2015 Ryan White Part A Charlotte Transitional Grant Area (TGA) Overview HIV/AIDS Surveillance Data Update Donna E Smith, MSPH New Infections Epidemiology Specialist Mecklenburg County Health Department September 6, 2016 Testing PLWHA Questions???
National Snapshot of HIV/AIDS More than 1.2 million 44,000 people were newly people in the US are living diagnosed in 2014 with HIV Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.
Rates of HIV Diagnoses Among Adults and Adolescents in the US in 2014, by State Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.
Lifetime Risk of HIV, by State Lifetime Risk of HIV is highest in the South 1 in 93 chance of HIV diagnosis in NC 1 in 86 chance of HIV diagnosis in SC Source: CDC. Diagnoses of HIV infection in the United States and dependent areas, 2014. HIV Surveillance Report 2015;26.
2015 Ryan White Part A Epi Update: OVERVIEW Ryan White Program: Charlotte TGA • Includes 5 counties in NC Large Metropolitan Statistical Area (MSA) • Anson Population Growth Trends • Cabarrus • Gaston • Mecklenburg • Union • Includes 1 county in SC • York Source: US Census 2010 • Nearly 2.3 million people live in the region.
2015 Ryan White Part A Epi Update: New Infections Number of Newly Diagnosed Persons with HIV* in the Charlotte Transitional Grant Area, 2011 - 2015 396 413 450 375 400 Number of Persons 331 314 350 300 250 2015 New HIV Diagnoses 200 by County 150 (Percent of Total ) 100 50 Anson 1% 0 Cabarrus 3% 2011 2012 2013 2014 2015 Year of Diagnosis Gaston 8% *All persons diagnosed with HIV infection by year of first diagnosis, Mecklenburg 77% regardless of the stage of infection (HIV or AIDS) Union 5% Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit York, SC 6% Prepared by: MCHD Epidemiology Program 08/2016
2015 Ryan White Part A Epi Update: New Infections 2011 – 2015 Rate of Newly Diagnosed Persons with HIV*(per 100,000) in the Charlotte Transitional Grant Area, NC and SC 24.5 Rate of New Infections 22.1 20.8 Per 100,000 19.2 18.2 16.1 16.1 15.4 15.3 15.3 15.2 13.4 13.4 13.3 13 2011 2012 2013 2014 2015 Year of Diagnosis Charlotte TGA North Carolina South Carolina *All persons diagnosed with HIV infection by year of first diagnosis, regardless of the stage of infection (HIV or AIDS) Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016
2015 Ryan White Part A Epi Update: Testing Efforts 2015 HIV Testing Efforts at Public Health Funded Counseling and Testing Sites by County County Number of Overall % New Tests Positivity Rate Positives Anson, NC 880 0.3% 0.1% Cabarrus, NC 2,024 0.5% 0.4% Gaston, NC 6,912 0.8% 0.3% Mecklenburg, 17,332 2.5% 1.3% NC Union, NC 1,479 0.9% 0.6% York, SC 858 1.2% --- TOTAL TGA 29,485 1.8% 0.9% Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016
Persons Living with HIV* in Charlotte TGA as of 12/31/2015 by County of Current Residence Anson Meck. 83 6,283 Persons Living with York, SC Cabarrus HIV in TGA 455 372 8,106 Union Gaston 265 648 Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit Prepared by: MCHD Epidemiology Program 08/2016
Persons Living with HIV* in Charlotte TGA as of 12/31/2015 by County of Current Residence Source: NC DHHS, HIV/STD Prevention and Care Unit Prepared by: MCHD Epidemiology Program 08/2016 SC DHEC, HIV/AIDS Surveillance Unit
Persons Living with HIV* in Charlotte TGA as of 12/31/2015 by County of Current Residence Total = 8,106 By Exposure Category By Gender 2.9% 1.6% 2,298 Females 28.3% 30.3% 5,808 Males 71.7% 57.9% 7.3% Male Female Heterosexual-All IDU MSM MSM/IDU Source: NC DHHS, HIV/STD Prevention and Care Unit Prepared by: MCHD Epidemiology Program 08/2016 SC DHEC, HIV/AIDS Surveillance Unit
Racial and Ethnic Differences among Persons Living with HIV in Charlotte TGA Persons Living with HIV in Charlotte TGA Persons Living Residing in Charlotte TGA by Race/Ethnicity by Race/Ethnicity Total= 8,106 Total= 2,298,915 3.0% 0.5% 1.9% 2.9% 21.7% 22.8% 9.4% 6.5% 63.5% 67.0% Asian/Pacific Islander Black/African American Asian/Pacific Islander Black/African American Hispanic/Latino White/Caucasian Hispanic/Latino White/Caucasian Multiple Race Multiple Race Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit US Census Bureau Prepared by: MCHD Epidemiology Program 08/2016
Syphilis Cases Increase Across TGA 2013 – 2015 Newly Diagnosed Early Syphilis (Primary, Secondary, Early Latent) Cases 23 YORK, SC 22 • Between 2013 and 2015 Early 24 Syphilis cases increased by 15 14% in the TGA UNION 7 5 24 • Increases were most noted in GASTON 11 Cabarrus, Gaston, Union and 7 Mecklenburg. 26 CABARRUS 8 2 3 ANSON 0 Mecklenburg, NC 0 2015 2014 2013 405 2015 274 2014 149 2013 Source: NC DHHS, HIV/STD Prevention and Care Unit SC DHEC, HIV/AIDS Surveillance Unit 0 50 100 150 200 250 300 350 400 450
Additional HIV Surveillance Data Online at: Online at: http://epi.publichealth.nc.gov/cd/stds/figures/std15rpt.pdf www.scdhec.gov/Health/DiseasesandConditions/ InfectiousDiseases/HIVandSTDs/DataandReports/
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