HIV Epidemiology Update: Maryland Colin Flynn Prevention and - PowerPoint PPT Presentation

HIV Epidemiology Update: Maryland Colin Flynn Prevention and Health Promotion Administration Center for HIV Surveillance, Epidemiology and Evaluation September 14, 2017

MISSION AND VISION MISSION The mission of the Prevention and Health Promotion Administration is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations. VISION The Prevention and Health Promotion Administration envisions a future in which all Marylanders and their families enjoy optimal health and well-being . 2

CDC HIV Prevalence Estimates Age 13+ United States Maryland Persons Living 1,107,700 37,200 with HIV on 12/31/2014 Percent 15.0% 15.3% Undiagnosed 3

Living Adult/Adolescent HIV Diagnoses, Year-end 2014, Ranked by Rates CDC. HIV Surveillance Report, 2015. Vol. 27. Table 24. 4

Living HIV Diagnoses, Year-end 2014, Ranked by Rates 5 CDC. HIV Surveillance Report, 2015. Vol. 27. Table 26.

CDC HIV Incidence Estimates  37,600 new HIV infections in 2014  18% overall decrease in new HIV infections from 2008 to 2014  EAPC of -3.6% per year  Only eight states experienced significant decreases during this time  Highest rates of decrease were in DC (-10.0%) and MD (-7.5%)  Johnson, Song, Hall. CROI. Boston, Feb. 2017 6

HIV/AIDS Trends – Maryland Number of Events HIV Diagnoses 3,000 AIDS Diagnoses AIDS Deaths 2,500 2,000 1,500 1,000 500 0 Year of Diagnosis or Death 7 Using data as reported through 6/30/2017

2016 HIV Diagnoses – Maryland 1,122 new diagnoses in 2016 First time below 1,200 diagnoses since 1986 Half of what it was 10 years ago Fewer than 100 per month, or 25 per week, on average 8 Using data as reported through 6/30/2017

HIV Trends – Planning Region – Maryland 1,600 Maryland 1,400 1,200 1,000 Central 800 600 Suburban 400 200 0 2011 2012 2013 2014 2015 2016 Maryland Central Eastern Southern Suburban Western 9 Using data as reported through 6/30/2017

Living HIV Cases 12/31/2016 – Maryland Gender (N=30,430) Female 33% Trans- gender 1% Male 66% 10 Using data as reported through 6/30/2017

Living HIV Cases 12/31/2016 – Maryland Race/Ethnicity (N=30,430) Hispanic NH-American Indian Rate per 100,000 NH-Asian NH-Black NH-Pacific Islander NH-White 0 400 800 1200 1600 11 Using data as reported through 6/30/2017

HIV Trends – Age at Diagnosis – Maryland 700 600 500 20-29 400 30-39 300 50-59 40-49 200 60+ 100 13-19 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 13-19 20-29 30-39 40-49 50-59 60+ 12 Using data as reported through 6/30/2017

HIV Trends – Exposure Category – Maryland 1,000 HET MSM 800 600 IDU 400 200 MSM/IDU 0 Other 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 MSM IDU MSM/IDU HET Other 13 Using data as reported through 6/30/2017

2016 Continuum of Care - Maryland 14 Using data as reported through 6/30/2017

Maryland Department of Health Prevention and Health Promotion Administration https://phpa.health.maryland.gov 15