Counties with the highest STI rates in Arkansas

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March 18, 2024
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Counties with the highest STI rates in Arkansas

Sexually transmitted infections are on the rise, putting more people at risk as they spread. Chlamydia rates have nearly doubled since 2000, while the rate of gonorrhea went up by 50% over the same period. The Centers for Disease Control and Prevention reports that syphilis rates are reaching levels last seen in the 1950s.

But some regions of the U.S. are seeing higher rates than others.

Stacker used CDC data to look at which counties reported the highest rate of sexually transmitted infections in Arkansas. Counties are ranked by the rate of chlamydia infections, the most prominent STI at the national level, with gonorrhea and then syphilis rates serving as tiebreakers. This story focuses on bacterial infections, which can be cured, rather than viral infections such as HIV and herpes. At the county level, 2021 cases are the most recent available from the CDC, but state and national-level data for 2022 are also included. This story focuses on sexual transmissions and does not include congenital syphilis cases that were inherited from the mother.

Condoms are the most effective way to prevent the spread of STIs for people with multiple sexual partners, but research has found a decreasing rate of condom use among straight, bisexual, and gay male populations.

During the HIV/AIDS epidemic throughout the 1980s and 1990s, public health efforts advocating for condom use helped curb the spread of the virus. Today, however, condoms are no longer the only tool. Pills such as PrEP lower the risk of contracting HIV from sex by as much as 99%.

While more recent data is not available, the latest CDC survey from 2011-2015 showed less than half of unmarried men used condoms during the last time they had sex.

Among high school students having sex, the share using condoms has fallen from 60% in 2011 to 52% in 2021. While one-third of sexually active students used hormonal birth control, only 10% used both condoms and birth control. Methods like the pill and IUDs are effective at preventing pregnancy but do not stop the spread of STIs.

Chlamydia, gonorrhea, and syphilis are technically bacterial infections—meaning they can be cured with antibiotics—but they can still have lasting health impacts, including pelvic inflammatory disease and infertility. These risks are heightened when left untreated, which many STIs are as they don't obviously present themselves.

The CDC recommends annual testing for cisgender women, transgender men, and gender-nonconforming people with cervixes. It also recommends annual testing for males with male sexual partners. People in these groups who frequently have sex with anonymous partners should be tested every three to six months. Anyone with symptoms should always get tested according to the guidelines.

The CDC says there is little evidence that screening among straight men lowers the spread, and the agency's limited budget is put towards programs benefiting the most at-risk groups. However, some public health groups advocate for testing among all people regardless of sex and sexual orientation.

Data from the National Survey of Family Growth shows men on average have more opposite-sex sexual partners than women, and some argue that catching STIs throughout a sexual network rather than just for the most at-risk groups could curb their spread.

Soon, a pill may also help counter the spread of STIs. DoxyPEP can be taken 24 to 72 hours after unprotected sex and stops an STI before it becomes spreadable and symptomatic. The CDC has shared proposed guidelines recommending it for men who have sex with men and transgender women. The drug was originally approved for treating inhalation of anthrax, and doctors can prescribe it for off-label use.

Read on to see how STI infection rates in Arkansas compare nationally, and the top counties.

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Emma Rubin // Stacker

State-level statistics

- Chlamydia cases: 588.3 per 100K (#8 nationally, 17,918 cases)
- Gonorrhea cases: 223.0 per 100K (#14 nationally, 6,792 cases)
- Primary and secondary syphilis cases: 32.9 per 100K (#3 nationally, 1,001 cases)
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#50. Johnson County

- Chlamydia cases: 344.4 per 100K people (89 cases)
- Gonorrhea cases: 65.8 per 100K people (17 cases)
- Syphilis cases (non-congenital): 31.0 per 100K people (8 cases)
--- Primary and secondary syphilis: 27.1 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 3.9 per 100K people (1 case)
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#49. Saline County

- Chlamydia cases: 348.2 per 100K people (436 cases)
- Gonorrhea cases: 134.9 per 100K people (169 cases)
- Syphilis cases (non-congenital): 23.2 per 100K people (29 cases)
--- Primary and secondary syphilis: 16.0 per 100K people (20 cases)
--- Nonprimary and nonsecondary early syphilis: 7.2 per 100K people (9 cases)
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NicholasGeraldinePhotos // Shutterstock

#48. Logan County

- Chlamydia cases: 353.5 per 100K people (75 cases)
- Gonorrhea cases: 117.8 per 100K people (25 cases)
- Syphilis cases (non-congenital): 28.3 per 100K people (6 cases)
--- Primary and secondary syphilis: 23.6 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 4.7 per 100K people (1 case)
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#47. Pope County

- Chlamydia cases: 354.3 per 100K people (226 cases)
- Gonorrhea cases: 156.8 per 100K people (100 cases)
- Syphilis cases (non-congenital): 28.2 per 100K people (18 cases)
--- Primary and secondary syphilis: 18.8 per 100K people (12 cases)
--- Nonprimary and nonsecondary early syphilis: 9.4 per 100K people (6 cases)
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#46. Yell County

- Chlamydia cases: 362.2 per 100K people (73 cases)
- Gonorrhea cases: 104.2 per 100K people (21 case)
- Syphilis cases (non-congenital): 54.6 per 100K people (11 case)
--- Primary and secondary syphilis: 49.6 per 100K people (10 cases)
--- Nonprimary and nonsecondary early syphilis: 5.0 per 100K people (1 case)
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#45. Sevier County

- Chlamydia cases: 367.5 per 100K people (58 cases)
- Gonorrhea cases: 145.7 per 100K people (23 cases)
- Syphilis cases (non-congenital): 44.4 per 100K people (7 cases)
--- Primary and secondary syphilis: 19.0 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 25.3 per 100K people (4 cases)
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#44. Lonoke County

- Chlamydia cases: 378.7 per 100K people (283 cases)
- Gonorrhea cases: 148.6 per 100K people (111 case)
- Syphilis cases (non-congenital): 53.5 per 100K people (40 cases)
--- Primary and secondary syphilis: 37.5 per 100K people (28 cases)
--- Nonprimary and nonsecondary early syphilis: 16.1 per 100K people (12 cases)
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#43. Independence County

- Chlamydia cases: 408.2 per 100K people (154 cases)
- Gonorrhea cases: 82.2 per 100K people (31 case)
- Syphilis cases (non-congenital): 26.5 per 100K people (10 cases)
--- Primary and secondary syphilis: 13.3 per 100K people (5 cases)
--- Nonprimary and nonsecondary early syphilis: 13.3 per 100K people (5 cases)
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#42. Randolph County

- Chlamydia cases: 413.5 per 100K people (78 cases)
- Gonorrhea cases: 127.2 per 100K people (24 cases)
- Syphilis cases (non-congenital): 21.2 per 100K people (4 cases)
--- Primary and secondary syphilis: 15.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 5.3 per 100K people (1 case)
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Roberto Galan // Shutterstock

#41. Greene County

- Chlamydia cases: 429.6 per 100K people (199 cases)
- Gonorrhea cases: 174.9 per 100K people (81 case)
- Syphilis cases (non-congenital): 79.9 per 100K people (37 cases)
--- Primary and secondary syphilis: 60.5 per 100K people (28 cases)
--- Nonprimary and nonsecondary early syphilis: 19.4 per 100K people (9 cases)
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#40. Garland County

- Chlamydia cases: 444.5 per 100K people (446 cases)
- Gonorrhea cases: 219.3 per 100K people (220 cases)
- Syphilis cases (non-congenital): 60.8 per 100K people (61 case)
--- Primary and secondary syphilis: 43.9 per 100K people (44 cases)
--- Nonprimary and nonsecondary early syphilis: 16.9 per 100K people (17 cases)
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#39. White County

- Chlamydia cases: 448.1 per 100K people (346 cases)
- Gonorrhea cases: 220.2 per 100K people (170 cases)
- Syphilis cases (non-congenital): 51.8 per 100K people (40 cases)
--- Primary and secondary syphilis: 36.3 per 100K people (28 cases)
--- Nonprimary and nonsecondary early syphilis: 15.5 per 100K people (12 cases)
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#38. Hot Spring County

- Chlamydia cases: 458.5 per 100K people (152 cases)
- Gonorrhea cases: 238.3 per 100K people (79 cases)
- Syphilis cases (non-congenital): 135.8 per 100K people (45 cases)
--- Primary and secondary syphilis: 111.6 per 100K people (37 cases)
--- Nonprimary and nonsecondary early syphilis: 24.1 per 100K people (8 cases)
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#37. Prairie County

- Chlamydia cases: 479.4 per 100K people (39 cases)
- Gonorrhea cases: 221.3 per 100K people (18 cases)
- Syphilis cases (non-congenital): 98.3 per 100K people (8 cases)
--- Primary and secondary syphilis: 98.3 per 100K people (8 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
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#36. Calhoun County

- Chlamydia cases: 485.1 per 100K people (23 cases)
- Gonorrhea cases: 210.9 per 100K people (10 cases)
- Syphilis cases (non-congenital): 84.4 per 100K people (4 cases)
--- Primary and secondary syphilis: 42.2 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 42.2 per 100K people (2 cases)
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#35. Ashley County

- Chlamydia cases: 519.4 per 100K people (97 cases)
- Gonorrhea cases: 144.6 per 100K people (27 cases)
- Syphilis cases (non-congenital): 21.4 per 100K people (4 cases)
--- Primary and secondary syphilis: 5.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 16.1 per 100K people (3 cases)
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#34. Drew County

- Chlamydia cases: 531.9 per 100K people (91 case)
- Gonorrhea cases: 233.8 per 100K people (40 cases)
- Syphilis cases (non-congenital): 40.9 per 100K people (7 cases)
--- Primary and secondary syphilis: 17.5 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 23.4 per 100K people (4 cases)
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#33. Sebastian County

- Chlamydia cases: 531.9 per 100K people (683 cases)
- Gonorrhea cases: 239.9 per 100K people (308 cases)
- Syphilis cases (non-congenital): 45.2 per 100K people (58 cases)
--- Primary and secondary syphilis: 27.3 per 100K people (35 cases)
--- Nonprimary and nonsecondary early syphilis: 17.9 per 100K people (23 cases)
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#32. Cleveland County

- Chlamydia cases: 532.3 per 100K people (40 cases)
- Gonorrhea cases: 173.0 per 100K people (13 cases)
- Syphilis cases (non-congenital): 26.6 per 100K people (2 cases)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 26.6 per 100K people (2 cases)
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#31. Conway County

- Chlamydia cases: 536.6 per 100K people (112 cases)
- Gonorrhea cases: 167.7 per 100K people (35 cases)
- Syphilis cases (non-congenital): 52.7 per 100K people (11 case)
--- Primary and secondary syphilis: 38.3 per 100K people (8 cases)
--- Nonprimary and nonsecondary early syphilis: 14.4 per 100K people (3 cases)
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#30. Faulkner County

- Chlamydia cases: 553.9 per 100K people (693 cases)
- Gonorrhea cases: 238.2 per 100K people (298 cases)
- Syphilis cases (non-congenital): 21.6 per 100K people (27 cases)
--- Primary and secondary syphilis: 13.6 per 100K people (17 cases)
--- Nonprimary and nonsecondary early syphilis: 8.0 per 100K people (10 cases)
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#29. Cross County

- Chlamydia cases: 575.5 per 100K people (96 cases)
- Gonorrhea cases: 329.7 per 100K people (55 cases)
- Syphilis cases (non-congenital): 77.9 per 100K people (13 cases)
--- Primary and secondary syphilis: 42.0 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 36.0 per 100K people (6 cases)
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#28. Desha County

- Chlamydia cases: 604.1 per 100K people (67 cases)
- Gonorrhea cases: 459.9 per 100K people (51 case)
- Syphilis cases (non-congenital): 36.1 per 100K people (4 cases)
--- Primary and secondary syphilis: 27.1 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 9.0 per 100K people (1 case)
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#27. Woodruff County

- Chlamydia cases: 654.0 per 100K people (40 cases)
- Gonorrhea cases: 474.2 per 100K people (29 cases)
- Syphilis cases (non-congenital): 65.4 per 100K people (4 cases)
--- Primary and secondary syphilis: 16.4 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 49.1 per 100K people (3 cases)
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#26. Poinsett County

- Chlamydia cases: 662.0 per 100K people (150 cases)
- Gonorrhea cases: 414.8 per 100K people (94 cases)
- Syphilis cases (non-congenital): 44.1 per 100K people (10 cases)
--- Primary and secondary syphilis: 17.7 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 26.5 per 100K people (6 cases)
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#25. Chicot County

- Chlamydia cases: 668.7 per 100K people (67 cases)
- Gonorrhea cases: 289.5 per 100K people (29 cases)
- Syphilis cases (non-congenital): 10.0 per 100K people (1 case)
--- Primary and secondary syphilis: 10.0 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 0 cases
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#24. Washington County

- Chlamydia cases: 675.4 per 100K people (1,689 cases)
- Gonorrhea cases: 192.0 per 100K people (480 cases)
- Syphilis cases (non-congenital): 52.8 per 100K people (132 cases)
--- Primary and secondary syphilis: 35.2 per 100K people (88 cases)
--- Nonprimary and nonsecondary early syphilis: 17.6 per 100K people (44 cases)
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#23. Arkansas County

- Chlamydia cases: 675.8 per 100K people (113 cases)
- Gonorrhea cases: 430.6 per 100K people (72 cases)
- Syphilis cases (non-congenital): 77.7 per 100K people (13 cases)
--- Primary and secondary syphilis: 35.9 per 100K people (6 cases)
--- Nonprimary and nonsecondary early syphilis: 41.9 per 100K people (7 cases)
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#22. Clark County

- Chlamydia cases: 689.5 per 100K people (147 cases)
- Gonorrhea cases: 295.5 per 100K people (63 cases)
- Syphilis cases (non-congenital): 51.6 per 100K people (11 case)
--- Primary and secondary syphilis: 32.8 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 18.8 per 100K people (4 cases)
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#21. Little River County

- Chlamydia cases: 694.9 per 100K people (83 cases)
- Gonorrhea cases: 351.6 per 100K people (42 cases)
- Syphilis cases (non-congenital): 67.0 per 100K people (8 cases)
--- Primary and secondary syphilis: 67.0 per 100K people (8 cases)
--- Nonprimary and nonsecondary early syphilis: 0 cases
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#20. Lafayette County

- Chlamydia cases: 697.7 per 100K people (43 cases)
- Gonorrhea cases: 438.1 per 100K people (27 cases)
- Syphilis cases (non-congenital): 0 cases
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 0 cases
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#19. Bradley County

- Chlamydia cases: 749.4 per 100K people (78 cases)
- Gonorrhea cases: 317.1 per 100K people (33 cases)
- Syphilis cases (non-congenital): 19.2 per 100K people (2 cases)
--- Primary and secondary syphilis: 9.6 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 9.6 per 100K people (1 case)
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#18. Nevada County

- Chlamydia cases: 769.5 per 100K people (63 cases)
- Gonorrhea cases: 329.8 per 100K people (27 cases)
- Syphilis cases (non-congenital): 24.4 per 100K people (2 cases)
--- Primary and secondary syphilis: 12.2 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 12.2 per 100K people (1 case)
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#17. Union County

- Chlamydia cases: 777.3 per 100K people (298 cases)
- Gonorrhea cases: 498.2 per 100K people (191 case)
- Syphilis cases (non-congenital): 15.6 per 100K people (6 cases)
--- Primary and secondary syphilis: 10.4 per 100K people (4 cases)
--- Nonprimary and nonsecondary early syphilis: 5.2 per 100K people (2 cases)
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#16. Jackson County

- Chlamydia cases: 779.3 per 100K people (131 case)
- Gonorrhea cases: 428.3 per 100K people (72 cases)
- Syphilis cases (non-congenital): 190.4 per 100K people (32 cases)
--- Primary and secondary syphilis: 83.3 per 100K people (14 cases)
--- Nonprimary and nonsecondary early syphilis: 107.1 per 100K people (18 cases)
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#15. Howard County

- Chlamydia cases: 795.4 per 100K people (101 case)
- Gonorrhea cases: 267.8 per 100K people (34 cases)
- Syphilis cases (non-congenital): 15.8 per 100K people (2 cases)
--- Primary and secondary syphilis: 7.9 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 7.9 per 100K people (1 case)
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#14. Craighead County

- Chlamydia cases: 802.0 per 100K people (900 cases)
- Gonorrhea cases: 414.4 per 100K people (465 cases)
- Syphilis cases (non-congenital): 74.9 per 100K people (84 cases)
--- Primary and secondary syphilis: 41.9 per 100K people (47 cases)
--- Nonprimary and nonsecondary early syphilis: 33.0 per 100K people (37 cases)
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#13. Ouachita County

- Chlamydia cases: 851.8 per 100K people (190 cases)
- Gonorrhea cases: 439.3 per 100K people (98 cases)
- Syphilis cases (non-congenital): 85.2 per 100K people (19 cases)
--- Primary and secondary syphilis: 76.2 per 100K people (17 cases)
--- Nonprimary and nonsecondary early syphilis: 9.0 per 100K people (2 cases)
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Roberto Galan // Shutterstock

#12. Miller County

- Chlamydia cases: 869.9 per 100K people (371 case)
- Gonorrhea cases: 508.8 per 100K people (217 cases)
- Syphilis cases (non-congenital): 84.4 per 100K people (36 cases)
--- Primary and secondary syphilis: 63.3 per 100K people (27 cases)
--- Nonprimary and nonsecondary early syphilis: 21.1 per 100K people (9 cases)
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Roberto Galan // Shutterstock

#11. Hempstead County

- Chlamydia cases: 888.6 per 100K people (175 cases)
- Gonorrhea cases: 482.4 per 100K people (95 cases)
- Syphilis cases (non-congenital): 71.1 per 100K people (14 cases)
--- Primary and secondary syphilis: 45.7 per 100K people (9 cases)
--- Nonprimary and nonsecondary early syphilis: 25.4 per 100K people (5 cases)
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#10. Lee County

- Chlamydia cases: 905.0 per 100K people (78 cases)
- Gonorrhea cases: 440.9 per 100K people (38 cases)
- Syphilis cases (non-congenital): 46.4 per 100K people (4 cases)
--- Primary and secondary syphilis: 23.2 per 100K people (2 cases)
--- Nonprimary and nonsecondary early syphilis: 23.2 per 100K people (2 cases)
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#9. Columbia County

- Chlamydia cases: 917.4 per 100K people (208 cases)
- Gonorrhea cases: 520.5 per 100K people (118 cases)
- Syphilis cases (non-congenital): 4.4 per 100K people (1 case)
--- Primary and secondary syphilis: 0 cases
--- Nonprimary and nonsecondary early syphilis: 4.4 per 100K people (1 case)
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#8. Pulaski County

- Chlamydia cases: 987.6 per 100K people (3,929 cases)
- Gonorrhea cases: 544.5 per 100K people (2,166 cases)
- Syphilis cases (non-congenital): 90.2 per 100K people (359 cases)
--- Primary and secondary syphilis: 62.3 per 100K people (248 cases)
--- Nonprimary and nonsecondary early syphilis: 27.9 per 100K people (111 case)
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#7. Dallas County

- Chlamydia cases: 1,014.6 per 100K people (64 cases)
- Gonorrhea cases: 396.3 per 100K people (25 cases)
- Syphilis cases (non-congenital): 142.7 per 100K people (9 cases)
--- Primary and secondary syphilis: 111.0 per 100K people (7 cases)
--- Nonprimary and nonsecondary early syphilis: 31.7 per 100K people (2 cases)
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Nicole Merillat // Shutterstock

#6. St. Francis County

- Chlamydia cases: 1,024.7 per 100K people (233 cases)
- Gonorrhea cases: 593.7 per 100K people (135 cases)
- Syphilis cases (non-congenital): 118.7 per 100K people (27 cases)
--- Primary and secondary syphilis: 74.8 per 100K people (17 cases)
--- Nonprimary and nonsecondary early syphilis: 44.0 per 100K people (10 cases)
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#5. Monroe County

- Chlamydia cases: 1,077.4 per 100K people (72 cases)
- Gonorrhea cases: 837.9 per 100K people (56 cases)
- Syphilis cases (non-congenital): 59.9 per 100K people (4 cases)
--- Primary and secondary syphilis: 15.0 per 100K people (1 case)
--- Nonprimary and nonsecondary early syphilis: 44.9 per 100K people (3 cases)
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#4. Mississippi County

- Chlamydia cases: 1,101.8 per 100K people (437 cases)
- Gonorrhea cases: 562.3 per 100K people (223 cases)
- Syphilis cases (non-congenital): 133.6 per 100K people (53 cases)
--- Primary and secondary syphilis: 103.4 per 100K people (41 case)
--- Nonprimary and nonsecondary early syphilis: 30.3 per 100K people (12 cases)
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Tudoran Andrei // Shutterstock

#3. Jefferson County

- Chlamydia cases: 1,267.8 per 100K people (835 cases)
- Gonorrhea cases: 613.4 per 100K people (404 cases)
- Syphilis cases (non-congenital): 45.6 per 100K people (30 cases)
--- Primary and secondary syphilis: 27.3 per 100K people (18 cases)
--- Nonprimary and nonsecondary early syphilis: 18.2 per 100K people (12 cases)
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#2. Phillips County

- Chlamydia cases: 1,282.5 per 100K people (204 cases)
- Gonorrhea cases: 886.5 per 100K people (141 case)
- Syphilis cases (non-congenital): 62.9 per 100K people (10 cases)
--- Primary and secondary syphilis: 18.9 per 100K people (3 cases)
--- Nonprimary and nonsecondary early syphilis: 44.0 per 100K people (7 cases)
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#1. Crittenden County

- Chlamydia cases: 1,292.0 per 100K people (614 cases)
- Gonorrhea cases: 624.9 per 100K people (297 cases)
- Syphilis cases (non-congenital): 98.9 per 100K people (47 cases)
--- Primary and secondary syphilis: 42.1 per 100K people (20 cases)
--- Nonprimary and nonsecondary early syphilis: 56.8 per 100K people (27 cases)

This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.

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