reported cases in 2012 wisconsin std (sexually transmitted disease) surveillance data 1 department...
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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
Chlamydia
Gonorrhea
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
Cases
Reported 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
Male
Female
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
Ra
te*
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
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, 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
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, 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
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, 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
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) 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:
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
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 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
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, 2012
*Reported syphilis cases by zip-code
Zip Code Areas Reporting
8 or more Cases Zip Code
53204
53212
53215
53216
53218
53225
0
1-3
4-7
8-20
0 3 6 9 121.5
144 = Total Cases
Data Source:
2012
26
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