reported cases in 2013
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
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