(Excluding Department of Corrections) PowerPoint Presentation

(Excluding Department of Corrections) PowerPoint Presentation

2018-11-26 8K 8 0 0

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HIV. Epidemiology. Broward County. Presented By:. Florida Department of Health. HIV/AIDS Section. Data 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.... 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 Deaths

Slide5

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 Categories

Slide6

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 Diagnosis

Slide8

8HIV Cases by Year of Diagnosis, Broward County, 2008–201710 year % change (2008–2017) = 29% decrease

8

Division of Disease Control and Health Protection

Slide9

9AIDS Cases by Year of Diagnosis,Broward County, 2008–201710 year % change (2008–2017) = 66% decrease

9

Division of Disease Control and Health Protection

Slide10

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, 2008–2017

Slide11

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, 2008–2017

Slide12

AIDS

N=262

HIVN=713

Adult (Age 13+) HIV and AIDS Cases by Sex,Broward County, Diagnosed in 2017

Male

Female

Slide13

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, 2008–2017

Slide17

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 2017

Slide21

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, 2008–2017

Slide24

Adult

(Age 13+) Female HIV Cases by Exposure Category and Year of Diagnosis, Broward County, 2008–2017

Slide25

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 Cases

Slide27

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 Cases

Slide28

28

28Division of Disease Control and Health Protection

Co-Morbidity Data

Slide29

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 10

Slide31

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, 2013–2017

Slide33

33

33Division of Disease Control and Health Protection

Persons Living with HIV

Slide34

Adults

(Age 13+) Living with HIV By ZIP, Broward County, Year-end 2017

1Excludes DOC, homeless, and cases with unknown zips. Data as of 6/30/2017

Slide35

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 6/30/2017

Slide36

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 6/30/2017

Slide37

Adult (Age 13+) Heterosexuals Living with HIVBy ZIP, Broward County, Year-end 2017

Excludes DOC, homeless, and cases with unknown zips. Data as of 6/30/2017

Slide38

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 HIV

Slide39

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 3/31/2017

Slide43

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 Death

Slide45

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 Protection

Slide46

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.gov

Slide47

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.gov

Slide48

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


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