Emerging Trends of HIV/AIDS in New York City Chris Williams, MPH NYC DOHMH

New York City HIV/AIDS Epidemiology 98,861 PLWHA as of 12/31/06 (62.3% diagnosed with AIDS) Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006

New HIV Infections by Gender, Race and Transmission Risk, 2006 Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006 New HIV Infections by Gender2006 Male % Female % New HIV Infections by Race Black % Hispanic % White % Asian/Pacific Islander742.0% New HIV Infections by Transmission Risk MSM % IDU2486.6% Heterosexual % Perinatal120.3% Unknown % Total New HIV Infections, %

Concurrent HIV/AIDS Diagnosis by Gender, Race and Transmission Risk, 2006 Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006 Concurrent HIV/AIDS Diagnosis by Gender2006 Male % Female % Concurrent HIV/AIDS Diagnosis by Race Black % Hispanic % White % Asian/Pacific Islander202.1% Concurrent HIV/AIDS Diagnosis by Transmission Risk MSM % IDU778.0% Heterosexual % Perinatal10.1% Unknown % Total Concurrent HIV/AIDS Diagnosis %

HIV/AIDS Deaths by Gender, Race and Transmission Risk, 2006 Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006 HIV/AIDS deaths by Gender2006 Male % Female % HIV/AIDS deaths by Race Black % Hispanic % White % Asian/Pacific Islander211.0% HIV/AIDS deaths by Transmission Risk MSM % IDU % Heterosexual % Perinatal100.5% Unknown % Total HIV/AIDS Deaths2, %

Trends Among Age Groups Ages and account for an increasing share of new HIV infections from , particularly among males ages * *HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008.

Emerging Populations- Women Hispanic Women have an increased share of new HIV diagnoses and Concurrent HIV/AIDS diagnosis in women, overall Source: New York City HIV/AIDS Annual Surveillance Statistics. New York: New York City Department of Health and Mental Hygiene, Updated November 27, Accessed May 20, 2008 at

Emerging Populations- Correctional inmates and releases 25,000 HIV tests completed in In 2003, prior to rapid testing, only 6,500 tests were completed # 4.7% of male and 9.7% of female jail admissions are HIV+ # 90% of self-identifying HIV+ admissions receive post-release plans with the goal of connecting 90% of those to care** 105 overall (29.7% of males and 23.4% of females) appeared to have previously undiagnosed HIV infection at admission # # Source: HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, **Source: Rikers Island Intake System, From Jordan, A., & Gbur, M. Presentation 5/15/08.

Emerging Populations- Immigrants Source: HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008.

Follow-up HIV care in 2006, by Sex and Race Received Follow-up HIV Medical Care at Any Site in 2006 No Documentation of Follow-up HIV Medical Care in 2006 Total Receiving Last 2005 Care at Hospital, Clinic, Extended Care or Private MD NRow %N NCol % Total 49, , , Sex Male33, , , Female16, , , Race/ethnicity Black22, , , Hispanic16, , , White9, , , Asian/Pacific Islander Native American Other/unknown Source: From data reported by September 30, 2007, to the HIV Epidemiology and Field Services Program of the NYC DOHMH

Follow-up HIV care in 2006, by Age Received Follow- up HIV Medical Care at Any Site in 2006 No Documentation of Follow-up HIV Medical Care in 2006 Total Receiving Last 2005 Care at Hospital, Clinic, Extended Care or Private MD Age group at end of 2005 (years)NRow %N N , , , , , , , , , , , , Source: From data reported by September 30, 2007, to the HIV Epidemiology and Field Services Program of the NYC DOHMH

Follow-up HIV care in 2006, by Place of Birth Received Follow-up HIV Medical Care at Any Site in 2006 No Documentation of Follow-up HIV Medical Care in 2006 Total Receiving Last 2005 Care at Hospital, Clinic, Extended Care or Private MD Place of birthNRow %N N United States27, , , United States dependency2, , Foreign country7, , Africa Asia Caribbean/West Indies3, , Central America , Europe Middle East South America1, , Other/unknown foreign country Unknown12, , ,