Reported Cases

in

2013

Wisconsin Sexually Transmitted Disease (STD) Surveillance Data

1

WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases andEmergency PreparednessSTD Control SectionP-00415 (06/14)

Wisconsin STD Control Section

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)

Preface

In this analysis, “reportable STDs” refer specifically to chlamydia, gonorrhea and syphilis.

2

Wisconsin STD Control Section

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

Preface

3

Wisconsin STD Control Section

Reported STD Cases by Disease,Wisconsin, 2013

Disease Cases Rate*Chlamydia 23,204 412Gonorrhea 4,573 81Syphilis 255 5All STDs 28,040 498

*Cases per 100,000 population

4

Wisconsin STD Control Section

Primary and Secondary Syphilis Rates* by State, 2012, Centers for Disease Control and Prevention (CDC) Data

IL

WI (39th)

MN

IA

*Cases per 100,000 population

MI

5

State

Wisconsin STD Control Section

Chlamydia Rates* by State, 2012, CDC Data

0

100

200

300

400

500

600

700

800

900

MS

AK

AL

LA

SC

NM

AR

GA

IL

NC

NY

TN

TX

DE

MI

SD

AZ

MO

HA

OH

MD

IN

CA

OK

VA

PA

ND

CO

WI

RI

NV

FL

KY

KS

MT

IA

WY

NE

CT

WA

MA

OR

MN

NJ

ID

VT

UT

WV

ME

NH

IL

WI (29th)

MN

IA

*Cases per 100,000 population

MI

6

State

Wisconsin STD Control Section

Gonorrhea Rates* by State, 2012, CDC Data

0

50

100

150

200

250

300

State

MS

LA

AL

SC

GA

NC

AK

OH

TN

IL

MO

MI

TX

PA

OK

NY

IN

FL

AK

DE

KY

MD

NM

AR

CA

SD

VA

NJ

NV

WI

KS

NE

IA

CT

HA

MN

CO

ND

RI

WA

WV

MA

OR

ME

UT

VT

NH

MT

ID

IL

WI (30th)MN

IA

*Cases per 100,000 population

MI

7

Wisconsin STD Control Section

Combined Rates* for Chlamydia, Gonorrhea, and Primary and Secondary Syphilis by State, 2012, CDC Data

*Cases per 100,000 population.

IL

WI (28th)

MN

IA

MI

8

0

200

400

600

800

1,000

1,200

MS

AK

AL

LA

SC

GA

NC

IL

NM

AR

TN

NY

TX

MI

OH

MO

DE

IN

SD

OK

AZ

MD

PA

CA

HA

VA

FL

WI

KY

NV

CO

ND

KS

RI

NE

IA

CT

WA

MA

MN

NJ

MT

OR

WY

WV

ID

ME

VT

UT

NH

State

Wisconsin STD Control Section

Reported Cases of STDs* by Year of Diagnosis, Wisconsin, 2003-2013

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Cas

es

Year*Chlamydia, gonorrhea and syphilis

20% increase

9

Wisconsin STD Control Section

0

4,000

8,000

12,000

16,000

20,000

24,000

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Year

Cas

es

Chlamydia

Gonorrhea

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

10

Wisconsin STD Control Section

0

50

100

150

200

250

300

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Year

Cases

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

11

Wisconsin STD Control Section

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

30%

46%

29%

84%

70% 71%

16%

54%

0%

25%

50%

75%

100%

All STDs Gonorrhea Chlamydia Syphilis

Disease

Male

Female

12

Wisconsin STD Control Section

1%

28%

39%

17%

8%

3%2% 1% 1%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

<15 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50+

Age group

Attributable Percentage of Reportable STDs* by Age Group, Wisconsin, 2013

*Chlamydia, gonorrhea and syphilis13

Wisconsin STD Control Section

4 1 81

1,997

2,776

1,248

631

256116 58 18

0

500

1000

1500

2000

2500

3000

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50+

Age group

Ra

te*

Age-specific STD Rates* of Reportable STDs**,Wisconsin, 2013

*Cases per 100,000 population**Chlamydia, gonorrhea and syphilis

14

Wisconsin STD Control Section

White86%

African American

7%

American Indian

1%

Asian2%

Other4%

Race Cases PercentWhite 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%

Reported STD cases*,Wisconsin, 2013

Wisconsin population2010

Comparison of the Racial Distribution of Reported STD Morbidity* with Wisconsin Population

*Chlamydia, gonorrhea and syphilis

15

Wisconsin STD Control Section

2,447

675

284 217

0

300

600

900

1,200

1,500

1,800

2,100

2,400

2,700

3,000

African American Native American Asian/ PacificIslander

White

Ra

te*

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

Wisconsin STD Control Section

Imputed STD Case Rates* by Race, Reportable STDs**,Wisconsin, 2013

3,511

857

355 272

0

1,000

2,000

3,000

4,000

5,000

African American Native American Asian/ PacificIslander

White

Ra

te*

13-fold difference

*Imputed rates are calculated by statistically allocating cases reported with unspecified race.**Chlamydia, gonorrhea and syphilis

17

Wisconsin STD Control Section

State of Wisconsin

(Geographic Data) 2013

18

Wisconsin STD Control Section

Reported Chlamydia Cases by County, Wisconsin, 2013

0-44

45-135

136-374

375-716

717-3,000

>3,000

Total Cases = 23,204

Price

Clark

Dane

Polk

Vilas

Grant

Iron

Bayfield

Rusk

Sawyer

Oneida

Marathon

Sauk

Forest

Taylor

Douglas

Iowa

Dunn

Marinette

Rock

Oconto

Wood

Dodge

Barron

Lincoln

Burnett

Jackson

Ashland

Monroe

Vernon

Juneau

Portage

Chippewa

Buffalo

Adams

Shawano

Langlade

Door

Green

Pierce

Washburn

Brown

Columbia

Waupaca

Lafayette

Richland

Saint Croix

Crawford

Jefferson

Waushara

Walworth

Eau Claire

Fond du Lac

Outagamie

Florence

Manitowoc

Waukesha

Winnebago

Racine

Calumet

Marquette

Pepin

Kenosha

Trempealeau

La Crosse

Sheboygan

Washington

Kewaunee

Green Lake

Menominee

Ozaukee

Milwaukee

19

Wisconsin STD Control Section

Reported Gonorrhea Cases by County, Wisconsin, 2013

0-5

6-19

20-59

60-99

100-999

>1000

Total Cases = 4,573

Price

Clark

Dane

Polk

Vilas

Grant

Iron

Bayfield

Rusk

Sawyer

Oneida

Marathon

Sauk

Forest

Taylor

Douglas

Iowa

Dunn

Marinette

Rock

Oconto

Wood

Dodge

Barron

Lincoln

Burnett

Jackson

Ashland

Monroe

Vernon

Juneau

Portage

Chippewa

Buffalo

Adams

Shawano

Langlade

Door

Green

Pierce

Washburn

Brown

Columbia

Waupaca

Lafayette

Richland

Saint Croix

Crawford

Jefferson

Waushara

Walworth

Eau Claire

Fond du Lac

Outagamie

Florence

Manitowoc

Waukesha

Winnebago

Racine

Calumet

Marquette

Pepin

Kenosha

Trempealeau

La Crosse

Sheboygan

Washington

Kewaunee

Green Lake

Menominee

Ozaukee

Milwaukee

20

Wisconsin STD Control Section

Reported Syphilis Cases by County, Wisconsin, 2013

0

1-3

4-19

20-49

50-125+

Total Cases = 255

21

Price

Clark

Dane

Polk

Vilas

Grant

Iron

Bayfield

Rusk

Sawyer

Oneida

Marathon

Sauk

Forest

Taylor

Douglas

Iowa

Dunn

Marinette

Rock

Oconto

Wood

Dodge

Barron

Lincoln

Burnett

Jackson

Ashland

Monroe

Vernon

Juneau

Portage

Chippewa

Buffalo

Adams

Shawano

Langlade

Door

Green

Pierce

Washburn

Brown

Columbia

Waupaca

Lafayette

Richland

Saint Croix

Crawford

Jefferson

Waushara

Walworth

Eau Claire

Fond du Lac

Outagamie

Florence

Manitowoc

Waukesha

Winnebago

Racine

Calumet

Marquette

Pepin

Kenosha

Trempealeau

La Crosse

Sheboygan

Washington

Kewaunee

Green Lake

Menominee

Ozaukee

Milwaukee

Wisconsin STD Control Section

Reported STD Case Rates* by County, Reportable STDs**, Wisconsin, 2013

*Cases per 100,000 population**Chlamydia, gonorrhea and syphilis

Counties with rates* >400

<200

200-399

400-599

600-799

800+

Rate*

County Cases Percent Rate

Menominee 63 0.2% 1,378

Milwaukee 12,896 46.0% 1,353

Forest 60 0.2% 609

Kenosha 995 3.5% 605

Dane 2,351 8.4% 487

Brown 1,190 4.2% 486

Douglas 210 0.7% 480

Racine 940 3.4% 471

Rock 743 2.6% 464

Winnebago 654 2.3% 403

SUBTOTAL 20,102 70.6% 874

Other counties 7,938 29.4% 247

State total 28,040 100.0% 498

50 0 5025 Miles

Price

Clark

Dane

Polk

Vilas

Grant

Iron

Bayfield

Rusk

Sawyer

Oneida

Marathon

Sauk

Forest

Taylor

Douglas

Iowa

Dunn

Marinette

Rock

Oconto

Wood

Dodge

Barron

Lincoln

Burnett

Jackson

Ashland

Monroe

Vernon

Juneau

Portage

Chippewa

Buffalo

Adams

Shawano

Langlade

Door

Green

Pierce

Washburn

Brown

Columbia

Waupaca

Lafayette

Richland

Saint Croix

Crawford

Jefferson

Waushara

Walworth

Eau Claire

Fond du Lac

Outagamie

Florence

Manitowoc

Waukesha

Winnebago

Racine

Calumet

Marquette

Pepin

Kenosha

Trempealeau

La Crosse

Sheboygan

Washington

Kewaunee

Green Lake

Menominee

Ozaukee

Milwaukee

22

Wisconsin STD Control Section

Milwaukee County

(Geographic Data) 2013

Sexually Transmitted Disease in Wisconsin23

Wisconsin STD Control Section

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

0-9

10-49

50-249

250-499

500-1,000

Total Cases = 9,685

5313253154

53217

53209

53223

53207

53224

53221

53214

53225

53226

53218

53215

53220

53222

53129

53227

53228

53219

53110

53172

53216

53208

53212

53213

53204

53130

53235

53210

53205

5321153206

53202

24

53203

53233

Wisconsin STD Control Section

5313253154

53217

53209

53223

53207

53224

53221

53214

53225

53226

53218

53215

53220

53222

53129

53227

53228

53219

53110

53172

53216

53208

53212

53213

53204

53130

53235

53210

53205

5321153206

53202 Total Cases = 3,044

Top Six ZIP Code Areas Reporting over 200 Cases

ZIP Code • 53206• 53208• 53209• 53210• 53216• 53218

Reported Gonorrhea Cases by ZIP Code, Milwaukee County, 2013

0-4

5-16

17-39

40-129

130-400

25

53233

53203

Wisconsin STD Control Section

5313253154

53217

53209

53223

53207

53224

53221

53214

53225

53226

53218

53215

53220

53222

53129

53227

53228

53219

53110

53172

53216

53208

53212

53213

53204

53130

53235

53210

53205

5321153206

53202

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

0

1-3

4-7

8-20

Total Cases = 148

2013

26

53203

53233

Wisconsin STD Control Section

Questions?

Please contact the WisconsinSTD Control Section:

(608) 266-7945