STD Rates in Mellette County, South Dakota

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

Data Year: 2023 Source: CDC STI Surveillance Population: 1,851
Combined
2377.1
per 100K
8th / 64
Chlamydia
1242.6
per 100K • 23 cases
US rate: 490.7
8th of 64 in South Dakota
Higher than 98% of US counties
Gonorrhea
972.4
per 100K • 18 cases
Based on 18 cases — interpret with care
US rate: 178.2
Syphilis P&S
162.1
per 100K • 3 cases
Based on 3 cases — interpret with care
US rate: 15.8

Mellette County has one of the higher STD burdens in South Dakota, with a combined rate of 2,377.1 per 100,000 residents in 2023 — ranking 8th of 64 counties. Reported infections included chlamydia at 1242.6 per 100,000 (23 cases, 134% above the state rate), gonorrhea at 972.4 per 100,000 (18 cases, too few for a reliable comparison), syphilis at 162.1 per 100,000 (3 cases, too few for a reliable comparison). Routine testing is the surest way to catch STDs early, since many produce no symptoms. Mellette County has confidential testing locations available.

STD Trends in Mellette 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
1,242.6
per 100K in 2023
143.9 in 2000
Peak 2,114.2 in 2022
Gonorrhea
972.4
per 100K in 2023
0.0 in 2000
Peak 1,691.3 in 2022
Syphilis (P&S)
162.1
per 100K in 2023
0.0 in 2000
Peak 262.1 in 2021

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

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Mellette County vs South Dakota and the US

Infection Mellette County South Dakota US vs South Dakota vs US Rank in South Dakota
Chlamydia 1242.623 cases 531.6 490.7 133.7% above 153.2% above 8th of 64
Gonorrhea 972.418 cases 253.3 178.2 Too few cases Too few cases –
Syphilis (P&S) 162.13 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

Mellette County ranks 8th of 64 South Dakota counties for combined STD rate in 2023, at 2,377.1 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Mellette County, with 23 cases at a rate of 1242.6 per 100,000 residents.
STDTest.com lists confidential testing locations across Mellette 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.