Counties with the highest STI rates in Montana

Emma Rubin // Stacker
- Chlamydia cases: 364.2 per 100K (#41 nationally, 4,089 cases)
- Gonorrhea cases: 116.8 per 100K (#41 nationally, 1,311 cases)
- Primary and secondary syphilis cases: 28.9 per 100K (#7 nationally, 325 cases)
State-level statistics
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- Chlamydia cases: 48.9 per 100K people (1 case)
- Gonorrhea cases: 48.9 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#50. Judith Basin County
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- Chlamydia cases: 58.2 per 100K people (1 case)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#49. Mccone County
Teresa Otto // Shutterstock
- Chlamydia cases: 70.0 per 100K people (1 case)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#48. Carter County
Danita Delimont // Shutterstock
- Chlamydia cases: 82.3 per 100K people (4 cases)
- Gonorrhea cases: 82.3 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#47. Mineral County
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- Chlamydia cases: 82.7 per 100K people (1 case)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#46. Garfield County
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- Chlamydia cases: 85.8 per 100K people (15 cases)
- Gonorrhea cases: 28.6 per 100K people (5 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#45. Park County
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- Chlamydia cases: 96.0 per 100K people (7 cases)
- Gonorrhea cases: 54.9 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#44. Broadwater County
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- Chlamydia cases: 110.6 per 100K people (12 cases)
- Gonorrhea cases: 18.4 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#43. Carbon County
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- Chlamydia cases: 112.1 per 100K people (10 cases)
- Gonorrhea cases: 33.6 per 100K people (3 cases)
- Syphilis cases (non-congenital): 22.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 22.4 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#42. Madison County
Drew Halverson // Shutterstock
- Chlamydia cases: 115.7 per 100K people (15 cases)
- Gonorrhea cases: 15.4 per 100K people (2 cases)
- Syphilis cases (non-congenital): 7.7 per 100K people (1 case)
--- Primary and secondary syphilis: 7.7 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#41. Sanders County
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- Chlamydia cases: 118.6 per 100K people (2 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#40. Daniels County
Laurens Hoddenbagh // Shutterstock
- Chlamydia cases: 119.4 per 100K people (9 cases)
- Gonorrhea cases: 26.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 39.8 per 100K people (3 cases)
--- Primary and secondary syphilis: 26.5 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 13.3 per 100K people (1 case)
#39. Valley County
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- Chlamydia cases: 119.6 per 100K people (4 cases)
- Gonorrhea cases: 29.9 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#38. Granite County
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- Chlamydia cases: 120.3 per 100K people (1 case)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#37. Golden Valley County
George Sc // Shutterstock
- Chlamydia cases: 132.6 per 100K people (4 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#36. Fallon County
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- Chlamydia cases: 134.3 per 100K people (5 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#35. Sweet Grass County
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- Chlamydia cases: 135.2 per 100K people (8 cases)
- Gonorrhea cases: 16.9 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#34. Chouteau County
panoglobe // Shutterstock
- Chlamydia cases: 139.7 per 100K people (7 cases)
- Gonorrhea cases: 20.0 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#33. Toole County
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- Chlamydia cases: 143.0 per 100K people (7 cases)
- Gonorrhea cases: 102.1 per 100K people (5 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#32. Musselshell County
TylorOlsen // Shutterstock
- Chlamydia cases: 148.0 per 100K people (68 cases)
- Gonorrhea cases: 17.4 per 100K people (8 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#31. Ravalli County
davidrh // Shutterstock
- Chlamydia cases: 165.9 per 100K people (15 cases)
- Gonorrhea cases: 88.5 per 100K people (8 cases)
- Syphilis cases (non-congenital): 11.1 per 100K people (1 case)
--- Primary and secondary syphilis: 11.1 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#30. Stillwater County
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- Chlamydia cases: 176.3 per 100K people (3 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#29. Powder River County
melissamn // Shutterstock
- Chlamydia cases: 185.1 per 100K people (38 cases)
- Gonorrhea cases: 4.9 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#28. Lincoln County
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- Chlamydia cases: 190.9 per 100K people (17 cases)
- Gonorrhea cases: 67.4 per 100K people (6 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#27. Dawson County
davidrh // Shutterstock
- Chlamydia cases: 192.5 per 100K people (24 cases)
- Gonorrhea cases: 32.1 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#26. Jefferson County
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- Chlamydia cases: 194.3 per 100K people (4 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#25. Wheatland County
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- Chlamydia cases: 203.7 per 100K people (4 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#24. Meagher County
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- Chlamydia cases: 214.1 per 100K people (2 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#23. Wibaux County
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- Chlamydia cases: 221.3 per 100K people (240 cases)
- Gonorrhea cases: 26.7 per 100K people (29 cases)
- Syphilis cases (non-congenital): 2.8 per 100K people (3 cases)
--- Primary and secondary syphilis: 2.8 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#22. Flathead County
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- Chlamydia cases: 221.3 per 100K people (21 case)
- Gonorrhea cases: 63.2 per 100K people (6 cases)
- Syphilis cases (non-congenital): 10.5 per 100K people (1 case)
--- Primary and secondary syphilis: 10.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#21. Deer Lodge County
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- Chlamydia cases: 238.5 per 100K people (10 cases)
- Gonorrhea cases: 143.1 per 100K people (6 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#20. Phillips County
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- Chlamydia cases: 243.7 per 100K people (176 cases)
- Gonorrhea cases: 44.3 per 100K people (32 cases)
- Syphilis cases (non-congenital): 4.2 per 100K people (3 cases)
--- Primary and secondary syphilis: 4.2 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#19. Lewis And Clark County
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- Chlamydia cases: 248.2 per 100K people (28 cases)
- Gonorrhea cases: 44.3 per 100K people (5 cases)
- Syphilis cases (non-congenital): 8.9 per 100K people (1 case)
--- Primary and secondary syphilis: 8.9 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#18. Richland County
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- Chlamydia cases: 284.1 per 100K people (33 cases)
- Gonorrhea cases: 34.4 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#17. Fergus County
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- Chlamydia cases: 315.0 per 100K people (30 cases)
- Gonorrhea cases: 31.5 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#16. Beaverhead County
Zack Frank // Shutterstock
- Chlamydia cases: 333.7 per 100K people (20 cases)
- Gonorrhea cases: 166.8 per 100K people (10 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#15. Pondera County
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- Chlamydia cases: 375.1 per 100K people (317 cases)
- Gonorrhea cases: 182.2 per 100K people (154 cases)
- Syphilis cases (non-congenital): 24.8 per 100K people (21 case)
--- Primary and secondary syphilis: 24.8 per 100K people (21 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#14. Cascade County
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- Chlamydia cases: 386.0 per 100K people (46 cases)
- Gonorrhea cases: 67.1 per 100K people (8 cases)
- Syphilis cases (non-congenital): 8.4 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 8.4 per 100K people (1 case)
#13. Custer County
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- Chlamydia cases: 397.4 per 100K people (475 cases)
- Gonorrhea cases: 64.4 per 100K people (77 cases)
- Syphilis cases (non-congenital): 10.0 per 100K people (12 cases)
--- Primary and secondary syphilis: 2.5 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 7.5 per 100K people (9 cases)
#12. Missoula County
Christopher Boswell // Shutterstock
- Chlamydia cases: 406.7 per 100K people (144 cases)
- Gonorrhea cases: 127.1 per 100K people (45 cases)
- Syphilis cases (non-congenital): 8.5 per 100K people (3 cases)
--- Primary and secondary syphilis: 8.5 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#11. Silver Bow County
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- Chlamydia cases: 442.7 per 100K people (740 cases)
- Gonorrhea cases: 256.7 per 100K people (429 cases)
- Syphilis cases (non-congenital): 7.2 per 100K people (12 cases)
--- Primary and secondary syphilis: 6.0 per 100K people (10 cases)
--- Nonprimary and nonsecondary early syphilis: 1.2 per 100K people (2 cases)
#10. Yellowstone County
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- Chlamydia cases: 457.2 per 100K people (32 cases)
- Gonorrhea cases: 42.9 per 100K people (3 cases)
- Syphilis cases (non-congenital): 14.3 per 100K people (1 case)
--- Primary and secondary syphilis: 14.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#9. Powell County
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- Chlamydia cases: 471.8 per 100K people (579 cases)
- Gonorrhea cases: 39.1 per 100K people (48 cases)
- Syphilis cases (non-congenital): 3.3 per 100K people (4 cases)
--- Primary and secondary syphilis: 2.4 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: .8 per 100K people (1 case)
#8. Gallatin County
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- Chlamydia cases: 536.9 per 100K people (172 cases)
- Gonorrhea cases: 162.3 per 100K people (52 cases)
- Syphilis cases (non-congenital): 3.1 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 3.1 per 100K people (1 case)
#7. Lake County
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- Chlamydia cases: 573.1 per 100K people (40 cases)
- Gonorrhea cases: 329.5 per 100K people (23 cases)
- Syphilis cases (non-congenital): 14.3 per 100K people (1 case)
--- Primary and secondary syphilis: 14.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#6. Blaine County
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- Chlamydia cases: 797.3 per 100K people (129 cases)
- Gonorrhea cases: 506.8 per 100K people (82 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
#5. Hill County
Dirk Wierenga // Shutterstock
- Chlamydia cases: 856.0 per 100K people (118 cases)
- Gonorrhea cases: 464.3 per 100K people (64 cases)
- Syphilis cases (non-congenital): 101.6 per 100K people (14 cases)
--- Primary and secondary syphilis: 94.3 per 100K people (13 cases)
--- Nonprimary and nonsecondary early syphilis: 7.3 per 100K people (1 case)
#4. Glacier County
Logan Bush // Shutterstock
- Chlamydia cases: 923.2 per 100K people (75 cases)
- Gonorrhea cases: 529.3 per 100K people (43 cases)
- Syphilis cases (non-congenital): 12.3 per 100K people (1 case)
--- Primary and secondary syphilis: 12.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#3. Rosebud County
Andrew Fuller // Shutterstock
- Chlamydia cases: 1,173.6 per 100K people (127 cases)
- Gonorrhea cases: 942.6 per 100K people (102 cases)
- Syphilis cases (non-congenital): 249.5 per 100K people (27 cases)
--- Primary and secondary syphilis: 194.1 per 100K people (21 case)
--- Nonprimary and nonsecondary early syphilis: 55.4 per 100K people (6 cases)
#2. Roosevelt County
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- Chlamydia cases: 1,296.6 per 100K people (168 cases)
- Gonorrhea cases: 1,234.9 per 100K people (160 cases)
- Syphilis cases (non-congenital): 15.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 15.4 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases

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

#1. Big Horn County
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