Counties with the highest STI rates in Iowa

Emma Rubin // Stacker
- Chlamydia cases: 457.2 per 100K (#30 nationally, 14,634 cases)
- Gonorrhea cases: 139.5 per 100K (#35 nationally, 4,466 cases)
- Primary and secondary syphilis cases: 10.4 per 100K (#40 nationally, 334 cases)
State-level statistics
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- Chlamydia cases: 286.5 per 100K people (153 cases)
- Gonorrhea cases: 112.4 per 100K people (60 cases)
- Syphilis cases (non-congenital): 16.9 per 100K people (9 cases)
--- Primary and secondary syphilis: 9.4 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 7.5 per 100K people (4 cases)
#50. Warren County
stivanderson // Shutterstock
- Chlamydia cases: 287.6 per 100K people (45 cases)
- Gonorrhea cases: 115.0 per 100K people (18 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#49. Jefferson County
Eddie J. Rodriquez // Shutterstock
- Chlamydia cases: 288.4 per 100K people (31 case)
- Gonorrhea cases: 130.2 per 100K people (14 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#48. Louisa County
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- Chlamydia cases: 288.5 per 100K people (74 cases)
- Gonorrhea cases: 42.9 per 100K people (11 case)
- Syphilis cases (non-congenital): 15.6 per 100K people (4 cases)
--- Primary and secondary syphilis: 15.6 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#47. Plymouth County
Mary Key // Shutterstock
- Chlamydia cases: 296.4 per 100K people (29 cases)
- Gonorrhea cases: 51.1 per 100K people (5 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#46. Clarke County
Jacob Boomsma // Shutterstock
- Chlamydia cases: 302.9 per 100K people (36 cases)
- Gonorrhea cases: 16.8 per 100K people (2 cases)
- Syphilis cases (non-congenital): 8.4 per 100K people (1 case)
--- Primary and secondary syphilis: 8.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#45. Chickasaw County
SevenMaps // Shutterstock
- Chlamydia cases: 303.6 per 100K people (78 cases)
- Gonorrhea cases: 85.6 per 100K people (22 cases)
- Syphilis cases (non-congenital): 3.9 per 100K people (1 case)
--- Primary and secondary syphilis: 3.9 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#44. Benton County
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- Chlamydia cases: 305.6 per 100K people (102 cases)
- Gonorrhea cases: 86.9 per 100K people (29 cases)
- Syphilis cases (non-congenital): 12.0 per 100K people (4 cases)
--- Primary and secondary syphilis: 6.0 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 6.0 per 100K people (2 cases)
#43. Marion County
Brooke Van Zee // Shutterstock
- Chlamydia cases: 307.3 per 100K people (20 cases)
- Gonorrhea cases: 30.7 per 100K people (2 cases)
- Syphilis cases (non-congenital): 15.4 per 100K people (1 case)
--- Primary and secondary syphilis: 15.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#42. Wayne County
Joel McCartan // Shutterstock
- Chlamydia cases: 313.9 per 100K people (44 cases)
- Gonorrhea cases: 64.2 per 100K people (9 cases)
- Syphilis cases (non-congenital): 7.1 per 100K people (1 case)
--- Primary and secondary syphilis: 7.1 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#41. O'brien County
Doug Lambert // Shutterstock
- Chlamydia cases: 314.7 per 100K people (65 cases)
- Gonorrhea cases: 77.5 per 100K people (16 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#40. Buchanan County
Marsen // Shutterstock
- Chlamydia cases: 317.2 per 100K people (66 cases)
- Gonorrhea cases: 52.9 per 100K people (11 case)
- Syphilis cases (non-congenital): 4.8 per 100K people (1 case)
--- Primary and secondary syphilis: 4.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#39. Jones County
Kimberly's Impressions // Shutterstock
- Chlamydia cases: 323.8 per 100K people (19 cases)
- Gonorrhea cases: 34.1 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#38. Taylor County
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- Chlamydia cases: 325.1 per 100K people (23 cases)
- Gonorrhea cases: 84.8 per 100K people (6 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#37. Pocahontas County
Eddie J. Rodriquez // Shutterstock
- Chlamydia cases: 327.1 per 100K people (152 cases)
- Gonorrhea cases: 144.2 per 100K people (67 cases)
- Syphilis cases (non-congenital): 19.4 per 100K people (9 cases)
--- Primary and secondary syphilis: 10.8 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 8.6 per 100K people (4 cases)
#36. Clinton County
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- Chlamydia cases: 328.5 per 100K people (35 cases)
- Gonorrhea cases: 75.1 per 100K people (8 cases)
- Syphilis cases (non-congenital): 9.4 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 9.4 per 100K people (1 case)
#35. Winnebago County
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- Chlamydia cases: 328.5 per 100K people (25 cases)
- Gonorrhea cases: 78.8 per 100K people (6 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#34. Monroe County
Jacob Boomsma // Shutterstock
- Chlamydia cases: 328.5 per 100K people (341 case)
- Gonorrhea cases: 135.8 per 100K people (141 case)
- Syphilis cases (non-congenital): 11.6 per 100K people (12 cases)
--- Primary and secondary syphilis: 5.8 per 100K people (6 cases)
--- Nonprimary and nonsecondary early syphilis: 5.8 per 100K people (6 cases)
#33. Dallas County
SevenMaps // Shutterstock
- Chlamydia cases: 339.1 per 100K people (35 cases)
- Gonorrhea cases: 48.4 per 100K people (5 cases)
- Syphilis cases (non-congenital): 9.7 per 100K people (1 case)
--- Primary and secondary syphilis: 9.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#32. Montgomery County
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- Chlamydia cases: 344.2 per 100K people (44 cases)
- Gonorrhea cases: 39.1 per 100K people (5 cases)
- Syphilis cases (non-congenital): 15.6 per 100K people (2 cases)
--- Primary and secondary syphilis: 7.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 7.8 per 100K people (1 case)
#31. Wright County
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- Chlamydia cases: 346.2 per 100K people (115 cases)
- Gonorrhea cases: 195.7 per 100K people (65 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#30. Lee County
Jonathan Park // Shutterstock
- Chlamydia cases: 347.7 per 100K people (40 cases)
- Gonorrhea cases: 86.9 per 100K people (10 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#29. Cherokee County
Kelsey Haugen // Shutterstock
- Chlamydia cases: 349.5 per 100K people (42 cases)
- Gonorrhea cases: 83.2 per 100K people (10 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#28. Union County
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- Chlamydia cases: 359.4 per 100K people (79 cases)
- Gonorrhea cases: 150.1 per 100K people (33 cases)
- Syphilis cases (non-congenital): 9.1 per 100K people (2 cases)
--- Primary and secondary syphilis: 4.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 4.5 per 100K people (1 case)
#27. Mahaska County
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- Chlamydia cases: 363.1 per 100K people (36 cases)
- Gonorrhea cases: 121.0 per 100K people (12 cases)
- Syphilis cases (non-congenital): 10.1 per 100K people (1 case)
--- Primary and secondary syphilis: 10.1 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#26. Keokuk County
Life Atlas Photography // Shutterstock
- Chlamydia cases: 366.5 per 100K people (17 cases)
- Gonorrhea cases: 43.1 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#25. Ringgold County
Kuehner // Shutterstock
- Chlamydia cases: 368.7 per 100K people (71 case)
- Gonorrhea cases: 119.4 per 100K people (23 cases)
- Syphilis cases (non-congenital): 5.2 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 5.2 per 100K people (1 case)
#24. Fayette County
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- Chlamydia cases: 379.3 per 100K people (162 cases)
- Gonorrhea cases: 201.4 per 100K people (86 cases)
- Syphilis cases (non-congenital): 11.7 per 100K people (5 cases)
--- Primary and secondary syphilis: 7.0 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 4.7 per 100K people (2 cases)
#23. Cerro Gordo County
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- Chlamydia cases: 389.6 per 100K people (58 cases)
- Gonorrhea cases: 100.8 per 100K people (15 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#22. Hamilton County
PICTOR PICTURES // Shutterstock
- Chlamydia cases: 397.3 per 100K people (81 case)
- Gonorrhea cases: 181.5 per 100K people (37 cases)
- Syphilis cases (non-congenital): 19.6 per 100K people (4 cases)
--- Primary and secondary syphilis: 14.7 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 4.9 per 100K people (1 case)
#21. Henry County
SevenMaps // Shutterstock
- Chlamydia cases: 413.0 per 100K people (69 cases)
- Gonorrhea cases: 137.7 per 100K people (23 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#20. Hardin County
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- Chlamydia cases: 444.6 per 100K people (72 cases)
- Gonorrhea cases: 61.8 per 100K people (10 cases)
- Syphilis cases (non-congenital): 12.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 12.4 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#19. Crawford County
Lucas Oglesbee // Shutterstock
- Chlamydia cases: 444.7 per 100K people (75 cases)
- Gonorrhea cases: 213.4 per 100K people (36 cases)
- Syphilis cases (non-congenital): 5.9 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 5.9 per 100K people (1 case)
#18. Tama County
Naw Eh Wah // Shutterstock
- Chlamydia cases: 462.2 per 100K people (96 cases)
- Gonorrhea cases: 67.4 per 100K people (14 cases)
- Syphilis cases (non-congenital): 4.8 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 4.8 per 100K people (1 case)
#17. Buena Vista County
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- Chlamydia cases: 487.3 per 100K people (208 cases)
- Gonorrhea cases: 105.4 per 100K people (45 cases)
- Syphilis cases (non-congenital): 9.4 per 100K people (4 cases)
--- Primary and secondary syphilis: 7.0 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 2.3 per 100K people (1 case)
#16. Muscatine County
SevenMaps // Shutterstock
- Chlamydia cases: 502.4 per 100K people (50 cases)
- Gonorrhea cases: 160.8 per 100K people (16 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
#15. Franklin County
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- Chlamydia cases: 516.6 per 100K people (510 cases)
- Gonorrhea cases: 243.1 per 100K people (240 cases)
- Syphilis cases (non-congenital): 12.2 per 100K people (12 cases)
--- Primary and secondary syphilis: 6.1 per 100K people (6 cases)
--- Nonprimary and nonsecondary early syphilis: 6.1 per 100K people (6 cases)
#14. Dubuque County
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- Chlamydia cases: 521.9 per 100K people (487 cases)
- Gonorrhea cases: 225.1 per 100K people (210 cases)
- Syphilis cases (non-congenital): 31.1 per 100K people (29 cases)
--- Primary and secondary syphilis: 21.4 per 100K people (20 cases)
--- Nonprimary and nonsecondary early syphilis: 9.6 per 100K people (9 cases)
#13. Pottawattamie County
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- Chlamydia cases: 546.4 per 100K people (1,251 case)
- Gonorrhea cases: 169.9 per 100K people (389 cases)
- Syphilis cases (non-congenital): 9.6 per 100K people (22 cases)
--- Primary and secondary syphilis: 4.8 per 100K people (11 case)
--- Nonprimary and nonsecondary early syphilis: 4.8 per 100K people (11 case)
#12. Linn County
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- Chlamydia cases: 549.5 per 100K people (219 cases)
- Gonorrhea cases: 173.1 per 100K people (69 cases)
- Syphilis cases (non-congenital): 5.0 per 100K people (2 cases)
--- Primary and secondary syphilis: 2.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 2.5 per 100K people (1 case)
#11. Marshall County
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- Chlamydia cases: 603.7 per 100K people (74 cases)
- Gonorrhea cases: 244.8 per 100K people (30 cases)
- Syphilis cases (non-congenital): 8.2 per 100K people (1 case)
--- Primary and secondary syphilis: 8.2 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#10. Appanoose County
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- Chlamydia cases: 614.3 per 100K people (1,070 cases)
- Gonorrhea cases: 339.9 per 100K people (592 cases)
- Syphilis cases (non-congenital): 14.4 per 100K people (25 cases)
--- Primary and secondary syphilis: 10.3 per 100K people (18 cases)
--- Nonprimary and nonsecondary early syphilis: 4.0 per 100K people (7 cases)
#9. Scott County
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- Chlamydia cases: 665.6 per 100K people (1,030 cases)
- Gonorrhea cases: 145.4 per 100K people (225 cases)
- Syphilis cases (non-congenital): 34.9 per 100K people (54 cases)
--- Primary and secondary syphilis: 22.0 per 100K people (34 cases)
--- Nonprimary and nonsecondary early syphilis: 12.9 per 100K people (20 cases)
#8. Johnson County
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- Chlamydia cases: 668.8 per 100K people (3,323 cases)
- Gonorrhea cases: 381.4 per 100K people (1,895 cases)
- Syphilis cases (non-congenital): 43.7 per 100K people (217 cases)
--- Primary and secondary syphilis: 24.8 per 100K people (123 cases)
--- Nonprimary and nonsecondary early syphilis: 18.9 per 100K people (94 cases)
#7. Polk County
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- Chlamydia cases: 678.4 per 100K people (252 cases)
- Gonorrhea cases: 371.5 per 100K people (138 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)
#6. Webster County
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- Chlamydia cases: 685.6 per 100K people (682 cases)
- Gonorrhea cases: 139.7 per 100K people (139 cases)
- Syphilis cases (non-congenital): 16.1 per 100K people (16 cases)
--- Primary and secondary syphilis: 8.0 per 100K people (8 cases)
--- Nonprimary and nonsecondary early syphilis: 8.0 per 100K people (8 cases)
#5. Story County
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- Chlamydia cases: 692.1 per 100K people (244 cases)
- Gonorrhea cases: 269.5 per 100K people (95 cases)
- Syphilis cases (non-congenital): 5.7 per 100K people (2 cases)
--- Primary and secondary syphilis: 2.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 2.8 per 100K people (1 case)
#4. Wapello County
Eddie J. Rodriquez // Shutterstock
- Chlamydia cases: 745.6 per 100K people (287 cases)
- Gonorrhea cases: 394.9 per 100K people (152 cases)
- Syphilis cases (non-congenital): 7.8 per 100K people (3 cases)
--- Primary and secondary syphilis: 5.2 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 2.6 per 100K people (1 case)
#3. Des Moines County
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- Chlamydia cases: 778.4 per 100K people (822 cases)
- Gonorrhea cases: 403.4 per 100K people (426 cases)
- Syphilis cases (non-congenital): 23.7 per 100K people (25 cases)
--- Primary and secondary syphilis: 14.2 per 100K people (15 cases)
--- Nonprimary and nonsecondary early syphilis: 9.5 per 100K people (10 cases)
#2. Woodbury County
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- Chlamydia cases: 845.3 per 100K people (1,102 cases)
- Gonorrhea cases: 396.6 per 100K people (517 cases)
- Syphilis cases (non-congenital): 26.1 per 100K people (34 cases)
--- Primary and secondary syphilis: 16.9 per 100K people (22 cases)
--- Nonprimary and nonsecondary early syphilis: 9.2 per 100K people (12 cases)

This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.

#1. Black Hawk County
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