STD Rates in Black Hawk County, Iowa

2023 CDC surveillance data for Black Hawk County, Iowa — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 130,468
Combined
887.6
per 100K
1st / 99
Chlamydia
660.7
per 100K • 862 cases
US rate: 490.7
2nd of 99 in Iowa
Higher than 88% of US counties
Gonorrhea
215.4
per 100K • 281 cases
US rate: 178.2
3rd of 99 in Iowa
Higher than 86% of US counties
Syphilis P&S
11.5
per 100K • 15 cases
Based on 15 cases — interpret with care
US rate: 15.8

Black Hawk County has one of the higher STD burdens in Iowa, with a combined rate of 887.6 per 100,000 residents in 2023 — ranking 1st of 99 counties. Reported infections included chlamydia at 660.7 per 100,000 (862 cases, 55% above the state rate), gonorrhea at 215.4 per 100,000 (281 cases, 84% above the state rate), syphilis at 11.5 per 100,000 (15 cases, too few for a reliable comparison). Many STDs show no symptoms, so testing is the only reliable way to know your status. Confidential options are available across Black Hawk County.

STD Trends in Black Hawk County, 2000–2023

Reported cases per 100,000 residents each year, against the Iowa rate (dashed). In a county this size a handful of cases moves the rate a long way, so read the shape rather than any single year.

Chlamydia
660.7
per 100K in 2023
403.0 in 2000
Peak 897.7 in 2019
Gonorrhea
215.4
per 100K in 2023
132.0 in 2000
Peak 450.6 in 2020
Syphilis (P&S)
11.5
per 100K in 2023
0.0 in 2000
Peak 16.9 in 2021

Source: CDC NCHHSTP AtlasPlus county surveillance, 2000–2023.

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Black Hawk County vs Iowa and the US

Infection Black Hawk County Iowa US vs Iowa vs US Rank in Iowa
Chlamydia 660.7862 cases 426.8 490.7 54.8% above 34.6% above 2nd of 99
Gonorrhea 215.4281 cases 116.8 178.2 84.4% above 20.9% above 3rd of 99
Syphilis (P&S) 11.515 cases 10.3 15.8 Too few cases Too few cases –

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Iowa’s counties. The US rate is all 50 states combined. Comparisons are left out where fewer than 20 cases were reported, because a rate built on so few cases can swing widely from one year to the next.

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FAQs

Black Hawk County ranks 1st of 99 Iowa counties for combined STD rate in 2023, at 887.6 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Black Hawk County, with 862 cases at a rate of 660.7 per 100,000 residents.
STDTest.com lists confidential testing locations across Black Hawk County and Iowa. Many offer same-day appointments with results in 1–3 days.
Data sourced from the CDC's annual STI Surveillance Report. Rates are per 100,000 population and reflect reported cases only — actual prevalence is likely higher due to undiagnosed infections. While we strive for accuracy, STDTest.com makes no representations or warranties regarding the completeness or accuracy of this data and is not responsible for any errors or omissions. This page is for informational purposes only and does not constitute medical advice.