1. Wisconsin STD Control Section Reported Cases in 2014 Wisconsin Sexually Transmitted Disease (STD) Surveillance Data 1 WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Public Health Bureau of Communicable Diseases and Emergency Preparedness STD Control Section P-00415 (07/2015)

2. 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

3. 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

4. Wisconsin STD Control Section Reported STD Cases by Disease, Wisconsin, 2014 DiseaseCasesRate* Chlamydia22,837406 Gonorrhea4,04772 Syphilis2845 All STDs27,168483 *Cases per 100,000 population 4

5. Wisconsin STD Control Section Chlamydia Rates* by State, 2013, CDC Data IL WI (28th) MN IA *Cases per 100,000 population MI 5

6. Wisconsin STD Control Section Gonorrhea Rates* by State, 2013, CDC Data IL WI (29th) MN IA *Cases per 100,000 population MI 6 US

7. Wisconsin STD Control Section Primary and Secondary Syphilis Rates* by State, 2013, Centers for Disease Control and Prevention (CDC) Data IL WI (43rd) MN IA *Cases per 100,000 population MI 7 StateState US

8. Wisconsin STD Control Section Reported Cases of STDs* by Year of Diagnosis, Wisconsin, 2005-2014 *Chlamydia, gonorrhea and syphilis 2.7% increase 8

9. Wisconsin STD Control Section Reported Cases of Chlamydia and Gonorrhea by Year of Diagnosis, Wisconsin, 2005-2014 9

10. Wisconsin STD Control Section Reported Cases of Syphilis by Year of Diagnosis, Wisconsin, 2005-2014 10

11. Wisconsin STD Control Section Male-Female Distribution of Reported STD Cases by Disease, Wisconsin, 2014 11

12. Wisconsin STD Control Section Attributable Percentage of Reportable STDs* by Age Group, Wisconsin, 2014 *Chlamydia, gonorrhea and syphilis 12

13. Wisconsin STD Control Section Age-specific STD Rates* of Reportable STDs**, Wisconsin, 2014 *Cases per 100,000 population **Chlamydia, gonorrhea and syphilis 13

14. Wisconsin STD Control Section RaceCasesPercent White10,93440.2% African American8,21230.2% American Indian3611.3% Asian/Pacific Islander3521.3% Other6172.3% Unknown6,69224.6% Total22,168100% Reported STD cases*, Wisconsin, 2014 Wisconsin population 2010 Comparison of the Racial Distribution of Reported STD Morbidity* with Wisconsin Population *Chlamydia, gonorrhea and syphilis 14

15. Wisconsin STD Control Section Reported STD** Case Rates* by Race, Reportable STDs, Wisconsin, 2014 10.5-fold difference *Cases reported with race specified per 100,000 population **Chlamydia, gonorrhea and syphilis 15

16. Wisconsin STD Control Section Imputed STD Case Rates* by Race, Reportable STDs**, Wisconsin, 2014 12-fold difference *Imputed rates are calculated by statistically allocating cases reported with unspecified race. **Chlamydia, gonorrhea and syphilis 16

17. Wisconsin STD Control Section State of Wisconsin (Geographic Data) 2014 17

18. Wisconsin STD Control Section Reported Chlamydia Cases by County, Wisconsin, 2014 0-44 45-135 136-374 375-716 717-3,000 >3,000 Total Cases = 22,837 18

19. Wisconsin STD Control Section Reported Gonorrhea Cases by County, Wisconsin, 2014 0-5 6-19 20-59 60-99 100-999 >1,000 Total Cases = 4,047 19

20. Wisconsin STD Control Section Reported Syphilis Cases by County, Wisconsin, 2014 0 1-3 4-19 20-49 >50 Total Cases = 284 20

21. Wisconsin STD Control Section Reported STD Case Rates* by County, Reportable STDs**, Wisconsin, 2014 CountyCasesPercent Rate Milwaukee11,91243.8% 1,250 Menominee540.2% 1,181 Kenosha 9653.6%587 Dane 2,3468.6% 486 Racine 9683.6%485 Rock 7672.8%479 La Crosse5141.9%456 Eau Claire4341.6%442 Brown 1,0623.9% 433 Sawyer700.3%409 SUBTOTAL19,09270.3% 783 Other counties8,07629.7% 253 State total27,168100.0%483 *Cases per 100,000 population **Chlamydia, gonorrhea and syphilis Counties with rates* >400 <200 200-399 400-599 600-799 >800 Rate* 21

22. Wisconsin STD Control Section Milwaukee County (Geographic Data) 2014 Sexually Transmitted Disease in Wisconsin 22

23. Wisconsin STD Control Section Reported Chlamydia Cases by ZIP Code, Milwaukee County, 2014 Top Eight ZIP Code Areas Reporting over 500 Cases ZIP Code 53206 53208 53209 53210 53212 53215 53216 53218 0-9 10-49 50-249 250-499 500-1,000 Total Cases = 9,266 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 23 53203 53233

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 53211 53206 53202 Total Cases = 2,476 Top Five ZIP Code Areas Reporting over 200 Cases ZIP Code 53206 53208 53209 53210 53218 Reported Gonorrhea Cases by ZIP Code, Milwaukee County, 2014 0-4 5-16 17-39 40-129 130-400 24 53233 53203

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 53211 53206 53202 Reported Syphilis Cases by ZIP Code, Milwaukee County, 2014 Top Eight ZIP Code Areas Reporting Eight or More Cases ZIP Code 53204 53206 53208 53209 53210 53212 53215 53218 0 1-3 4-7 8-20 Total Cases = 171 2013 25 53203 53233

26. Wisconsin STD Control Section Questions? Please contact the Wisconsin STD Control Section: 608-266-7945 26