- Chlamydia cases: 725.0 per 100K people (165 cases)
- Gonorrhea cases: 364.7 per 100K people (83 cases)
- Syphilis cases (non-congenital): 8.8 per 100K people (2 cases)
--- Primary and secondary syphilis: 8.8 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 364.7 per 100K people (83 cases)
- Syphilis cases (non-congenital): 8.8 per 100K people (2 cases)
--- Primary and secondary syphilis: 8.8 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#19. Clarke County

JNix // Shutterstock
- Chlamydia cases: 729.0 per 100K people (182 cases)
- Gonorrhea cases: 532.8 per 100K people (133 cases)
- Syphilis cases (non-congenital): 8.0 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 8.0 per 100K people (2 cases)
- Gonorrhea cases: 532.8 per 100K people (133 cases)
- Syphilis cases (non-congenital): 8.0 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 8.0 per 100K people (2 cases)
#18. Barbour County

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- Chlamydia cases: 734.7 per 100K people (3,035 cases)
- Gonorrhea cases: 401.1 per 100K people (1,657 cases)
- Syphilis cases (non-congenital): 46.2 per 100K people (191 case)
--- Primary and secondary syphilis: 34.4 per 100K people (142 cases)
--- Nonprimary and nonsecondary early syphilis: 11.9 per 100K people (49 cases)
- Gonorrhea cases: 401.1 per 100K people (1,657 cases)
- Syphilis cases (non-congenital): 46.2 per 100K people (191 case)
--- Primary and secondary syphilis: 34.4 per 100K people (142 cases)
--- Nonprimary and nonsecondary early syphilis: 11.9 per 100K people (49 cases)
#17. Mobile County

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- Chlamydia cases: 756.1 per 100K people (132 cases)
- Gonorrhea cases: 486.9 per 100K people (85 cases)
- Syphilis cases (non-congenital): 5.7 per 100K people (1 case)
--- Primary and secondary syphilis: 5.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 486.9 per 100K people (85 cases)
- Syphilis cases (non-congenital): 5.7 per 100K people (1 case)
--- Primary and secondary syphilis: 5.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#16. Henry County

Tracy Burroughs Brown // Shutterstock
- Chlamydia cases: 778.8 per 100K people (1,768 cases)
- Gonorrhea cases: 356.4 per 100K people (809 cases)
- Syphilis cases (non-congenital): 47.1 per 100K people (107 cases)
--- Primary and secondary syphilis: 26.9 per 100K people (61 case)
--- Nonprimary and nonsecondary early syphilis: 20.3 per 100K people (46 cases)
- Gonorrhea cases: 356.4 per 100K people (809 cases)
- Syphilis cases (non-congenital): 47.1 per 100K people (107 cases)
--- Primary and secondary syphilis: 26.9 per 100K people (61 case)
--- Nonprimary and nonsecondary early syphilis: 20.3 per 100K people (46 cases)
#15. Tuscaloosa County
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- Chlamydia cases: 789.9 per 100K people (66 cases)
- Gonorrhea cases: 586.5 per 100K people (49 cases)
- Syphilis cases (non-congenital): 23.9 per 100K people (2 cases)
--- Primary and secondary syphilis: 23.9 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 586.5 per 100K people (49 cases)
- Syphilis cases (non-congenital): 23.9 per 100K people (2 cases)
--- Primary and secondary syphilis: 23.9 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#14. Perry County
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- Chlamydia cases: 794.6 per 100K people (83 cases)
- Gonorrhea cases: 277.6 per 100K people (29 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 277.6 per 100K people (29 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#13. Wilcox County
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- Chlamydia cases: 823.6 per 100K people (85 cases)
- Gonorrhea cases: 591.1 per 100K people (61 case)
- Syphilis cases (non-congenital): 38.8 per 100K people (4 cases)
--- Primary and secondary syphilis: 29.1 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 9.7 per 100K people (1 case)
- Gonorrhea cases: 591.1 per 100K people (61 case)
- Syphilis cases (non-congenital): 38.8 per 100K people (4 cases)
--- Primary and secondary syphilis: 29.1 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 9.7 per 100K people (1 case)
#12. Bullock County

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- Chlamydia cases: 825.5 per 100K people (108 cases)
- Gonorrhea cases: 397.5 per 100K people (52 cases)
- Syphilis cases (non-congenital): 30.6 per 100K people (4 cases)
--- Primary and secondary syphilis: 22.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 7.6 per 100K people (1 case)
- Gonorrhea cases: 397.5 per 100K people (52 cases)
- Syphilis cases (non-congenital): 30.6 per 100K people (4 cases)
--- Primary and secondary syphilis: 22.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 7.6 per 100K people (1 case)
#11. Crenshaw County

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- Chlamydia cases: 851.7 per 100K people (89 cases)
- Gonorrhea cases: 507.2 per 100K people (53 cases)
- Syphilis cases (non-congenital): 19.1 per 100K people (2 cases)
--- Primary and secondary syphilis: 9.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 9.6 per 100K people (1 case)
- Gonorrhea cases: 507.2 per 100K people (53 cases)
- Syphilis cases (non-congenital): 19.1 per 100K people (2 cases)
--- Primary and secondary syphilis: 9.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 9.6 per 100K people (1 case)
#10. Coosa County

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- Chlamydia cases: 866.6 per 100K people (326 cases)
- Gonorrhea cases: 398.7 per 100K people (150 cases)
- Syphilis cases (non-congenital): 18.6 per 100K people (7 cases)
--- Primary and secondary syphilis: 10.6 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 8.0 per 100K people (3 cases)
- Gonorrhea cases: 398.7 per 100K people (150 cases)
- Syphilis cases (non-congenital): 18.6 per 100K people (7 cases)
--- Primary and secondary syphilis: 10.6 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 8.0 per 100K people (3 cases)
#9. Dallas County

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- Chlamydia cases: 873.0 per 100K people (5,830 cases)
- Gonorrhea cases: 514.4 per 100K people (3,435 cases)
- Syphilis cases (non-congenital): 38.3 per 100K people (256 cases)
--- Primary and secondary syphilis: 18.3 per 100K people (122 cases)
--- Nonprimary and nonsecondary early syphilis: 20.1 per 100K people (134 cases)
- Gonorrhea cases: 514.4 per 100K people (3,435 cases)
- Syphilis cases (non-congenital): 38.3 per 100K people (256 cases)
--- Primary and secondary syphilis: 18.3 per 100K people (122 cases)
--- Nonprimary and nonsecondary early syphilis: 20.1 per 100K people (134 cases)
#8. Jefferson County

JNix // Shutterstock
- Chlamydia cases: 900.2 per 100K people (297 cases)
- Gonorrhea cases: 412.2 per 100K people (136 cases)
- Syphilis cases (non-congenital): 42.4 per 100K people (14 cases)
--- Primary and secondary syphilis: 27.3 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 15.2 per 100K people (5 cases)
- Gonorrhea cases: 412.2 per 100K people (136 cases)
- Syphilis cases (non-congenital): 42.4 per 100K people (14 cases)
--- Primary and secondary syphilis: 27.3 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 15.2 per 100K people (5 cases)
#7. Pike County
Mccallk69 // Shutterstock
- Chlamydia cases: 920.9 per 100K people (174 cases)
- Gonorrhea cases: 349.3 per 100K people (66 cases)
- Syphilis cases (non-congenital): 37.0 per 100K people (7 cases)
--- Primary and secondary syphilis: 10.6 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 26.5 per 100K people (5 cases)
- Gonorrhea cases: 349.3 per 100K people (66 cases)
- Syphilis cases (non-congenital): 37.0 per 100K people (7 cases)
--- Primary and secondary syphilis: 10.6 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 26.5 per 100K people (5 cases)
#6. Macon County

Carolyn May Wright // Shutterstock
- Chlamydia cases: 963.4 per 100K people (96 cases)
- Gonorrhea cases: 562.0 per 100K people (56 cases)
- Syphilis cases (non-congenital): 10.0 per 100K people (1 case)
--- Primary and secondary syphilis: 10.0 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 562.0 per 100K people (56 cases)
- Syphilis cases (non-congenital): 10.0 per 100K people (1 case)
--- Primary and secondary syphilis: 10.0 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#5. Lowndes County

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- Chlamydia cases: 1,061.4 per 100K people (2,414 cases)
- Gonorrhea cases: 548.3 per 100K people (1,247 cases)
- Syphilis cases (non-congenital): 69.5 per 100K people (158 cases)
--- Primary and secondary syphilis: 29.9 per 100K people (68 cases)
--- Nonprimary and nonsecondary early syphilis: 39.6 per 100K people (90 cases)
- Gonorrhea cases: 548.3 per 100K people (1,247 cases)
- Syphilis cases (non-congenital): 69.5 per 100K people (158 cases)
--- Primary and secondary syphilis: 29.9 per 100K people (68 cases)
--- Nonprimary and nonsecondary early syphilis: 39.6 per 100K people (90 cases)
#4. Montgomery County
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- Chlamydia cases: 1,074.8 per 100K people (82 cases)
- Gonorrhea cases: 458.8 per 100K people (35 cases)
- Syphilis cases (non-congenital): 118.0 per 100K people (9 cases)
--- Primary and secondary syphilis: 39.3 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 78.6 per 100K people (6 cases)
- Gonorrhea cases: 458.8 per 100K people (35 cases)
- Syphilis cases (non-congenital): 118.0 per 100K people (9 cases)
--- Primary and secondary syphilis: 39.3 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 78.6 per 100K people (6 cases)
#3. Greene County

JNix // Shutterstock
- Chlamydia cases: 1,090.9 per 100K people (206 cases)
- Gonorrhea cases: 317.7 per 100K people (60 cases)
- Syphilis cases (non-congenital): 26.5 per 100K people (5 cases)
--- Primary and secondary syphilis: 21.2 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (1 case)
- Gonorrhea cases: 317.7 per 100K people (60 cases)
- Syphilis cases (non-congenital): 26.5 per 100K people (5 cases)
--- Primary and secondary syphilis: 21.2 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (1 case)
#2. Butler County

Leah G Moloney // Shutterstock
- Chlamydia cases: 1,294.6 per 100K people (191 case)
- Gonorrhea cases: 745.6 per 100K people (110 cases)
- Syphilis cases (non-congenital): 40.7 per 100K people (6 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 40.7 per 100K people (6 cases)
- Gonorrhea cases: 745.6 per 100K people (110 cases)
- Syphilis cases (non-congenital): 40.7 per 100K people (6 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 40.7 per 100K people (6 cases)
This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.
#1. Hale County

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