Southwest Region of Virginia
HIV/AIDS and STD TrendsData through 2006
Southwest Region •ALLEGHANY•AMHERST•APPOMATTOX•BEDFORD•BEDFORD CITY•BLAND•BOTETOURT•BRISTOL•BUCHANAN•CAMPBELL•CARROLL•CLIFTON FORGE•COVINGTON•CRAIG•DANVILLE•DICKENSON
•FLOYD•FRANKLIN CO.•GALAX•GILES•GRAYSON•HENRY•LEE•LYNCHBURG•MARTINSVILLE•MONTGOMERY•NORTON•PATRICK•PITTSYLVANIA•PULASKI•RADFORD
•ROANOKE CITY•ROANOKE CO.•RUSSELL•SALEM•SCOTT•SMYTH•TAZEWELL•WASHINGTON•WISE•WYTHE
Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.
HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.
UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.
LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.
Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.
Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.
AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons
HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported
HIV/AIDS Southwest Region saw a 18% decrease in reported
HIV/AIDS In the Southwest Region, Lynchburg showed the most
notable decrease (40%) In 2006, 44% of reported cases of HIV/AIDS in the
Southwest region were White, 46% Black and 7% were Hispanic and 3% reported another race
Majority of the reported cases of HIV/AIDS were male (76%)
*Includes those that may have progressed to AIDS
VirginiaHIV*/AIDS Cases by Region (N=34,585**)
**Data through 2006
Northwest6.3%
Southwest8.3%
Central24.4%
Northern27.3%
Eastern33.7%
*Includes those that may have progressed to AIDS
Southwest Region of Virginia (N=1,501)Cases of HIV/AIDS* (1996-2006)
90
49
6559
66
4943
61
95
111
7973
7874
67 70
27
66
82
94
41
62
0
20
40
60
80
100
120
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s_
Cases of HIV (n=724)
Cases of AIDS (n=777)
*Includes those that may have progressed to AIDS
People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not
AIDS)/AIDS in Southwest Virginia at the end of 2006 ≈ 1409
8% of Virginia’s living total Most of cases are 32 years old 70% male 51% black
Number of People Living with HIV(not AIDS) or AIDS,
in Virginia, by Region, at the end of 2006 (N=18,107)
4376
58455261
1217 1408
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
5500
6000
6500
Rep
ort
ed L
ivin
g
Region
CentralEasternNorthernNorthwestSouthwest
Percentage of People Living with HIV (not AIDS), by Region (N=10,088*)
Northwest5.8%
Southwest7.6%
Central25.8%
Northern26.0%
Eastern34.8%
*Data through 2006
Percentage of People Living with AIDS, by Region, (N=8,031*)
Northwest7.9%
Southwest8.0%
Central22.1%
Northern32.8%
Eastern29.2%
*Data through 2006
Individuals Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia by Locality at the end of 2006 (N=1,409)
46 38 36 26 25 23 21 20 17 16 9 8 8 8 7 7 6 6 6 6 5 5 4 3 2 1
52151617212224263337
129
439
174
45
0
100
200
300
400
500RO
AN
OKE
LYN
CH
BU
RG
DAN
VIL
LE
PIT
TSYLV
AN
IA C
O.
HEN
RY C
O.
CAM
PBELL
CO
.
RO
AN
OKE C
O.
AM
HERST C
O.
MO
NTG
OM
ERY C
O.
MARTIN
SVIL
LE
FRAN
KLI
N C
O.
SALE
M
TAZEW
ELL
CO
.
BED
FO
RD
CO
.
PU
LASKI
CO
.
SM
YTH
CO
.
BRIS
TO
L
WIS
E C
O.
WASH
ING
TO
N C
O.
APPO
MATTO
X C
O.
BU
CH
AN
AN
CO
.
BO
TETO
URT C
O.
WYTH
E C
O.
LEE C
O.
CO
VIN
GTO
N
BED
FO
RD
GALA
X
GIL
ES C
O.
PATRIC
K C
O.
RU
SSELL
CO
.
ALL
EG
HAN
Y C
O.
GRAYSO
N C
O.
RAD
FO
RD
SCO
TT C
O.
CARRO
LL C
O.
CLI
FTO
N F
ORG
E
BLA
ND
CO
.
NO
RTO
N
FLO
YD
CO
.
DIC
KEN
SO
N C
O.
Locality
Rep
orte
d L
ivin
g_
Individuals Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia, by Race, at the end of 2006 (N=1,409)
8
714
31 4
652
0
200
400
600
800
Report
ed L
ivin
g
Race
Asian/Pacific Islander
BlackHispanic
UnknownWhite
Individuals Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia, by Risk at the end of 2006 (N=1,409)
4
324
162
500
7237 23 5
0
50
100
150
200
250
300
350
400
450
500
550
Report
ed L
ivin
g
Risk Factor
HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)
MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion
*282 cases unidentified risk or undetermined risk
Females Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia by Risk at the end of 2006 (N=417*)
226
1810
3
46
0
50
100
150
200
250
HeterosexualContact
Injecting Drug Use(IDU)
MultipleHeterosexual
Contacts
Pediatric Transfusion/BloodProducts
Risk Factor
Rep
orte
d L
ivin
g_ Females (n=417)
*114 cases unidentified risk or undetermined risk
Males Living with HIV(not AIDS)/AIDS in the Southwest Region by Risk at the end of 2006 (N=992*)
4
116
500
72
13 2
98
190
100
200
300
400
500
600
Hemophilia HeterosexualContact
Injecting DrugUse (IDU)
Men Having Sexwith Men(MSM)
MSM & IDU MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Rep
orte
d L
ivin
g_ Males (n=992)
*168 cases unidentified risk or undetermined risk
Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%)
in reported syphilis Southwest Region reported syphilis doubled
between 2005-2006 In 2006, 52% of reported cases of Syphilis in the
Southwest region were white, 43% black Majority of the reported cases of Syphilis were
male (71%)
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis
or Early Latent Syphilis
Virginia
Total Early Syphilis* Cases by Region, 2006 (N=351)
Northwest5.1%
Southwest6.0%
Central17.1%
Northern26.8%
Eastern45.0%
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Southwest Health Region Cases of Total Early Syphilis* (1998-2006) 129
95
38
13 9 12 10
21
73
0
20
40
60
80
100
120
140
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Southwest Health Region, by locality in 2006 (N=21)
4
3
2 2 2 2
1 1 1 1
2
0
1
2
3
4
5
6
7
8LY
NCH
BU
RG
RO
AN
OKE C
ITY
BED
FO
RD
DAN
VIL
LE
PIT
TSYLV
AN
IA
RO
AN
OKE C
O.
SALE
M
AM
HERST
BRIS
TO
L
FLO
YD
MO
NTG
OM
ERY
Locality
Rep
orte
d C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Southwest Health Region, by Race, in 2006 (N=21)
9
1
11
0123456789
101112131415
Report
ed C
ase
s
Race
Black Hispanic
White
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Southwest Health Region, by age in 2006 (N=21)
1 1
3
5
2
3
4
2
0
1
2
3
4
5
6
7
8
13 - 1
9
20 - 2
4
25 - 2
9
30 - 3
4
35 - 3
9
40 - 4
4
45 - 4
9
50+
Age
Rep
orte
d C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Gonorrhea Trends Between 2005-2006, statewide decrease (22%) in
reported gonorrhea. 34% decrease in reported Hispanic cases.
Southwest Region saw a 10% decrease in reported Gonorrhea
In the Southwest Region, Lynchburg showed the most notable increase (38%)
In 2006, 24% of reported cases of Gonorrhea in the Southwest region were White, 72% Black, and 2% were Hispanic
Majority of the reported cases of Gonorrhea were female (53%)
VirginiaGonorrhea Cases by Region, 2006 (N=6,474)
Northwest6.5%
Southwest15.1%
Central29.7%
Northern6.9%
Eastern41.8%
Southwest Health Region Cases Gonorrhea (1998-2006)
1021
12241343 1342
10971006
1087975
1228
0
200
400
600
800
1000
1200
1400
1600
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s_
Individuals Reported with Gonorrhea in the Southwest Health Region, by Race, in 2006 (N=975)
5
698
15 7 13
237
0
100
200
300
400
500
600
700
800
Report
ed C
ase
s
Race
Asian/Pacific Islander
Black
Hispanic
Other
Unknown
White
Individuals Reported with Gonorrhea in the Southwest Health Region, by locality in 2006 (N=975)*
174
104
60 5739
26 20 19 18 15 14 10 9 8 7 6 6 6 6 5 4 4 3 3 3 3 2 2 2
310
12 11
0
50
100
150
200
250
300
350
ROANOKE C
ITY
LYNCHBURG
DANVIL
LE
ROANOKE C
O.
PIT
TSYLVANIA
CAM
PBELL
HENRY
SALEM
MONTGOM
ERY
BRIS
TOL
MARTIN
SVIL
LE
BEDFORD
AM
HERST
BOTETOURT
FRANKLIN
CO.
PULASKI
BEDFORD C
ITY
APPOM
ATTOX
ALLEGHANY
GALAX
TAZEW
ELL
WYTHE
WIS
E
SCOTT
WASHIN
GTON
CARROLL
COVIN
GTON
RADFORD
SM
YTH
GIL
ES
GRAYSON
PATRIC
K
Locality
Rep
orte
d C
ases
*Not shown: Localities with only one case
Individuals Reported with Gonorrhea in the Southwest Health Region, by Age, in 2006 (N=975)
3
262
300
157
8962 53
24 24
0
50
100
150
200
250
300
350
400
0-1
2
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported
Chlamydia and 26% increase in reported Hispanic Cases Southwest Region saw a 2% increase in reported
Chlamydia In the Southwest Region, Danville showed the most
notable decrease (20%) and Lynchburg showed the most notable increase (36%)
In 2006 in the Southwest Region, 43% of reported cases of Chlamydia were white, 48% black and 5% were unknown
Majority of the reported cases of Chlamydia were female (75%)
VirginiaChlamydia Cases by Region, 2006 (N=24,081)
Northwest11.5%
Southwest11.9%
Central22.5%
Northern13.4%
Eastern40.6%
Southwest Health Region Cases Chlamydia (1998-2006)
18061926
2163
2686 2706 2748
30232830 2876
0
500
1000
1500
2000
2500
3000
3500
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s
Individuals Reported with Chlamydia in the Southwest Health Region, by Race, in 2006 (N=2,876)
2 12
1370
788
157
1249
0
300
600
900
1200
1500
Report
ed C
ase
s
Race
American Indian/AlaskanNativeAsian/Pacific Islander
Black
Hispanic
Other
Unknown
White
Individuals Reported with Chlamydia in the Southwest Health Region, by locality in 2006 (N=2,876)
362
272
163137133119
94 84 80 71 69 55 50 48 44 43 39 32 31 27 26 25 24 20 17 17 15 15 14 13 11 10 9 7 6 3 3
567
65 56
0
50
100
150
200
250
300
350
400
450
500
550
600
ROANOKE C
ITY
LYNCHBURG
DANVIL
LE
PIT
TSYLVANIA
ROANOKE C
O.
HENRY
MONTGOM
ERY
CAM
PBELL
WIS
E
AM
HERST
BEDFORD
MARTIN
SVIL
LE
FRANKLIN
CO.
WASHIN
GTON
BRIS
TOL
APPOM
ATTOX
WYTHE
SALEM
RADFORD
SM
YTH
LEE
CARROLL
GRAYSON
TAZEW
ELL
PULASKI
GALAX
SCOTT
BOTETOURT
GIL
ES
DIC
KENSON
RUSSELL
COVIN
GTON
ALLEGHANY
PATRIC
K
BEDFORD C
ITY
FLOYD
NORTON
BUCHANAN
BLAND
CRAIG
Locality
Rep
orte
d C
ases
Individuals Reported with Chlamydia in the Southwest Region, by age in 2006 (N=2,876)
6
1113 1131
382
14053 23 13 15
0
100
200
300
400
500
600
700
800
900
1000
1100
1200
1300
0-1
2
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
ort
ed C
ase
s
Prepared by:
Carrie Dolan, MPHEpidemiologist
Lindsey Matthews, MPH (updated)
Division of Disease PreventionJuly [email protected]
*Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007