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1 HIV/STD Syndemic An Overview of South Los Angeles Los Angeles County Department of Public Health Division of HIV and STD Programs Research and Evaluation

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Los Angeles CountyCalifornia 9,848,01136,961,664 Los Angeles CountyCalifornia 4,060 sq mi155,959 sq mi Los Angeles County California Estimated living HIV/AIDS Cases 59,500134,401* Reported HIV/AIDS Cases 43,900111,100 Data Source: U.S. Census, 2010 Data Source: Los Angeles County Department of Public Health, HIV Surveillance, 2012 California State Department of Public Health, State Surveillance Data, 2012 *134,401 calculated assuming 21% of HIV positive Californians are unaware of their status.

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Population Estimated HIV/AIDS Cases 9,848,01159,500 Data Source: U.S. Department of Commerce, 2010; Los Angeles County Department of Public Health, HIV Surveillance, 2011

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4 Los Angeles County Data Source: U.S. Census Bureau, Topologically Integrated Geographic Encoding and Referencing system, 2009. Maps Drawn at 1:750,000 scale.

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM 2012 Estimated Number of Persons Living with HIV and AIDS in LAC (1) Estimate that 21.5% of HIV+ in LA County are unaware of their infection; modified from CDC estimate. (2) Of 4,853 notifications pending investigation, estimate half of 2,400 who have detectable VL or confirmatory test to be unduplicated cases. (3) Out of the 3,200 cases reported as code, half are thought to represent unduplicated cases. Estimate ~ 59,500 living with HIV (including AIDS) in LAC 43,900 12,800 1,600 1,200 Source: LAC Division of HIV and STD Programs, reported as of 12/31/2011.

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM 26 Year Percent Percent Persons Diagnosed with HIV by Gender and Year, LAC, 2006-11 Source: HIV/AIDS Surveillance Summary, data as of December 2011. * Data provisional due to reporting delay. Female Male 12% 87% Transgender 1%

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM *Sometimes called Prevalence Rate; it is really a proportion. Source: HIV/AIDS Surveillance Summary, data as of December 2011. Persons Living with HIV/AIDS in LAC per 100,000 population* by Race/Ethnicity

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM RATES OF HIV DIAGNOSES AMONG MEN BY RACE/ETHNICITY*, LAC, 2006-2011 Source: HIV/AIDS Surveillance Summary, data as of December 2011.

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM RATES OF HIV DIAGNOSES AMONG WOMEN BY RACE/ETHNICITY*, LAC, 2006-2011 Source: HIV/AIDS Surveillance Summary, data as of December 2011.

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Central Cluster, 2009 HIV and Syphilis Burden

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South Cluster, 2009 HIV and Syphilis Burden

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year 2007 Data Source: eHARS as of September 30, 2011

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year 2007 Data Source: eHARS as of September 30, 2011

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year 2007 Data Source: STD Surveillance, 2011 New Syphilis Cases by Resident Zip Code, 2009

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year 2007 Data Source: STD Surveillance, 2011 New Syphilis Cases by Resident Zip Code, SPA 6, 2009

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year 2007 Data Source: eHARS, ADAP, Medicare, and MediCal and Casewatch, Jul09-Jun10

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Target Population, Overall vs SPA 6, CY 2010 18 Data Source: HIV Testing System (HTS) as of 123111 1 New Positives refers to individuals who self-reported never having a prior positive HIV test result. 2 Includes males who did not self-identify as homosexual or bisexual and reported having sex with men.

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Race/Ethnicity, Overall vs SPA 6, CY 2010 19 Data Source: HIV Information Resources System (HIRS) as of 12/31/11 n = 3,837

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Age, Overall vs SPA 6, CY2010 20 Data Source: HIV Information Resources System (HIRS) as of 12/31/11 n = 3,837

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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: American Community Survey, 5-year estimates, U.S. Census Getis-Ord Gi* calculated at 6,000 foot threshold using the fixed distance band spatial conceptualization 21

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Thank You! Division of HIV and STD Programs 600 South Commonwealth Avenue, 10 th Floor Los Angeles, California 90005-4001 Phone: (213) 351-8000