1 Data for 2012 Priority Setting in Small Doses #1 HIV/AIDS Surveillance Data
2 Importance of HIV/AIDS Surveillance Data in Priority Setting Provided to the Coalitions by the Bureau of Epidemiology at PA Department of Health (DOH) – HIV/AIDS Surveillance Section Surveillance data has many uses - monitor epidemics, trends, etc. Reality Check – THERE IS NO DATA SET WITHOUT LIMITATION! Limitations of surveillance data include: lag in reporting, accuracy of report, etc. Do we not use the data because of limitations? PA DOH uses active and passive system for the surveillance data
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4 Updates to Reporting System Since 2005 PA NEDSS (Pennsylvania’s National Electronic Disease and Surveillance System) used for HIV/AIDS reports Pretty much the same providers mandated to report Advantage is in timing
5 Sources of Surveillance Data in Presentation HIV Surveillance Summary Report (PA Department of Health) December 2010 Southwest county breakdown obtained by request -HIV/AIDS cases diagnosed through December 31, Case reports through March 31, 2011 Allegheny County Health Department STD/HIV Program 2010 Annual STD Summary, March 2011
AIDS Incidence
2010 HIV/AIDS Incidence Rates County2010 AIDS2010 HIVTotal2010IncidenceRank Incidence HIV/AIDSPopulation per 100,000 Allegheny ,223, Armstrong00068, Beaver , Butler224183, Cambria336143, Fayette303136, Greene11238, Indiana00088, Somerset22477, Washington246207, Westmoreland538365, All Counties ,705, XXX 7
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SW Living HIV/AIDS Cases on CountyAIDSHIVTotalPercent (non-AIDS)of Total Allegheny % Armstrong % Beaver % Butler % Cambria % Fayette % Greene % Indiana % Somerset % Washington % Westmoreland % All Counties % 10
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12 SW Living HIV/AIDS Cases on : Gender
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14 SW Living HIV/AIDS Cases on : Race/Ethnicity
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17 SW Living HIV/AIDS Cases on : Age Groups
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19 SW Living HIV/AIDS Cases on : Mode of Transmission
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21 Summary For 2010, SW had 196 new cases of HIV/AIDS reported; 76 AIDS and 120 HIV (non-AIDS) 82% of new HIV (non-AIDS) cases reported in Allegheny County Incidence per 100,000 better shows the burden of the disease in each county and is better for comparison Burden of new HIV/AIDS cases in SW rank 1-5 (Allegheny, Cambria, Beaver, Greene, Somerset)
22 Summary There are 3153 living HIV/AIDS cases in the SW at the end of December 2010; 1766 AIDS-diagnosed and 1387 non-AIDS Allegheny County has three-fourths (74%) of living HIV/AIDS cases; followed by Westmoreland, Cambria, Washington, and Beaver Females make up one-fifth (19.3%) of living HIV/AIDS cases White (non-Hispanic) make up about one-half (51.5%) and Black (non-Hispanic), two-fifth (39.1%) of living HIV/AIDS cases
23 Summary Minorities are over-represented among persons living with HIV/AIDS (PLWHA) compared with the numbers and percentages in the general population Age group is in the majority (35.8%) among PLWHAs in the region, followed by age group 40-49, and age group (21.2%) Men who have sex with men make up about one-half (53.9%) of PLWHAs in the region, followed by persons with heterosexual mode of transmission (21%)
24 THANK YOU Comments, Questions Prepared by Doyin Desalu, MS, MPH, DrPH ACSWP Executive Director