Wisconsin STD Sexually Transmitted Disease Surveillance Data Reported

Wisconsin STD (Sexually Transmitted Disease) Surveillance Data Reported Cases in 2017 Division of Public Health Bureau of Communicable Diseases STD Control Section P-00415 (08/18) Wisconsin STD Control Section

Preface Reportable STDs in the State of Wisconsin in 2017: • • • Chlamydia: Chlamydia trachomatis Syphilis: Treponema pallidum Gonorrhea: Neisseria gonorrhea Chancroid: Haemophilus ducreyi PID: Pelvic Inflammatory Disease In this analysis “reportable STDs” refer specifically to chlamydia, gonorrhea, and syphilis. 2 Wisconsin STD Control Section

Preface 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 3 Wisconsin STD Control Section

Reported STD cases, by disease Wisconsin, 2017 Disease Chlamydia Gonorrhea Syphilis All STDs Cases Rate* 27, 287 485 7, 610 135 547 10 35444 630 * Cases per 100, 000 population. 4 Wisconsin STD Control Section

Primary and secondary syphilis rates* by state, 2016, CDC data IL MN MI WI (47 th) IA * Cases per 100, 000 population 5 Wisconsin STD Control Section

Chlamydia rates* by state, 2016, CDC data IL WI (28 th) MI IA MN * Cases per 100, 000 population. 6 Wisconsin STD Control Section

Gonorrhea rates* by state, 2016, CDC data IL MI WI (33 st) IA MN * Cases per 100, 000 population. 7 Wisconsin STD Control Section

Combined rates* for chlamydia, gonorrhea and primary and secondary syphilis by state, 2016, CDC data IL WI (32 nd) MI IA MN * Cases per 100, 000 population. 8 Wisconsin STD Control Section

Reported cases of STDs* by year of diagnosis, Wisconsin, 2009 -2017 26% increase * Chlamydia, gonorrhea, and syphilis. 9 Wisconsin STD Control Section

Reported cases of chlamydia and gonorrhea by year of diagnosis, Wisconsin, 2008 -2017 Cases Year 10 Wisconsin STD Control Section

Reported cases of syphilis by year of diagnosis, Wisconsin, 2008 -2017 11 Wisconsin STD Control Section

Male-female distribution of reported STD cases, by disease, Wisconsin, 2017 12 Wisconsin STD Control Section

Attributable percentage by age group, reportable STDs* Wisconsin, 2017 * Chlamydia, gonorrhea, and syphilis. 13 Wisconsin STD Control Section

Age-specific STD rates*, reportable STDs** Wisconsin, 2017 * Cases per 100, 000 population. ** Chlamydia, gonorrhea, and syphilis. 14 Wisconsin STD Control Section

Comparison of the racial distribution of reported STD morbidity* with Wisconsin population Reported STD cases*, Wisconsin, 2017 Wisconsin population 2016 Race White African Am. Indian Asian/Pac. Is. Other Unknown Total Cases Percent 14, 055 39. 6% 11, 417 32. 2% 437 1. 2% 486 1. 4% 1, 178 3. 3% 7, 897 22. 3% 35, 470 100% * Chlamydia, gonorrhea, and syphilis. 15 Wisconsin STD Control Section

Reported STD case rates*, by race, reportable STDs**, Wisconsin, 2017 11 -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, 2017 13 -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) 2017 Sexually Transmitted Disease in Wisconsin 18 Wisconsin STD Control Section

Reported Chlamydia Cases by County, Wisconsin, 2017 Bayfield Douglas Ashland Iron 27, 287 = Total Cases Vilas Burnett Washburn Sawyer Florence Oneida Price Polk Barron Forest Rusk Marinette Lincoln Langlade Taylor Chippewa Saint Croix Menominee Oconto Dunn Pierce Pepin Marathon Eau Claire Wood Buffalo Trempealeau Door Shawano Clark Portage Waupaca Outagamie Brown Kewaunee Jackson Manitowoc Waushara La Crosse Monroe Calumet Winnebago Juneau Adams Marquette Green Lake Fond du Lac 2017 Sheboygan Vernon Sauk Richland Columbia Dodge Washington Ozaukee 45 -135 136 -374 375 -716 Crawford Iowa Dane Jefferson Waukesha Milwaukee Lafayette 717 -1650+ >9000 Grant *Reported Chlamydia Cases by County 0 -44 Green Racine Rock Walworth Kenosha 19 Data Source: Wisconsin STD Control Section

Reported Gonorrhea Cases by County, Wisconsin, 2017 Bayfield Douglas Ashland Iron 7, 610 = Total Cases Vilas Burnett Washburn Sawyer Florence Oneida Price Polk Barron Forest Rusk Marinette Lincoln Langlade Taylor Chippewa Saint Croix Menominee Dunn Pierce Oconto Marathon Eau Claire Door Shawano Clark Pepin Portage Wood Buffalo Waupaca Kewaunee Outagamie Brown Jackson Trempealeau Manitowoc Waushara Winnebago La Crosse Monroe Adams Juneau Calumet Marquette Green Lake 2017 Fond du Lac Sheboygan Vernon Columbia Sauk Richland Dodge Washington Crawford Iowa Dane Jefferson Ozauk ee Waukesha Racine **Reported Gonorrhea Cases by County 6 -19 20 -59 60 -99 100 -999 Grant Lafayette Milwaukee 0 -5 Green Rock Walworth >1000 Kenosha 20 Data Source: Wisconsin STD Control Section

Reported Syphilis Cases by County, Wisconsin, 2017 Bayfield Douglas Ashland Iron Vilas Burnett Washburn Sawyer Oneida Price Polk Barron Forest Rusk Marinette Lincoln Langlade Taylor Chippewa Saint Croix Menominee Oconto Dunn Pierce 547 = Total Cases Florence Marathon Eau Claire Door Shawano Clark Pepin Wood Buffalo Trempealeau Portage Waupaca Kewaunee Outagamie Brown Jackson Manitowoc Waushara Winnebago La Crosse Monroe Calumet Adams Marquette Juneau Green Lake Fond du Lac 2017 Sheboygan 0 Vernon Columbia Sauk Richland Dodge Washington Ozaukee 1 -3 4 -19 Crawford Dane Iowa Jefferson Waukesha Milwaukee 20 -49 50 -125+ Grant Racine Lafayette Green *Reported Syphilis Cases by County, (All Stages of Syphilis) Rock Walworth Kenosha 21 Data Source: Wisconsin STD Control Section

Reported STD case rates*, by county, reportable STDs* Counties with rates* >400 Wisconsin, 2017 Bayfield Ashland Iron Vilas Washburn Sawyer Florence Oneida Price Polk Barron Forest Rusk Marinette Lincoln Langlade Taylor Chippewa Saint Croix Menominee. Oconto Dunn Pierce Pepin Marathon Eau Claire Door Shawano Clark Wood Portage Waupaca Buffalo Trempealeau Jackson Outagamie Kewaunee Brown Manitowoc Rate* Waushara <200 La Crosse Monroe 600 -799 Winneba go Juneau Adams. Marquette Percent Rate Milwaukee 15, 953 45. 0% 1, 674 49 0. 1% 1, 072 Rock 1, 205 3. 4% 752 Kenosha Dane Racine 1, 134 3, 328 1, 270 3. 2% 9. 4% 3. 6% 690 689 637 Eau Claire Brown 581 1, 335 1. 6% 3. 8% 591 545 La Crosse Winnebago Sauk 550 777 269 1. 6% 2. 2% 0. 8% 488 479 456 Sheboygan Dunn Outagamie Pierce Grant 510 190 740 165 200 1. 4% 0. 5% 2. 1% 0. 5% 0. 6% 445 423 410 406 SUBTOTAL 25, 653 79. 8% 724 9, 817 20. 2% 276 35, 470 100. 0% 630 Calumet Green Lake Fond du Lac Sheboygan 200 -399 400 -599 Cases Menominee Douglas Burnett County Other counties State total Vernon Richland Sauk Columbia Dodge Washington. Ozaukee Crawford 800+ Iowa Dane Jefferson Waukesha Milwaukee Grant Lafayette Green * Cases per 100, 000 population. * Chlamydia, gonorrhea, and syphilis. Racine Rock Walworth Kenosha 22 Data Source: Wisconsin STD Control Section

Milwaukee County (Geographic Data) 2017 Sexually Transmitted Disease in Wisconsin 23 Wisconsin STD Control Section

53223 53224 Reported Chlamydia Cases by zip code, Milwaukee County, 2017 53217 Top Five Zip Code Areas Reporting over 650+ Cases 53209 53218 53225 Zip Code 53216 53222 53206 53211 53212 53210 53205 53226 53213 53214 53208 53202 10, 942 = Total Cases 53204 53227 53219 53228 53220 53215 • 53204 • 53206 • 53208 • 53209 • 53210 • 53212 • 53216 • 53218 *Reported Chlamydia Cases by Zip-code 53207 53235 53221 53110 53130 2017 53129 0 -19 53172 20 -99 100 -499 53132 500 -999 53154 1000 -2000 24 Data Source: Wisconsin STD Control Section

Reported Gonorrhea Cases by zip code, Milwaukee County, 2017 53223 53224 Top Seven Zip Code Areas Reporting over 250+ Cases 53217 53209 Zip Code 53218 53225 53216 53222 53206 53211 53212 4, 726 = Total Cases 53210 53226 53213 53214 53208 53205 53202 53204 53227 53219 53228 53220 • 53206 • 53208 • 53209 • 53210 • 53212 • 53216 • 53218 *Reported Gonorrhea Cases by Zip-code 53215 53207 53235 2017 53221 53110 53130 0 -5 53129 6 -19 20 -49 53172 50 -169 53132 170 -495+ 53154 25 Data Source: Wisconsin STD Control Section

53223 53224 Reported Syphilis Cases by zip code, Milwaukee County, 2017 53209 53218 53225 Zip Code Areas Reporting 8 or more Cases 53216 53222 53206 53211 53212 53210 53205 53226 53213 53214 53227 288 = Total Cases 53202 53208 53204 53219 53215 53202 53204 53205 53206 53207 53208 53209 53210 53212 53214 53215 53216 53218 53225 *Reported syphilis cases by zip-code (All Stages of Syphilis) 53207 53228 53235 53220 53221 53110 53130 53129 2017 0 53172 1 -3 53132 4 -7 53154 8 -20 26 Data Source: Wisconsin STD Control Section

Questions? Please contact the Wisconsin STD Control Section: (608) 266 -7945 27 Wisconsin STD Control Section