STD Rates in Clay County, South Dakota

2023 CDC surveillance data for Clay County, South Dakota — chlamydia, gonorrhea, and syphilis rates with state comparisons.

Data Year: 2023 Source: CDC STI Surveillance Population: 15,431
Combined
576.7
per 100K
21st / 64
Chlamydia
460.1
per 100K • 71 cases
US rate: 490.7
17th of 64 in South Dakota
Higher than 75% of US counties
Gonorrhea
90.7
per 100K • 14 cases
Based on 14 cases — interpret with care
US rate: 178.2
Syphilis P&S
25.9
per 100K • 4 cases
Based on 4 cases — interpret with care
US rate: 15.8

Clay County reported a combined STD rate of 576.7 per 100,000 residents in 2023, placing it 21st of 64 South Dakota counties — in the upper half of the state. Reported infections included chlamydia at 460.1 per 100,000 (71 cases, 13% below the state rate), gonorrhea at 90.7 per 100,000 (14 cases, too few for a reliable comparison), syphilis at 25.9 per 100,000 (4 cases, too few for a reliable comparison). Confidential STD testing is available throughout Clay County — knowing your status is the only way to catch infections that often show no symptoms.

STD Trends in Clay County, 2000–2023

Reported cases per 100,000 residents each year, against the South Dakota 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
460.1
per 100K in 2023
252.0 in 2000
Peak 567.7 in 2021
Gonorrhea
90.7
per 100K in 2023
22.2 in 2000
Peak 120.8 in 2019
Syphilis (P&S)
25.9
per 100K in 2023
0.0 in 2000
Peak 25.9 in 2023

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

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Clay County vs South Dakota and the US

Infection Clay County South Dakota US vs South Dakota vs US Rank in South Dakota
Chlamydia 460.171 cases 531.6 490.7 13.4% below 6.2% below 17th of 64
Gonorrhea 90.714 cases 253.3 178.2 Too few cases Too few cases –
Syphilis (P&S) 25.94 cases 73.4 15.8 Too few cases Too few cases –

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

Clay County ranks 21st of 64 South Dakota counties for combined STD rate in 2023, at 576.7 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Clay County, with 71 cases at a rate of 460.1 per 100,000 residents.
STDTest.com lists confidential testing locations across Clay County and South Dakota. 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.