STD Rates in Cascade County, Montana

2023 CDC surveillance data for Cascade County, Montana — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 84,901
Combined
462.9
per 100K
7th / 51
Chlamydia
372.2
per 100K • 316 cases
US rate: 490.7
9th of 51 in Montana
Higher than 65% of US counties
Gonorrhea
66
per 100K • 56 cases
US rate: 178.2
11th of 51 in Montana
Higher than 51% of US counties
Syphilis P&S
24.7
per 100K • 21 cases
US rate: 15.8
9th of 51 in Montana
Higher than 85% of US counties

Cascade County has one of the higher STD burdens in Montana, with a combined rate of 462.9 per 100,000 residents in 2023 — ranking 7th of 51 counties. Reported infections included chlamydia at 372.2 per 100,000 (316 cases, 15% above the state rate), gonorrhea at 66.0 per 100,000 (56 cases, 3% below the state rate), syphilis at 24.7 per 100,000 (21 cases, 10% below the state rate). Many STDs show no symptoms, so testing is the only reliable way to know your status. Confidential options are available across Cascade County.

STD Trends in Cascade County, 2000–2023

Reported cases per 100,000 residents each year, against the Montana 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
372.2
per 100K in 2023
0.0 in 2000
Peak 639.1 in 2019
Gonorrhea
66.0
per 100K in 2023
0.0 in 2000
Peak 289.1 in 2020
Syphilis (P&S)
24.7
per 100K in 2023
0.0 in 2000
Peak 36.9 in 2019

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

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Cascade County vs Montana and the US

Infection Cascade County Montana US vs Montana vs US Rank in Montana
Chlamydia 372.2316 cases 322.6 490.7 15.4% above 24.1% below 9th of 51
Gonorrhea 6656 cases 67.7 178.2 2.5% below 63% below 11th of 51
Syphilis (P&S) 24.721 cases 27.5 15.8 10.2% below 56.3% above 9th of 51

Rates per 100,000 residents, 2023. Ranks run from the highest rate (1st) among Montana’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

Cascade County ranks 7th of 51 Montana counties for combined STD rate in 2023, at 462.9 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Cascade County, with 316 cases at a rate of 372.2 per 100,000 residents.
STDTest.com lists confidential testing locations across Cascade County and Montana. 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.