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
Slide2SALT Epidemiology Update
Trends in Wisconsin and Milwaukee County Gonorrhea Morbidity, 2014-2016
Family Planning Chlamydia and Gonorrhea Testing and Positivity 2012-2016
Slide3Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, by Month, Jan 2014 - Feb 2015
Slide4Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, by Month, Jan 2014 - Sep 2015
Slide5Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, by Month, Jan 2014 - Dec 2016
Slide6Gonorrhea Cases Reported from Milwaukee County versus Other Wisconsin Counties, 3-Month Moving Average, Jan 2014 - Dec 2016
Slide7Number 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)
Slide8Gonorrhea Cases Reported from Milwaukee City versus Other Milwaukee County, 3-Month Moving Average, Jul 2014 - Jun 2016
Slide9Gonorrhea Cases Reported from Milwaukee County, by Sex3-Month Moving Average, Jul 2014 - Jun 2016
Slide10Gonorrhea Cases Reported from Milwaukee County, by Sex and Age Group3-Month Moving Average, Jul 2014 - Jun 2016
Slide11Gonorrhea Cases Reported from Milwaukee, by SES Group (Zip Codes), Jul 2014 - Jun 2016
+ 68.0%
+ 79.9%
+ 62.4%
Slide12Gonorrhea Cases Reported from Selected High Morbidity Milwaukee Clinics, 3-Month Moving Average, Jul 2014 - Jun 2016
+ 59.6%
+ 68.7%
+ 66.4%
Slide13Milwaukee 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%
Slide14Distribution 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
Slide15Slide16Poverty Level Data from: https
://www.hsph.harvard.edu/thegeocodingproject/webpage/monograph/povdata.htm
Slide17Gonorrhea 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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