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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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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 Data

  • 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


Preface Data

  • 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


Disease Cases Rate* Data

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


IL Data

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


Chlamydia rates by state 2012 cdc data
Chlamydia Rates* by State, 2012, CDC Data Data

IL

MI

IA

WI (29th)

MN

State

*Cases per 100,000 population

6


Gonorrhea rates by state 2012 cdc data
Gonorrhea Rates* by State, 2012, CDC Data Data

IL

MI

IA

WI (30th)

MN

*Cases per 100,000 population

7


Combined rates for chlamydia gonorrhea and primary and secondary syphilis by state 2012 cdc data
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


Reported cases of stds by year of diagnosis wisconsin 2003 2013
Reported Cases of STDs* by Year of Diagnosis, Secondary Syphilis by State, 2012, CDC DataWisconsin, 2003-2013

20% increase

*Chlamydia, gonorrhea and syphilis

9


Reported cases of chlamydia and gonorrhea by year of diagnosis wisconsin 2003 2013
Reported Cases of Chlamydia and Gonorrhea Secondary Syphilis by State, 2012, CDC Databy Year of Diagnosis, Wisconsin, 2003-2013

10



Male female distribution of reported std cases by disease wisconsin 2013
Male-Female Distribution of Reported STD Cases 2003-2013by Disease, Wisconsin, 2013

12


Attributable percentage of reportable stds by age group wisconsin 2013
Attributable Percentage of Reportable STDs* by Age Group, Wisconsin, 2013

*Chlamydia, gonorrhea and syphilis

13


Age specific std rates of reportable stds wisconsin 2013
Age-specific STD Rates* of Reportable STDs**, Wisconsin, 2013Wisconsin, 2013

*Cases per 100,000 population

**Chlamydia, gonorrhea and syphilis

14


Reported STD cases*, Wisconsin, 2013Wisconsin, 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


Reported std case rates by race reportable stds wisconsin 2013
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


Imputed std case rates by race reportable stds wisconsin 2013

13-fold difference Wisconsin, 2013

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


State of Wisconsin Wisconsin, 2013

(Geographic Data)

2013

18


Bayfield Wisconsin, 2013

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


Bayfield Wisconsin, 2013

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


Bayfield Wisconsin, 2013

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


Reported std case rates by county reportable stds wisconsin 2013

Bayfield Wisconsin, 2013

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


Milwaukee County Wisconsin, 2013

(Geographic Data)

2013

Sexually Transmitted Disease in Wisconsin

23


53223 Wisconsin, 2013

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


53223 Wisconsin, 2013

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


53223 Wisconsin, 2013

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


Questions? Wisconsin, 2013

Please contact the Wisconsin

STD Control Section:

(608) 266-7945


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