Getting to Zero in the East Bay J. Phoenix Smith, MSW Interim Director Alameda County Public Health Department East Bay HIV Update: June 2, 2017

No Financial Disclosure J. Phoenix Smith, has no relevant financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients. East Bay HIV Update: June 2, 2017

What is Getting to Zero? Zero new HIV infections Zero stigma Getting to Zero theme selected by the World AIDS Campaign in 2015 A model used by various cities as a pathway to: Zero new HIV infections Zero stigma Zero AIDS-related deaths East Bay HIV Update: June 2, 2017

East Bay HIV Update: June 2, 2017 Fast Track Cities: 90/90/90 Launched in 2014 in Paris 90% know status 90% of PLHV on ART 90% PLHV Virally Suppressed Zero discrimination and stigma City of Oakland signed the initiative East Bay HIV Update: June 2, 2017

Bay Area Getting to Zero Initiatives San Francisco Santa Clara County East Bay HIV Update: June 2, 2017

Alameda County/Oakland 80% of HIV cases in Oakland Late testers & chronic co-morbidities Health Disparities similar to US Southern States County: 17 Cities vs. 1 City in SF Oakland: Center of the heat map. While MSM make up the leading transmission category in the region, heterosexual and IDU cases constitute a larger share of the epidemic than in virtually any other metropolitan region in the western US. The Oakland region is more comparable to regions in the east and south than to the west in terms of its HIV infection profile. Gentrification means people are going further out for care and it’s fast not becoming centered in SF or Oakland but the outlying areas. The most diverse in the nation. East Bay HIV Update: June 2, 2017

East Bay HIV Update: June 2, 2017 Oakland Efforts 2 meetings Led by non-Governmental community members San Francisco offered input Pharma representation heavy Still deciding on clear vision/name East Bay HIV Update: June 2, 2017

East Bay HIV Update: June 2, 2017 What will it take? Collaboration, partnerships with City, County, & Private industry Commitment from Board of Supervisors, City of Oakland, Berkeley, San Leandro, Hayward Support with Clear Vision and Resources PLWH Input Community of Providers Input--YOU East Bay HIV Update: June 2, 2017

Join us at East Bay Planning Workshop 2:15 Contact J. Phoenix Smith, MSW Jphoenix.smith@acgov.org To get updates East Bay HIV Update: June 2, 2017