HIV/AIDS Epidemiology Partnership 2a

1
HIV/AIDS EpidemiologyPartnership 2a
Bay, Calhoun, Gulf, Holmes, Jackson and
Washington Counties
Excluding Dept. of Corrections
Data as of 12/2003
2
A Few Words on the Instability of
Small Numbers When there are few cases to begin
with, a change of 1 or 2 can result in a
misleadingly high percentage change. For
example There were 10 HIV cases in 2002 and 12
in 2003. This would be a 20 increase, but an
increase of just 2 cases is not considered
substantive. Small numbers of cases also give
rise to unstable rates, for the same
reason. Trend lines may look erratic, too. For
this reason, some slides found in other
partnerships have been omitted in this
partnership slide set.
3
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

4
HIV Prevalence Estimates and Cumulative HIV
AIDS Cases, Partnership 2a, through 2003
5
AIDS Cases, Deaths and Persons Living with AIDS
(PLWA), by YearPartnership 2A, 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.
6
Presumed Living MSM HIV/AIDS Cases by Zip Code,
Partnership 2a through 2003 (data as of 01/31/04)
N82
NIRs are not redistributed.
7
Presumed Living IDU HIV/AIDS Cases by Zip Code,
Partnership 2a, through 2003 (data as of 01/31/04)
N23
NIRs are not redistributed.
8
Presumed Living Heterosexual HIV/AIDS Cases by
Zip Code, Partnership 2a, through 2003 (data as
of 01/31/04)
N64
NIRs are not redistributed.
9
Presumed Living HIV/AIDS Cases by Zip Code and
Race/Ethnicity Partnership 2a, through 2003 (data
as of 01/31/04)
N285
10
Presumed Living HIV/AIDS Cases by Zip Code and
Sex Partnership 2a, through 2003 (data as of
01/31/04)
N307
11
AIDS Case Rate per 100,000 Population by Year
of Report Partnership 2a, 1994-2003
Population rates calculated from annual
population estimates.
12
AIDS Cases, HIV (not AIDS) Cases, and HIV
(regardless of AIDS status) Cases By Year of
Report, Partnership 2A, 1985-2003
The AIDS surveillance case definition was
expanded for adults/adolescents in 1993. HIV
infection reporting was implemented July 1997.
A reporting blitz occurred in 2002. 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 2a,
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 2a, 1994-2003
15
Adult HIV Cases (regardless of AIDS status) by
Sex and Year of Report Partnership 2a, 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 2a
Adult HIV Cases (regardless of AIDS status)
by Sex, 2003 (N28)
Adult AIDS Cases by Sex, 2003 (N25)
2000 Adult Census Population 49 Females and
51 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 2a Adult Population by
Race/Ethnicity (N217,939)
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 2a, 1994-2003
19
Adult Male AIDS Cases by Race/Ethnicity and Year
of Report Partnership 2a, 1994-2003
20
Adult Female AIDS Cases by Race/Ethnicity and
Year of Report Partnership 2a, 1994-2003
21
Adult HIV Cases (regardless of AIDS status) by
Race/Ethnicity and Year of Report, Partnership
2a, 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 2a, 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 2a, 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
2a, 2003
2000 Adult Census Population
25
Reported Adult HIV Case Rates per 100,000
Population(regardless of AIDS status)by Sex and
Race/EthnicityPartnership 2a, 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 2a
Adult HIV Cases (regardless of AIDS status) by
Race/Ethnicity, 2003 (N28)
Adult AIDS Cases by Race/Ethnicity, 2003 (N25)

2000 Adult Census Population 81 White, 13
Black 2 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 2a, 2003
Females (N13)
Males (N12)
28
Adult HIV Cases(regardless of AIDS status)by
Sex and Race/EthnicityPartnership 2a, 2003
Males (N19)
Females (N9)
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 2a, through 2003
Males (N239)
Females (N17)
30
Percent of Adult AIDS Cases By Selected Age
Groups Partnership 2A, 1994-2003
31
Percent of Adult HIV Cases (regardless of AIDS
Status) By Selected Age Groups, Partnership 2A,
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
Partnership 2A
Adult HIV Cases (regardless of AIDS status) by
Age group, 2003 (N28)
Adult AIDS Cases by Age group, 2003 (N25)
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.
33
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.

34
Adult AIDS Cases by Exposure Category and Year of
Report Partnership 2a, 1994-2003
35
Cumulative Adult AIDS Cases by Mode of Exposure
and Sex Partnership 2a, thru 2003
Males (N400)
Females (N102)
36
Adult HIV Cases (regardless of AIDS status) by
Exposure Category and Year of Report
Partnership 2a, 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
Total Adult Male Cases by Mode of Exposure and
Sex Partnership 2a, 2003
HIV (regardless of AIDS status) (N19)
AIDS (N12)
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.
38
Total Adult Female Cases by Mode of Exposure and
SexPartnership 2a, 2003
HIV (regardless of AIDS status) (N9)
AIDS (N13)
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
Annual Prevalence Adult Male HIV/AIDS Cases By
Mode of Exposure (NIRs redistributed) Reported
1990-2003, Partnership 2a
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.
40
Annual Prevalence Adult Female HIV/AIDS Cases By
Mode of Exposure (NIRs redistributed) Reported
1990-2003, Partnership 2a
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
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