WORLD AIDS DAY 2013 December 1, 2013 - Maryland Documents/… · WORLD AIDS DAY 2013 December 1,...
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WORLD AIDS DAY 2013 December 1, 2013 Infectious Disease Bureau Prevention and Health Promotion Administration Maryland Department of Health and Mental Hygiene
Transcript of WORLD AIDS DAY 2013 December 1, 2013 - Maryland Documents/… · WORLD AIDS DAY 2013 December 1,...
WORLD AIDS DAY 2013
December 1, 2013
Infectious Disease Bureau
Prevention and Health Promotion Administration
Maryland Department of Health and Mental Hygiene
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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INTERNATIONAL
Maryland Prevention and
Health Promotion Administration
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Total: 35.3 million [32.2 million – 38.8 million]
Western & Central Europe
860 000 [800 000 – 930 000]
Middle East & North Africa 260 000
[200 000 – 380 000]
Sub-Saharan Africa 25.0 million
[23.5 million – 26.6 million]
Eastern Europe & Central Asia
1.3 million [1.0 million – 1.7 million]
South & South-East Asia 3.9 million
[2.9 million – 5.2 million]
Oceania 51 000
[43 000 – 59 000]
North America 1.3 million
[980 000 – 1.9 million]
Latin America 1.5 million
[1.2 million – 1.9 million]
East Asia 880 000
[650 000 – 1.2 million]
Caribbean 250 000
[220 000 – 280 000]
Adults and children estimated to be living with HIV 2012
UNAIDS. 2013 Global Report Epidemiology Slides.
Maryland Prevention and
Health Promotion Administration
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International Numbers
35.3 million people living with HIV in 2012
25.0 million are in sub-Saharan Africa
2.3 million new HIV infections in 2012
1.6 million AIDS deaths in 2012
UNAIDS. Report on the Global AIDS Epidemic. 2013
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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UNITED STATES
Maryland Prevention and
Health Promotion Administration
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Maryland Prevention and
Health Promotion Administration
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National Numbers
1.1 million adults/adolescents living with
HIV/AIDS at the end of 2010, and 16% do
not know it
(CDC. HIV Supplemental Surveillance Report, 2013;18(5))
47,500 new HIV infections in 2010
(CDC. HIV Supplemental Surveillance Report, 2012;17(4))
19,343 estimated AIDS deaths in 2010
(CDC. HIV Surveillance Report, 2011)
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Estimated HIV Diagnoses
during 2011, Ranked by Rates
STATE/TERRITORY Cases Rate per 100,000
1. District of Columbia 962 155.6
2. Virgin Islands 35 33.0
3. Maryland 1,783 30.6
4. Louisiana 1,381 30.2
5. Florida 5,408 28.4
6. Georgia 2,522 25.7
7. New York 4,960 25.5
8. Puerto Rico 888 24.0
9. Mississippi 617 20.7
10. Texas 5,065 19.7
United States 50,199 15.9
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 19.
Maryland Prevention and
Health Promotion Administration
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Estimated HIV Diagnoses
during 2011, Ranked by Rates
METROPOLITAN AREA Cases Rate per 100,000
1. Miami, FL 2,606 46.0
2. New Orleans-Metairie-Kenner, LA 513 43.0
3. Baton Rouge, LA 336 41.6
4. Jackson, MS 200 36.7
5. Washington, DC-VA-MD-WV 1,969 34.5
6. Baltimore-Towson, MD 922 33.8
7. Memphis, TN-MS-AR 433 32.6
8. Atlanta-Sandy Springs-Marietta, GA 1,626 30.3
9. New York, NY-NJ-PA 5,344 28.1
10. Jacksonville, FL 382 28.1
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 24.
United States 50,161 15.9
Maryland Prevention and
Health Promotion Administration
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Estimated Adults Living with
Diagnosed HIV, year-end 2010,
Ranked by Rates STATE/TERRITORY Cases Rate per 100,000
1. District of Columbia 14,359 2,704.3
2. New York 132,523 810.0
3. Virgin Islands 589 667.1
4. Maryland 30,558 632.9
5. Florida 94,897 592.7
6. Puerto Rico 18,129 584.3
7. New Jersey 35,860 488.2
8. Louisiana 16,892 451.7
9. Georgia 33,920 428.8
10. Delaware 2,968 394.1
United States 888,638 342.2
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 21.
Maryland Prevention and
Health Promotion Administration
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Estimated Persons Living with
Diagnosed HIV, year-end 2010,
Ranked by Rates METROPOLITAN AREA Cases Rate per 100,000
1. Miami, FL 49,045 879.3
2. New York, NY-NJ-PA 143,393 757.9
3. Baltimore-Towson, MD 18,318 674.8
4. New Orleans-Metairie-Kenner, LA 7,380 620.2
5. Jackson, MS 3,018 558.8
6. San Francisco, CA 23,829 548.6
7. Memphis, TN-MS-AR 7,191 545.6
8. Washington, DC-VA-MD-WV 30,797 549.0
9. San Juan-Caguas-Guaynabo, PR 13,026 525.9
10. Baton Rouge, LA 4,009 498.3
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 23.
United States 891,157 284.7
Maryland Prevention and
Health Promotion Administration
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MARYLAND
Maryland Prevention and
Health Promotion Administration
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Adult/Adolescent (Age 13+) Total Living
HIV Cases per 100,000 population
1,000+
500 - 999
250 - 499
150 - 249
Maryland Adult/Adolescent
Total Living HIV Case Rates
by Jurisdiction, Alive on 12/31/11
0 - 149
State Rate = 569.1 per 100,000
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
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Maryland Numbers
27,710 adults/adolescents living with
HIV/AIDS as of the end of 2011
1,311 adults/adolescents reported with HIV
diagnoses in 2011
404 AIDS deaths reported during 2011
Maryland had the 3rd highest HIV diagnosis
report rate (30.6 cases per 100,000
population) of any state/territory in 2011
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Maryland HIV/AIDS Trends
0
500
1,000
1,500
2,000
2,500
3,000 Number of Events
Year of Diagnosis or Death
Reported HIV Diagnoses Reported AIDS Diagnoses Reported AIDS Deaths
2001-2008 HIV high,
due to reporting transition
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
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Maryland Living HIV Cases
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011
Number of Cases
Year
Living HIV Cases without AIDS Living HIV Cases with AIDS
Using data as reported through 12/31/2012
+16% Undiagnosed?
Maryland Prevention and
Health Promotion Administration
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Reported Adult/Adolescent (age 13+ at
HIV Diagnosis) HIV Cases with or without
an AIDS diagnosis, per 100,000 population
50+
25 – 49.9
15 – 24.9
10 – 14.9
0 – 9.9
Maryland Reported Adult/
Adolescent HIV Diagnosis
Rates by Jurisdiction, 2011
State Rate = 26.9 per 100,000
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Maryland Reported
Adult/Adolescent HIV
Diagnoses by Region, 2011
Baltimore City32%
Suburban Washington
37%
Suburban Baltimore
19%
Corrections4%
Western2%
Eastern4%
Southern2%
N = 1,311
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnosis Trends
by Sex at Birth, Maryland
0
20
40
60
80
100
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
Male Female
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnosis Trends
by Race/Ethnicity, Maryland
0
20
40
60
80
100
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
Hispanic NH-Asian NH-Black NH-White NH-Other
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnosis Trends
by Age at Diagnosis, Maryland
0
10
20
30
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
13-19 20-29 30-39 40-49 50-59 60+
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
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Reported Adult/Adolescent
HIV Diagnosis Trends
by Exposure Category, Maryland
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
MSM IDU MSM/IDU HetSex Other
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
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BALTIMORE CITY
Maryland Prevention and
Health Promotion Administration
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Total living HIV cases,
age 13+ at diagnosis, alive
on 12/31/2011 per 100,000 population
4,000+
3,000 – 3,999
2,000 – 2,999
Total Living Adult/Adolescent HIV
Case Rates Baltimore City, 12/31/2011
1,000 – 1,999
0 – 999
Population <1,000
City rate = 2,318.1
cases per 100,000
Using data as reported through 12/31/2012
By ZIP code of
residence at
diagnosis
N = 12,072
Maryland Prevention and
Health Promotion Administration
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Baltimore City Numbers
12,072 adults/adolescents living with HIV/AIDS at the end of 2011
424 adults/adolescents reported with HIV diagnoses in 2011
228 AIDS deaths reported during 2011
Baltimore-Towson had the 6th highest HIV diagnosis report rate of any metropolitan area (33.8 cases per 100,000 population) in the U.S. in 2011
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
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HIV/AIDS Trends
Baltimore City
0
200
400
600
800
1,000
1,200
1,400
1,600 Number of Events
Year of Diagnosis or Death
Reported HIV Diagnoses Reported AIDS Diagnoses Reported AIDS Deaths
2001-2008 HIV high,
due to reporting transition
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
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Baltimore City
Living HIV Cases
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011
Number of Cases
YearLiving HIV Cases without AIDS Living HIV Cases with AIDS
Using data as reported through 12/31/2012
+16% Undiagnosed?
Maryland Prevention and
Health Promotion Administration
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Reported HIV diagnoses, age 13+,
with or without an AIDS diagnosis
per 100,000 population
150+
100 – 149
50 – 99
Reported Adult/Adolescent HIV
Diagnosis Rates Baltimore City, 2011
1 – 49
0
Population <1,000
Using data as reported through 12/31/2012
City rate = 81.4
cases per 100,000
By ZIP code of
residence at
diagnosis
N = 424
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnosis Trends by
Sex at Birth, Baltimore City
0
20
40
60
80
100
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
Male Female
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnosis Trends by
Race/Ethnicity, Baltimore City
0
20
40
60
80
100
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
Hispanic NH-Asian NH-Black NH-White NH-Other
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnosis Trends by
Age at Diagnosis, Baltimore City
0
10
20
30
40
50
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
13-19 20-29 30-39 40-49 50-59 60+
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
December 1, 2013
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Reported Adult/Adolescent
HIV Diagnoses, Exposure
Category Trends, Baltimore City
0
10
20
30
40
50
60
70
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Percent
Year of HIV Diagnosis
MSM IDU HetSex MSM/IDU Other
Using data as reported through 12/31/2012
Prevention and Health Promotion
Administration
http://phpa.dhmh.maryland.gov
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