Counties with the highest STI rates in North Dakota

Emma Rubin // Stacker
- Chlamydia cases: 475.3 per 100K (#25 nationally, 3,704 cases)
- Gonorrhea cases: 183.0 per 100K (#22 nationally, 1,426 cases)
- Primary and secondary syphilis cases: 8.2 per 100K (#43 nationally, 64 cases)
State-level statistics
SevenMaps // Shutterstock
- Chlamydia cases: 55.2 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
#50. Steele County
Cammie Czuchnicki // Shutterstock
- Chlamydia cases: 61.1 per 100K people (2 cases)
- Gonorrhea cases: 61.1 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#49. Emmons County
SevenMaps // Shutterstock
- Chlamydia cases: 76.8 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
#48. Wells County
Jacob Boomsma // Shutterstock
- Chlamydia cases: 81.7 per 100K people (4 cases)
- Gonorrhea cases: 61.3 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#47. Dickey County
dedio // Shutterstock
- Chlamydia cases: 81.9 per 100K people (3 cases)
- Gonorrhea cases: 27.3 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#46. Cavalier County
northlight // Shutterstock
- Chlamydia cases: 84.4 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
#45. Kidder County
SevenMaps // Shutterstock
- Chlamydia cases: 87.7 per 100K people (2 cases)
- Gonorrhea cases: 43.8 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#44. Griggs County
Charissa Enget // Shutterstock
- Chlamydia cases: 92.7 per 100K people (2 cases)
- Gonorrhea cases: 92.7 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. Burke County
Dirk Wierenga // Shutterstock
- Chlamydia cases: 98.2 per 100K people (3 cases)
- Gonorrhea cases: 32.7 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#42. Nelson County
SevenMaps // Shutterstock
- Chlamydia cases: 98.4 per 100K people (4 cases)
- Gonorrhea cases: 49.2 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#41. Lamoure County
SevenMaps // Shutterstock
- Chlamydia cases: 106.2 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. Logan County
northlight // Shutterstock
- Chlamydia cases: 120.1 per 100K people (10 cases)
- Gonorrhea cases: 96.1 per 100K people (8 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#39. Mercer County
Zack Frank // Shutterstock
- Chlamydia cases: 128.4 per 100K people (3 cases)
- Gonorrhea cases: 128.4 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#38. Eddy County
Dirk Wierenga // Shutterstock
- Chlamydia cases: 133.4 per 100K people (7 cases)
- Gonorrhea cases: 38.1 per 100K people (2 cases)
- Syphilis cases (non-congenital): 19.1 per 100K people (1 case)
--- Primary and secondary syphilis: 19.1 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#37. Mchenry County
SevenMaps // Shutterstock
- Chlamydia cases: 148.6 per 100K people (5 cases)
- Gonorrhea cases: 118.9 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#36. Foster County
Danita Delimont // Shutterstock
- Chlamydia cases: 158.6 per 100K people (9 cases)
- Gonorrhea cases: 17.6 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#35. Ransom County
Roadwardbound // Shutterstock
- Chlamydia cases: 172.2 per 100K people (4 cases)
- Gonorrhea cases: 172.2 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#34. Grant County
SevenMaps // Shutterstock
- Chlamydia cases: 176.5 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
#33. Renville County
SevenMaps // Shutterstock
- Chlamydia cases: 182.8 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
#32. Divide County
Bob Pool // Shutterstock
- Chlamydia cases: 192.1 per 100K people (13 cases)
- Gonorrhea cases: 14.8 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#31. Pembina County
SevenMaps // Shutterstock
- Chlamydia cases: 199.0 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
#30. Mcintosh County
Smpalmero // Shutterstock
- Chlamydia cases: 204.2 per 100K people (20 cases)
- Gonorrhea cases: 81.7 per 100K people (8 cases)
- Syphilis cases (non-congenital): 10.2 per 100K people (1 case)
--- Primary and secondary syphilis: 10.2 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#29. Mclean County
Randall Runtsch // Shutterstock
- Chlamydia cases: 209.4 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
#28. Billings County
northlight // Shutterstock
- Chlamydia cases: 230.7 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
#27. Adams County
SevenMaps // Shutterstock
- Chlamydia cases: 236.6 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
#26. Sheridan County
Traveller70 // Shutterstock
- Chlamydia cases: 247.8 per 100K people (10 cases)
- Gonorrhea cases: 24.8 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#25. Dunn County
StompingGirl // Shutterstock
- Chlamydia cases: 261.2 per 100K people (10 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. Sargent County
SevenMaps // Shutterstock
- Chlamydia cases: 262.4 per 100K people (21 case)
- Gonorrhea cases: 50.0 per 100K people (4 cases)
- Syphilis cases (non-congenital): 12.5 per 100K people (1 case)
--- Primary and secondary syphilis: 12.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#23. Traill County
Canva
- Chlamydia cases: 267.5 per 100K people (28 cases)
- Gonorrhea cases: 28.7 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#22. Walsh County
Canva
- Chlamydia cases: 278.3 per 100K people (11 case)
- Gonorrhea cases: 151.8 per 100K people (6 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#21. Pierce County
Canva
- Chlamydia cases: 296.1 per 100K people (32 cases)
- Gonorrhea cases: 46.3 per 100K people (5 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#20. Barnes County
Bob Pool // Shutterstock
- Chlamydia cases: 330.2 per 100K people (111 case)
- Gonorrhea cases: 178.5 per 100K people (60 cases)
- Syphilis cases (non-congenital): 14.9 per 100K people (5 cases)
--- Primary and secondary syphilis: 14.9 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#19. Morton County
Tanyarmorgan2436 // Shutterstock
- Chlamydia cases: 332.9 per 100K people (46 cases)
- Gonorrhea cases: 115.8 per 100K people (16 cases)
- Syphilis cases (non-congenital): 7.2 per 100K people (1 case)
--- Primary and secondary syphilis: 7.2 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#18. Mckenzie County
Canva
- Chlamydia cases: 350.2 per 100K people (58 cases)
- Gonorrhea cases: 175.1 per 100K people (29 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#17. Richland County
Cavan-Images // Shutterstock
- Chlamydia cases: 372.2 per 100K people (123 cases)
- Gonorrhea cases: 63.5 per 100K people (21 case)
- Syphilis cases (non-congenital): 21.2 per 100K people (7 cases)
--- Primary and secondary syphilis: 18.2 per 100K people (6 cases)
--- Nonprimary and nonsecondary early syphilis: 3.0 per 100K people (1 case)
#16. Stark County
SevenMaps // Shutterstock
- Chlamydia cases: 373.8 per 100K people (8 cases)
- Gonorrhea cases: 280.4 per 100K people (6 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#15. Towner County
SevenMaps // Shutterstock
- Chlamydia cases: 391.2 per 100K people (25 cases)
- Gonorrhea cases: 46.9 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#14. Bottineau County
Canva
- Chlamydia cases: 400.2 per 100K people (154 cases)
- Gonorrhea cases: 122.1 per 100K people (47 cases)
- Syphilis cases (non-congenital): 15.6 per 100K people (6 cases)
--- Primary and secondary syphilis: 10.4 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 5.2 per 100K people (2 cases)
#13. Williams County
Jacob Boomsma // Shutterstock
- Chlamydia cases: 477.4 per 100K people (103 cases)
- Gonorrhea cases: 166.9 per 100K people (36 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#12. Stutsman County
Joseph Sohm // Shutterstock
- Chlamydia cases: 511.5 per 100K people (506 cases)
- Gonorrhea cases: 184.0 per 100K people (182 cases)
- Syphilis cases (non-congenital): 14.2 per 100K people (14 cases)
--- Primary and secondary syphilis: 12.1 per 100K people (12 cases)
--- Nonprimary and nonsecondary early syphilis: 2.0 per 100K people (2 cases)
#11. Burleigh County
Yosoyana // Shutterstock
- Chlamydia cases: 525.5 per 100K people (363 cases)
- Gonorrhea cases: 227.3 per 100K people (157 cases)
- Syphilis cases (non-congenital): 11.6 per 100K people (8 cases)
--- Primary and secondary syphilis: 7.2 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 4.3 per 100K people (3 cases)
#10. Ward County
Scott Cummings // Shutterstock
- Chlamydia cases: 565.0 per 100K people (10 cases)
- Gonorrhea cases: 226.0 per 100K people (4 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#9. Golden Valley County
Guy William // Shutterstock
- Chlamydia cases: 611.1 per 100K people (1,140 cases)
- Gonorrhea cases: 249.8 per 100K people (466 cases)
- Syphilis cases (non-congenital): 8.6 per 100K people (16 cases)
--- Primary and secondary syphilis: 4.3 per 100K people (8 cases)
--- Nonprimary and nonsecondary early syphilis: 4.3 per 100K people (8 cases)
#8. Cass County
Jacob Boomsma // Shutterstock
- Chlamydia cases: 676.7 per 100K people (492 cases)
- Gonorrhea cases: 258.6 per 100K people (188 cases)
- Syphilis cases (non-congenital): 6.9 per 100K people (5 cases)
--- Primary and secondary syphilis: 5.5 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 1.4 per 100K people (1 case)
#7. Grand Forks County
Kit Leong // Shutterstock
- Chlamydia cases: 710.1 per 100K people (68 cases)
- Gonorrhea cases: 386.4 per 100K people (37 cases)
- Syphilis cases (non-congenital): 41.8 per 100K people (4 cases)
--- Primary and secondary syphilis: 10.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 31.3 per 100K people (3 cases)
#6. Mountrail County
northlight // Shutterstock
- Chlamydia cases: 740.7 per 100K people (18 cases)
- Gonorrhea cases: 535.0 per 100K people (13 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#5. Hettinger County
Michael Coddington // Shutterstock
- Chlamydia cases: 838.2 per 100K people (97 cases)
- Gonorrhea cases: 527.1 per 100K people (61 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#4. Ramsey County
Joseph Sohm // Shutterstock
- Chlamydia cases: 1,658.6 per 100K people (62 cases)
- Gonorrhea cases: 1,498.1 per 100K people (56 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#3. Sioux County
SevenMaps // Shutterstock
- Chlamydia cases: 1,801.1 per 100K people (217 cases)
- Gonorrhea cases: 1,485.7 per 100K people (179 cases)
- Syphilis cases (non-congenital): 16.6 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 16.6 per 100K people (2 cases)
#2. Rolette County
SevenMaps // Shutterstock
- Chlamydia cases: 2,186.3 per 100K people (127 cases)
- Gonorrhea cases: 1,893.6 per 100K people (110 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 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. Benson County
Canva