Ann Robbins HIV/STD Prevention and Care Branch August 6, 2012 State of the State Ann Robbins HIV/STD Prevention and Care Branch August 6, 2012

National HIV/AIDS Strategy Reducing new HIV infections Increasing access to care and improving health outcomes for people living with HIV Reducing HIV-related health disparities Coordinating activities for HIV prevention and care

Public Awareness Full Diagnosis Support Participation in Care Targeted Prevention Successful Linkage Medical Adherence

Texas 2010 Engagement in HIV Care Cascade

Texas Newly Diagnosed HIV Cases, Deaths, and People Living with HIV: 1980-2011 New HIV Cases This chart shows a trend of the newly diagnosed cases, which is represented by the blue line, persons known to be living with HIV, represented by the red line, and the number of deaths among persons with HIV, which is shown by the green line. New diagnoses peaked in 1999 when HIV named reporting was implemented, and again in 2002, but has remained pretty steady during the last several years. With the availability of more effective treatments, the number of deaths started to decline in 1996 when HAART was introduced and the number of persons living with HIV has increased steadily. Deaths Among Cases Newly diagnosed HIV infection includes all new HIV cases regardless of disease status. 2009-2010 death data are provisional.

Who is being diagnosed?

Texas 2011 New Diagnoses by Race/Ethnicity

Texas New Diagnoses Rate by Race/Ethnicity, 2002-2011

Texas 2011 New Diagnoses by Imputed Risk Category

Texas New Diagnoses by Imputed Risk Category 2002-2011

Texas 2011 New Diagnosis Rate by Selected Characteristics ^Denominator estimate based on: Lieb S, et al. Estimating Populations of Men Who Have Sex with Men in the Southern United States. Journal of Urban Health. 2009 Nov;86(6):887-901

2011 New Diagnosis Rate by Race Among MSM1 1Denominator estimate based on: Lieb S, et al. Estimating Populations of Men Who Have Sex with Men in the Southern United States. Journal of Urban Health. 2009 Nov;86(6):887-901

Number of New Diagnoses by Age Group, 2002-2011

Texas New Diagnoses Rate by Age Group and Imputed Risk Category, 2002-2011

New Diagnoses by Age Group Among MSM 2002-2011

Groups with linkage to care rates below the state average level (69% of new diagnoses) Blacks (65%), driven by low linkage-to-care among Black MSM (63%) and IDU (57%) People ages 13-24 (64%) People in the IDU (60%) or MSM/IDU (64%) categories Newly diagnosed individuals from the Houston EMA region (65%)

Groups with retention rates below the state average level (56% of living cases) Blacks (52%) and other racial/ethnic minority groups (48%) The 13-24 (53%), 25-34 (50%), and the 35-44 (55%) age groups IDU (48%) and MSM/IDU (51%)  PLWH with a history of tuberculosis as a co-morbid condition (53%)

PLWH and Co-Infections by Imputed Risk Category

Thank You! Ann Robbins 512-533-3099 ann.robbins@dshs.state.tx.us