HIV Surveillance Report, 2002

1
HIV Surveillance Report, 2002

• Minnesota Department of Health
• HIV/AIDS Surveillance System

2
Introduction (I)

• These two introduction slides provide a general
  context for the data used to create this slide
  set. If you have questions about any of the
  slides please refer to the Companion Text to the
  Minnesota HIV Surveillance Report, 2002 or HIV
  Surveillance Technical Notes.
• This slide set describes new HIV infections
  (including AIDS at first diagnosis) in Minnesota
  by person, place, and time.
• The slides rely on data from HIV/AIDS cases
  diagnosed through 2002 and reported to the
  Minnesota Department of Health (MDH) HIV/AIDS
  Surveillance System.
• The data are displayed by year of HIV diagnosis.

3
Introduction (II)

• Data analyses exclude persons diagnosed in
  federal or private correctional facilities, but
  include state prisoners (number of state
  prisoners believed to be living with HIV/AIDS
  99).
• Data analyses exclude persons arriving to
  Minnesota through the HIV Refugee Resettlement
  Program (total participants in this program since
  its inception in August 2000 50).
• Some limitations of surveillance data
• Data do not include HIV-infected persons who have
  not been tested for HIV
• Data do not include persons whose positive test
  results have not been reported to the MDH
• Case numbers for the most recent years may be
  undercounted due to delays in reporting

4
National Context

HIV/AIDS in Minnesota Annual Review
5
U.S. State-Specific AIDS Rates per 100,000
PopulationYear 2001
New York (39.3)
Overall U.S. Rate 14.9
Illinois (10.6)
Minnesota (3.2)
SD (3.3)
WI (3.6)
IA (3.0)
ND (0.5)

HIV/AIDS in Minnesota Annual Review
SOURCEU.S. HIV/AIDS Surveillance Report,
Year-end 2001National Center for HIV, STD, and
TB Prevention, CDC
6
Overview of HIV/AIDS in Minnesota

HIV/AIDS in Minnesota Annual Review
7
Minnesota HIV/AIDS SurveillanceCumulative Cases

• As of December 31, 2002, a cumulative total of
  7,073 persons have been diagnosed and reported
  with HIV infection in Minnesota
• 3,065 persons diagnosed with HIV infection
  (non-AIDS)
• 4,008 persons diagnosed with AIDS
• Of these 7,073 persons, 2,528 are known to be
  deceased

This number includes only persons who reported
Minnesota as their state of residence at the time
of their HIV and/or AIDS diagnosis.
8
Estimated Number of PersonsLiving with HIV/AIDS
in Minnesota

• As of December 31, 2002, 4,598 persons are
  assumed alive and living in Minnesota with
  HIV/AIDS
• 2,736 living with HIV infection (non-AIDS)
• 1,862 living with AIDS
• This number includes 439 persons who were first
  reported with HIV or AIDS elsewhere and
  subsequently moved to Minnesota
• This number excludes 439 persons who were first
  reported with HIV or AIDS in Minnesota and
  subsequently moved out of the state

This number includes persons who reported
Minnesota as their current state of residence,
regardless of residence at time of diagnosis.
9
HIV/AIDS in MinnesotaNumber of New Cases,
Prevalent Cases, and Deaths by Year, 1990-2002
Deaths among AIDS cases, regardless of cause.
10
New HIV Infections in Minnesota by Person,
Place, and Time

HIV/AIDS in Minnesota Annual Review
HIV or AIDS at first diagnosis
11
Place

HIV/AIDS in Minnesota Annual Review
12
New HIV Infections by County of Residence at
Diagnosis, 2002
Kittson
Roseau
Lake of the Woods
Marshall
Koochiching
Number of New Infections
Pennington
Beltrami
Red Lake
None
Cook
Polk
Clearwater
1 - 2
St. Louis
Lake
Itasca
3 - 5
Norman
Mahnomen
Hubbard
6 - 15
Becker
Cass
Clay
16 - 45
Wadena
46 - 187
Aitkin
Crow Wing

Carlton
Wilkin
Otter Tail
City of Minneapolis 126 City of St. Paul
41 Suburban 104 Greater Minnesota - 32

Pine
Mille Lacs
Todd
Morrison
Grant
Douglas
Kanabec
Traverse
Benton


Pope
Isanti
Stevens
Stearns
Big Stone
Total number 305 (2 people missing
residence information)
Chisago
Sherburne
Swift
Kandiyohi
Anoka
Wright
Meeker
Washington
Chippewa
Hennepin
Lac Qui Parle
Ramsey

McLeod
Carver
Yellow Medicine

Renville
Dakota
Scott
Sibley

Lincoln
Lyon
Redwood
Goodhue

Counties in which a state correctional facility
is located
Le Sueur
Rice
Nicollet
Wabasha
Brown
Pipestone
Murray
Olmsted
Blue Earth
Steele
7-county metro area, excluding the cities of
Minneapolis and St. Paul
Winona
Dodge
Cottonwood
Waseca
Watonwan
Jackson
Houston
Rock
Nobles
Martin
Fillmore
Mower
Faribault
Freeborn
HIV or AIDS at first diagnosis
13
Map of Metro AreaNew HIV Infections by County
of Residence at Diagnosis, 2002
Number of New Infections

Anoka
None
Washington
1 - 2

3 - 5
6 - 15
Hennepin
Ramsey
16 - 45
46 - 187
City of Minneapolis 126 City of St. Paul
41 Suburban 104
Carver
Total number (Metro only) 271
Dakota

Scott
7-county metro area, excluding the cities of
Minneapolis and St. Paul
14
New HIV Infections in Minnesotaby Residence at
Diagnosis, 2002
Total Number 305 (2 persons missing residence
information)
Suburban Seven-county metro area including
Anoka, Carver, Dakota, Hennepin (except
Minneapolis), Ramsey (except St. Paul), Scott,
and Washington counties. Greater MN All other
Minnesota counties, outside the seven-county
metro area.
HIV or AIDS at first diagnosis
15
Gender and Race/Ethnicity

HIV/AIDS in Minnesota Annual Review
16
New HIV Infections by Gender andYear of
Diagnosis, 1990-2002
HIV or AIDS at first diagnosis
17
New HIV Infections Among Malesby
Race/Ethnicity and Year of Diagnosis, 1990-2002
HIV or AIDS at first diagnosis African-born
refers to Blacks who reported an African country
of birth African American refers to all other
Blacks. Cases with unknown race are excluded.
18
New HIV Infections Among Males by
Race/Ethnicity andYear of Diagnosis, 1990-2002
(excluding Whites)
HIV or AIDS at first diagnosis African-born
refers to Blacks who reported an African country
of birth African American refers to all other
Blacks. Cases with unknown race are excluded.
19
New HIV Infections Among Femalesby
Race/Ethnicity and Year of Diagnosis, 1990-2002
HIV or AIDS at first diagnosis African-born
refers to Blacks who reported an African country
of birth African American refers to all other
Blacks. Cases with unknown race are excluded.
20
New HIV Infections Diagnosed in Year 2002by
Gender and Race/Ethnicity
Males (n 218)
Females (n 87)
n Number of persons Amer Ind American
Indian Afr Amer African American (Black, not
African-born persons) Afr born
African-born (Black, African-born persons)
HIV or AIDS at first diagnosis 2 males and 1
female had missing race and were excluded.
21
Number of Cases and Rates (per 100,000 persons)
of HIV Infection by Race/Ethnicity
Minnesota, 2002
HIV or AIDS at first diagnosis 2000 U.S.
Census Data used for rate calculations.
African-born refers to Blacks who reported an
African country of birth African American
refers to all other Blacks. Cases with unknown
race are excluded.
Accurate population estimates for African-born
persons and MSM (any race) living in Minnesota
are unavailable anecdotal (50,000) and 2000 US
Census data (35,188) ) were used to create the
range of rates reported for African-born.
22
Age

HIV/AIDS in Minnesota Annual Review
23
Average Age at HIV Diagnosis Among
MalesThree-Year Averages
Race/Ethnicity White Black African
American African-born Hispanic Asian American
Indian
Average age in years (Number of cases)
1989-1991 33 (916) 33 (212) 30 (6) 32 (54) 25
(5) 29 (28)
1994-1996 35 (510) 34 (186) 36 (20) 33 (46) 38
(8) 29 (10)
2000-2002 37 (341) 37 (122) 37 (65) 32 (66) 39
(14) 35 (15)
Cases with unknown race or age were excluded.
24
Average Age at HIV Diagnosis Among
FemalesThree-Year Averages
Race/Ethnicity White Black African
American African-born Hispanic Asian American
Indian
Average age in years (Number of cases)
1989-1991 30 (88) 29 (54) 21 (6) 34 (14) -- 29
(16)
1994-1996 32 (68) 30 (80) 31 (11) 34 (13) -- 30
(12)
2000-2002 31 (51) 33 (71) 31 (84) 29 (18) 31
(6) 37 (11)
Average age not displayed for subgroups with
less than 5 cases.
Cases with unknown race or age were excluded.
25
Adolescents Young Adults (Ages 13-24)
Case numbers are too small to present
meaningful data separately for adolescents and
young adults.

HIV/AIDS in Minnesota Annual Review
26
New HIV Infections Among Adolescents and Young
Adults by Year of Diagnosis, 1990-2002
HIV or AIDS at first diagnosis Adolescents
defined as 13-19 year-olds Young Adults defined
as 20-24 year-olds.
27
New HIV Infections Among Adolescents and Young
Adults by Gender and Race/Ethnicity, 2000-2002
Combined
Males (n 65)
Females (n 47)
n Number of persons Amer Ind American
Indian Afr Amer African American (Black, not
African-born persons) Afr born
African-born (Black, African-born persons)
HIV or AIDS at first diagnosis Adolescents
defined as 13-19 year-olds Young Adults defined
as 20-24 year-olds.
28
New HIV Infections Among Adolescents and Young
Adults by Gender and Exposure Group,2000-2002
Combined
Males (n 65)
Females (n 47)
n Number of persons MSM Men who have
sex with men IDU Injecting drug use
Heterosex Heterosexual contact No Interview
Could not, would not or have yet to be interviewed
HIV or AIDS at first diagnosis Adolescents
defined as 13-19 year-olds Young Adults defined
as 20-24 year-olds.
29
Mode of Exposure
HIV/AIDS in Minnesota Annual Review
30
HIV Infections Among Males by Modeof Exposure
and Year of Diagnosis, 1990-2002
MSM Men who have sex with men IDU
Injecting drug use Heterosexual
Heterosexual contact HIV or AIDS at first
diagnosis No Interview Could
not, would not or have yet to be interviewed
31
HIV Infections Among Males by Mode of Exposure
and Year of Diagnosis, 1990-2002 (excluding MSM
category)
MSM Men who have sex with men IDU
Injecting drug use Heterosexual
Heterosexual contact HIV or AIDS at first
diagnosis No Interview Could
not, would not or have yet to be interviewed
32
HIV Infections Among Females by Modeof Exposure
and Year of Diagnosis, 1990-2002
IDU Injecting drug use
Heterosexual Heterosexual contact HIV or AIDS
at first diagnosis No Interview Could not,
would not or have yet to be interviewed
33
Births to HIV-Infected Women and Number of
Perinatally Acquired HIV Infections by Year of
Birth, 1990-2002
Rate of Perinatal Transmission for years
2000-2002 2
HIV or AIDS at first diagnosis for a child
exposed to HIV during mothers pregnancy, at
birth, and/or during breastfeeding. NOTE
Reporting of births is known to be incomplete.
During 2001 an Enhanced Perinatal Surveillance
Project (EPS) Project was undertaken and
identified 19 of the 37 births reported in 2001.
34
New HIV Infections by Mode of Exposure
Diagnosis Years 2000-2002 combined
White Males (n 341)
n Number of persons MSM Men who have sex
with men IDU Injecting drug use
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
No Interview Could not,
would not or have yet to be interviewed
35
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 combined
African American Males (n 122)
Refers to Black, African American (not
African-born) males.
n Number of persons MSM Men who have sex
with men IDU Injecting drug use
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
No Interview Could not,
would not or have yet to be interviewed
36
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
Hispanic Males (n 66)
n Number of persons MSM Men who have sex
with men IDU Injecting drug use
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
No Interview Could not,
would not or have yet to be interviewed
37
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
African-born Males (n 65)
n Number of persons MSM Men who have sex
with men IDU Injecting drug use
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
No Interview Could not,
would not or have yet to be interviewed
Refers to Black, African-born males.
38
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
American Indian Males (n 15)
CAUTION Small number of cases interpret
carefully.
n Number of persons MSM Men who have sex
with men IDU Injecting drug use
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
39
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
Asian Males (n 14)
CAUTION Small number of cases interpret
carefully.
n Number of persons MSM Men who have sex
with men IDU Injecting drug use
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
No Interview Could not,
would not or have yet to be interviewed
40
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
African-born Females (n 84)
n Number of persons M w/ HIV Mother w/
HIV, HIV risk Heterosex Heterosexual
contact HIV or AIDS at first diagnosis
No
Interview Could not, would not or have yet to
be interviewed Refers to Black,
African-born females.
41
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
African American Females (n 71)
n Number of persons IDU Injecting drug
use Heterosex Heterosexual contact M
w/ HIV Mother with HIV, HIV risk HIV or AIDS
at first diagnosis
No Interview Could not, would not or
have yet to be interviewed Refers to Black,
African American (not African-born) females.
42
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
White Females (n 51)
n Number of persons IDU Injecting drug
use Heterosex Heterosexual contact HIV
or AIDS at first diagnosis
No Interview Could not, would
not or have yet to be interviewed
43
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
Hispanic Females (n 18)
CAUTION Small number of cases interpret
carefully.
n Number of persons IDU Injecting drug
use M w/ HIV Mother w/ HIV, HIV risk
Heterosex Heterosexual contact HIV or AIDS at
first diagnosis
No Interview Could not, would not or have
yet to be interviewed
44
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
American Indian Females (n 11)
CAUTION Small number of cases interpret
carefully.
n Number of persons IDU Injecting drug
use Heterosex Heterosexual contact HIV
or AIDS at first diagnosis
No Interview Could not, would
not or have yet to be interviewed
45
New HIV Infections by Mode of ExposureDiagnosis
Years 2000-2002 Combined
Asian Females (n 6)
CAUTION Small number of cases interpret
carefully.
n Number of persons Heterosex
Heterosexual contact No Interview Could
not, would not or have yet to be interviewed
HIV or AIDS at first diagnosis
46
Emerging Trend

HIV/AIDS in Minnesota Annual Review
47
New HIV Infections Among African-Born Persons
by Year of Diagnosis, 1990-2002
HIV or AIDS at first diagnosis Includes 1
non-Black, African-born individual, but excludes
persons arriving to Minnesota through the HIV
Refugee Resettlement Program.
48
New HIV Infections Among African-Born Persons
Compared to Other Minnesota Cases by Gender,
2002
Other Minnesota Cases Total Number 238
African-born Persons Total Number 65
HIV or AIDS at first diagnosis Includes 1
non-Black, African-born individual, but excludes
persons arriving to Minnesota through the HIV
Refugee Resettlement Program. Two cases with
unknown race are excluded.