Northern Virginia Title I Region HIV/AIDS TrendsData through 2005

Carrie Dolan, MPHEpidemiologistDivision of Disease Prevention

Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.

HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.

UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.

LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.

Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.

Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.

AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons

Northern VA Title I Region HIV/AIDS Trends Between 2004-2005, overall decrease (13.5%) in

reported HIV and AIDS* Areas designated as urban** saw a 16.6% decrease

in reported HIV* and AIDS between 2004-2005 Areas designated as rural** saw a 25% increase in

reported HIV* and AIDS between 2004-2005 Data through 2005 indicates in the VA portion of the

DC MSA, 47% of reported cases of HIV* and AIDS were white, 42% black and 11% reported another race

*Unduplicated Cases**urban includes: Loudon, Falls Church, Arlington, Alexandria, Fairfax City, Fairfax, Manassas Park, Manassas and Prince William rural includes: Clarke, Warren, Fauquier, Culpeper, Stafford, Fredericksburg, Spotsylvania, King George

Data through 2005 indicates that 30.5% of reported, unduplicated cases of HIV or AIDS in Virginia, are from the Northern VA. Title I Region (N=8,221)

MANASSAS PARK

Northern Virginia Title I Region (N=4,687)Cases of HIV and AIDS* (1996-2005)

263

185

247268 272

352

319 310

219

118

168142

193164

215

299

206224

243

280

0

50

100

150

200

250

300

350

400

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year of Report

Report

ed C

ase

s_

Cases of AIDS

Cases of HIV

*Unduplicated

Living Trends

Estimated number of people living with HIV or AIDS in Northern Virginia Title I Region at the end of 2005= 5,389

31% of Virginia’s living total Most of cases are 32 yrs. old at diagnosis 75% male 48% black

Individuals Living with HIV or AIDS in the Urban Localities of the Northern Virginia Title I Region by Gender and Locality at the end of 2005 (N=4985)

299

24

436

9 34 2

183

846 893

67

1297

34120 126

8

350216

410

75150225300375450525600675750825900975

10501125120012751350

ALE

XAN

DRIA

ARLI

NG

TON

CO

.

FAIR

FAX

FAIR

FAX C

O.

FALL

SCH

URCH

LOU

DO

UN

CO

.

MAN

ASS

AS

MAN

ASS

AS

PARK

PRIN

CE

WIL

LIAM

CO

.

Locality

Rep

orte

d C

ases

_

Females (n=1244)Males (n=3741)

Individuals Living with HIV or AIDS in Rural Localities of the Northern Virginia Title I Region by Gender and Locality at the end of 2005 (N=404)

4

1521

3

24

612

44

32

49

15

6558

2614

16

05

101520253035404550556065707580859095

100CLA

RKE

CO

.

CU

LPEP

ER C

O.

FAU

QU

IER C

O.

FRED

ERIC

KSB

URG

KIN

G G

EORG

E CO

.

SPO

TSYLV

AN

IACO

.

STAFF

ORD

CO

.

WARREN

CO

.

Locality

Rep

orte

d C

ases

_

Females (n=103)Males (n=301)

Individuals Living with HIV or AIDS in the Northern VA Title I Region, by Race, at the end of 2005 (N=5389*)

2607

549

2100

1070200400600800

1000120014001600180020002200240026002800

Report

ed C

ase

s__

Black Hispanic

White Other**

**Unknown (n=26)*Other includes: American Indian/Alaskan Native, Asian/Pacific Islander, Multiple Races

Northern Virginia Title I Region (N=2,450)Living with HIV or AIDS by Race* (2001-2005) 267

233 235

209

150

251

169186

142

54 61 6882

10 14 14 13 10

210

63

0

50

100

150

200

250

300

2001 2002 2003 2004 2005

Year of Report

Report

ed C

ase

s_

Black White

Hispanic Other**

* Unknown (n=9)**Other includes Asian/Pacific Islander, American Indian/Alaskan Native, Multiple Races

Individuals Living with HIV or AIDS in the Northern VA Title I Region, by Risk at the end of 2005 (N=5389*)

27

945

652

2406

24833 53

0200400600800

100012001400160018002000220024002600

Rep

ort

ed C

ases_

_

HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)

MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion/Blood Products

*370 No Identified Risk 469 Undetermined Risk

186

Percentage of Men Living with HIV or AIDS in the Northern Region of Virginia that reported their risk of infection as MSM (N=2406*)

*Data through December 2005

33.87%

23.94%

3.08%

.25%

.71% .87%

.83%

1.29%

1.00%

1.00%.37%

1.12%

21.11%7.02%

MANASSAS PARK

.25%

2.20%

Individuals Living with HIV or AIDS in the Northern Virginia Title I Region, by Risk, excluding MSM, at the end of 2005 (N=2798*)

231

95

1826

322

422

153

15 28

623

25

0

50

100

150

200

250

300

350

400

450

500

550

600

650

Hemophilia HeterosexualContact

IDU MultipleHeterosexual

Pediatric Transfusion

Locality

Rep

orte

d C

ases

_

Females (n=992)Males (n=966)

*370 cases no identified risk 469 cases undetermined/not reported1 cell suppressed to protect confidentiality

Northern Virginia Title I Region (N=2,450)Living with HIV or AIDS by Gender* (2001-2005)

146 143 145117

309

449

340358

327

116

0

50

100

150

200

250

300

350

400

450

500

2001 2002 2003 2004 2005

Year of Report

Report

ed C

ase

s_

Female Male

Prepared by:

Carrie Dolan, MPHEpidemiologistDivision of Disease PreventionApril 2006carrie.dolan@vdh.virginia.gov

Data accessed from HARS on 04/19/2006