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Reported Cases in 2013

Wisconsin Sexually Transmitted Disease (STD) Surveillance Data. Reported Cases in 2013. WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases and Emergency Preparedness STD Control Section P-00415 (06/14). 1. Preface.

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Reported Cases in 2013

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  1. Wisconsin Sexually Transmitted Disease (STD) Surveillance Data Reported Cases in 2013 WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases and Emergency Preparedness STD Control Section P-00415 (06/14) 1

  2. Preface • Reportable STDs in the State of Wisconsin in 2013: • Chlamydia: Chlamydia trachomatis • Syphilis: Treponema pallidum • Gonorrhea: Neisseria gonorrhea • Chancroid: Haemophilus ducreyi • Pelvic Inflammatory Disease (PID) In this analysis, “reportable STDs” refer specifically to chlamydia, gonorrhea and syphilis. 2

  3. Preface • Interpret STD surveillance data with caution: • Under-reporting • Uneven reporting • Incomplete data • This analysis examines several factors that influence STD rates: • Sex • Age • Race • Geography 3

  4. Disease Cases Rate* Chlamydia 23,204 412 Gonorrhea 4,573 81 Syphilis 255 5 All STDs 28,040 498 *Cases per 100,000 population Reported STD Cases by Disease,Wisconsin, 2013 4

  5. IL MI IA MN Primary and Secondary Syphilis Rates* by State, 2012, Centers for Disease Control and Prevention (CDC) Data WI (39th) State *Cases per 100,000 population 5

  6. Chlamydia Rates* by State, 2012, CDC Data IL MI IA WI (29th) MN State *Cases per 100,000 population 6

  7. Gonorrhea Rates* by State, 2012, CDC Data IL MI IA WI (30th) MN *Cases per 100,000 population 7

  8. Combined Rates* for Chlamydia, Gonorrhea, and Primary and Secondary Syphilis by State, 2012, CDC Data IL MI IA WI (28th) MN State *Cases per 100,000 population. 8

  9. Reported Cases of STDs* by Year of Diagnosis, Wisconsin, 2003-2013 20% increase *Chlamydia, gonorrhea and syphilis 9

  10. Reported Cases of Chlamydia and Gonorrhea by Year of Diagnosis, Wisconsin, 2003-2013 10

  11. Reported Cases of Syphilis by Year of Diagnosis, Wisconsin, 2003-2013 11

  12. Male-Female Distribution of Reported STD Cases by Disease, Wisconsin, 2013 12

  13. Attributable Percentage of Reportable STDs* by Age Group, Wisconsin, 2013 *Chlamydia, gonorrhea and syphilis 13

  14. Age-specific STD Rates* of Reportable STDs**,Wisconsin, 2013 *Cases per 100,000 population **Chlamydia, gonorrhea and syphilis 14

  15. Reported STD cases*,Wisconsin, 2013 Wisconsin population2010 Race Cases Percent White 11,043 39.4% African American 8,889 31.7% American Indian 405 1.4% Asian/Pacific Islander 351 1.3% Other 755 2.7% Unknown 6,586 23.5% Total 28,040 100% Comparison of the Racial Distribution of Reported STD Morbidity* with Wisconsin Population *Chlamydia, gonorrhea and syphilis 15

  16. Reported STD** Case Rates* by Race, Reportable STDs, Wisconsin, 2013 11-fold difference *Cases reported with race specified per 100,000 population **Chlamydia, gonorrhea and syphilis 16

  17. 13-fold difference Imputed STD Case Rates* by Race, Reportable STDs**,Wisconsin, 2013 *Imputed rates are calculated by statistically allocating cases reported with unspecified race. **Chlamydia, gonorrhea and syphilis 17

  18. State of Wisconsin (Geographic Data) 2013 18

  19. Bayfield Douglas Ashland Iron Vilas Washburn Burnett Sawyer Florence Oneida Price Forest Polk Rusk Barron Marinette Lincoln Langlade Taylor Chippewa Saint Croix Oconto Menominee Dunn Marathon Door Shawano Pierce Eau Claire Clark Pepin Kewaunee Portage Waupaca Wood Brown Outagamie Buffalo Jackson Trempealeau Manitowoc Waushara Calumet Winnebago Monroe Adams Juneau Marquette La Crosse Green Lake Fond du Lac Sheboygan Vernon Columbia Sauk Dodge Ozaukee Washington Richland Crawford Dane Jefferson Waukesha Milwaukee Iowa Grant Racine Green Rock Walworth Lafayette Kenosha Reported Chlamydia Cases by County, Wisconsin, 2013 Total Cases = 23,204 0-44 45-135 136-374 375-716 717-3,000 >3,000 19

  20. Bayfield Douglas Ashland Iron Vilas Washburn Burnett Sawyer Florence Oneida Price Forest Polk Rusk Barron Marinette Lincoln Langlade Taylor Chippewa Saint Croix Oconto Menominee Dunn Marathon Door Shawano Pierce Eau Claire Clark Pepin Kewaunee Portage Waupaca Wood Brown Outagamie Buffalo Jackson Trempealeau Manitowoc Waushara Calumet Winnebago Monroe Adams Juneau Marquette La Crosse Green Lake Fond du Lac Sheboygan Vernon Columbia Sauk Dodge Ozaukee Washington Richland Crawford Dane Jefferson Waukesha Milwaukee Iowa Grant Racine Green Rock Walworth Lafayette Kenosha Reported Gonorrhea Cases by County, Wisconsin, 2013 Total Cases = 4,573 0-5 6-19 20-59 60-99 100-999 >1000 20

  21. Bayfield Douglas Ashland Iron Vilas Washburn Burnett Sawyer Florence Oneida Price Forest Polk Rusk Barron Marinette Lincoln Langlade Taylor Chippewa Saint Croix Oconto Menominee Dunn Marathon Door Shawano Pierce Eau Claire Clark Pepin Kewaunee Portage Waupaca Wood Brown Outagamie Buffalo Jackson Trempealeau Manitowoc Waushara Calumet Winnebago Monroe Adams Juneau Marquette La Crosse Green Lake Fond du Lac Sheboygan Vernon Columbia Sauk Dodge Ozaukee Washington Richland Crawford Dane Jefferson Waukesha Milwaukee Iowa Grant Racine Green Rock Walworth Lafayette Kenosha Reported Syphilis Cases by County, Wisconsin, 2013 Total Cases = 255 0 1-3 4-19 20-49 50-125+ 21

  22. Bayfield Douglas Ashland Iron Vilas Washburn Burnett Sawyer Florence Oneida Price Forest Polk Rusk Barron Marinette Lincoln Langlade Taylor Chippewa Saint Croix Oconto Menominee Dunn Marathon Door Shawano Pierce Eau Claire Clark Pepin Kewaunee Portage Waupaca Wood Brown Outagamie Buffalo Jackson Trempealeau Manitowoc Waushara Calumet Rate* Winnebago Monroe Adams Juneau Marquette La Crosse <200 Green Lake Fond du Lac Sheboygan 200-399 Vernon Columbia Sauk Dodge Ozaukee 400-599 Washington Richland Crawford 600-799 Dane Jefferson Waukesha Milwaukee Iowa 800+ Grant Racine Green Rock Walworth Lafayette Kenosha Reported STD Case Rates* by County, Reportable STDs**, Wisconsin, 2013 Counties with rates* >400 *Cases per 100,000 population **Chlamydia, gonorrhea and syphilis 22

  23. Milwaukee County (Geographic Data) 2013 Sexually Transmitted Disease in Wisconsin 23

  24. 53223 53224 53217 53209 53218 53225 53216 53206 53211 53222 53212 53210 53205 53226 53202 53208 53213 53214 53204 53215 53219 53227 53207 53235 53228 53220 53221 53110 53130 53129 53172 53132 53154 Reported Chlamydia Cases by ZIP Code, Milwaukee County, 2013 • Top Eight ZIP Code Areas Reporting over 500 Cases • ZIP Code • 53204 • 53206 • 53208 • 53209 • 53210 • 53212 • 53216 • 53218 Total Cases = 9,685 53233 53203 0-9 10-49 50-249 250-499 500-1,000 24

  25. 53223 53224 53217 53209 53218 53225 53216 53206 53211 53222 53212 53210 53205 53226 53202 53208 53213 53214 53204 53215 53219 53227 53207 53235 53228 53220 53221 53110 53130 53129 53172 53132 53154 Reported Gonorrhea Cases by ZIP Code, Milwaukee County, 2013 • Top Six ZIP Code Areas Reporting over 200 Cases • ZIP Code • 53206 • 53208 • 53209 • 53210 • 53216 • 53218 Total Cases = 3,044 53233 53203 0-4 5-16 17-39 40-129 130-400 25

  26. 53223 53224 53217 53209 53218 53225 53216 53206 53211 53222 53212 53210 53205 53226 53202 53208 53213 53214 53204 53215 53219 53227 53207 53235 53228 53220 53221 53110 53130 53129 53172 53132 53154 Reported Syphilis Cases by ZIP Code, Milwaukee County, 2013 • Top Seven ZIP Code Areas Reporting Eight or More Cases • ZIP Code • 53204 • 53207 • 53208 • 53209 • 53212 • 53215 • 53216 Total Cases = 148 53233 53203 2013 0 1-3 4-7 8-20 26

  27. Questions? Please contact the Wisconsin STD Control Section: (608) 266-7945

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