The City of Milwaukee has dramatically scaled back testing for sexually transmitted infections despite having some of the worst STI rates in the nation.

Under a directive from interim Health Commissioner Patricia McManus, nurses can no longer perform a wide range of tests at city health clinics.

“These restrictive changes in services being recommended by interim Commissioner McManus are extremely puzzling to those of us who have been involved in actively educating and informing the public about the need for getting tested for STI,” said Melissa Ugland, a local public health consultant.