Stronger Together: 2017 STD Alliance Team (SALT)

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Presentations text content in Stronger Together: 2017 STD Alliance Team (SALT)

Slide1

Stronger Together: 2017 STD Alliance Team (SALT)Kick-off Webinar, June 29, 2017John Pfister, MSEpidemiology Analyst

Epidemiology

Update

Gonorrhea in Wisconsin

Slide2

SALT Epidemiology Update

Trends in Wisconsin and Milwaukee County Gonorrhea Morbidity, 2014-2016

Family Planning Chlamydia and Gonorrhea Testing and Positivity 2012-2016

Slide3

Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, by Month, Jan 2014 - Feb 2015

Slide4

Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, by Month, Jan 2014 - Sep 2015

Slide5

Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, by Month, Jan 2014 - Dec 2016

Slide6

Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, 3-Month Moving Average, Jan 2014 - Dec 2016

Slide7

Number of GC Cases

2016Cumulative CasesCountyCases% of Total#%Milwaukee4,33766.2%4,33766%Dane4346.6%4,77173%Kenosha2844.3%5,05577%Racine2594.0%5,31481%Rock2313.5%5,54585%Waukesha1111.7%5,65686%Winnebago1061.6%5,76288%Fond du Lac1041.6%5,86690%Brown1021.6%5,96891%Outagamie791.2%6,04792%Manitowoc450.7%6,09293%Sheboygan450.7%6,13794%All Others4156.3%6,552100%TOTAL6,552100%

(Menominee (3), and Forest (5) replace Waukesha & Sheboygan in rate ranking)

Slide8

Gonorrhea Cases Reported from Milwaukee City versus Other Milwaukee County, 3-Month Moving Average, Jul 2014 - Jun 2016

Slide9

Gonorrhea Cases Reported from Milwaukee County, by Sex3-Month Moving Average, Jul 2014 - Jun 2016

Slide10

Gonorrhea Cases Reported from Milwaukee County, by Sex and Age Group3-Month Moving Average, Jul 2014 - Jun 2016

Slide11

Gonorrhea Cases Reported from Milwaukee, by SES Group (Zip Codes), Jul 2014 - Jun 2016

+ 68.0%

+ 79.9%

+ 62.4%

Slide12

Gonorrhea Cases Reported from Selected High Morbidity Milwaukee Clinics, 3-Month Moving Average, Jul 2014 - Jun 2016

+ 59.6%

+ 68.7%

+ 66.4%

Slide13

Milwaukee City Gonorrhea Cases, by Sex and Provider, Sorted by Decreasing Number, Jan-Jun 2016 (n=1,994)

Number of GC Cases Jul 2015 – Jun 2016

Cumulative Cases

PROVIDER

Females

Males

Cases

% of Total

#

%

PPWI

403

325

728

17.7%

728

18%

WFH

338

328

666

16.2%

1,394

34%

MHD STD

129

464

593

14.4%

1,987

48%

AURORA

333

183

516

12.5%

2,503

61%

CSM

125

93

218

5.3%

2,721

66%

MLK

107

59

166

4.0%

2,887

70%

PROCARE

83

39

122

3.0%

3,009

73%

FROEDTERT

73

44

117

2.8%

3,126

76%

BESTD

1

91

92

2.2%

3,218

78%

16

TH

ST

27

27

54

1.3%

3,272

80%

ARCW

1

40

41

1.0%

3,313

81%

MAHP

19

22

41

1.0%

3,354

82%

All Others

434

327

761

18.5%

4,115

100%

TOTAL

2,073

2,042

4,115

100%

Slide14

Distribution of GC Case Rates Among Milwaukee City Census Tracts, July 2015-June 2016

50% of cases

reported from

26% of census tracts comprising 21% of population

Slide15

Slide16

Poverty Level Data from: https

://www.hsph.harvard.edu/thegeocodingproject/webpage/monograph/povdata.htm

Slide17

Gonorrhea in Wisconsin, 2014-2016

A steady, generalized increase was observed in the number of GC cases

in Milwaukee County from

March to September 2015, with subsequent high rates persisting through 2016

.

A less obvious, less dramatic, and less uniform increase was noted in other Wisconsin counties during the same time period

Examination of multiple variables did not reveal any obvious explanation for the increase:

Sex, Age, Specimen Type, Race/Ethnicity, Repeat Infection, HIV or Ct Co-Infection, Testing Trends, Appropriate Treatment, Zip Code, SES Index of Census Tract, Providers


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