Reported Cases

in

2012

Wisconsin STD (Sexually Transmitted Disease) Surveillance Data

1

DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases andEmergency PreparednessSTD Control SectionP-00415 (06/13)

Wisconsin STD Control Section

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

Preface

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

2

Wisconsin STD Control Section

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

Wisconsin STD Control Section

Reported STD cases, by diseaseWisconsin, 2012

Disease Cases Rate*Chlamydia 23,353 413Gonorrhea 4,692 83Syphilis 266 5All STDs 28,312 501

* Cases per 100,000 population.

4

Wisconsin STD Control Section

Primary and secondary syphilis rates* by state,2011, CDC data

0

2

4

6

8

10

12

14

LA

MD

GA

IL

FL

CA

MS

AR

NY

NV

WA

AL

SC

TX

NC

TN

RI

AZ

MA

OH

NM

KY

DE

PA

MI

VA

IN

CO

NJ

MN

OR

MO

OK

CT

VT

NH

WI

HA

ME

KS

ID

MT

AK

IA

NE

UT

WV

ND

SD

WY

IL

WI (37th)MN

IA

* Cases per 100,000 population.

MI

5

Wisconsin STD Control Section

Chlamydia rates* by state, 2011, CDC data

IL WI (24th)

MN

IA

* Cases per 100,000 population.

MI

6

Wisconsin STD Control Section

Gonorrhea rates* by state, 2011, CDC data

IL

WI (24th)

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, 2011, CDC data

* Cases per 100,000 population.

IL

WI (22nd)

MN

IA

MI

8

Wisconsin STD Control Section

Reported cases of STDs* by year of diagnosis, Wisconsin , 2002-2012

* Chlamydia, gonorrhea, and syphilis.

18% increase

9

Wisconsin STD Control Section

-3,000

1,000

5,000

9,000

13,000

17,000

21,000

25,000

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Year

Cas

es

ChlamydiaGonorrhea

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

10

Wisconsin STD Control Section

0

50

100

150

200

250

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Year

Case

sReported cases of syphilis by year of diagnosis,

Wisconsin, 2002-2012

11

Wisconsin STD Control Section

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

32%

44%

29%

82%

68%71%

17%

56%

0%

25%

50%

75%

100%

All STDs Gonorrhea Chlamydia Syphilis

Disease

MaleFemale

12

Wisconsin STD Control Section

1%

30%

39%

17%

7%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 by age group, reportable STDs*Wisconsin, 2012

* Chlamydia, gonorrhea, and syphilis.13

Wisconsin STD Control Section

4 1 81

2,097

2,632

1,247

584

254117 64 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

Rat

e*Age-specific STD rates*, reportable STDs**

Wisconsin, 2012

* 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 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%

Reported STD cases*,Wisconsin, 2012

Wisconsin population2010

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

* Chlamydia, gonorrhea, and syphilis.

15

Wisconsin STD Control Section

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

Wisconsin STD Control Section

Imputed STD case rates*, by race, reportable STDs**,Wisconsin, 2012

14-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) 2012

Sexually Transmitted Disease in Wisconsin18

Wisconsin STD Control Section

Reported Chlamydia Cases by County, Wisconsin, 2012

*Reported Chlamydia Cases by CountyData Source:

0-44

45-135

136-374

375-716

717-1650+

>9000

2012

23,353 = 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

BarronLincoln

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, 2012

**Reported Gonorrhea Cases by County

0-5

6-19

20-59

60-99

100-999

>1000

2012

4,692 = 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

BarronLincoln

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, 2012

Data Source:

0

1-3

4-19

20-49

50-125+

2012

266 = Total Cases

*Reported Syphilis Cases by County

50 0 5025 Miles

21

Price

Clark

Dane

Polk

Vilas

Grant

Iron

Bayfield

Rusk

Sawyer

Oneida

Marathon

Sauk

Forest

Taylor

Douglas

Iowa

Dunn

Marinette

Rock

Oconto

Wood

Dodge

BarronLincoln

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, 2012

* 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 60 0.2% 1,329

Milwaukee 13,380 47.3% 1,394

Racine 969 3.4% 483

Kenosha 995 3.5% 602

Rock 837 3.0% 523

Brown 1,263 4.5% 511

Forest 60 0.2% 625

Dane 2,207 7.8% 449

Douglas 192 0.7% 434

SUBTOTAL 19,963 70.6% 874

Other counties 8,349 29.4% 247

State total 28,312 100.0% 501

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

BarronLincoln

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) 2012

Sexually Transmitted Disease in Wisconsin23

Wisconsin STD Control Section

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

0-19

20-99

100-499

500-999

1000-2000

0 3 6 9 121.5

2012

10,089 = Total Cases

*Reported Chlamydia Cases by Zip-code

Data Source:

53132 53154

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

Wisconsin STD Control Section

53132 53154

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 3,147 = 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, 2012

2012

0-5

6-19

20-49

50-169

170-495+

0 3 6 9 121.5

Data Source:25

Wisconsin STD Control Section

53132 53154

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, 2012

*Reported syphilis cases by zip-code

Zip Code Areas Reporting

8 or more Cases Zip Code

53204 53212 53215 532165321853225

0

1-3

4-7

8-20

0 3 6 9 121.5

144 = Total Cases

Data Source:

2012

26

Wisconsin STD Control Section

Questions?

Please contact the WisconsinSTD Control Section:

(608) 266-7945