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 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) In this analysis, “reportable STDs” refer specifically to chlamydia, gonorrhea and syphilis. 2

Preface 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 3

Reported STD Cases by Disease, Wisconsin, 2013 Disease Cases Rate* Chlamydia 23,204 412 Gonorrhea 4,573 81 Syphilis 255 5 All STDs 28,040 498 *Cases per 100,000 population 4

Primary and Secondary Syphilis Rates Primary and Secondary Syphilis Rates* by State, 2012, Centers for Disease Control and Prevention (CDC) Data IL MI IA WI (39th) MN State *Cases per 100,000 population 5

Chlamydia Rates* by State, 2012, CDC Data IL MI IA WI (29th) MN State *Cases per 100,000 population 6

Gonorrhea Rates* by State, 2012, CDC Data IL MI IA WI (30th) MN *Cases per 100,000 population 7

Combined Rates* for Chlamydia, Gonorrhea, and Primary and Secondary Syphilis by State, 2012, CDC Data IL MI IA WI (28th) MN State *Cases per 100,000 population. 8

Reported Cases of STDs* by Year of Diagnosis, Wisconsin, 2003-2013 20% increase *Chlamydia, gonorrhea and syphilis 9

Reported Cases of Chlamydia and Gonorrhea by Year of Diagnosis, Wisconsin, 2003-2013 10

Reported Cases of Syphilis by Year of Diagnosis, Wisconsin, 2003-2013 11

Male-Female Distribution of Reported STD Cases by Disease, Wisconsin, 2013 12

Attributable Percentage of Reportable STDs Attributable Percentage of Reportable STDs* by Age Group, Wisconsin, 2013 *Chlamydia, gonorrhea and syphilis 13

Age-specific STD Rates* of Reportable STDs**, Wisconsin, 2013 *Cases per 100,000 population **Chlamydia, gonorrhea and syphilis 14

Reported STD cases*, Wisconsin, 2013 Comparison of the Racial Distribution of Reported STD Morbidity* with Wisconsin Population Race Cases Percent White 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 population 2010 *Chlamydia, gonorrhea and syphilis 15

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

Imputed STD Case Rates* by Race, Reportable STDs**, Wisconsin, 2013 13-fold difference *Imputed rates are calculated by statistically allocating cases reported with unspecified race. **Chlamydia, gonorrhea and syphilis 17

State of Wisconsin (Geographic Data) 2013 18

Reported Chlamydia Cases by County, Wisconsin, 2013 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 Total Cases = 23,204 0-44 45-135 136-374 375-716 717-3,000 >3,000 19

Reported Gonorrhea Cases by County, Wisconsin, 2013 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 Total Cases = 4,573 0-5 6-19 20-59 60-99 100-999 >1000 20

Reported Syphilis Cases by County, Wisconsin, 2013 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 Total Cases = 255 1-3 4-19 20-49 50-125+ 21

Reported STD Case Rates* by County, Reportable STDs**, Wisconsin, 2013 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 Counties with rates* >400 County Cases Percent Rate Menominee 63 0.2% 1,378 Milwaukee 12,896 46.0% 1,353 Forest 60 609 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 <200 200-399 400-599 600-799 800+ Rate* *Cases per 100,000 population **Chlamydia, gonorrhea and syphilis 22

Sexually Transmitted Disease in Wisconsin Milwaukee County (Geographic Data) 2013 Sexually Transmitted Disease in Wisconsin 23

Reported Chlamydia Cases by ZIP Code, Milwaukee County, 2013 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 53211 53206 53202 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 Total Cases = 9,685 53233 53203 0-9 10-49 50-249 250-499 500-1,000 24

Reported Gonorrhea Cases by ZIP Code, Milwaukee County, 2013 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 53211 53206 53202 Reported Gonorrhea Cases by ZIP Code, Milwaukee County, 2013 Top Six ZIP Code Areas Reporting over 200 Cases ZIP Code 53206 53208 53209 53210 53216 53218 Total Cases = 3,044 53233 53203 0-4 5-16 17-39 40-129 130-400 25

Reported Syphilis Cases by ZIP Code, Milwaukee County, 2013 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 53211 53206 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 Total Cases = 148 53233 53203 2013 1-3 4-7 8-20 26

Please contact the Wisconsin Questions? Please contact the Wisconsin STD Control Section: (608) 266-7945