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Reported Cases in 2012

Wisconsin STD (Sexually Transmitted Disease) Surveillance Data. Reported Cases in 2012. DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases and Emergency Preparedness STD Control Section P-00415 (06/13). 1. Preface.

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Reported Cases in 2012

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  1. Wisconsin STD (Sexually Transmitted Disease) Surveillance Data Reported Cases in 2012 DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases and Emergency Preparedness STD Control Section P-00415 (06/13) 1

  2. Preface • Reportable STDs in the State of Wisconsin in 2012: • 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: • 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 23,353 413 Gonorrhea 4,692 83 Syphilis 266 5 All STDs 28,312 501 * Cases per 100,000 population. Reported STD cases, by diseaseWisconsin, 2012 4

  5. IL MI IA MN Primary and secondary syphilis rates* by state,2011, CDC data WI (37th) * Cases per 100,000 population. 5

  6. Chlamydia rates* by state, 2011, CDC data MI IL WI (24th) IA MN * Cases per 100,000 population. 6

  7. Gonorrhea rates* by state, 2011, CDC data MI IL WI (24th) IA MN * Cases per 100,000 population. 7

  8. Combined rates* for chlamydia, gonorrhea and primary and secondary syphilis by state, 2011, CDC data MI IL IA WI (22nd) MN * Cases per 100,000 population. 8

  9. Reported cases of STDs* by year of diagnosis, Wisconsin , 2002-2012 18% increase * Chlamydia, gonorrhea, and syphilis. 9

  10. Reported cases of chlamydia and gonorrhea by year of diagnosis, Wisconsin, 2002-2012 10

  11. Reported cases of syphilis by year of diagnosis, Wisconsin, 2002-2012 11

  12. Male-female distribution of reported STD cases, by disease, Wisconsin, 2012 12

  13. Attributable percentage by age group, reportable STDs*Wisconsin, 2012 * Chlamydia, gonorrhea, and syphilis. 13

  14. Age-specific STD rates*, reportable STDs**Wisconsin, 2012 * Cases per 100,000 population. ** Chlamydia, gonorrhea, and syphilis. 14

  15. Reported STD cases*,Wisconsin, 2012 Wisconsin population2010 Race Cases Percent White 10,557 37.3% African Am. 9,669 34.2% Am. Indian 421 1.5% Asian/Pac. Is. 401 1.4% Other 586 2.1% Unknown 6,678 23.6% Total 28,312 100% 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, 2012 13-fold difference * Cases reported with race specified per 100,000 population. **Chlamydia, gonorrhea, and syphilis. 16

  17. 14-fold difference Imputed STD case rates*, by race, reportable STDs**,Wisconsin, 2012 * Imputed rates are calculated by statistically allocating cases reported with unspecified race. **Chlamydia, gonorrhea, and syphilis. 17

  18. State of Wisconsin (Geographic Data) 2012 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, 2012 23,353 = Total Cases 2012 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 Ozaukee Washington Richland Crawford Dane Jefferson Waukesha Milwaukee Iowa Grant Racine Green Rock Walworth Lafayette Kenosha Reported Gonorrhea Cases by County, Wisconsin, 2012 4,692 = Total Cases 2012 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, 2012 266 = Total Cases 2012 0 1-3 4-19 20-49 50-125+ *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, 2012 Counties with rates* >400 * Cases per 100,000 population. ** Chlamydia, gonorrhea, and syphilis. Data Source: 22

  23. Milwaukee County (Geographic Data) 2012 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, 2012 • Top Seven Zip Code Areas Reporting over 650+ Cases • Zip Code – • 53206 • 53208 • 53209 • 53210 • 53216 • 53218 10,089 = Total Cases *Reported Chlamydia Cases by Zip-code 2012 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, 2012 • Top Five Zip Code Areas Reporting over 275+ Cases • Zip Code • 53206 • 53209 • 53210 • 53216 • 53218 3,147 = Total Cases *Reported Gonorrhea Cases by Zip-code 2012 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, 2012 Zip Code Areas Reporting 8 or more Cases Zip Code 53204 53212 53215 53216 53218 53225 144 = Total Cases *Reported syphilis cases by zip-code 2012 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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