Young People Newly Diagnosed with Hepatitis C in New York City

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Presentation transcript:

Young People Newly Diagnosed with Hepatitis C in New York City Angelica Bocour, MPH Viral Hepatitis Program

Number and Rate of Persons Newly Reported with Chronic Hepatitis C in New York City, 2005-2015 This slide is showing the number and rate of persons newly reported with chronic hepatitis C in NYC from 2005-2015. The orange bars represent the number of diagnoses and the line shows the rate per 100,000 people. The number and rate has been decreasing since 2007, however we see an increase from 2013, around the time the CDC (2012) and USPSTF (2013) recommendations to screen baby boomers and the 2014 NYS testing law.

People Newly Reported with Chronic Hepatitis C in New York City by Age, Sex, and Diagnosis Year Source: NYC Department of Health and Mental Hygiene, Bureau of Communicable Disease, Viral Hepatitis Program, Maven Data as of November 23, 2016, generated December 8, 2016

People Newly Reported with Chronic Hepatitis C by Age Group, 2015 Number Percentage of each group Rate per 100,000 people Age at first report 0-19 90 1.2 4.5 20-29 796 10.9 56.4 30-39 1,151 15.7 86.4 40-49 1,136 15.5 100.9 50-59 1,859 25.4 171.5 60-69 1,660 22.7 205.8 70-79 447 6.1 100.0 80+ 189 2.6 64.4 Year of Birth 1900-1944 592 8.1 86.7 1945-1965 3,638 49.7 186.7 1966-1983 2,032 27.7 94.5 1984-2015 1,066 14.6 28.7

Chronic Hepatitis C Rates by United Hospital Fund Neighborhood, 2011-2015 These maps show the rates for youth and baby boomers with the dark purple representing neighborhoods with higher rates. Rates are much higher for baby boomers than for youth. Neighborhoods with high rates of hep C differ between youth and baby boomers: southern Brooklyn, central-western Queens, southeastern Manhattan, parts of Staten Island have high rates among youth but not boomers Staten Island: reports of increasing prescription opioid abuse, heroin use, and overdose deaths

18 to 29 Year Olds Newly Reported with HCV by Zip Code: > 200% increase 2015-2016

Next Steps Use SaTScan to identify spatio-temporal clusters among young people 16-29 years old (starting 2017) Collaborate with others in DOHMH working with young people and opioid use (e.g., Bureau of Alcohol and Drug Use Prevention, Care and Treatment, School Health) Collaborate with external partners via Youth Prevention Workgroup established by NYC Hep C Task Force Thoughts?