STD Rates in Sioux County, North Dakota

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

Data Year: 2023 Source: CDC STI Surveillance Population: 3,643
Combined
3705.6
per 100K
1st / 51
Chlamydia
1894
per 100K • 69 cases
US rate: 490.7
1st of 51 in North Dakota
Higher than 99% of US counties
Gonorrhea
1290.1
per 100K • 47 cases
US rate: 178.2
1st of 51 in North Dakota
Higher than 99% of US counties
Syphilis P&S
521.5
per 100K • 19 cases
Based on 19 cases — interpret with care
US rate: 15.8

Sioux County has one of the higher STD burdens in North Dakota, with a combined rate of 3,705.6 per 100,000 residents in 2023 — ranking 1st of 51 counties. Reported infections included chlamydia at 1894.0 per 100,000 (69 cases, 334% above the state rate), gonorrhea at 1290.1 per 100,000 (47 cases, 776% above the state rate), syphilis at 521.5 per 100,000 (19 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 Sioux County.

STD Trends in Sioux County, 2000–2023

Reported cases per 100,000 residents each year, against the North 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
1,894.0
per 100K in 2023
0.0 in 2000
Peak 2,758.5 in 2014
Gonorrhea
1,290.1
per 100K in 2023
0.0 in 2000
Peak 1,513.6 in 2020
Syphilis (P&S)
521.5
per 100K in 2023
0.0 in 2000
Peak 521.5 in 2023

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

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Sioux County vs North Dakota and the US

Infection Sioux County North Dakota US vs North Dakota vs US Rank in North Dakota
Chlamydia 189469 cases 436.4 490.7 334% above 286% above 1st of 51
Gonorrhea 1290.147 cases 147.2 178.2 776.4% above 624% above 1st of 51
Syphilis (P&S) 521.519 cases 12.4 15.8 Too few cases Too few cases –

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

Sioux County ranks 1st of 51 North Dakota counties for combined STD rate in 2023, at 3,705.6 per 100,000 residents.
In 2023, chlamydia was the most frequently reported STD in Sioux County, with 69 cases at a rate of 1894.0 per 100,000 residents.
STDTest.com lists confidential testing locations across Sioux County and North 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.