HIV Epidemiology Broward County Presented By Florida Department of Health HIVAIDS Section Data as of 6302018 Revision 110518 1 Division of Disease Control and Health Protection To protect promote and improve the health of all people in Florida through integrated state county and ID: 733853
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Slide1
(Excluding Department of Corrections)
HIVEpidemiologyBroward County
Presented By:Florida Department of HealthHIV/AIDS SectionData as of 6/30/2018
Revision: 11/05/18
1
Division of Disease Control and Health Protection
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Slide2
Technical Notes
HIV diagnoses by year of diagnosis represent persons whose HIV was diagnosed in that year, regardless of AIDS status at time of diagnosis.
AIDS and HIV diagnoses by year of diagnosis are not mutually exclusive and cannot be added together.
HIV prevalence data represent persons who were living with an HIV diagnosis in the reporting area through the end of the calendar year (regardless of where they were diagnosed).Resident deaths due to HIV represent persons who resided in Florida and whose underlying cause of death was HIV, regardless if their HIV status was reported in Florida or not. Slide3
Technical Notes, Continued
Adult
d
iagnoses represent ages 13 and older; pediatric diagnoses are those under the age of 13. For data by year of diagnosis, the age is by age at diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosisUnless otherwise noted, Whites are non-Hispanic, Blacks are non-Hispanic and Other (which may be omitted in some graphs due to small numbers) represents Asian, American Indian, or mixed racesFor data by year
, area and county data will exclude Department of Corrections diagnoses. For living data, Department of Corrections will not be excluded from area and county data. Slide4
Implement routine HIV and Sexually Transmitted Infections (STIs) screening in health care settings and priority testing in non-health care settings
Provide rapid access to treatment and ensure retention in care (Test and Treat)
Improve and promote access to antiretroviral pre-exposure prophylaxis (PrEP) and non-occupational post-exposure prophylaxis (nPEP)Increase HIV awareness and community response through outreach, engagement, and messaging Florida’s Plan to Eliminate HIV Transmission and Reduce HIV-related DeathsSlide5
MSM:
Men who have sex with men
or male-to-male sexual contact. The term MSM indicates a behavior that allows for HIV transmission, it does not indicate how individuals self-identify in terms of sexuality or genderIDU: Injection drug useMSM/IDU: Men who have sex with men or male-to-male sexual contact & injection drug useHeterosexual: Heterosexual contact with person with HIV or known HIV riskOther Risk: includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks
Definitions of
Mode of Exposure CategoriesSlide6
20162017
Trend
Population1,860,9791,884,5451.3% increaseDiagnosed HIVcases738715
3.1% decreaseDiagnosed AIDScases254
2623.1% increasePediatric AIDScases diagnosed
00
Perinatal HIV
cases02
People diagnosed
living with HIV
(Prevalence)
20,499
20,661
0.8% increase
HIV-related
deaths
1269822.2% decrease
The Epidemic in Broward County Slide7
7
7Division of Disease Control and Health Protection
Cases by Year of DiagnosisSlide8
8HIV Cases by Year of Diagnosis, Broward County, 2008–201710 year % change (2008–2017) = 29% decrease
8
Division of Disease Control and Health ProtectionSlide9
9AIDS Cases by Year of Diagnosis,Broward County, 2008–201710 year % change (2008–2017) = 66% decrease
9
Division of Disease Control and Health ProtectionSlide10
Male to Female Ratio
2008= 2.6 to 12017= 3.9 to 1
Adult (Age 13+) HIV Cases, by Sex and Year of Diagnosis, Broward County, 2008–2017Slide11
Male to Female Ratio
2008= 1.7 to 12017= 2.4 to 1
Adult (Age 13+) AIDS Cases, by Sex and Year of Diagnosis, Broward County, 2008–2017Slide12
AIDS
N=262
HIVN=713
Adult (Age 13+) HIV and AIDS Cases by Sex,Broward County, Diagnosed in 2017
Male
FemaleSlide13
Adult (Age 13+) HIV Cases by Race/Ethnicity and Year of Diagnosis, Broward County, 2008–2017
1
Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial.Slide14
Adult
(Age 13+) Male HIV Cases by Race/Ethnicity and Year of Diagnosis, Broward County, 2008–2017
1Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial.Slide15
Adult
(Age 13+) Female HIV Cases by Race/Ethnicity and Year of Diagnosis, Broward County, 2008–2017
1Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial.Slide16
Adult (Age 13+) HIV Cases, by Age Group at Diagnosis, and Year of Diagnosis, Broward County, 2008–2017Slide17
Percentage of Adult
(Age 13+)
HIV and AIDS Cases Diagnosed in 2017 and Population, by Race/Ethnicity, Broward County
AIDSN=262
Broward Adult
Population Estimates N=1,884,545
HIV
N=713
1
Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial.Slide18
Adult (Age 13+)
HIV Case Rates
1 by Sexand Race/Ethnicity, Broward County, Diagnosed in 2017
Ratios: Males Black to White, 2.1 to 1 Hispanic to White, 1.5 to 1Females Black to White, 8.9 to 1 Hispanic to White, 1.5 to 1
1
Source: Population estimates are provided by Florida CHARTS as of 6/20/2017.Slide19
Adult
(Age 13+) AIDS
Case Rates1 by Sexand Race/Ethnicity, Broward County, Diagnosed in 2017
Ratios: Males Black to White, 2.6 to 1 Hispanic to White, 0.9 to 1Females Black to White, 7.9 to 1 Hispanic to White, 0.6 to 1
1
Source: Population estimates are provided by Florida CHARTS as of 6/20/2017.Slide20
Adult (Age 13+)
HIV Cases, by Sex and Age Group at Diagnosis, Broward County, Diagnosed in 2017Slide21
Adult
(Age 13+)
Male HIV Cases by Race/Ethnicity and Age at Diagnosis, Diagnosed in 2017, Broward County
1Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial.Slide22
Adult
(Age 13+)
Female HIV Cases by Race/Ethnicity and Age at Diagnosis, Diagnosed in 2017,Broward County
1Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial.Slide23
Adult
(Age 13+) Male
HIV Cases, by Mode of Exposure and Year of Diagnosis, Broward County, 2008–2017Slide24
Adult
(Age 13+) Female HIV Cases by Exposure Category and Year of Diagnosis, Broward County, 2008–2017Slide25
Adult
(Age 13+)
HIV Cases for Males and Females, by Mode of Exposure, Broward County, 2017
Male N=569
Female
N=144
IDU
MSM/IDU
Heterosexual
Other
MSM
1
Other Risk includes hemophilia, transfusion, perinatal and other pediatric risks as well as other confirmed risks. Slide26
1
Other includes Asian/Pacific Islander, Native Alaskan/American Indian and Multi-racial individuals. 2 Other Risk includes hemophilia, transfusion, perinatal and other pediatric risks as well as other confirmed risks.
Adult (Age 13+) Male HIV Cases by Race/Ethnicity and Mode of Exposure, Diagnosed in 2017, Broward CountyNumber of CasesSlide27
1
Other includes Asian/Pacific Islander, Native Alaskan/American Indian and Multi-racial individuals. 2 Other Risk includes hemophilia, transfusion, perinatal and other pediatric risks as well as other confirmed risks.
Adult (Age 13+) Female HIV Casesby Race/Ethnicity and Mode of Exposure,Diagnosed in 2017, Broward CountyNumber of CasesSlide28
28
28Division of Disease Control and Health Protection
Co-Morbidity DataSlide29
Adult (Age 13+) Early Syphilis Case Rates
1
by Sex and Year of Diagnosis, 2013–2017Male to Female Ratio
2013 = 10.8:12017 = 14.8:11Source: Population data are provided by Florida CHARTS as of 6/30/2018.Slide30
Years of STD ReportSyphilisChlamydia
Gonorrhea
20133802743132014429336335
2015465364
4352016410
3964892017
463
546508
1
Sexually transmitted disease (STD)
2
Source: PRISM, STD Section as of 6/30/2018
Adult (Age 13+) HIV Diagnoses with STD
1
by Type and Year of STD Report,
2
2013–2017, Area 10Slide31
Adult
(Age 13+)
Chlamydia and Gonorrhea1 Cases, Broward County, Diagnosed 2013–2017
1Source: STD data provided by the Sexually Transmitted Disease & Viral Hepatitis Section. Slide32
Years of TB ReportHIV/TB2013
8
2014620153201611201710
1
Source: TB Section. Data as of 7/24/2018Adult (Age 13+) AIDS Diagnoses with TB by Year of TB Report1, Broward County, 2013–2017Slide33
33
33Division of Disease Control and Health Protection
Persons Living with HIVSlide34
Adults
(Age 13+) Living with HIV By ZIP, Broward County, Year-end 2017
1Excludes DOC, homeless, and cases with unknown zips. Data as of 6/30/2017Slide35
MSM1 Living with HIV By ZIP,Broward County, Year-end 2017
1
Includes MSM/IDU cases. Excludes DOC, homeless, and cases with unknown zips. Data as of 6/30/2017Slide36
IDUs1 Living with HIV By ZIP, Broward County, Year-end 2017
1
Includes MSM/IDU cases. Excludes DOC, homeless, and cases with unknown zips. Data as of 6/30/2017Slide37
Adult (Age 13+) Heterosexuals Living with HIVBy ZIP, Broward County, Year-end 2017
Excludes DOC, homeless, and cases with unknown zips. Data as of 6/30/2017Slide38
One-In-Statements for Adults (Age 13+) Living with HIV in Broward County, Year-end 2017
One in 77 adults in Broward County were known to be living with HIV
One in 93 Whites were living with HIVOne in 44 Blacks were living with HIVOne in 123 Hispanics were living with HIVSlide39
Male(#)(%)
Female(#)1
(%)Race/EthnicityWhite6,40441.9%4809.0%
Black5,39435.3%
4,23679.3%Hispanic
3,13320.5%505
9.5%
Other370
2.4%
118
2.2%
Age Group
13-19
52
0.3%
43
0.8%
20-291,059
6.9%
340
6.4%
30-39
2,077
13.6%
943
17.7%
40-49
3,213
21.0%
1,425
26.7%
50+
8,900
58.2%
2,588
48.5%
Mode of Exposure
MSM
10,970
71.7%
0
0.0%
IDU
639
4.2%
508
9.5%
MSM/IDU
639
4.2%
0
0.0%
Heterosexual
2,949
19.3%
4,668
87.4%
Other risk
104
0.7%
163
3.1%
Total
Total
15,301
100.0%
5,339
100.0%
Adults (Age 13+) Living with HIV, Year-end 2017, Area 10 Slide40
Broward County’s Top-Nine Priority Populations
1
for Primary2 HIV Prevention, 20171MSM=(MSM and MSM/IDU Diagnoses) and IDU=(IDU and MSM/IDU Diagnoses), therefore the data are not mutually exclusive. Slide41
Broward County’s Top-Nine Priority Populations
1
Prevention for Positives1MSM=(MSM and MSM/IDU Diagnoses) and IDU=(IDU and MSM/IDU Diagnoses), therefore the data are not mutually exclusive. Slide42
HIV Care Continuum DefinitionsHIV Diagnosed: The number of persons known to be diagnosed and living in Florida with HIV (PLWH) at the end of 2016, from data as of 6/30/2017Ever in Care: PLWH with at least one documented Viral Load (VL) or CD4 lab, medical visit, or prescription from HIV diagnosis through 3/31/2017Currently in Care: PLWH with at least one documented VL or CD4 lab, medical visit, or prescription from 1/1/2016 through 3/31/2017Retained in Care: PLWH with two or more documented VL or CD4 labs, medical visits, or prescriptions at least three months apart from 1/1/2016 through 6/30/2017
Suppressed Viral Load: PLWH with a suppressed VL (<200 copies/mL) on the last VL from 1/1/2016 through 3/31/2017Slide43
Persons Living with HIV (PLWH) in Broward Countyalong the HIV Care Continuum in 201720,66119,386
15,77913,308Percent of PLWH (%) Slide44
44
44Division of Disease Control and Health Protection
Resident HIV Deaths by Year of DeathSlide45
45Resident Deaths Due to HIV by Year of Death,Broward County, 2008–201710 year % change (2008–2017) = 52% decrease
45
Division of Disease Control and Health ProtectionSlide46
Some Useful LinksDepartment. of Health, HIV Section Websitehttp://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.htmlCDC HIV Surveillance Reports (State and Metro Data):http://www.cdc.gov/hiv/stats/hasrlink.htmMMWR (Special Articles on Diseases, Including HIV):http://www.cdc.gov/mmwr/U.S. Census Data (Available by State, County):http://www.census.govSlide47
Surveillance Contacts:Department of Health in Broward County
Evariste Akpele, HSPD
Phone: 954-467-4700 ext. 5567Email: Evariste.Akpele@flhealth.govPatrick Jenkins, MPHPhone: 954-467-4700 ext 5575Email: Patrick.Jenkins@flhealth.govSlide48
HIV/AIDS surveillance data is frozen on June 30, following the end of each calendar year. These are the same data used for Florida CHARTS and all grant-related data.www.floridacharts.com/charts/CommunicableDiseases/default.aspxFlorida HIV/AIDS Surveillance Data Contacts
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Lorene Maddox, MPH, Surveillance Data Analysis Manager Florida Department of HealthPhone: 850-901-6968Email: Lorene.Maddox@flhealth.gov Emma Spencer, MPH, PhDSurveillance Program ManagerFlorida Department of HealthPhone: 850-245-4432Email: Emma.Spencer@flhealth.gov Danielle Curatolo, MPHResearch AnalystFlorida Department of HealthPhone: 850-901-6983Email: Danielle.Curatolo@flhealth.govAshleigh TillerData Reports Coordinator
Florida Department of HealthPhone: 850-901-6984Email: Ashleigh.Tiller@flhealth.gov