HIV IN THE MARYLAND PORTION OF THE WASHINGTON METROPOLITAN AREA - PowerPoint PPT Presentation

HIV IN THE MARYLAND PORTION OF THE WASHINGTON METROPOLITAN AREA WASHINGTON PLANNING COUNCIL APRIL 19, 2017 Colin Flynn, Chief HIV Surveillance, Epidemiology and Evaluation Maryland Department of Health and Mental Hygiene Prevention and Health Promotion Administration

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. Maryland Prevention and Health Promotion Administration April 19, 2017 2

U.S. Prevalence  CDC estimated 1,107,700 adults/adolescents were living with HIV at the end of 2014 – 37,200 in Maryland  15.0% were undiagnosed – 15.3% in Maryland  Satcher Johnson, CROI 2017 Maryland Prevention and Health Promotion Administration April 19, 2017 3

Living Adult/Adolescent HIV Diagnoses, Year-end 2014 Ranked by Rates Rank State/Territory Reported Cases Rate per 100,000 1 District of Columbia 15,200 2,665.0 2 New York 130,753 781.6 3 U.S. Virgin Islands 565 642.1 4 Maryland 32,002 638.9 5 Florida 103,696 609.0 6 Puerto Rico 17,072 567.3 7 Georgia 46,870 564.0 8 Louisiana 18,950 493.0 9 New Jersey 35,682 474.8 10 Delaware 3,213 406.9 United States 970,319 360.0 Maryland Prevention and Health Promotion Administration CDC. HIV Surveillance Report, 2015. Vol. 27. Table 24. April 19, 2017 4

Maryland Ryan White Eligible Metropolitan Areas Baltimore-Columbia-Towson Frederick Montgomery Washington Prince George’s Calvert Charles Maryland Prevention and Health Promotion Administration April 19, 2017 5

Living HIV Diagnoses, Year-end 2014 Ranked by Estimated Rates Reported Rate per Rank Metropolitan Area Cases 100,000 1 Miami-Fort Lauderdale-West Palm Beach, FL 51,494 867.3 2 New York-Newark-Jersey City, NY-NJ-PA 139,679 695.1 3 Baton Rouge, LA 4,957 600.5 4 Baltimore-Columbia-Towson, MD 16,325 585.8 5 New Orleans-Metairie, LA 7,263 580.1 6 Jackson, MS 3,181 550.0 7 Atlanta-Sandy Springs-Roswell, GA 28,568 508.7 8 San Francisco-Oakland-Hayward, CA 23,217 505.2 9 Orlando-Kissimmee-Sanford, FL 10,603 455.7 10 Jacksonville, FL 6,455 454.3 13 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 24,823 410.0 26 Washington-Arlington-Alexandria, DC-VA-MD-WV 19,610 325.0 United States (50 states, DC, PR only) 972,166 301.5 Maryland Prevention and Health Promotion Administration CDC. HIV Surveillance Report, 2015. Vol. 27. Table 26. April 19, 2017 6

Adult/Adolescent HIV Trends Washington MSA (MD Portion) 1,000 HIV reporting transition 2007-2008 900 800 700 Number of Events 600 500 400 300 200 100 0 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 Year of Diagnosis or Death Reported HIV Diagnoses Reported AIDS Diagnoses Reported AIDS Deaths Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 7

Adult/Adolescent HIV/AIDS Prevalence Washington MSA (MD Portion) 14,000 + 15.3% undiagnosed 12,000 10,000 Number of Cases 8,000 6,000 4,000 2,000 0 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 Year Living HIV Cases without AIDS Living HIV Cases with AIDS Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 8

Adult/Adolescent Cases Washington MSA (MD) Reported HIV Living HIV Diagnoses Cases on during 2015 12/31/2015 Washington MSA (MD) 640 11,631 Calvert 3 103 Charles 26 412 Frederick 13 320 Montgomery 176 3,736 Prince George’s 422 7,060 Maryland Prevention and Using data as reported through 6/30/2016 Health Promotion Administration April 19, 2017 9

Washington MSA (MD), Living Adult/Adolescent HIV Cases by County, 12/31/15 N = 11,631 Calvert 1% Prince Charles George's 3% 61% Frederick 3% Montgomery 32% Maryland Prevention and Using data as reported through 6/30/2016 Health Promotion Administration April 19, 2017 10

Living Adult/Adolescent HIV Case Rates per 100,000 Population by County, Washington MSA (MD), 12/31/15 1,000 900 800 700 600 500 400 300 200 100 0 Washington Prince Maryland Calvert Charles Frederick Montgomery MSA George's Rate 633 572 135 318 156 432 930 Maryland Prevention and Population on 7/1/15. Cases on 12/31/15 Health Promotion Administration as reported through 6/30/16 April 19, 2017 11

Sex at Birth Trends Washington MSA (MD) 600 500 Number of Diagnoses 400 Male 300 Female 200 100 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year of Diagnosis Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 12

Age Trends Washington MSA (MD) 300 250 Number of Diagnoses 200 13-19 20-29 150 30-39 40-49 100 50-59 50 60+ 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year of Diagnosis Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 13

Race/Ethnicity Trends Washington MSA (MD) 800 700 Number of Diagnoses 600 500 Hispanic 400 NH Black 300 NH White NH Other 200 100 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year of Diagnosis Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 14

Washington MSA (MD) Living Adult/Adolescent HIV Cases by Country of Birth, 12/31/15 N % Total 11,631 100.0 United States 9,244 79.5 Africa 1,348 11.6 Asia 69 0.6 Caribbean 137 1.2 Central America 317 2.7 Europe/Canada/Australia 41 0.4 South America 116 1.0 Other 17 0.1 Unknown 342 2.9 Maryland Prevention and Health Promotion Administration Using data as reported through 6/30/2016 April 19, 2017 15

Exposure Categories MSM : Men who have Sex with Men IDU : Injection Drug Use MSM/IDU: Men who have Sex with Men AND Inject Drugs HetSex : Heterosexual Contact with a Person that has or is at Risk for HIV Infection Maryland Prevention and Health Promotion Administration April 19, 2017 16

Washington MSA (MD) Living Adult/Adolescent HIV Cases by Exposure Category, 12/31/15 N (with Risk) = 8,307 (71% of Total) MSM 43% Other <1% MSM/IDU 2% IDU 7% HetSex 48% Maryland Prevention and Health Promotion Administration Using data as reported through 6/30/2016 April 19, 2017 17

Washington MSA (MD) Living Adult/Adolescent HIV Cases by Exposure Category and Sex at Birth, 12/31/15 Cases 6,000 5,000 MSM 4,000 MSM/IDU 3,000 IDU HetSex 2,000 Other 1,000 0 Male Female Maryland Prevention and Health Promotion Administration Using data as reported through 6/30/2016 April 19, 2017 18

Risk Trends Washington MSA (MD) 500 450 Number of Diagnoses 400 350 300 MSM 250 IDU 200 MSM/IDU 150 HET 100 50 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year of Diagnosis Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 19

Continuum of Care Washington MSA (MD) Current Residence Prevalence-Based Estimated Number and Percentage of HIV Infected Adults Engaged in Selected Stages of the Continuum of Care 100.0% 100.0% 90.0% 83.7% 80.0% 69.1% 70.0% 58.4% 60.0% Percent 50.0% 45.7% 40.0% 30.0% 20.0% 10.0% 13,423 11,235 9,269 7,836 6,136 0.0% HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care Suppressed VL Engagement in HIV Care Maryland Prevention and Health Promotion Administration Data as reported through 6/30/16 April 19, 2017 20

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