Counties with the highest STI rates in Virginia

Emma Rubin // Stacker
- Chlamydia cases: 469.7 per 100K (#28 nationally, 40,789 cases)
- Gonorrhea cases: 154.7 per 100K (#27 nationally, 13,437 cases)
- Primary and secondary syphilis cases: 10.8 per 100K (#38 nationally, 936 cases)
State-level statistics
Carolyn M Carpenter // Shutterstock
- Chlamydia cases: 389.4 per 100K people (122 cases)
- Gonorrhea cases: 111.7 per 100K people (35 cases)
- Syphilis cases (non-congenital): 6.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 6.4 per 100K people (2 cases)
#50. Caroline County
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- Chlamydia cases: 390.2 per 100K people (909 cases)
- Gonorrhea cases: 117.2 per 100K people (273 cases)
- Syphilis cases (non-congenital): 27.5 per 100K people (64 cases)
--- Primary and secondary syphilis: 14.2 per 100K people (33 cases)
--- Nonprimary and nonsecondary early syphilis: 13.3 per 100K people (31 case)
#49. Arlington County
Joseph Sohm // // Shutterstock
- Chlamydia cases: 401.3 per 100K people (68 cases)
- Gonorrhea cases: 141.6 per 100K people (24 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#48. Buckingham County
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- Chlamydia cases: 404.1 per 100K people (63 cases)
- Gonorrhea cases: 102.6 per 100K people (16 cases)
- Syphilis cases (non-congenital): 19.2 per 100K people (3 cases)
--- Primary and secondary syphilis: 6.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 12.8 per 100K people (2 cases)
#47. Williamsburg City
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- Chlamydia cases: 412.6 per 100K people (1,999 cases)
- Gonorrhea cases: 100.3 per 100K people (486 cases)
- Syphilis cases (non-congenital): 11.6 per 100K people (56 cases)
--- Primary and secondary syphilis: 6.4 per 100K people (31 case)
--- Nonprimary and nonsecondary early syphilis: 5.2 per 100K people (25 cases)
#46. Prince William County
Timothy L Barnes // Shutterstock
- Chlamydia cases: 413.5 per 100K people (27 cases)
- Gonorrhea cases: 153.1 per 100K people (10 cases)
- Syphilis cases (non-congenital): 15.3 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 15.3 per 100K people (1 case)
#45. Surry County
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- Chlamydia cases: 419.3 per 100K people (48 cases)
- Gonorrhea cases: 139.8 per 100K people (16 cases)
- Syphilis cases (non-congenital): 8.7 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 8.7 per 100K people (1 case)
#44. Charlotte County
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- Chlamydia cases: 422.1 per 100K people (76 cases)
- Gonorrhea cases: 138.8 per 100K people (25 cases)
- Syphilis cases (non-congenital): 5.6 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 5.6 per 100K people (1 case)
#43. Southampton County
OJUP // Shutterstock
- Chlamydia cases: 430.0 per 100K people (1,594 cases)
- Gonorrhea cases: 129.8 per 100K people (481 case)
- Syphilis cases (non-congenital): 9.4 per 100K people (35 cases)
--- Primary and secondary syphilis: 3.2 per 100K people (12 cases)
--- Nonprimary and nonsecondary early syphilis: 6.2 per 100K people (23 cases)
#42. Chesterfield County
Dan Kauffman // Shutterstock
- Chlamydia cases: 432.3 per 100K people (52 cases)
- Gonorrhea cases: 83.1 per 100K people (10 cases)
- Syphilis cases (non-congenital): 8.3 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 8.3 per 100K people (1 case)
#41. Northumberland County
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- Chlamydia cases: 433.5 per 100K people (121 case)
- Gonorrhea cases: 179.1 per 100K people (50 cases)
- Syphilis cases (non-congenital): 10.7 per 100K people (3 cases)
--- Primary and secondary syphilis: 7.2 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 3.6 per 100K people (1 case)
#40. Dinwiddie County
ImagineerInc // Shutterstock
- Chlamydia cases: 442.3 per 100K people (202 cases)
- Gonorrhea cases: 238.7 per 100K people (109 cases)
- Syphilis cases (non-congenital): 43.8 per 100K people (20 cases)
--- Primary and secondary syphilis: 24.1 per 100K people (11 case)
--- Nonprimary and nonsecondary early syphilis: 19.7 per 100K people (9 cases)
#39. Charlottesville City
Kristi Blokhin // Shutterstock
- Chlamydia cases: 456.8 per 100K people (103 cases)
- Gonorrhea cases: 363.6 per 100K people (82 cases)
- Syphilis cases (non-congenital): 26.6 per 100K people (6 cases)
--- Primary and secondary syphilis: 22.2 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 4.4 per 100K people (1 case)
#38. Waynesboro City
Wileydoc // Shutterstock
- Chlamydia cases: 463.4 per 100K people (53 cases)
- Gonorrhea cases: 157.4 per 100K people (18 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#37. Greensville County
Lekali Studio // Shutterstock
- Chlamydia cases: 464.1 per 100K people (199 cases)
- Gonorrhea cases: 149.3 per 100K people (64 cases)
- Syphilis cases (non-congenital): 4.7 per 100K people (2 cases)
--- Primary and secondary syphilis: 2.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 2.3 per 100K people (1 case)
#36. Prince George County
Steve Heap // Shutterstock
- Chlamydia cases: 471.2 per 100K people (729 cases)
- Gonorrhea cases: 157.7 per 100K people (244 cases)
- Syphilis cases (non-congenital): 45.9 per 100K people (71 case)
--- Primary and secondary syphilis: 22.6 per 100K people (35 cases)
--- Nonprimary and nonsecondary early syphilis: 23.3 per 100K people (36 cases)
#35. Alexandria City
Khairil Azhar Junos // Shutterstock
- Chlamydia cases: 475.1 per 100K people (89 cases)
- Gonorrhea cases: 101.4 per 100K people (19 cases)
- Syphilis cases (non-congenital): 16.0 per 100K people (3 cases)
--- Primary and secondary syphilis: 10.7 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (1 case)
#34. Westmoreland County
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- Chlamydia cases: 495.8 per 100K people (48 cases)
- Gonorrhea cases: 206.6 per 100K people (20 cases)
- Syphilis cases (non-congenital): 10.3 per 100K people (1 case)
--- Primary and secondary syphilis: 10.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#33. Cumberland County
EWY Media // Shutterstock
- Chlamydia cases: 498.0 per 100K people (91 case)
- Gonorrhea cases: 136.8 per 100K people (25 cases)
- Syphilis cases (non-congenital): 16.4 per 100K people (3 cases)
--- Primary and secondary syphilis: 5.5 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 10.9 per 100K people (2 cases)
#32. Colonial Heights City
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- Chlamydia cases: 501.1 per 100K people (141 case)
- Gonorrhea cases: 99.5 per 100K people (28 cases)
- Syphilis cases (non-congenital): 10.7 per 100K people (3 cases)
--- Primary and secondary syphilis: 7.1 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 3.6 per 100K people (1 case)
#31. Winchester City
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- Chlamydia cases: 509.1 per 100K people (154 cases)
- Gonorrhea cases: 294.2 per 100K people (89 cases)
- Syphilis cases (non-congenital): 29.8 per 100K people (9 cases)
--- Primary and secondary syphilis: 16.5 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 13.2 per 100K people (4 cases)
#30. Mecklenburg County
refrina // Shutterstock
- Chlamydia cases: 526.8 per 100K people (225 cases)
- Gonorrhea cases: 107.7 per 100K people (46 cases)
- Syphilis cases (non-congenital): 7.0 per 100K people (3 cases)
--- Primary and secondary syphilis: 2.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 4.7 per 100K people (2 cases)
#29. Manassas City
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- Chlamydia cases: 538.4 per 100K people (179 cases)
- Gonorrhea cases: 126.3 per 100K people (42 cases)
- Syphilis cases (non-congenital): 6.0 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 6.0 per 100K people (2 cases)
#28. Accomack County
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- Chlamydia cases: 546.4 per 100K people (155 cases)
- Gonorrhea cases: 158.6 per 100K people (45 cases)
- Syphilis cases (non-congenital): 24.7 per 100K people (7 cases)
--- Primary and secondary syphilis: 17.6 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 7.1 per 100K people (2 cases)
#27. Fredericksburg City
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- Chlamydia cases: 563.9 per 100K people (1,881 case)
- Gonorrhea cases: 208.1 per 100K people (694 cases)
- Syphilis cases (non-congenital): 18.3 per 100K people (61 case)
--- Primary and secondary syphilis: 7.8 per 100K people (26 cases)
--- Nonprimary and nonsecondary early syphilis: 10.5 per 100K people (35 cases)
#26. Henrico County
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- Chlamydia cases: 570.9 per 100K people (91 case)
- Gonorrhea cases: 282.3 per 100K people (45 cases)
- Syphilis cases (non-congenital): 12.5 per 100K people (2 cases)
--- Primary and secondary syphilis: 12.5 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#25. Brunswick County
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- Chlamydia cases: 576.9 per 100K people (61 case)
- Gonorrhea cases: 66.2 per 100K people (7 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#24. Essex County
Kyle J Little // Shutterstock
- Chlamydia cases: 579.2 per 100K people (70 cases)
- Gonorrhea cases: 256.5 per 100K people (31 case)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#23. Northampton County
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- Chlamydia cases: 594.6 per 100K people (64 cases)
- Gonorrhea cases: 241.6 per 100K people (26 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#22. Sussex County
Lekali Studio // Shutterstock
- Chlamydia cases: 620.1 per 100K people (136 cases)
- Gonorrhea cases: 287.3 per 100K people (63 cases)
- Syphilis cases (non-congenital): 22.8 per 100K people (5 cases)
--- Primary and secondary syphilis: 4.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 18.2 per 100K people (4 cases)
#21. Prince Edward County
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- Chlamydia cases: 625.2 per 100K people (494 cases)
- Gonorrhea cases: 305.0 per 100K people (241 case)
- Syphilis cases (non-congenital): 10.1 per 100K people (8 cases)
--- Primary and secondary syphilis: 6.3 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 3.8 per 100K people (3 cases)
#20. Lynchburg City
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- Chlamydia cases: 629.3 per 100K people (107 cases)
- Gonorrhea cases: 76.5 per 100K people (13 cases)
- Syphilis cases (non-congenital): 11.8 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 11.8 per 100K people (2 cases)
#19. Manassas Park City
Sherry V Smith // Shutterstock
- Chlamydia cases: 631.9 per 100K people (2,892 cases)
- Gonorrhea cases: 199.3 per 100K people (912 cases)
- Syphilis cases (non-congenital): 22.9 per 100K people (105 cases)
--- Primary and secondary syphilis: 13.8 per 100K people (63 cases)
--- Nonprimary and nonsecondary early syphilis: 9.2 per 100K people (42 cases)
#18. Virginia Beach City
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- Chlamydia cases: 651.0 per 100K people (88 cases)
- Gonorrhea cases: 244.1 per 100K people (33 cases)
- Syphilis cases (non-congenital): 7.4 per 100K people (1 case)
--- Primary and secondary syphilis: 7.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#17. Martinsville City
Ken Schulze // Shutterstock
- Chlamydia cases: 654.7 per 100K people (1,645 cases)
- Gonorrhea cases: 247.5 per 100K people (622 cases)
- Syphilis cases (non-congenital): 19.1 per 100K people (48 cases)
--- Primary and secondary syphilis: 10.3 per 100K people (26 cases)
--- Nonprimary and nonsecondary early syphilis: 8.8 per 100K people (22 cases)
#16. Chesapeake City
Don Williamson // Shutterstock
- Chlamydia cases: 711.8 per 100K people (111 case)
- Gonorrhea cases: 128.3 per 100K people (20 cases)
- Syphilis cases (non-congenital): 6.4 per 100K people (1 case)
--- Primary and secondary syphilis: 6.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
#15. Nottoway County
Wileydoc // Shutterstock
- Chlamydia cases: 723.5 per 100K people (41 case)
- Gonorrhea cases: 458.8 per 100K people (26 cases)
- Syphilis cases (non-congenital): 105.9 per 100K people (6 cases)
--- Primary and secondary syphilis: 52.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 52.9 per 100K people (3 cases)
#14. Emporia City
O.C Ritz // Shutterstock
- Chlamydia cases: 725.6 per 100K people (698 cases)
- Gonorrhea cases: 315.0 per 100K people (303 cases)
- Syphilis cases (non-congenital): 17.7 per 100K people (17 cases)
--- Primary and secondary syphilis: 9.4 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 8.3 per 100K people (8 cases)
#13. Suffolk City
Bryan Pollard // Shutterstock
- Chlamydia cases: 750.9 per 100K people (317 cases)
- Gonorrhea cases: 267.7 per 100K people (113 cases)
- Syphilis cases (non-congenital): 14.2 per 100K people (6 cases)
--- Primary and secondary syphilis: 7.1 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 7.1 per 100K people (3 cases)
#12. Danville City
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- Chlamydia cases: 766.7 per 100K people (758 cases)
- Gonorrhea cases: 609.9 per 100K people (603 cases)
- Syphilis cases (non-congenital): 27.3 per 100K people (27 cases)
--- Primary and secondary syphilis: 24.3 per 100K people (24 cases)
--- Nonprimary and nonsecondary early syphilis: 3.0 per 100K people (3 cases)
#11. Roanoke City
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- Chlamydia cases: 888.4 per 100K people (73 cases)
- Gonorrhea cases: 231.2 per 100K people (19 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#10. Franklin City
OJUP // Shutterstock
- Chlamydia cases: 911.8 per 100K people (211 case)
- Gonorrhea cases: 440.8 per 100K people (102 cases)
- Syphilis cases (non-congenital): 17.3 per 100K people (4 cases)
--- Primary and secondary syphilis: 4.3 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 13.0 per 100K people (3 cases)
#9. Hopewell City
Bryan Pollard // Shutterstock
- Chlamydia cases: 981.9 per 100K people (162 cases)
- Gonorrhea cases: 151.5 per 100K people (25 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
#8. Radford City
Chankhamp // Shutterstock
- Chlamydia cases: 991.6 per 100K people (510 cases)
- Gonorrhea cases: 161.4 per 100K people (83 cases)
- Syphilis cases (non-congenital): 27.2 per 100K people (14 cases)
--- Primary and secondary syphilis: 17.5 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 9.7 per 100K people (5 cases)
#7. Harrisonburg City
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- Chlamydia cases: 1,041.8 per 100K people (1,923 cases)
- Gonorrhea cases: 462.7 per 100K people (854 cases)
- Syphilis cases (non-congenital): 36.3 per 100K people (67 cases)
--- Primary and secondary syphilis: 19.0 per 100K people (35 cases)
--- Nonprimary and nonsecondary early syphilis: 17.3 per 100K people (32 cases)
#6. Newport News City
Kyle J Little // Shutterstock
- Chlamydia cases: 1,074.4 per 100K people (1,480 cases)
- Gonorrhea cases: 477.7 per 100K people (658 cases)
- Syphilis cases (non-congenital): 37.8 per 100K people (52 cases)
--- Primary and secondary syphilis: 19.6 per 100K people (27 cases)
--- Nonprimary and nonsecondary early syphilis: 18.1 per 100K people (25 cases)
#5. Hampton City
Erin Cadigan // Shutterstock
- Chlamydia cases: 1,104.6 per 100K people (2,503 cases)
- Gonorrhea cases: 543.7 per 100K people (1,232 cases)
- Syphilis cases (non-congenital): 51.2 per 100K people (116 cases)
--- Primary and secondary syphilis: 23.8 per 100K people (54 cases)
--- Nonprimary and nonsecondary early syphilis: 27.4 per 100K people (62 cases)
#4. Richmond City
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- Chlamydia cases: 1,288.9 per 100K people (3,030 cases)
- Gonorrhea cases: 529.6 per 100K people (1,245 cases)
- Syphilis cases (non-congenital): 43.8 per 100K people (103 cases)
--- Primary and secondary syphilis: 23.8 per 100K people (56 cases)
--- Nonprimary and nonsecondary early syphilis: 20.0 per 100K people (47 cases)
#3. Norfolk City
OJUP // Shutterstock
- Chlamydia cases: 1,295.3 per 100K people (433 cases)
- Gonorrhea cases: 511.5 per 100K people (171 case)
- Syphilis cases (non-congenital): 50.9 per 100K people (17 cases)
--- Primary and secondary syphilis: 26.9 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 23.9 per 100K people (8 cases)
#2. Petersburg City
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- Chlamydia cases: 1,335.9 per 100K people (1,307 cases)
- Gonorrhea cases: 656.2 per 100K people (642 cases)
- Syphilis cases (non-congenital): 84.8 per 100K people (83 cases)
--- Primary and secondary syphilis: 52.1 per 100K people (51 case)
--- Nonprimary and nonsecondary early syphilis: 32.7 per 100K people (32 cases)

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

#1. Portsmouth City
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