Erika L. Chapman, MPH, CPH, CHES HIV Surveillance, Service - PowerPoint PPT Presentation

Erika L. Chapman, MPH, CPH, CHES HIV Surveillance, Service Integration & Harm Reduction Division of HIV, STD, Viral Hepatitis Indiana State Department of Health

 As of 2014 there were:  5,376 cases of HIV  6,171 cases of AIDS  11,547 total cases of HIV/AIDS  In 2013 there were a total of 5,289 cases of HCV

 In 2015  5,726 cases of HIV  5, 972 cases of AIDS  11,698 total cases of HIV/AIDS  In 2014, there were 5,289 cases of HCV

 To date:  195 cases of HIV  92% coinfected with HCV  Primarily associated with IDU  Of note ~ There were 2 cases that identified IDU as a primary risk factor in 2014 and 176 in 2015.

 2009 – Ban lifted on the use of federal funds for SEP.  2010 – CDC, HHS, SAMHSA, issued a letter stating they were in the process of developing technical guidelines for SEPs.  Early 2011 – ISDH formed committee to assess the feasibility of SEP in Indiana.

July 2011 – SEP Feasibility Committee determined  that SEPs were not possible based on current state law. December 2011 – Congress reinstated the ban on the  use of federal funds for SEPs. March 26, 2015 - Governor declares a public  health emergency.  March 30, 2015 – Community Outreach Center (COC) is established. April 4, 2015 - Scott County Health Department  Needle Exchange opens.

The following processes must be completed in accordance with Indiana Code; – The local health officer or executive officer must declare a public health emergency in accordance with the law. – The legislative body of the county or municipality must conduct a public hearing, take official action to request permission to operate a SEP from the State Health Commissioner, and provide a plan for the implementation and evaluation of the SEP. – The State Health Commissioner then has a 10 day period to request additional information or grant or deny the request. ***Please note that this slide represents an overview of the process outlined in SEA 461. The full legal language can be located at http://iga.in.gov/legislative/2015/bills/senate/461#document- d1a62251

• County Profiles – ISDH Website - http://www.in.gov/isdh/files/2015_County_Pr ofiles.pdf • SEP Program Guidance – ISDH Website - http://www.in.gov/isdh/files/ISDH_SEP_Guid ance_for_LHDs_-_FINAL_-_6-5-2015.pdf • Contact Erika Chapman, HIV Surveillance, Service Integration, and Harm Reduction – 317-234-3122 or echapman@isdh.in.gov