HIV/AIDS Epidemiology Partnership 15

1
HIV/AIDS EpidemiologyPartnership 15
Indian River, Martin, Okeechobee and St. Lucie
Counties
Excluding Dept. of Corrections
Data as of 12/2003
2
HIV Case Reporting

• Reflects good demographic information
• Tends to represent more recent infections
• Not Population Based
• Now includes all reported HIV cases regardless of
  AIDS status
• No retroactive reporting prior to July 1997
• Patients are tested on a self-selected basis
• Anonymous tests are not reported
• Data represents a minimum estimate of HIV
  prevalence

3
HIV Prevalence Estimates and Cumulative HIV
AIDS Cases, Partnership 15, through 2003
4
AIDS Cases, Deaths and Persons Living with AIDS
(PLWA), by YearPartnership 15, 1985-2002
AIDS cases by year of diagnosis. AIDS deaths by
year of death. The AIDS surveillance case
definition was expanded for adults/adolescents in
1993. Data as of 01/31/04.
5
Presumed Living MSM HIV/AIDS Cases by Zip Code,
Partnership 15 through 2003 (data as of 01/31/04)
Presumed Living MSM HIV/AIDS Cases
N284
NIRs are not redistributed.
6
Presumed Living IDU HIV/AIDS Cases by Zip Code,
Partnership 15, through 2003 (data as of 01/31/04)
N163
NIRs are not redistributed.
7
Presumed Living Heterosexual HIV/AIDS Cases by
Zip Code, Partnership 15, through 2003 (data as
of 01/31/04)
Presumed Living Heterosexual HIV/AIDS Cases
N734
NIRs are not redistributed.
8
Presumed Living HIV/AIDS Cases by Zip Code and
Race/Ethnicity Partnership 15, through 2003 (data
as of 01/31/04)
N1,720
9
Presumed Living HIV/AIDS Cases by Zip Code and
Sex Partnership 15, through 2003 (data as of
01/31/04)
N1,753
10
AIDS Case Rate per 100,000 Population by Year
of Report Partnership 15, 1994-2003
Population rates calculated from annual
population estimates.
11
HIV Case Rate per 100,000 Population (HIV
regardless of AIDS status) By Year of Report,
Partnership 15, 1998-2003
Population rates calculated from annual
population estimates. Data does not reflect HIV
incidence. HIV data includes those cases that
have converted to AIDS. These HIV cases cannot
be added with AIDS cases to get combined totals
since the categories are not mutually exclusive.
12
AIDS Cases, HIV (not AIDS) Cases, and HIV
(regardless of AIDS status) Cases By Year of
Report, Partnership 15, 1985-2003
The AIDS surveillance case definition was
expanded for adults/adolescents in 1993. HIV
infection reporting was implemented July 1997.
Comment Active surveillance for AIDS cases
results in 90 of diagnosed cases being
reported. Reported HIV cases tend to reflect
more recent transmission than AIDS cases. HIV
(regardless of AIDS status) cases includes those
cases that have converted to AIDS. These HIV
cases cannot be added with AIDS cases to get
combined totals since the categories are not
mutually exclusive. This is a preferred way to
monitor temporal trends in HIV infection. HIV
case reporting has greatly augmented the ability
to characterize the epidemic.
13
Resident HIV/AIDS Deathsby Year, Partnership 15,
1993 - 2002
Source Office of Vital Statistics, Death
CertificatesA change in coding of HIV/AIDS
deaths from ICD-9 to ICD-10, effective in 1999,
has resulted in an estimated increase of
approximately 14 in the annual number of
HIV/AIDS deaths.
14
Adult AIDS Cases by Sex and Year of
Report Partnership 15, 1994-2003
15
Adult HIV Cases (regardless of AIDS status) by
Sex and Year of Report Partnership 15, 1998-2003
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
16
Partnership 15
Adult HIV Cases (regardless of AIDS status)
by Sex, 2003 (N114)
Adult AIDS Cases by Sex, 2003 (N122)
2000 Adult Census Population 51 Females and
49 Males
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
17
2000 US Census Population by Race/Ethnicity
Partnership 15 Adult Population by
Race/Ethnicity (N399,029)
Florida Adult Population by Race/Ethnicity
(N13,361,579)
Other race includes Asian/Pacific Islander,
Native American/Alaska Native, Multiracial and
Other races.
18
Adult AIDS Cases by Race/Ethnicity and Year of
Report Partnership 15, 1994-2003
19
Adult Male AIDS Cases by Race/Ethnicity and Year
of Report Partnership 15, 1994-2003
20
Adult Female AIDS Cases by Race/Ethnicity and
Year of Report Partnership 15, 1994-2003
21
Adult HIV Cases (regardless of AIDS status) by
Race/Ethnicity and Year of Report Partnership 15,
1998-2003
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
22
Percent of Adult Male HIV Cases (regardless of
AIDS status) by Race/Ethnicity and Year of
Report Partnership 15, 1998-2003
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
23
Percent of Adult Female HIV Cases (regardless of
AIDS status) by Race/Ethnicity and Year of
Report Partnership 15, 1998-2003
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
24
Reported Adult AIDS Case Rates per 100,000
Populationby Sex and Race/EthnicityPartnership
15, 2003
2000 Adult Census Population
25
Reported Adult HIV Case Rates per 100,000
Population(regardless of AIDS status)by Sex and
Race/EthnicityPartnership 15, 2003
2000 Adult Census Population HIV data does not
reflect HIV incidence. HIV data includes those
cases that have converted to AIDS. These HIV
cases cannot be added with AIDS cases to get
combined totals since the categories are not
mutually exclusive.
26
Partnership 15
Adult HIV Cases (regardless of AIDS status) by
Race/Ethnicity, 2003 (N114)
Adult AIDS Cases by Race/Ethnicity, 2003 (N122)
2000 Adult Census Population 82 White, 9
Black 7 Hispanic
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
27
Adult AIDS Casesby Sex and Race/EthnicityPartner
ship 15, 2003
Females (N42)
Males (N80)
28
Adult HIV Cases (regardless of AIDS status)by
Sex and Race/EthnicityPartnership 15, 2003
Males (N57)
Females (N57)
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
29
Living HIV and AIDS Casesby Sex and Race
Ethnicity Partnership 15, Through 2003
Males (N1,044)
Females (N789)
30
Percent of Adult AIDS Cases By Selected Age
Groups Partnership 15, 1994-2003
31
Percent of Adult HIV Cases (regardless of AIDS
Status) By Selected Age Groups, Partnership 15,
1998-2003
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
32
Percent of Adult AIDS Cases by Sex and Age
Group, Partnership 15, 2003
Males (N80)
Females (N42)
Percent
Percent
33
Percent of Adult HIV Cases (regardless of AIDS
status) by Sex and Age Group, Partnership 15,
2003
Males (N57)
Females (N57)
Percent
Percent
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
34
Acronyms

• MSM - Men who have sex with men (includes
  homosexual and bisexual).
• IDU - Injecting drug user. This category assumes
  that needle-sharing has taken place.
• Hetero - Persons infected by a partner of the
  opposite sex.
• Blood - Persons exposed through receipt of
  contaminated blood/blood products, transplanted
  tissue/organs or artificial insemination. This
  category includes both confirmed and suspect
  cases pending investigation.
• NIR - No identified risk. Information regarding
  risk for HIV was unknown, not determined or
  denied. This information is updated when
  determined.

35
Adult AIDS Cases by Exposure Category and Year of
Report Partnership 15, 1994-2003
36
Adult HIV Cases (regardless of AIDS status) by
Exposure Category and Year of Report Partnership
15, 1998-2003
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
37
Cumulative Adult AIDS Cases by Mode of Exposure
and Sex Partnership 15, Data through 2003
Males (N1,530)
Females (N725)
38
Total Adult Male Cases by Mode of Exposure and
Sex Partnership 15, 2003
HIV (regardless of AIDS status) (N57)
AIDS (N80)
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
39
Total Adult Female Cases by Mode of Exposure and
SexPartnership 15, 2003
HIV (regardless of AIDS status) (N57)
AIDS (N42)
HIV data includes those cases that have converted
to AIDS. These HIV cases cannot be added with
AIDS cases to get combined totals since the
categories are not mutually exclusive.
40
Annual Prevalence Adult Male HIV/AIDS Cases By
Mode of Exposure (NIRs redistributed)
Partnership 15, Reported 1990-2003
Note Adjustments have been made to redistribute
NIR cases. The AIDS surveillance case definition
was expanded for adults/adolescents in 1993.
Data as of 03/2004.
41
Annual Prevalence Adult Female HIV/AIDS Cases By
Mode of Exposure (NIRs redistributed)
Partnership 15, Reported 1990-2003
Note Adjustments have been made to redistribute
NIR cases. The AIDS surveillance case definition
was expanded for adults/adolescents in 1993.
Data as of 03/2004.
42
For Florida HIV/AIDS Surveillance Data Contact
[phone] Lorene Maddox, MPH Ext.
2613 Linda Friedlander, MS Ext. 2614
Tracina Bush Ext. 2612 Internet
http//www9.myflorida.com/disease_ctrl/aids/index.
html Intranet http//dohiws.doh.state.fl.us