STD Rates in Madison County, Nebraska

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

Data Year: 2023 Source: CDC STI Surveillance Population: 35,622
Combined
317.2
per 100K
17th / 83
Chlamydia
269.5
per 100K • 96 cases
US rate: 490.7
17th of 83 in Nebraska
Higher than 47% of US counties
Gonorrhea
33.7
per 100K • 12 cases
Based on 12 cases — interpret with care
US rate: 178.2
Syphilis P&S
14
per 100K • 5 cases
Based on 5 cases — interpret with care
US rate: 15.8

Madison County has one of the higher STD burdens in Nebraska, with a combined rate of 317.2 per 100,000 residents in 2023 — ranking 17th of 83 counties. Reported infections included chlamydia at 269.5 per 100,000 (96 cases, 43% below the state rate), gonorrhea at 33.7 per 100,000 (12 cases, too few for a reliable comparison), syphilis at 14.0 per 100,000 (5 cases, too few for a reliable comparison). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Madison County has confidential testing locations available.

STD Trends in Madison County, 2000–2023

Reported cases per 100,000 residents each year, against the Nebraska 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
269.5
per 100K in 2023
150.4 in 2000
Peak 367.7 in 2014
Gonorrhea
33.7
per 100K in 2023
22.7 in 2000
Peak 93.3 in 2022
Syphilis (P&S)
14.0
per 100K in 2023
0.0 in 2000
Peak 14.0 in 2023

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

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Madison County vs Nebraska and the US

Infection Madison County Nebraska US vs Nebraska vs US Rank in Nebraska
Chlamydia 269.596 cases 468.8 490.7 42.5% below 45.1% below 17th of 83
Gonorrhea 33.712 cases 115.5 178.2 Too few cases Too few cases –
Syphilis (P&S) 145 cases 10.4 15.8 Too few cases Too few cases –

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

Madison County ranks 17th of 83 Nebraska counties for combined STD rate in 2023, at 317.2 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Madison County, with 96 cases at a rate of 269.5 per 100,000 residents.
STDTest.com lists confidential testing locations across Madison County and Nebraska. 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.