brevard, orange, osceola and seminole counties excluding dept. of corrections florida department of...
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Brevard, Orange, Osceola
and Seminole CountiesExcluding Dept. of Corrections
HIV/AIDS EpidemiologyPartnership 7
Florida Department of HealthHIV/AIDS SectionAnnual data trends as of 12/31/2014Living (Prevalence) data as of 06/30/2015
Created: 12/03/14
Revision: 10/14/15
HIV and AIDS Case Data AIDS Cases became reportable in Florida in 1981.
HIV (not AIDS) became reportable in Florida on July 1, 1997.
HIV Infection reporting represents newly Adult HIV Infection Cases, regardless of AIDS status at time of report, that were previously reported.
AIDS cases and HIV infection cases by year of report are NOT mutually exclusive and CANNOT be added together.
Frozen databases of year-end data are generated at the end of each calendar year. These are the same data used for Florida CHARTS and all grant-related data where annual data are included.
HIV prevalence data are generated later in the year, usually in July, when most of the “expected” death data are complete.
HIV and AIDS Case Data (con’t)
Adult cases represent ages 13 and older, pediatric cases are those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.
Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic.
Unless otherwise noted. Area and county data will exclude DOC cases.
Snapshot of Persons Reported with HIV Disease, 2014, Partnership 7
Adults (Age 13+)
Pediatrics (Age <13) TOTAL
HIV Infection Cases 781 4 785
AIDS Cases 347 - 347
Total Population, 2014*
2,523,550 Adults (Age 13+)
Pediatrics (Age<13) TOTAL
HIV (not AIDS) Cases** 5,788 62 5,850
AIDS Cases 12,266 96 12,362
Total 18,054 158 18,212
*2014 estimate is provisional
HIV Infection and AIDS Cases Reported in 2014*
Cumulative HIV/AIDS Cases Reported 1981-2014
Persons L iving with HIV Disease through 2014, as of 06/30/2015: 11,882
*HIV infection cases and AIDS cases by year of report are NOT mutually exclusive and CANNOT be added together.
**HIV (not AIDS) cases were NOT reportable until 07/1997
HIV Infection Cases and Rates*,By Year of Report, 2005-2014, Partnership 7
Note: Enhanced laboratory reporting (ELR) laws in 2006 and the expansion of ELR in 2007 led to an artificial peak in newly reported cases of HIV infection in 2007. This was followed by a general decline in reported cases through 2012. Another surge in the expansion of ELR in 2012 was followed by another increase in newly reported cases of HIV infection in 2013. An additional 23% increase was observed in 2014 compared to the previous year. This is higher than the 12% increase observed by the state during the same time period.*Source: Population estimates are provided by Florida CHARTS as of 7/9/2015. Rates are expressed as per 100,000 population.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
100
200
300
400
500
600
700
800
900
1,000
721 701
859804
644598 585 569
636
785
Year of Report
Nu
mb
er o
f C
ases
Year Rate05 32.406 30.707 36.908 34.209 27.210 25.111 24.312 23.413 25.714 31.1
AIDS Cases and Rates*By Year of Report, 2005-2014, Partnership 7
Enhanced laboratory reporting (ELR) laws in 2006 and the expansion of ELR in 2007 led to an artificial peak in newly reported cases of AIDS in 2009. This was followed by a general decline in reported cases through 2012. Another surge in the expansion of ELR in 2012 was followed by another increase in newly reported cases of AIDS in 2013. AIDS cases in 2014 dropped by 15% from the previous year. This is similar to the 15% decline observed by the state during the same time period.*Source: Population estimates are provided by Florida CHARTS as of 7/9/2015. Rates are expressed as per 100,000 population.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
100
200
300
400
500
600
473 480
412
345
453
380 376
280
409347
Year of Report
Nu
mb
er o
f C
ases
Year Rate05 21.406 21.107 17.908 14.809 19.110 15.911 15.612 11.613 16.514 13.8
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
20
40
60
80
100
Year of Report
Per
cen
t o
f C
ases
M:F Ratio*
2005 2.7:1
2014 3.4:1
Note: Recent trends in HIV transmission are best described by the HIV case data. The relative increases in male HIV infection cases might be attributed to proportional increases in HIV transmission among men who have sex with men (MSM), which may influence future AIDS trends. *The male-to-female ratio is the number of cases among males divided by the number of cases among females.
Adult HIV Infection Cases, by Sex and Year of Report, 2005-2014, Partnership 7
Males
Females
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
20
40
60
80
Year of Report
Per
cen
t o
f C
ases
Note: AIDS cases tend to represent HIV transmission that occurred many years ago. The relative increases in males cases reflect the changing face of the AIDS epidemic over time. *The male-to-female ratio is the number of cases among males divided by the number of cases among females.
M:F Ratio*
2005 2.6:1
2014 2.5:1
Adult AIDS Cases, by Sex and Year of Report, 2005-2014, Partnership 7
Males
Females
Note: Partnership 7’s Adult Population is: 49% Male and 51% Female.
Adult HIV Infection and AIDS Cases by Sex,Reported in 2014, Partnership 7
AIDS N=347
71%
29%
MaleFemale
HIV InfectionN=781
77%
23%
Adult HIV Infection Casesby Race/Ethnicity and Year of Report,
2005-2014, Partnership 7
Note: HIV case reporting reflects more recent trends in the epidemic with respect to the distribution of cases by race/ethnicity. From 2005 to 2014, the proportion of HIV infection cases decreased among whites and blacks by 2 and 7 percentage points respectively. In contrast, the proportion of HIV cases among Hispanics increased by 9 percentage points during this same time period. Other races represent less than 3% of the cases and are not included.
2005 2006 2007 2008 2009 2010 2011 2012 2013 201405
101520253035404550
Year of Report
Per
cen
t o
f C
ases
Black
HispanicWhite
Adult Male HIV Infection Casesby Race/Ethnicity and Year of Report,
2005-2014, Partnership 7
Note: Over the past ten years, the proportion of adult male HIV infection cases among blacks and whites fluctuated over time, oftentimes, crossing paths. The proportion of HIV cases among Hispanic males increased by 8 percentage points from 2005 to 2014. In contrast, the proportion of HIV cases among white and black males decreased by 3 and 6 percentage points, respectively. Other races represent less than 4% of the cases and are not included.
2005 2006 2007 2008 2009 2010 2011 2012 2013 201405
101520253035404550
Year of Report
Per
cen
t o
f C
ases
Black
Hispanic
White
Adult Female HIV Infection Casesby Race/Ethnicity and Year of Report,
2005-2014, Partnership 7
Note: HIV case disparities are more evident among women than men. For the past ten years, black women represented 49% or more of the cases each year. From 2005 to 2014, the proportion of adult female HIV infection cases among whites and Hispanics fluctuated over time, oftentimes, crossing paths. Over the past ten years, the proportion of HIV cases among black females decreased by 9 percentage points. In contrast, the proportion of HIV cases among Hispanic females increased by 11 percentage points, whereas HIV cases among white females remained unchanged during the same period. Other races represent less than 4% of the cases and are not included.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
30
60
90
Year of Report
Per
cen
t o
f C
ases
Black
HispanicWhite
Adult AIDS Cases by Race/Ethnicity and Year of Report,
2005-2014, Partnership 7 Factors Affecting Disparities-Late diagnosis of HIV.-Access to/acceptance of care.-Delayed prevention messages.-Stigma.-Non-HIV STD’s in the community.-Prevalence of injection drug use.-Complex matrix of factors related to socioeconomic status
Note: In 2014, blacks accounted for 45% of adult AIDS cases, but only 14% of the population. From 2005 to 2014, the proportion of AIDS cases among blacks and Hispanics increased by 4 and 2 percentage points. In contrast, the proportion of AIDS cases among whites decreased by 5 percentage points. Numerous disparities can affect the increases of HIV disease in a given population. Other races represent less than 3% of the cases and are not included.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
10
20
30
40
50
60
Year of Report
Per
cen
t o
f C
ases
Black
Hispanic White
Note: Among black males, the HIV infection case rate is 3 times higher than among white males. Among black females, the HIV case rate is 11-fold greater than the rate among white females. Among Hispanic males and females, the HIV case rates are higher than the rates among their white counterparts. *Source: Population estimates are provided by Florida CHARTS as of 7/9/2015.
Adult HIV Infection Case Rates* by Sexand Race/Ethnicity, Reported in 2014, Partnership 7
Rate Ratios: MALES Black:White, 3.4:1 Hispanic:White, 2.2:1
FEMALES Black:White, 11.0:1 Hispanic:White, 4.4:1
Male Female0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
36.4
5.0
122.6
54.7
78.6
22.0
White Black Hispanic
Rat
e p
er 1
00,0
00 P
op
ula
tio
n
Note: Among black males, the AIDS case rate is nearly 5 times higher than the rate among white males. Among black females, the AIDS case rate is nearly 16-fold greater than the rate among white females. Hispanic male and female rates are higher than the rates among their white counterparts. *Source: Partnership 7 population estimates are provided by Florida CHARTS as of 7/9/2015
Adult AIDS Case Rates* by Sexand Race/Ethnicity, Reported in 2014, Partnership 7
Rate Ratios: MALES Black:White, 4.9:1 Hispanic:White, 1.7:1
FEMALES Black:White, 15.8:1 Hispanic:White, 4.2:1
Male Female0
10
20
30
40
50
60
70
80
14.1
2.3
69
36.7
24.3
9.6
White Black Hispanic
Rat
e p
er 1
00,0
00 P
op
ula
tio
n
56%
14%
24%
6%
AIDSN=347
2014 Partnership 7 Population Estimates*
N=2,118,861
HIV InfectionN=781
White Black Hispanic Other**
Note: In this snapshot for 2014, blacks are over-represented among the HIV and AIDS cases, accounting for 34% of adult HIV cases and 45% of adult AIDS cases, but only 14% of the adult population. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of the population. *Source: Population estimates are provided by Florida CHARTS as of 7/9/2015.**Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and Multi-racial individuals.
Adult HIV and AIDS Cases Reported in 2014 and Population Data, by Race/Ethnicity, Partnership 7
28%
46%
24%
3%
31%
34%
32% 3%
Note: From 2005 to 2014, the proportion of adult HIV infection cases among those aged 20-29 and those aged 50+ increased by 3 and 5 percentage points, respectively.
Adult HIV Infection Cases, by Age Group at Diagnosis,and Year of Report, 2005–2014, Partnership 7
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
5
10
15
20
25
30
3513-19 20-29 30-39 40-49 50 +
Year of Report
Per
cen
t o
f C
ases
Note: HIV infection cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic. With regard to the age group with the highest percent of HIV infection cases, recent estimates show that among males, 33% of HIV infection cases occur among males aged 20-29, whereas among females, 27% of HIV infection cases occur among females in the 50 or older age group.
Adult HIV Infection Cases, by Sex and Age Group at Diagnosis,
Reported in 2014, Partnership 7
Males N=602 Females N=1790
5
10
15
20
25
30
35
40
36
33
20
242121
26
19
27
13-19 20-29 30-39 40-49 50+
Per
cen
t o
f C
ases
Definitions of Mode of Exposure Categories
MSM = Men who have sex with men or Male-to-male sexual contact with person with HIV/AIDS or known HIV risk
IDU = Injection Drug User
MSM/IDU = Men who have sex with men or Male-to-male sexual contact & Injection Drug User
Heterosexual = Heterosexual contact with person with HIV/AIDS or known HIV risk
OTHER = includes hemophilia, transfusion, perinatal, other pediatric risks and other confirmed risks.
NIR = Cases reported with No Identified Risk
Redistribution of NIRs = This illustrates the effect of statistically assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs.
Note: NIRs redistributed. Male-to-male sexual contact (MSM) remains as the primary mode of exposure among male HIV cases in Partnership 7, followed by heterosexual contact for most of the years.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
100
200
300
400
500
600
MSM IDU MSM/IDU Heterosexual
Year of Report
Nu
mb
er o
f C
ases
Adult Male HIV Infection Cases, by Mode of Exposure
and Year of Report, 2005–2014, Partnership 7
Note: NIRs redistributed. The heterosexual risk continues to be the dominant mode of exposure among females.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
20
40
60
80
100
120
140
160
180
200
IDU Heterosexual
Year of Report
Nu
mb
er o
f C
ases
Adult Female HIV Infection Cases by Exposure Categoryand Year of Report, 2005-2014, Partnership 7
Note: NIRs redistributed. Among the male HIV infection and AIDS cases reported for 2014, male-to-male sexual contact (MSM) was the most common risk factor (82% and 71% respectively) followed by cases with a heterosexual risk (9% for HIV and 14% for AIDS). The recent increase among MSM is indicated by the higher MSM among HIV infection cases compared to AIDS cases, as HIV infection cases tend to represent a more recent picture of the epidemic.
Adult Male HIV Infection and AIDS Cases, by Mode of Exposure, Reported in 2014, Partnership 7
72%
8%6%
14%
1%
AIDSN=247
MSMIDUMSM/IDUHeterosexualOther
83%
5%4%
9%
HIV InfectionN=602
Note: NIRs redistributed. Among the female HIV infection and AIDS cases reported for 2014, heterosexual contact was the highest risk (88% and 83% respectively).
Adult Female HIV Infection and AIDS Cases, by Mode of Exposure, Reported in 2014, Partnership 7
13%
83%
4%
AIDSN=100
IDUHeterosexualOther
8%
88%
4%
HIV InfectionN=179
Cases Living with HIV Disease
Unless otherwise noted, data in the following slides represent persons living with HIV/AIDS (PLWHAs), who were living in Florida (regardless where diagnosed) through the most recent calendar year. Living data are also referred to as prevalence cases or living with HIV disease.
Total Adult Living HIV/AIDS Cases
N=11,760
Osceola
Orange
Brevard
Seminole
Over 100
51 - 100
26 - 50
1 - 25
0
Adults Living with HIV Disease By Zip Code, Diagnosed through 2014,
Partnership 7
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.Data as of 06/30/2015
34739
34773
00042
34771
32709
34772
32815
32754
34787
32832
32712
32955
32833
32926
32732
34744
32765
32904
32766
32771
32824
34747
32773
32976
34759
34746
32757
32909
32796
32780
32703
34758
32953
32934
32920
32820
32825
32819
32830
32950
34786
34972
32927
32827
32837
3277932746
32829
32908
32907
32708
32940
32828
34741
32818
32836
32822
32901
32808
32949
32821
3476132817
32809
32750
32835
32935
33896
32707
34769
32810
32905
32803
32826
32812
32789
3283132839
32714
33898
3280732805
32951
32937
3474332952
32922
32903
32931
32925
34734
32798
32948
3277632759
34711
Presumed Living MSM HIV/AIDS Cases
N=6,809
Osceola
Orange
Brevard
Seminole
Over 100
51 - 100
26 - 50
1 - 25
0
Men who have Sex with Men (MSM)* Living with HIV Disease
By Zip Code, Diagnosed through 2014, Partnership 7
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.*Includes MSM/IDU cases.Data as of 06/30/2015
34739
34773
00042
34771
32709
34772
32815
32754
34787
32832
32712
32955
32833
32926
32732
32904
32766
32771
32824
34747
32773
32976
34759
34746
32757
34744
32765
32909
32796
32780
32703
34758
32953
32934
32920
32820
32825
32819
32830
32950
34786
34972
32927
32827
32837
3277932746
32829
32908
32907
32708
32940
32828
34741
32818
32836
32822
32901
32808
32949
32821
3476132817
32809
32750
32835
32935
33896
32707
34769
32810
32905
32803
3282632789
3283132839
32714
33898
32807
32951
32937
3474332952
32792
32922
32903
32931
32925
34734
32798
32948
3277632759
34711
Adults Living with HIV Disease By Zip Code, Diagnosed through 2014, Orlando EMA
NIRs are not redistributed.*Includes MSM/IDU.
Total Adult Living HIV/AIDS Cases
N=10,925
LakeSeminole
Osceola
Orange
Over 100
51 - 100
26 - 50
1 - 25
0
34739
34773
3471134736
34771
34772
32709
32736
32702
3283232833
32712
34748 32776
3276632703
34747
32773
32159
34787
34746
32767
32732
34788
32757
32784
34744
32765
32102
32778
32720
32771
34758
3282432827
34759
32820
32825
32819
32830
3470534737
34786
34972
32837
3272634731
3277932746
32829
32708
32828
34741
34762
32822
32836
34761
34797
32808
32821
3281732818
32750
32835
33896
32707
34769
32735
3475632803
32826
32831
33898
34743
32195
3475334734
32798
32134
32796
32926
Men who have Sex with Men (MSM)* Living with HIV Disease
By Zip Code, Diagnosed through 2014, Orlando EMA
NIRs are not redistributed.*Includes MSM/IDU.
Presumed Living MSM HIV/AIDS Cases
N=6,411
Over 100
51 - 100
26 - 50
1 - 25
0
LakeSeminole
Osceola
Orange
34739
34773
3471134736
34771
34772
32709
32736
32702
3283232833
32712
34748 32776
3276632703
34747
32773
32159
34787
34746
32767
32732
34788
32757
32784
34744
32765
32102
32778
32720
32771
34758
3282432827
34759
32820
32825
32819
32830
3470534737
34786
34972
32837
3272634731
3277932746
32829
32708
32828
34741
34762
32822
32836
34761
34797
32808
32821
3281732818
32750
32835
33896
32707
34769
32735
3475632803
32826
32831
33898
34743
32195
3475334734
32798
32134
32796
32926
Presumed Living IDU HIV/AIDS Cases
Over 100
51 - 100
26 - 50
1 - 25
0
N=1,666
Osceola
Orange
Brevard
Seminole
Injection Drug Users (IDUs)* Living with HIV Disease
By Zip Code, Diagnosed through 2014, Partnership 7
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.*Includes MSM/IDU cases.Data as of 06/30/2015
34739
34773
00042
34771
32709
34772
32815
32754
34787
32832
32712
32955
32833
32926
32732
32904
32766
32771
32824
34747
32773
32976
34759
34746
32757
34744
32765
32909
32796
32780
32703
34758
32953
32934
32920
32820
32825
32819
32830
32950
34786
34972
32927
32827
32837
3277932746
32829
32908
32907
32708
32940
32828
34741
32818
32836
32822
32901
32808
32949
32821
3476132817
32809
32750
32835
32935
33896
32707
34769
32810
32905
32803
3282632789
3283132839
32714
33898
32807
32951
32937
3474332952
32792
32922
32903
32931
32925
34734
32798
32948
3277632759
34711
N=3,500
Presumed Living Heterosexual HIV/AIDS Cases
Over 100
51 - 100
26 - 50
1 - 25
0
Osceola
Orange
Brevard
Seminole
Adult Heterosexuals Living with HIV DiseaseBy Zip Code, Diagnosed through 2014,
Partnership 7
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.Data as of 06/30/2015
34739
34773
00042
34771
32709
34772
32815
32754
34787
32832
32712
32955
32833
32926
32732
32904
32766
32771
32824
34747
32773
32976
34759
34746
32757
34744
32765
32909
32796
32780
32703
34758
32953
32934
32920
32820
32825
32819
32830
32950
34786
34972
32927
32827
32837
3277932746
32829
32908
32907
32708
32940
32828
34741
32818
32836
32822
32901
32808
32949
32821
3476132817
32809
32750
32835
32935
33896
32707
34769
32810
32905
32803
3282632789
3283132839
32714
33898
32807
32951
32937
3474332952
32792
32922
32903
32931
32925
34734
32798
32948
3277632759
34711
1 Dot = 3 casesDots are randomlyplaced within zip codes.
Hispanic
Black, not-Hispanic
White, not-Hispanic
N=11,503
Osceola
Orange
Brevard
Seminole
Adults Living with HIV Disease By Zip Code and Race/Ethnicity,
Diagnosed through 2014, Partnership 7
Total includes all races, some which are not on map.Excludes DOC, homeless, and cases with unknown zips.Data as of 06/30/2015
34739
34773
00042
34771
32709
34772
32815
32754
32832
32712
32955
3283332926
32766
32773
32976
34759
34787
34746
32732
32757
34744
32765
32904
32909
32796
32780
32703
32771
32824
34747
34758
32953
32934
32920
32820
32825
32819
32830
32950
34786
34972
32927
32827
32837
32779
32746
32829
32908
32907
32708
32940
32828
34741
32818
32836
32822
32901
32808
32949
3476132817
32809
32750
32835
32935
33896
32707
34769
32810
32905
32803
32831
3389832951
32937
3474332952
32922
32903
32931
32925
32798
32948
3277632759
34711
1 Dot = 3 casesDots are randomlyplaced within zip codes.
Female
Male
N=11,760
Osceola
Orange
Brevard
Seminole
Adults Living with HIV Disease By Zip Code and Sex,
Diagnosed through 2014, Partnership 7
Excludes DOC, homeless, and cases with unknown zips.Data as of 06/30/2015
32771
34739
34773
00042
34771
32709
34772
32815
32754
32832
32712
32955
3283332926
32766
32773
32976
34759
34787
34746
32732
32757
34744
32765
32904
32909
32796
32780
32703
32771
32824
34747
34758
32953
32934
32920
32820
32825
32819
32830
32950
34786
34972
32927
32827
32837
32779
32746
32829
32908
32907
32708
32940
32828
34741
32818
32836
32822
32901
32808
32949
3476132817
32809
32750
32835
32935
33896
32707
34769
32810
32905
32803
32831
3389832951
32937
3474332952
32922
32903
32931
32925
32798
32948
3277632759
34711
Adults Living with HIV Disease,by Sex and Race/Ethnicity
Diagnosed through 2014, Partnership 7
Note: Among adult males living with HIV disease, whites represent the race most affected (41%). Among adult females, blacks represent the race most affected (56%). *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and Multi-racial individuals.
41%33
%
25% 2%
MalesN=8,606
White
Black
Hispanic
Other*
17%
56%
25% 2%
FemalesN=3,252
Note: Among black males living with HIV disease Diagnosed through 2014, the case rate is 3 times higher than the rate among white males. Among black females living with HIV disease, the case rate is nearly 13 times higher than the rate among white females. Hispanic male and female rates are higher than the rates among their white counterparts. Data excludes Department of Corrections cases. *Source: Population estimates are provided by Florida CHARTS as of 7/9/2015.**Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and Multi-racial individuals.
Case Rates* of Adults Living with HIV Disease, by Sex and Race/Ethnicity,
Diagnosed through 2014, Partnership 7
RATE RATIOS:
MALES Blacks:Whites, 3.3:1 Hispanics:Whites, 1.5:1
FEMALES Black:Whites, 12.8:1 Hispanics:Whites, 3.5:1
Male Female0
500
1,000
1,500
2,000
2,500
594.4
89.1
1949.2
1142.2
874.6
312.9334.5
103.6
White Black Hispanic Other**
Rat
e p
er 1
00,0
00 P
op
ula
tio
n
Adults Living with HIV Disease,by Sex and Current Age Group,
Diagnosed through 2014, Partnership 7
MalesN=8,606
13-19 20-29 30-39 40-49 50+05
101520253035404550
1
1217
27
43
Per
cen
t o
f C
ases
FemalesN=3,252
Note: Females living with HIV disease have a higher proportion of cases who are currently 40 years of age or older (74%), compared with males living with HIV disease (70%).
13-19 20-29 30-39 40-49 50+05
101520253035404550
1
7
18
31
43
Per
cen
t o
f C
ases
Adult Males Living with HIV Diseaseby Race/Ethnicity and Mode of ExposureDiagnosed through 2014, Partnership 7
Note: NIRs redistributed. Male-to-male sexual contact (MSM) represents the highest risk for all races. White males have the smallest proportion of heterosexual contact risk. * Other includes hemophilia, transfusion, perinatal, other pediatric risks and other confirmed risks.
68%
16% 6%
8%
2%
HispanicN=2,124
88%
4%
5%3%<1%
White, Non-HispanicN=3,495
61%
11%4%
22%
2%
Black, Non-HispanicN=2,798
MSM IDU MSM/IDUHeterosexual Other*
Adult Females Living with HIV Diseaseby Race/Ethnicity and Mode of ExposureDiagnosed through 2014, Partnership 7
Note: NIRs redistributed. Heterosexual contact is the majority risk for all races. However, whites have the largest proportion of IDU risk. * Other includes hemophilia, transfusion, perinatal, other pediatric risks and other confirmed risks.
31%
66%
3%
White, Non-HispanicN=537
12%
85%
3%
Black, Non-HispanicN=1,836
IDU Heterosexual Other*
15%
81%
3%
HispanicN=812
Annual Prevalence of Adults Living with HIV Disease,
1995-2014, Partnership 7
As a result of declining deaths, annual HIV/AIDS diagnoses have exceeded deaths since 1995,and the number of persons reported with HIV/AIDS who are presumed to be alive have been increasing. Since 1995, the number of persons reported living with HIV/AIDS have increased over 420%. In 2014, the prevalence increased by 6.7% from the previous year. Note: These data represent adults living with HIV disease diagnosed in Florida regardless of their current residence.
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 140
2,000
4,000
6,000
8,000
10,000
12,000
2,119
2,369
2,7783,251
3,655
4,060
4,522
4,979
5,427
5,909
6,4186,948
7,506
7,950
8,522
9,071
9,556
10,092
10,65411,369
Year
Nu
mb
er o
f C
ases
Partnership 7’sTop-9 Priority Populations in 2014for Primary and Secondary HIV PreventionBased on Persons Living with HIV Disease
1. White Men who have sex with Men2. Black Heterosexual men and women3. Black Men who have sex with Men4. Hispanic Men who have sex with Men5. Hispanic Heterosexual men and women6. Hispanic Injection Drug User7. Black Injection Drug User8. White Heterosexual men and women 9. White Injection Drug User
This final ranking is a result of ranking 9 race/risk groups among those newly reported in eHARS with HIV disease in Partnership 7 from the 3 most recent years, plus ranking these same 9 race/risk groups from all persons who were reported and living with HIV disease in eHARS in Partnership 1 through the most recent calendar year. The two ranks were then weighted and combined resulting in the final rank.
H I V D i a g n o s e d ( P L W H ) t h r o u g h
2 0 1 4
E v e r i n C a r e I n C a r e / R e t a i n e d i n C a r e i n 2 0 1 4
O n A R T i n 2 0 1 4 S u p p r e s s e d V i r a l L o a d ( < 2 0 0
c o p i e s / m L ) i n 2 0 1 4
0%10%20%30%40%50%60%70%80%90%
100%
100% 91%
62%
67%59%
PERC
ENT
OF
PLW
H
7,353
Number and Percentage of Persons Diagnosed and Living with HIV (PLWH)
Engaged in Selected Stages of the Continuum of HIV Care
Partnership 7 (excl. DOC), 201411,88210,834
7,9596,958
(1) HIV Diagnosed: Persons diagnosed and living with HIV (PLWH) in Florida through the end of 2014.(2) Ever in Care: PLWH with at least 1 documented viral load (VL) or CD4 lab, medical visit or prescription since HIV diagnosis.(3) In Care: PLWH with at least 1 documented VL or CD4 lab, medical visit or prescription in 2014.
Retained in Care: PLWH with 2 or more documented VL or CD4 labs, medical visits or prescriptions (at least 3 months apart) in 2014.(4) On ART: Estimated PLWH on antiretroviral therapy (ART) in 2014 (estimated from 2013 FL MMP data).(5) Suppressed Viral Load: PLWH with a suppressed VL (<200 copies/mL) on last VL in 2014.
71%
81% of those diagnosed with HIV in 2014 had documented HIV-related care within 3 months of diagnosis 83% of PLWH in care had a suppressed viral load in 2014
8,378
H I V D i a g n o s e d ( P L W H ) t h r o u g h
2 0 1 4
E v e r i n C a r e I n C a r e / R e t a i n e d i n C a r e i n 2 0 1 4
O n A R T i n 2 0 1 4 S u p p r e s s e d V i r a l L o a d ( < 2 0 0
c o p i e s / m L ) i n 2 0 1 4
0%10%20%30%40%50%60%70%80%90%
100%
100% 91%
61%
67%58%
PERC
ENT
OF
PLW
H
6,852
Number and Percentage of Persons Diagnosed and Living with HIV (PLWH)
Engaged in Selected Stages of the Continuum of HIV Care
Orlando EMA (excl. DOC), 201411,18610,174
7,4496,495
(1) HIV Diagnosed: Persons diagnosed and living with HIV (PLWH) in Florida through the end of 2014.(2) Ever in Care: PLWH with at least 1 documented viral load (VL) or CD4 lab, medical visit or prescription since HIV diagnosis.(3) In Care: PLWH with at least 1 documented VL or CD4 lab, medical visit or prescription in 2014.
Retained in Care: PLWH with 2 or more documented VL or CD4 labs, medical visits or prescriptions (at least 3 months apart) in 2014.(4) On ART: Estimated PLWH on antiretroviral therapy (ART) in 2014 (estimated from 2013 FL MMP data).(5) Suppressed Viral Load: PLWH with a suppressed VL (<200 copies/mL) on last VL in 2014.
70%
82% of those diagnosed with HIV in 2014 had documented HIV-related care within 3 months of diagnosis 83% of PLWH in care had a suppressed viral load in 2014
7,841
Race/EthnicityNo. rate
White Male 21 3.1White Female 3 0.4Black Male 27 14.8Black Female 13 6.6Hispanic Male 8 2.6Hispanic Female 4 1.2Other* 2 1.3TOTAL 78 3.1
2014
Resident Deaths due to HIV Diseaseby Year of Death, 1995-2014, Partnership 7
Source: Florida Department of Health, Bureau of Vital Statistics, Death Certificates (as of 05/31/2015). Population data are provided by Florida CHARTS as of 7/9/2015.
*Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and Multi-racial individuals.
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 140
50
100
150
200
250
300
350
400359
291
169
157166
163149 144
174157 154
141 141 144
103 110 98 88 81 78
Year
Nu
mb
er o
f D
eath
s
Some Useful Links
CDC HIV/AIDS Surveillance Reports (State and Metro Data):
http://www.cdc.gov/hiv/stats/hasrlink.htm
MMWR (Special Articles on Diseases, Including HIV/AIDS): http://www.cdc.gov/mmwr/
U.S. Census Data (Available by State, County): http://www.census.gov
Partnership 7 Dept. of Health, HIV/AIDS Section Website (Slide sets, Facts Sheets, Monthly Surveillance Report, Counseling & Testing Data, etc.):
http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html
“The reason for collecting, analyzing and
disseminating information on a disease is to control that disease. Collection and analysis should not be allowed to
consume resources if action does not follow.”
--Foege WH et al. Int. J of Epidemiology 1976; 5:29-37
Kara JohnsonOrange County Health DepartmentPhone: 407-858-1400 ext 1129Email: [email protected]
Debbie Tucci, HIV/AIDS Program CoordinatorPhone: 407-858-1400 ext 1141 Email: [email protected]
Partnership 7 Surveillance Contact
For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444
Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373
Visit Florida’s internet site for:Monthly Surveillance Reports
Slide Sets and Fact SheetsAnnual Reports and Epi Profiles
http://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html
Visit CDC’s HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets
http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm