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Baker, Clay, Duval,Nassau and St. Johns Counties
Excluding Dept. of Corrections
HIV/AIDS EpidemiologyPartnership 4
Florida Department of HealthHIV/AIDS and Hepatitis SectionAnnual data trends as of 12/31/2013Living (Prevalence) data as of 06/30/2013
Created: 01/02/14
Revision: 02/11/14
HIV and AIDS Case Data HIV Infection reporting represents newly reported HIV
cases, regardless of AIDS status at time of report.
HIV infection cases classified as Stage 3 (AIDS) became reportable in Florida in 1981.
HIV infection cases (without an AIDS diagnosis) became reportable in Florida on July 1, 1997.
AIDS cases and HIV infection cases by year of report are NOT mutually exclusive and CANNOT be added together.
Frozen databases of year-end data are generated at the end of each calendar year. These are the same data used for Florida CHARTS and all grant-related data where annual data are included.
HIV prevalence data are prepared later in the year, when most of the “expected” death data are complete, usually in July.
HIV and AIDS Case Data (con’t)Adult cases represent ages 13 and older, pediatric
cases are those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.
Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic.
Unless otherwise noted. Area and county data will exclude DOC cases.
Persons Living with Adults (A ge 13+) TotalHIV/AIDS through 2012 7,774 7,852
as of 06/30/2013
6,065 Adults (A ge 13+) Total2,977 3,015
Total Adult (A ge 13+) Total
HIV/AIDS Cases 10,751 10,867
ADULTS Males Females Total M:F RatioCumulative AIDS Cases 5,501 2,273 7,774 2.4 : 1Cumulative HIV Cases 1,858 1,119 2,977 1.7 : 1
116
38
78
Cumulative AIDS Cases (1981-2013)
Cumulative HIV Cases (not AIDS) 07/1997-12/2013
Pediatrics (A ge <13)
Pediatrics (A ge <13)
Pediatrics (A ge <13)
Cumulative HIV (not AIDS) and AIDS Cases, Reported through 2013, Partnership 4
228228235220
361
286279308
274
332
050
100150200250300350400
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Year of Report
Num
ber o
f Cas
esAIDS Cases and Rates*,
by Year of Report, 2004-2013, Partnership 4Year Rate04 27.105 21.906 24.007 21.308 21.609 27.010 16.311 17.412 16.813 16.6
Electronic laboratory reporting delays in late 2007 along with the expansion of electronic lab reporting, contributed to the artificial spike in 2009, followed by an annual approach to leveling. Over the past ten years, the number of AIDS cases have decreased by 31%. *Source: Population estimates are provided by Florida CHARTS as of 02/05/2014. Rates are expressed as per 100,000 population.
461
395430
466 456498
336 357 373 385
0
100
200
300
400
500
600
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Year of Report
Num
ber o
f Cas
es
Year Rate04 37.605 31.506 33.507 35.608 34.409 37.310 24.911 26.412 27.513 28.0
HIV Infection Cases and Rates*,by Year of Report, 2004-2013, Partnership 4
Note: Enhanced laboratory reporting (ELR) laws in 2006 and the expansion of ELR in 2007 led to an artificial peak in newly reported cases of HIV infection in 2009. This was followed by a general decline in reported cases through 2012. Another surge in the expansion of ELR in 2012 was followed by another increase in newly reported cases of HIV infection in 2013. These trends were observed across most race/sex/risk groups throughout the state.*Source: Population estimates are provided by Florida CHARTS as of 02/05/2014. Rates are expressed as per 100,000 population.
0
20
40
60
80
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year of Report
Perc
ent o
f Cas
es Females
Males
Note: Adult AIDS Cases tend to represent HIV transmission that occurred many years ago. The relative increases in male cases reflect the changing face of the AIDS epidemic over time. *The male-to-female ratio is the number of cases among males divided by the number of cases among females.
M:F Ratio*
2004 2.0:1
2013 2.2:1
Adult AIDS Cases, by Sex and Year of Report, 2004-2013, Partnership 4
0
20
40
60
80
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Year of Report
Perc
ent o
f Cas
es
Females
Males
M:F Ratio*
2004 1.7:1
2013 2.5:1
Note: Recent trends in HIV transmission are best described by the HIV case data. The relative increases in male HIV Infection Cases might be attributed to proportional increases in HIV transmission among men who have sex with men (MSM), which may influence future AIDS trends. *The male-to-female ratio is the number of cases among males divided by the number of cases among females.
Adult HIV Infection Cases, by Sex and Year of Report, 2004-2013, Partnership 4
68%
32% MalesFemales
AIDS N=228
HIV InfectionN=384
71%
29%
Note: Partnership 4’s Adult Population is: 48% Male and 52% Female.
Adult AIDS and HIV Infection Cases by Sex,Reported in 2013, Partnership 4
Adult AIDS Cases by Race/Ethnicity and Year of Report,
2004-2013, Partnership 4 Factors Affecting Disparities-Late diagnosis of HIV.-Access to/acceptance of care.-Delayed prevention messages.-Stigma.-Non-HIV STD’s in the community.-Prevalence of injection drug use.-Complex matrix of factors related to socioeconomic status
01020304050607080
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year of Report
Perc
ent o
f Cas
es
Black
Hispanic
White
Note: In 2013, blacks accounted for 68% of adult AIDS cases, but only 20% of the population. From 2004 to 2013, the proportion of adult AIDS cases among blacks decreased by 2 percentage points. In contrast, the proportion of adult AIDS cases increased by 2 percentage points among both whites and Hispanics, respectively, during the same time period. Numerous disparities can affect the increases of HIV disease in a given population. Other races represent less than 6% of the cases and are not included.
Adult HIV Infection Casesby Race/Ethnicity and Year of Report,
2004-2013, Partnership 4
0
10
20
30
40
50
60
70
80
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year of Report
Perc
ent o
f Cas
es
Black
Hispanic
White
Note: HIV case reporting, implemented in mid-1997, reflects more recent trends in the epidemic with respect to the distribution of cases by race/ethnicity. From 2004 to 2013, the proportion of HIV Infection cases decreased by 1 percentage point among whites. In contrast, the proportion of HIV Infection cases increased by 1 percentage point among both blacks and Hispanics, respectively, during the same time period. Other races represent less than 5% of the cases and are not included.
Adult Male HIV Infection Casesby Race/Ethnicity and Year of Report,
2004-2013, Partnership 4
0
10
20
30
40
50
60
70
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year of Report
Perc
ent o
f Cas
es
Hispanic
White
Black
Note: Blacks represented the majority (> 59%) of male HIV infection cases for most of the years. From 2004 to 2013, the proportion of adult male HIV infection cases among blacks increased by 4 percentage points. In contrast, the proportion of adult male HIV infection cases among whites decreased by 3 percentage points, while no differences where observed among Hispanics during the same time period. Other races represent less than 6% of the cases and are not included.
Adult Female HIV Infection Casesby Race/Ethnicity and Year of Report,
2004-2013, Partnership 4
0
30
60
90
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year of Report
Perc
ent o
f Cas
es
Black
Hispanic
White
Note: HIV case disparities are more evident among women than men. From 2004 to 2013, black women represented 70% or more of the cases each year. Over the past ten years, the proportion of HIV infection cases decreased among black and white females by 2 and 1 percentage points respectively. Conversely, the proportion of HIV infection cases among Hispanic females increased by 1 percentage point, during the same time period. Other races represent less than 8% of the cases and are not included.
2.013.5
44.8
86.9
15.323.0
0102030405060708090
100
Male Female
Rat
e pe
r 100
,000
White Black Hispanic
Note: Among black males, the AIDS case rate is 6 times higher than the rate among white males. Among black females, the AIDS case rate is 22-fold greater than the rate among white females. Hispanic male and female rates are higher than the rates among their white counterparts. *Source: 2013 Partnership 4 population estimates are provided by Florida CHARTS as of 02/05/2014.
Adult AIDS Case Rates* by Sexand Race/Ethnicity, Reported in 2013, Partnership 4
Rate Ratios: MALES
Black:White, 6.4:1Hispanic:White, 1.7:1
FEMALESBlack:White, 22.4:1Hispanic:White, 7.7:1
5.823.1
63.2
150.5
15.3
48.6
0
20
40
60
80
100
120
140
160
Male Female
Rat
e pe
r 100
,000
White Black Hispanic
Note: Among black males, the HIV infection case rate is nearly 7 times higher than the rate among white males. Among black females, the HIV case rate is nearly 11-fold greater than the rate among white females. Among Hispanic males and females, the HIV case rates are higher than the rates among their white counterparts. *Source: Population estimates are provided by Florida CHARTS as of 02/05/2014.
Adult HIV Infection Case Rates* by Sexand Race/Ethnicity, Reported in 2013, Partnership 4
Rate Ratios: MALES
Black:White, 6.5:1Hispanic:White, 2.1:1
FEMALESBlack:White, 10.9:1Hispanic:White, 2.6:1
5%
68%
7%20%
26%
2%7%
65%
2%
62%
29%
7%
AIDSN=228
2013 Partnership 4 Population Estimates*
N=1,141,842
HIV InfectionN=384
White Black Hispanic Other**Note: In this snapshot for 2013, blacks are over-represented among the AIDS and HIV Infection cases, accounting for 65% of adult AIDS cases and 62% of adult HIV Infection cases, but only 20% of the adult population. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of the population. *Source: Population estimates are provided by Florida CHARTS as of 02/05/2014.**Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races.
Adult AIDS and HIV Cases Reported in 2013 and Population Data, by Race/Ethnicity, Partnership 4
0
5
10
15
20
25
30
35
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Year of Report
Perc
ent o
f Cas
es
13-19 20-29 30-39 40-49 50+
Note: From 2004 to 2013, the proportion of adult HIV infection cases among those aged 13-19, 20-29 and 50+, increased by 2, 8 and 5 percentage points, respectively.
Adult HIV Infection Cases, by Age Group at Diagnosis,and Year of Report, 2004–2013, Partnership 4
MalesN=274
6
1518
22
39
05
1015202530354045
13-19 20-29 30-39 40-49 50+
Perc
ent o
f Cas
es
5
2932
1816
0
5
10
15
20
25
30
35
13-19 20-29 30-39 40-49 50+
Perc
ent o
f Cas
es
FemalesN=110
Note: HIV infection cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic. With regard to the age group with the largest proportion of HIV infection cases, recent estimates show that among males, 39% of HIV infection cases occur among those aged 20-29, whereas among females 32% of HIV infection cases occur among those aged 40-49.
Adult HIV Infection Cases, by Sex and Age Group at Diagnosis,
Reported in 2013, Partnership 4
Definitions of Mode of Exposure Categories
MSM = Men who have sex with men IDU = Injection Drug Use MSM/IDU = Men who have sex with men & Injection Drug Use Heterosexual = Heterosexual contact with person with HIV/AIDS or
known HIV risk OTHER = includes hemophilia, transfusion, perinatal and other
pediatric risks and other confirmed risks. NIR = Cases reported with No Identified Risk Redistribution of NIRs = This illustrates the effect of statistically
assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs.
0
50
100
150
200
250
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year of Report
Cas
es
MSM IDU MSM/IDU Heterosexual
Adult Male HIV Infection Cases, by Mode of Exposure and Year of Report, 2004–2013, Partnership 4
Note: NIRs redistributed. Men who have sex with men (MSM) remains as the primary mode of exposure among male HIV cases in Partnership 4, followed by heterosexual contact.
Adult Female HIV Infection Cases by Exposure Categoryand Year of Report, 2004-2013, Partnership 4
020
406080
100120
140160
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Year of Report
Cas
es
IDU Heterosexual
Note: NIRs redistributed. The heterosexual risk continues to be the dominant mode of exposure among females.
AIDSN=156
HIV InfectionN=274
Note: NIRs redistributed. Among the male AIDS and HIV infection cases reported for 2013, men who have sex with men (MSM) was the most common risk factor (62% and 79% respectively) followed by cases with a heterosexual risk (29% for AIDS and 17% for HIV).
Adult Male AIDS and HIV Infection Cases, by Mode of Exposure, Reported in 2013, Partnership 4
62%
29%
3%
5%
1%
MSMIDUMSM/IDUHeterosexualOther
79%
17%1%
3%
AIDSN=72
HIV InfectionN=110
Note: NIRs redistributed. Among the female AIDS and HIV infection cases reported for 2013, heterosexual contact was the highest risk (95% and 92% respectively).
Adult Female AIDS and HIV Infection Cases, by Mode of Exposure, Reported in 2013, Partnership 4
4%1%
95%
IDU
HeterosexualOther
92%
6%
2%
Cases Living with HIV Disease
32087
32043
32046
32011
32092
32234
32097
32040
32068
3222632218
32145
32656
32009
32063
32034
32033
32259
32086
32256
320MX
32095
32219
32221
32082
32091
32220
32084
32225
32081
32244
32210
32003
3222332073
32258
32246
32224
32080
32257
32207
32208
32065
32216
32233
32140
32058
32222
3225432277
32250
32211
32209
32217
32205
32206
32212
32072
32666
32204 32266
32055
32227
32177
32131
32235
32061
32245
32083
32035
3225532238
32137
32004
32085
32006
32054
32050
32025
32041
32187
Total Adult Living HIV/AIDS Cases
Over 150
101-150
51 - 100
1 -50
0
N=6,134
Duval
Clay
Baker
Nassau
St. Johns
Adults Living with HIV Disease By Zip Code, Reported through 2012, Partnership 4
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.Data as of 05/17/2013
32087
32043
32046
32011
32092
32234
32097
32040
32068
3222632218
32145
32656
32009
32063
32034
32033
32259
32086
32256
320MX
32095
32219
32221
32082
32091
32220
32084
32225
32081
32244
32210
32003
322233207332258
32246
32224
32080
32257
32207
32208
32065
32216
32233
32140
32058
32222
3225432277
32250
3221132209
32217
3220532206
32212
32072
32666
32266
32055
32227
32177
32131
32083
32035
32137
32004
32085
32050
32025
32041
32187
Presumed Living MSM HIV/AIDS Cases
Over 45
31- 45
16 - 30
1 - 15
0
N=2,698
Duval
Clay
Baker
Nassau
St. Johns
Men who have Sex with Men (MSM)* Living with HIV Disease
By Zip Code, Reported through 2012, Partnership 4
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.*Includes MSM/IDU cases.Data as of 05/17/2013
32046
32043
32011
32656
32092
32097
32068
32218 32226
32009
32145
32234
32095
32034
32033
32091
32256
32086
32219
32082
32259
32234
32221
32084
32220
32225
32244
32073
32210
32246
32258
32224
32080
32003
32216
32208
32257
32207
32254
32223
32222
32666
32233
32250
32215
3220932211
32065
32234 32205
3227732206
3221732212
32091
32084
32266
32226 32227
32084
32080
322143207332215
32137
32222
3223432234
32009
32131
32140
32218
32259
32082
32256
32218Presumed Living MSM HIV/AIDS Cases
Over 45
31- 45
16 - 30
1 - 15
0
N=2,680
Men who have Sex with Men (MSM)* Living with HIV Disease
By Zip Code, Reported through 2012, Jacksonville EMA
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.*Includes MSM/IDU cases.Data as of 05/17/2013
Duval
Clay
Nassau
St. Johns
Presumed Living IDU HIV/AIDS Cases
Over 30
16 - 30
6 - 15
1 - 5
0
N=871
Duval
Clay
Baker
Nassau
St. Johns
Injection Drug Users (IDUs)* Living with HIV Disease
By Zip Code, Reported through 2012, Partnership 4
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.*Includes MSM/IDU cases.Data as of 05/17/2013
32087
32043
32046
32011
32092
32234
32097
32040
32068
3222632218
32145
32656
32009
32063
32034
32033
32259
32086
32256
320MX
32095
32219
32221
32082
32091
32220
32084
32225
32081
32244
32210
32003
322233207332258
32246
32224
32080
32257
32207
32208
32065
32216
32233
32140
32058
32222
3225432277
32250
3221132209
32217
3220532206
32212
32072
32666
32266
32055
32227
32177
32131
32083
32035
32137
32004
32085
32050
32025
32041
32187
32087
32043
32046
32011
32092
32234
32097
32040
32068
3222632218
32145
32656
32009
32063
32034
32033
32259
32086
32256
320MX
32095
32219
32221
32082
32091
32220
32084
32225
32081
32244
32210
32003
322233207332258
32246
32224
32080
32257
32207
32208
32065
32216
32233
32140
32058
32222
3225432277
32250
3221132209
32217
3220532206
32212
32072
32666
32266
32055
32227
32177
32131
32083
32035
32137
32004
32085
32050
32025
32041
32187
Presumed Living HeterosexualHIV/AIDS Cases
Over 45
31 - 45
16 - 30
1 - 15
0
N=2,727
Duval
Clay
Baker
Nassau
St. Johns
Adult Heterosexuals Living with HIV DiseaseBy Zip Code, Reported through 2012, Partnership 4
NIRs are not redistributed.Excludes DOC, homeless, and cases with unknown zips.Data as of 05/17/2013
32087
32043
32046
32011
32092
32234
32097
32040
32068
3222632218
32145
32656
32009
32063
32034
32033
32259
32086
32256
320MX
32095
32219
32221
32082
32091
32220
32084
32225
32081
32210
32223
32244
32003
32073
32080
32258
32246
32257
32224
32207
32208
32065
32233
32140
32058
3225432277
32250
32072
32666
32055
32227
32177
32131
32083
32137
32050
32025
32187
1 Dot = 3 casesDots are randomlyplaced within zip codes.
Hispanic
Black, not-Hispanic
White, not-Hispanic
N=5,950
Duval
Clay
Baker
Nassau
St. Johns
Adults Living with HIV Disease By Zip Code and Race/Ethnicity,
Reported through 2012, Partnership 4
Total includes all races, some which are not on map.Excludes DOC, homeless, and cases with unknown zips.Data as of 05/17/2013
32087
32043
32046
32011
32092
32234
32097
32040
32068
3222632218
32145
32656
32009
32063
32034
32033
32259
32086
32256
320MX
32095
32219
32221
32082
32091
32220
32084
32225
32081
32210
32223
32244
32003
32073
32080
32258
32246
32257
32224
32207
32208
32065
32233
32140
32058
3225432277
32250
32072
32666
32055
32227
32177
32131
32083
32137
32050
32025
32187
1 Dot = 3 casesDots are randomlyplaced within zip codes.
FemaleMale
N=6,134
Duval
Clay
Baker
Nassau
St. Johns
Adults Living with HIV Disease By Zip Code and Sex,
Reported through 2012, Partnership 4
Excludes DOC, homeless, and cases with unknown zips.Data as of 05/17/2013
Adults Living with HIV Disease,by Sex and Race/Ethnicity
Reported through 2012, Partnership 4MalesN=3,863
FemalesN=2,180
76%
17%
4%3%
Note: Among adults living with HIV disease, blacks represent the highest race among both males (57%) and females (76%). *Other includes Asian/Pacific Islanders and Native Alaskans/American Indians.
35%
1%
57%
5%WhiteBlackHispanicOther*
95.9
360.1
2102.9
1343.7
218.4
500.0407.5
197.5
0.0
500.0
1000.0
1500.0
2000.0
2500.0
Males Females
Rat
e pe
r 100
,000
WhiteBlackHispanicOther**
Note: Among black males living with HIV disease, the case rate reported through 2012 is nearly 6 times higher than the rate among white males. Among black females living with HIV disease, the case rate is 14 times higher than the rate among white females. Hispanic male and female rates higher than the rates among their white counterparts. Data excludes Department of Corrections cases.
*Source: Population estimates are provided by FloridaCHARTS**Other includes Asian/Pacific Islanders and Native Alaskans/American Indians.
Case Rates* of Adults Living with HIV Disease, by Sex and Race/Ethnicity,
Reported through 2012, Partnership 4RATE RATIOS:
MALESBlacks:Whites, 5.8:1Hispanics:Whites, 1.4:1
FEMALESBlack:Whites, 14.0:1Hispanics:Whites, 2.3:1
75%
10%5%9%
1%
White Non-Hispanic,N=1,343
55%
10%
5%
29%1%
MSM IDU MSM/IDU Heterosexual Other
Black Non-Hispanic,N=2,215
60%
16%
4%19%
1%
Hispanic, N=190
Adult Males Living with HIV Diseaseby Race/Ethnicity and Mode of Exposure
Reported through 2012, Partnership 4
Note: NIRs redistributed. Among males living with HIV disease, the distribution of risk among blacks differs from that among whites and Hispanics. MSM represents the highest risk for all races. White males have the smallest proportion of heterosexual contact cases.
33%
66%
1%
White Non-Hispanic,N=374
10%
88%
2%
IDU Heterosexual Other
Black Non-Hispanic,N=1,659
11%
2%
87%
Hispanic, N=83
Adult Females Living with HIV Diseaseby Race/Ethnicity and Mode of Exposure
Reported through 2012, Partnership 4
Note: NIRs redistributed. Among females living with HIV disease, the distribution of risk among whites differs from that among blacks and Hispanics. Heterosexual contact is the majority risk for all races. However, whites have the highest proportion of IDU cases.
6,065
5,6795,359
1,7791,359
1,2201,549
2,048
2,3282,615
2,8653,135
3,4703,694
4,0054,305
4,6445,082
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year
Num
ber o
f Cas
esAnnual Prevalence of
Adults Living with HIV Disease, 1995-2012, Partnership 4
Note: As a result of declining deaths, annual HIV/AIDS diagnoses have exceeded deaths since 1995, and the number of persons reported with HIV/AIDS that are presumed to be alive has been increasing. Since the year 1995, prevalent cases have increased by over 397%. In 2012,the prevalence increased by 7% from the previous year.
Number and Percentage of HIV‐Infected PersonsEngaged in Selected Stages of
The Continuum of HIV Care — Partnership 4, 2012
• HIV‐infected=HIV diagnosed cases divided by 84.2% (to account for 15.8% national estimated unaware of their status in Florida). The 2011 indicator report (http://www.cdc.gov/hiv/pdf/2011_Monitoring_HIV_Indicators_HSSR_FINAL.pdf ) estimates that 15.8% are undiagnosed (Table 9a) – this report uses 2010 data and was published in October 2013.
• HIV Diagnosed=Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet need calculations ), plus an additional 4% to account for OOS in care, but not yet entered into eHARS.
• Linked to Care (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a CD4 or Viral load test in the eHARS dataset . (National estimates are 77%).
• In Care this Year=Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and having at least 1 HIV‐related care service involving either a VL or CD4 test, or a refill of HIV‐related RX, plus 5% for unreported/missing labs and plus 6% for OOS cases known in care, but not yet entered into eHARS. (National estimates for in care are 57%).
• On ART=Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)• Suppressed VL=Estimated 76.1% on ART are in care this year in Florida per MMP (National estimates are 77%).
Number and Percentage of HIV‐Infected PersonsEngaged in Selected Stages of
The Continuum of HIV Care — Jacksonville EMA, 2012
• HIV‐infected=HIV diagnosed cases divided by 84.2% (to account for 15.8% national estimated unaware of their status in Florida). The 2011 indicator report (http://www.cdc.gov/hiv/pdf/2011_Monitoring_HIV_Indicators_HSSR_FINAL.pdf ) estimates that 15.8% are undiagnosed (Table 9a) – this report uses 2010 data and was published in October 2013.
• HIV Diagnosed=Number of cases known to be alive and living in Florida through 2012, regardless where diagnosed, as of 06/30/2013 (used for unmet need calculations ), plus an additional 4% to account for OOS in care, but not yet entered into eHARS.
• Linked to Care (Ever in Care) =Based on calculated data of persons living with HIV disease in Florida (regardless of where diagnosed) who ever had a CD4 or Viral load test in the eHARS dataset . (National estimates are 77%).
• In Care this Year=Based on Unmet need calculations as prescribed by HRSA, for persons living with HIV in Florida (regardless of where diagnosed) and having at least 1 HIV‐related care service involving either a VL or CD4 test, or a refill of HIV‐related RX, plus 5% for unreported/missing labs and plus 6% for OOS cases known in care, but not yet entered into eHARS. (National estimates for in care are 57%).
• On ART=Estimated 92.7% of In care this year in Florida per MMP (National estimates are 88%)• Suppressed VL=Estimated 76.1% on ART are in care this year in Florida per MMP (National estimates are 77%).
Resident Deaths due to HIV Diseaseby Year of Death, 1995-2012, Partnership 4
Race/EthnicityNo. rate
White Male 7 1.6White Female 4 0.9Black Male 30 22.1Black Female 19 12.4Hispanic Male 3 6.0Hispanic Female - 0.0Other* 2 2.5TOTAL 65 4.8
2012
6597 106 98
71
113111121119
135106115
958494103138
257
0
50
100
150
200
250
300
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year
Num
ber o
f Dea
ths
Source: Florida Department of Health, Bureau of Vital Statistics, Death Certificates (as of 05/07/2013). Population data are provided by FloridaCHARTS.
*Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races.
Some Useful Links
CDC HIV/AIDS Surveillance Reports(State and Metro Data):http://www.cdc.gov/hiv/stats/hasrlink.htm
MMWR (Special Articles on Diseases, IncludingHIV/AIDS):http://www.cdc.gov/mmwr/
U.S. Census Data (Available by State, County):http://www.census.gov
Partnership 4 Dept. of Health, HIV/AIDS & Hepatitis Program Website(Slide Sets, Fact Sheets, Monthly Surveillance Report, Counseling & Testing Data, etc., etc.):http://www.doh.state.fl.us/disease_ctrl/aids/index.html
“The reason for collecting, analyzing and disseminating
information on a disease is to control that disease.
Collection and analysis should not be allowed to consume
resources if action does not follow.”
--Foege WH et al. Int. J of Epidemiology 1976; 5:29-37
For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444
Lorene Maddox, MPH Ext. 2613Tracina Bush, BSW Ext. 2612Madgene Moise, MPH Ext. 2373
Visit Florida’s internet site for:Monthly Surveillance Reports
Slide Sets and Fact SheetsAnnual Reports and Epi Profiles
http://www.doh.state.fl.us/disease_ctrl/aids/trends/trends.html
Visit CDC’s HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets
http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm
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