Counties with the highest STI rates in South Dakota

Emma Rubin // Stacker
- Chlamydia cases: 567.1 per 100K (#10 nationally, 5,160 cases)
- Gonorrhea cases: 337.1 per 100K (#2 nationally, 3,067 cases)
- Primary and secondary syphilis cases: 84.3 per 100K (#1 nationally, 767 cases)
- Gonorrhea cases: 337.1 per 100K (#2 nationally, 3,067 cases)
- Primary and secondary syphilis cases: 84.3 per 100K (#1 nationally, 767 cases)
State-level statistics

Jacob Boomsma // Shutterstock
- Chlamydia cases: 141.9 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
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#50. Perkins County

SevenMaps // Shutterstock
- Chlamydia cases: 163.9 per 100K people (7 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 23.4 per 100K people (1 case)
--- Primary and secondary syphilis: 23.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 23.4 per 100K people (1 case)
--- Primary and secondary syphilis: 23.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#49. Deuel County

vagabond54 // Shutterstock
- Chlamydia cases: 166.2 per 100K people (9 cases)
- Gonorrhea cases: 55.4 per 100K people (3 cases)
- Syphilis cases (non-congenital): 18.5 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 18.5 per 100K people (1 case)
- Gonorrhea cases: 55.4 per 100K people (3 cases)
- Syphilis cases (non-congenital): 18.5 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 18.5 per 100K people (1 case)
#48. Day County

Canva
- Chlamydia cases: 172.9 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
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#47. Miner County

Canva
- Chlamydia cases: 192.6 per 100K people (10 cases)
- Gonorrhea cases: 38.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 38.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#46. Kingsbury County

SevenMaps // Shutterstock
- Chlamydia cases: 193.9 per 100K people (6 cases)
- Gonorrhea cases: 32.3 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 32.3 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#45. Hand County

Bennekom // Shutterstock
- Chlamydia cases: 199.6 per 100K people (14 cases)
- Gonorrhea cases: 28.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 28.5 per 100K people (2 cases)
--- Primary and secondary syphilis: 14.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 14.3 per 100K people (1 case)
- Gonorrhea cases: 28.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 28.5 per 100K people (2 cases)
--- Primary and secondary syphilis: 14.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 14.3 per 100K people (1 case)
#44. Bon Homme County

Sabrina Janelle Gordon // Shutterstock
- Chlamydia cases: 201.5 per 100K people (34 cases)
- Gonorrhea cases: 88.9 per 100K people (15 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 88.9 per 100K people (15 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#43. Union County

Jacob Boomsma // Shutterstock
- Chlamydia cases: 202.0 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
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#42. Potter County

Canva
- Chlamydia cases: 210.3 per 100K people (5 cases)
- Gonorrhea cases: 42.1 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 42.1 per 100K people (1 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#41. Sanborn County

melissamn // Shutterstock
- Chlamydia cases: 218.3 per 100K people (6 cases)
- Gonorrhea cases: 72.8 per 100K people (2 cases)
- Syphilis cases (non-congenital): 36.4 per 100K people (1 case)
--- Primary and secondary syphilis: 36.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 72.8 per 100K people (2 cases)
- Syphilis cases (non-congenital): 36.4 per 100K people (1 case)
--- Primary and secondary syphilis: 36.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#40. Aurora County
Canva
- Chlamydia cases: 221.2 per 100K people (24 cases)
- Gonorrhea cases: 46.1 per 100K people (5 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 46.1 per 100K people (5 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#39. Lake County

Canva
- Chlamydia cases: 227.5 per 100K people (2 cases)
- Gonorrhea cases: 568.8 per 100K people (5 cases)
- Syphilis cases (non-congenital): 227.5 per 100K people (2 cases)
--- Primary and secondary syphilis: 227.5 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 568.8 per 100K people (5 cases)
- Syphilis cases (non-congenital): 227.5 per 100K people (2 cases)
--- Primary and secondary syphilis: 227.5 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#38. Jones County

SevenMaps // Shutterstock
- Chlamydia cases: 232.3 per 100K people (10 cases)
- Gonorrhea cases: 46.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 46.5 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#37. Marshall County

SevenMaps // Shutterstock
- Chlamydia cases: 256.8 per 100K people (9 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 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. Hanson County

Patrick Ziegler // Shutterstock
- Chlamydia cases: 263.4 per 100K people (15 cases)
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 17.6 per 100K people (1 case)
--- Primary and secondary syphilis: 17.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 0 cases
- Syphilis cases (non-congenital): 17.6 per 100K people (1 case)
--- Primary and secondary syphilis: 17.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#35. Mccook County

Jacob Boomsma // Shutterstock
- Chlamydia cases: 264.1 per 100K people (23 cases)
- Gonorrhea cases: 23.0 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 23.0 per 100K people (2 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#34. Turner County

Canva
- Chlamydia cases: 268.2 per 100K people (182 cases)
- Gonorrhea cases: 82.5 per 100K people (56 cases)
- Syphilis cases (non-congenital): 5.9 per 100K people (4 cases)
--- Primary and secondary syphilis: 2.9 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 2.9 per 100K people (2 cases)
- Gonorrhea cases: 82.5 per 100K people (56 cases)
- Syphilis cases (non-congenital): 5.9 per 100K people (4 cases)
--- Primary and secondary syphilis: 2.9 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 2.9 per 100K people (2 cases)
#33. Lincoln County
Canva
- Chlamydia cases: 277.2 per 100K people (53 cases)
- Gonorrhea cases: 68.0 per 100K people (13 cases)
- Syphilis cases (non-congenital): 5.2 per 100K people (1 case)
--- Primary and secondary syphilis: 5.2 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 68.0 per 100K people (13 cases)
- Syphilis cases (non-congenital): 5.2 per 100K people (1 case)
--- Primary and secondary syphilis: 5.2 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#32. Beadle County

Canva
- Chlamydia cases: 315.6 per 100K people (33 cases)
- Gonorrhea cases: 95.6 per 100K people (10 cases)
- Syphilis cases (non-congenital): 28.7 per 100K people (3 cases)
--- Primary and secondary syphilis: 28.7 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 95.6 per 100K people (10 cases)
- Syphilis cases (non-congenital): 28.7 per 100K people (3 cases)
--- Primary and secondary syphilis: 28.7 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#31. Butte County
Canva
- Chlamydia cases: 320.1 per 100K people (91 case)
- Gonorrhea cases: 87.9 per 100K people (25 cases)
- Syphilis cases (non-congenital): 14.1 per 100K people (4 cases)
--- Primary and secondary syphilis: 3.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 10.6 per 100K people (3 cases)
- Gonorrhea cases: 87.9 per 100K people (25 cases)
- Syphilis cases (non-congenital): 14.1 per 100K people (4 cases)
--- Primary and secondary syphilis: 3.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 10.6 per 100K people (3 cases)
#30. Codington County
Canva
- Chlamydia cases: 333.4 per 100K people (59 cases)
- Gonorrhea cases: 293.9 per 100K people (52 cases)
- Syphilis cases (non-congenital): 96.1 per 100K people (17 cases)
--- Primary and secondary syphilis: 50.9 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 45.2 per 100K people (8 cases)
- Gonorrhea cases: 293.9 per 100K people (52 cases)
- Syphilis cases (non-congenital): 96.1 per 100K people (17 cases)
--- Primary and secondary syphilis: 50.9 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 45.2 per 100K people (8 cases)
#29. Hughes County

Canva
- Chlamydia cases: 351.3 per 100K people (106 cases)
- Gonorrhea cases: 96.1 per 100K people (29 cases)
- Syphilis cases (non-congenital): 33.1 per 100K people (10 cases)
--- Primary and secondary syphilis: 23.2 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 9.9 per 100K people (3 cases)
- Gonorrhea cases: 96.1 per 100K people (29 cases)
- Syphilis cases (non-congenital): 33.1 per 100K people (10 cases)
--- Primary and secondary syphilis: 23.2 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 9.9 per 100K people (3 cases)
#28. Meade County
Canva
- Chlamydia cases: 359.3 per 100K people (94 cases)
- Gonorrhea cases: 118.5 per 100K people (31 case)
- Syphilis cases (non-congenital): 22.9 per 100K people (6 cases)
--- Primary and secondary syphilis: 15.3 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 7.6 per 100K people (2 cases)
- Gonorrhea cases: 118.5 per 100K people (31 case)
- Syphilis cases (non-congenital): 22.9 per 100K people (6 cases)
--- Primary and secondary syphilis: 15.3 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 7.6 per 100K people (2 cases)
#27. Lawrence County

Jacob Boomsma // Shutterstock
- Chlamydia cases: 364.8 per 100K people (139 cases)
- Gonorrhea cases: 68.2 per 100K people (26 cases)
- Syphilis cases (non-congenital): 13.1 per 100K people (5 cases)
--- Primary and secondary syphilis: 10.5 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 2.6 per 100K people (1 case)
- Gonorrhea cases: 68.2 per 100K people (26 cases)
- Syphilis cases (non-congenital): 13.1 per 100K people (5 cases)
--- Primary and secondary syphilis: 10.5 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 2.6 per 100K people (1 case)
#26. Brown County

Canva
- Chlamydia cases: 374.9 per 100K people (27 cases)
- Gonorrhea cases: 125.0 per 100K people (9 cases)
- Syphilis cases (non-congenital): 55.5 per 100K people (4 cases)
--- Primary and secondary syphilis: 13.9 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 41.7 per 100K people (3 cases)
- Gonorrhea cases: 125.0 per 100K people (9 cases)
- Syphilis cases (non-congenital): 55.5 per 100K people (4 cases)
--- Primary and secondary syphilis: 13.9 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 41.7 per 100K people (3 cases)
#25. Fall River County
Canva
- Chlamydia cases: 381.5 per 100K people (7 cases)
- Gonorrhea cases: 163.5 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 163.5 per 100K people (3 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#24. Haakon County
Canva
- Chlamydia cases: 395.8 per 100K people (12 cases)
- Gonorrhea cases: 131.9 per 100K people (4 cases)
- Syphilis cases (non-congenital): 33.0 per 100K people (1 case)
--- Primary and secondary syphilis: 33.0 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 131.9 per 100K people (4 cases)
- Syphilis cases (non-congenital): 33.0 per 100K people (1 case)
--- Primary and secondary syphilis: 33.0 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#23. Stanley County

Canva
- Chlamydia cases: 399.2 per 100K people (93 cases)
- Gonorrhea cases: 141.6 per 100K people (33 cases)
- Syphilis cases (non-congenital): 25.8 per 100K people (6 cases)
--- Primary and secondary syphilis: 17.2 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 8.6 per 100K people (2 cases)
- Gonorrhea cases: 141.6 per 100K people (33 cases)
- Syphilis cases (non-congenital): 25.8 per 100K people (6 cases)
--- Primary and secondary syphilis: 17.2 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 8.6 per 100K people (2 cases)
#22. Yankton County

J K Laws // Shutterstock
- Chlamydia cases: 402.5 per 100K people (80 cases)
- Gonorrhea cases: 145.9 per 100K people (29 cases)
- Syphilis cases (non-congenital): 10.1 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 10.1 per 100K people (2 cases)
- Gonorrhea cases: 145.9 per 100K people (29 cases)
- Syphilis cases (non-congenital): 10.1 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 10.1 per 100K people (2 cases)
#21. Davison County

Jacob Boomsma // Shutterstock
- Chlamydia cases: 443.4 per 100K people (28 cases)
- Gonorrhea cases: 142.5 per 100K people (9 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 142.5 per 100K people (9 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#20. Moody County

Canva
- Chlamydia cases: 457.8 per 100K people (24 cases)
- Gonorrhea cases: 610.5 per 100K people (32 cases)
- Syphilis cases (non-congenital): 133.5 per 100K people (7 cases)
--- Primary and secondary syphilis: 57.2 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 76.3 per 100K people (4 cases)
- Gonorrhea cases: 610.5 per 100K people (32 cases)
- Syphilis cases (non-congenital): 133.5 per 100K people (7 cases)
--- Primary and secondary syphilis: 57.2 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 76.3 per 100K people (4 cases)
#19. Brule County

Canva
- Chlamydia cases: 513.9 per 100K people (178 cases)
- Gonorrhea cases: 89.5 per 100K people (31 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 89.5 per 100K people (31 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#18. Brookings County

Canva
- Chlamydia cases: 533.5 per 100K people (28 cases)
- Gonorrhea cases: 552.6 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: 552.6 per 100K people (29 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#17. Walworth County

Canva
- Chlamydia cases: 567.7 per 100K people (86 cases)
- Gonorrhea cases: 52.8 per 100K people (8 cases)
- Syphilis cases (non-congenital): 13.2 per 100K people (2 cases)
--- Primary and secondary syphilis: 6.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 6.6 per 100K people (1 case)
- Gonorrhea cases: 52.8 per 100K people (8 cases)
- Syphilis cases (non-congenital): 13.2 per 100K people (2 cases)
--- Primary and secondary syphilis: 6.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 6.6 per 100K people (1 case)
#16. Clay County

Jacob Boomsma // Shutterstock
- Chlamydia cases: 610.5 per 100K people (34 cases)
- Gonorrhea cases: 448.9 per 100K people (25 cases)
- Syphilis cases (non-congenital): 197.5 per 100K people (11 case)
--- Primary and secondary syphilis: 53.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 143.7 per 100K people (8 cases)
- Gonorrhea cases: 448.9 per 100K people (25 cases)
- Syphilis cases (non-congenital): 197.5 per 100K people (11 case)
--- Primary and secondary syphilis: 53.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 143.7 per 100K people (8 cases)
#15. Tripp County

Steven Frame // Shutterstock
- Chlamydia cases: 627.5 per 100K people (1,253 cases)
- Gonorrhea cases: 439.2 per 100K people (877 cases)
- Syphilis cases (non-congenital): 73.6 per 100K people (147 cases)
--- Primary and secondary syphilis: 46.1 per 100K people (92 cases)
--- Nonprimary and nonsecondary early syphilis: 27.5 per 100K people (55 cases)
- Gonorrhea cases: 439.2 per 100K people (877 cases)
- Syphilis cases (non-congenital): 73.6 per 100K people (147 cases)
--- Primary and secondary syphilis: 46.1 per 100K people (92 cases)
--- Nonprimary and nonsecondary early syphilis: 27.5 per 100K people (55 cases)
#14. Minnehaha County

Canva
- Chlamydia cases: 698.6 per 100K people (71 case)
- Gonorrhea cases: 285.3 per 100K people (29 cases)
- Syphilis cases (non-congenital): 29.5 per 100K people (3 cases)
--- Primary and secondary syphilis: 19.7 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 9.8 per 100K people (1 case)
- Gonorrhea cases: 285.3 per 100K people (29 cases)
- Syphilis cases (non-congenital): 29.5 per 100K people (3 cases)
--- Primary and secondary syphilis: 19.7 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 9.8 per 100K people (1 case)
#13. Roberts County

Canva
- Chlamydia cases: 770.5 per 100K people (29 cases)
- Gonorrhea cases: 956.4 per 100K people (36 cases)
- Syphilis cases (non-congenital): 79.7 per 100K people (3 cases)
--- Primary and secondary syphilis: 53.1 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 26.6 per 100K people (1 case)
- Gonorrhea cases: 956.4 per 100K people (36 cases)
- Syphilis cases (non-congenital): 79.7 per 100K people (3 cases)
--- Primary and secondary syphilis: 53.1 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 26.6 per 100K people (1 case)
#12. Lyman County

Canva
- Chlamydia cases: 794.2 per 100K people (888 cases)
- Gonorrhea cases: 751.3 per 100K people (840 cases)
- Syphilis cases (non-congenital): 189.6 per 100K people (212 cases)
--- Primary and secondary syphilis: 102.9 per 100K people (115 cases)
--- Nonprimary and nonsecondary early syphilis: 86.8 per 100K people (97 cases)
- Gonorrhea cases: 751.3 per 100K people (840 cases)
- Syphilis cases (non-congenital): 189.6 per 100K people (212 cases)
--- Primary and secondary syphilis: 102.9 per 100K people (115 cases)
--- Nonprimary and nonsecondary early syphilis: 86.8 per 100K people (97 cases)
#11. Pennington County

Canva
- Chlamydia cases: 851.2 per 100K people (78 cases)
- Gonorrhea cases: 578.4 per 100K people (53 cases)
- Syphilis cases (non-congenital): 98.2 per 100K people (9 cases)
--- Primary and secondary syphilis: 76.4 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 21.8 per 100K people (2 cases)
- Gonorrhea cases: 578.4 per 100K people (53 cases)
- Syphilis cases (non-congenital): 98.2 per 100K people (9 cases)
--- Primary and secondary syphilis: 76.4 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 21.8 per 100K people (2 cases)
#10. Charles Mix County

Jacob Boomsma // Shutterstock
- Chlamydia cases: 1,007.2 per 100K people (39 cases)
- Gonorrhea cases: 1,058.9 per 100K people (41 case)
- Syphilis cases (non-congenital): 77.5 per 100K people (3 cases)
--- Primary and secondary syphilis: 25.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 51.7 per 100K people (2 cases)
- Gonorrhea cases: 1,058.9 per 100K people (41 case)
- Syphilis cases (non-congenital): 77.5 per 100K people (3 cases)
--- Primary and secondary syphilis: 25.8 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 51.7 per 100K people (2 cases)
#9. Corson County

davidrh // Shutterstock
- Chlamydia cases: 1,008.4 per 100K people (24 cases)
- Gonorrhea cases: 882.4 per 100K people (21 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 882.4 per 100K people (21 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#8. Ziebach County

vagabond54 // Shutterstock
- Chlamydia cases: 1,203.8 per 100K people (41 case)
- Gonorrhea cases: 998.2 per 100K people (34 cases)
- Syphilis cases (non-congenital): 29.4 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 29.4 per 100K people (1 case)
- Gonorrhea cases: 998.2 per 100K people (34 cases)
- Syphilis cases (non-congenital): 29.4 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 29.4 per 100K people (1 case)
#7. Bennett County

Canva
- Chlamydia cases: 1,216.1 per 100K people (35 cases)
- Gonorrhea cases: 1,111.9 per 100K people (32 cases)
- Syphilis cases (non-congenital): 104.2 per 100K people (3 cases)
--- Primary and secondary syphilis: 104.2 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
- Gonorrhea cases: 1,111.9 per 100K people (32 cases)
- Syphilis cases (non-congenital): 104.2 per 100K people (3 cases)
--- Primary and secondary syphilis: 104.2 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#6. Jackson County
Canva
- Chlamydia cases: 1,362.7 per 100K people (26 cases)
- Gonorrhea cases: 1,100.6 per 100K people (21 case)
- Syphilis cases (non-congenital): 628.9 per 100K people (12 cases)
--- Primary and secondary syphilis: 262.1 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 366.9 per 100K people (7 cases)
- Gonorrhea cases: 1,100.6 per 100K people (21 case)
- Syphilis cases (non-congenital): 628.9 per 100K people (12 cases)
--- Primary and secondary syphilis: 262.1 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 366.9 per 100K people (7 cases)
#5. Mellette County

Canva
- Chlamydia cases: 1,768.1 per 100K people (34 cases)
- Gonorrhea cases: 1,768.1 per 100K people (34 cases)
- Syphilis cases (non-congenital): 364.0 per 100K people (7 cases)
--- Primary and secondary syphilis: 208.0 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 156.0 per 100K people (3 cases)
- Gonorrhea cases: 1,768.1 per 100K people (34 cases)
- Syphilis cases (non-congenital): 364.0 per 100K people (7 cases)
--- Primary and secondary syphilis: 208.0 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 156.0 per 100K people (3 cases)
#4. Buffalo County

Canva
- Chlamydia cases: 2,096.8 per 100K people (110 cases)
- Gonorrhea cases: 1,772.8 per 100K people (93 cases)
- Syphilis cases (non-congenital): 457.5 per 100K people (24 cases)
--- Primary and secondary syphilis: 266.9 per 100K people (14 cases)
--- Nonprimary and nonsecondary early syphilis: 190.6 per 100K people (10 cases)
- Gonorrhea cases: 1,772.8 per 100K people (93 cases)
- Syphilis cases (non-congenital): 457.5 per 100K people (24 cases)
--- Primary and secondary syphilis: 266.9 per 100K people (14 cases)
--- Nonprimary and nonsecondary early syphilis: 190.6 per 100K people (10 cases)
#3. Dewey County
Canva
- Chlamydia cases: 2,252.3 per 100K people (306 cases)
- Gonorrhea cases: 2,303.8 per 100K people (313 cases)
- Syphilis cases (non-congenital): 456.4 per 100K people (62 cases)
--- Primary and secondary syphilis: 235.5 per 100K people (32 cases)
--- Nonprimary and nonsecondary early syphilis: 220.8 per 100K people (30 cases)
- Gonorrhea cases: 2,303.8 per 100K people (313 cases)
- Syphilis cases (non-congenital): 456.4 per 100K people (62 cases)
--- Primary and secondary syphilis: 235.5 per 100K people (32 cases)
--- Nonprimary and nonsecondary early syphilis: 220.8 per 100K people (30 cases)
#2. Oglala Lakota County

thierry dehove // Shutterstock
- Chlamydia cases: 3,467.6 per 100K people (322 cases)
- Gonorrhea cases: 3,467.6 per 100K people (322 cases)
- Syphilis cases (non-congenital): 2,218.4 per 100K people (206 cases)
--- Primary and secondary syphilis: 1,130.7 per 100K people (105 cases)
--- Nonprimary and nonsecondary early syphilis: 1,087.7 per 100K people (101 case)
- Gonorrhea cases: 3,467.6 per 100K people (322 cases)
- Syphilis cases (non-congenital): 2,218.4 per 100K people (206 cases)
--- Primary and secondary syphilis: 1,130.7 per 100K people (105 cases)
--- Nonprimary and nonsecondary early syphilis: 1,087.7 per 100K people (101 case)
This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.
#1. Todd County

Canva