Reported Cases in 2011

Reported Cases

in

2011

Wisconsin STD (Sexually Transmitted Disease) Surveillance Data

1

DEPARTMENT OF HEALTH SERVICES Division of Public Health

Bureau of Communicable Diseases andEmergency Preparedness

STD Control SectionP-00415 (10/12)

Wisconsin STD Control Section

Reportable STDs in the State of Wisconsin in 2011:

• Chlamydia: Chlamydia trachomatis • Syphilis: Treponema pallidum • Gonorrhea: Neisseria gonorrhea • Chancroid: Haemophilus ducreyi • PID: Pelvic Inflammatory Disease

Preface

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

2


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

Preface

3


Chlamydia83.0%

Syphilis0.7%

Gonorrhea16.3%

Reported STD cases, by diseaseWisconsin, 2011

Disease Cases Rate*Chlamydia 24,254 429Gonorrhea 4,761 84Syphilis 198 4All STDs 28,257 517

* Cases per 100,000 population.

4


Primary and secondary syphilis rates* by state,2010, CDC data

0

2

4

6

8

10

12

14

L

A

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A

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A

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S

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I

D

A

K

W

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T

W

Y

IL

WI (39th)

MN

IA


MI

5


Chlamydia rates* by state, 2010, CDC data

0

100

200

300

400

500

600

700

800

900

A

K

M

S

L

A

N

M

S

C

A

L

A

R

N

Y

D

E

M

I

T

X

I

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H

A

M

D

G

A

T

N

N

C

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M

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A

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L

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A

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C

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N

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I

O

R

W

A

M

A

M

T

N

J

M

N

N

E

I

D

U

T

W

V

V

T

M

E

N

H

IL WI (20th)

MN

IA


MI

6


Gonorrhea rates* by state, 2010, CDC data

0

50

100

150

200

250

300

M

S

L

A

S

C

A

L

A

R

I

L

N

C

M

I

A

K

G

A

O

H

O

K

T

N

T

X

F

L

M

D

D

E

M

O

I

N

V

A

W

I

K

Y

K

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N

Y

P

A

N

E

C

T

N

V

C

A

C

O

I

A

N

J

N

M

A

Z

H

A

M

N

S

D

W

A

R

I

M

A

O

R

W

V

N

D

W

Y

U

T

M

E

N

H

M

T

V

T

I

D

IL

WI (24th)

MN

IA


MI

7


Combined rates* for chlamydia, gonorrhea and primary and secondary syphilis by state, 2010, CDC data


0

200

400

600

800

1,000

1,200

M

S

A

K

L

A

S

C

A

L

A

R

D

E

I

L

T

N

M

I

N

C

N

Y

T

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G

A

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K

M

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N

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A

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A

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A

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N

V

A

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N

P

A

C

T

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D

K

Y

W

Y

N

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R

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A

W

A

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R

N

J

M

A

N

D

M

T

M

N

I

D

U

T

W

V

V

T

M

E

N

H

IL

WI (25th)

MN

IA

MI

8


Reported cases of STDs* by year of diagnosis, Wisconsin , 2001-2011

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Cases

* Chlamydia, gonorrhea, and syphilis.

29% increase

9


-3,000

1,000

5,000

9,000

13,000

17,000

21,000

25,000

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Cas

es

Chlamydia

Gonorrhea

Reported cases of chlamydia and gonorrhea by year of diagnosis, Wisconsin, 2001-2011

10


0

50

100

150

200

250

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

Cases

Reported cases of syphilis by year of diagnosis, Wisconsin, 2001-2011

11


Male-female distribution of reported STD cases, by disease, Wisconsin, 2011

32%

39%

29%

80%

71% 71%

19%

61%

0%

25%

50%

75%

100%

All STDs Gonorrhea Chlamydia Syphilis

Disease

Male

Female

12


1%

32%

39%

15%

7%

3%1% 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 by age group, reportable STDs*Wisconsin, 2011

* Chlamydia, gonorrhea, and syphilis.13


2 398

2,333

2,665

1,196

568

258107 57 15

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*, reportable STDs**Wisconsin, 2011

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

14


White88%

Other3%

American Indian

1%

Asian2%

African American

6%

Race Cases PercentWhite 10,219 35.0%African Am. 10,358 35.5%Am. Indian 464 1.6%Asian/Pac. Is. 399 1.4%Other 468 1.6%Unknown 7,306 25.0%Total 29,214 100%

Reported STD cases*,Wisconsin, 2011

Wisconsin population2000

Comparison of the racial distribution of reported STD morbidity* with Wisconsin population

* Chlamydia, gonorrhea, and syphilis.

15


2,806

751

304201

0

300

600

900

1,200

1,500

1,800

2,100

2,400

2,700

3,000

African American Am. Indian Asian/ Pacific Is. White

Ra

te*

Reported STD case rates*, by race, reportable STDs**,Wisconsin, 2011

14-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, 2011

3,976

875

406 254

0

1,000

2,000

3,000

4,000

5,000

African American Am. Indian Asian/ Pacific Is. White

Ra

te*

16-fold difference

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

17


State of Wisconsin

(Geographic Data) 2011

Sexually Transmitted Disease in Wisconsin18


Reported Chlamydia Cases by County, Wisconsin, 2011

*Reported Chlamydia Cases by CountyData Source:

0-44

45-135

136-374

375-716

717-1650

>9000

2011

24,254 = Total Cases

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

19


Reported Gonorrhea Cases by County, Wisconsin, 2011

**Reported Gonorrhea Cases by County

0-5

6-19

20-59

60-99

100-999

>1000

2011

4,761 = Total Cases

Data Source:

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

20


Reported Syphilis Cases by County, Wisconsin, 2011

Data Source:

0

1-3

4-19

20-49

50-125

2011

198 = Total Cases

*Reported Syphilis Cases by County

50 0 5025 Miles

Price

Clark

Dane

Polk

Vilas

Grant

Iron

Bayf ield

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

21


Reported STD case rates*, by county, reportable STDs**, Wisconsin, 2011

* 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 81 0.3% 1,795

Milwaukee 14,220 48.7% 1,482

Racine 1,104 3.8% 550

Kenosha 909 3.1% 550

Rock 850 2.9% 531

Brown 1,354 4.6% 547

Forest 49 0.2% 510

Dane 2,182 7.5% 444

La Crosse 481 1.6% 423

Winnebago 684 2.3% 419

Eau Claire 413 1.4% 415

SUBTOTAL 22,327 76.4% 853

Other counties 6,887 23.5% 224

State total 29,214 100.0% 517

Data Source:

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


Milwaukee County

(Geographic Data) 2011

Sexually Transmitted Disease in Wisconsin23


Reported Chlamydia Cases by zip code, Milwaukee County, 2011

Top Seven Zip Code Areas Reporting over 650+

Cases

Zip Code –• 53206• 53208• 53209• 53210• 53212• 53216• 53218

0-19

20-99

100-499

500-999

1000-2000

0 3 6 9 121.5

2011

10,869 = Total Cases

*Reported Chlamydia Cases by Zip-code

Data Source:

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


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 3,238 = Total Cases

Top Five Zip Code Areas Reporting over 275+

Cases

Zip Code • 53206• 53209• 53210• 53216• 53218

*Reported Gonorrhea Cases by Zip-code

Reported Gonorrhea Cases by zip code, Milwaukee County, 2011

2011

0-5

6-19

20-49

50-169

170-495+

0 3 6 9 121.5

Data Source:25


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 Early Syphilis Cases by zip code, Milwaukee County, 2011

*Reported syphilis cases by zip-code

Zip Code Areas Reporting

8 or more Cases

Zip Code 53206

53208

53209

53216

53218

0

1-3

4-7

8-20

0 3 6 9 121.5

113 = Total Cases

Data Source:

2011

26


Questions?

Please contact the WisconsinSTD Control Section:

(608) 266-7945

Documents

Reported Cases in 2011