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Reported Cases in 2016

Wisconsin STD (Sexually Transmitted Disease) Surveillance Data. Reported Cases in 2016. Division of Public Health Bureau of Communicable Diseases STD Control Section P-00415 (08/2017). 1. Preface. Reportable STDs in the State of Wisconsin in 2016: Chlamydia: Chlamydia trachomatis

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Reported Cases in 2016

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  1. Wisconsin STD (Sexually Transmitted Disease) Surveillance Data Reported Cases in 2016 Division of Public Health Bureau of Communicable Diseases STD Control Section P-00415 (08/2017) 1

  2. Preface • Reportable STDs in the State of Wisconsin in 2016: • Chlamydia: Chlamydia trachomatis • Syphilis: Treponema pallidum • Gonorrhea: Neisseria gonorrhea • Chancroid: Haemophilus ducreyi • PID: Pelvic Inflammatory Disease In this analysis “reportable STDs” refer specifically to chlamydia, gonorrhea, and syphilis. 2

  3. Preface • STD Surveillance data must be interpreted with caution: • Underreporting • Uneven reporting • Incomplete data • This analysis examines several factors that influence STD rates: • Sex • Age • Race • Geography 3

  4. Disease Cases Rate* Chlamydia 26,432 470 Gonorrhea 6,467 115 Syphilis 281 7 All STDs 33,351 593 * Cases per 100,000 population. Reported STD cases, by diseaseWisconsin, 2016 4

  5. IL MI IA MN Primary and secondary syphilis rates* by state,2015, CDC data WI (47th) * Cases per 100,000 population. 5

  6. Chlamydia rates* by state, 2015, CDC data IL IA WI (31st) MI MN * Cases per 100,000 population. 6

  7. Gonorrhea rates* by state, 2015, CDC data IL MI IA WI (31st) MN * Cases per 100,000 population. 7

  8. Combined rates* for chlamydia, gonorrhea and primary and secondary syphilis by state, 2015, CDC data IL MI WI (32nd) MN IA * Cases per 100,000 population. 8

  9. Reported cases of STDs* by year of diagnosis, Wisconsin, 2007-2016 8% increase * Chlamydia, gonorrhea, and syphilis. 9

  10. Reported cases of chlamydia and gonorrhea by year of diagnosis, Wisconsin, 2007-2016 10

  11. Reported cases of syphilis by year of diagnosis, Wisconsin, 2007-2016 11

  12. Male-female distribution of reported STD cases, by disease, Wisconsin, 2016 12

  13. Attributable percentage by age group, reportable STDs*Wisconsin, 2016 * Chlamydia, gonorrhea, and syphilis. 13

  14. Age-specific STD rates*, reportable STDs**Wisconsin, 2016 * Cases per 100,000 population. ** Chlamydia, gonorrhea, and syphilis. 14

  15. Reported STD* cases,Wisconsin, 2016 Wisconsin population2016 Race Cases Percent White 13,619 40.8% African American 10,829 32.5% American Indian 357 1.1% Asian/Pacific Is. 432 1.3% Other 1,029 3.1% Unknown 7,085 21.2% Total 33,351 100% 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, 2016 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, 2016 * Imputed rates are calculated by statistically allocating cases reported with unspecified race. **Chlamydia, gonorrhea, and syphilis. 17

  18. State of Wisconsin (Geographic Data) 2016 Sexually Transmitted Disease in Wisconsin 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, 2016 26,432 = Total Cases 2016 0-44 45-135 136-374 375-716 717-1650+ >9000 *Reported Chlamydia Cases by County Data Source: 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 Washington Ozaukee Richland Crawford Dane Jefferson Waukesha Milwaukee Iowa Grant Racine Green Rock Walworth Lafayette Kenosha Reported Gonorrhea Cases by County,* Wisconsin, 2016 6,467 = Total Cases 2016 0-5 6-19 20-59 60-99 100-999 >1000 *Reported Gonorrhea Cases by County Data Source: 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, 2016 419= Total Cases 2016 0 1-3 4-19 20-49 50-125+ *All Stages of reported Syphilis Cases by County Data Source: 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, 2016 Counties with rates* >400 * Cases per 100,000 population. ** Chlamydia, gonorrhea, and syphilis. Data Source: 22

  23. Milwaukee County (Geographic Data) 2016 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, 2016 • Top Five Zip Code Areas Reporting over 650+ Cases • Zip Code • 53206 • 53209 • 53210 • 53216 • 53218 10,766 = Total Cases *Reported Chlamydia Cases by Zip-code 2016 0-19 20-99 100-499 500-999 1000-2000 Data Source: 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, 2016 • Top Seven Zip Code Areas Reporting over 250+ Cases • Zip Code • 53206 • 53208 • 53209 • 53210 • 53212 • 53216 • 53218 4,323 = Total Cases *Reported Gonorrhea Cases by Zip-code 2016 0-5 6-19 20-49 50-169 170-495+ Data Source: 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 Early Syphilis Cases by zip code,* Milwaukee County, 2016 Zip Code Areas Reporting 8 or more Cases 53204 53206 53208 53209 53210 53212 53214 53216 53218 53224 53225 210 = Total Cases *Reported syphilis cases by zip-code 2016 0 1-3 4-7 8-20 Data Source: 26

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

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