HIV Care Continuum, District 8- 2 Southwest (Albany), Georgia, 2012

HIV Care Continuum Methodology, District 8-2 Southwest (Albany), Georgia, 2012 Adults and adolescents are those aged >= 13 years Diagnosed by 12/31/2011, living as of 12/31/2012, including those missing race, sex, and/or risk behavior Current address within District 8-2 Southwest (Albany), Georgia Linked to care = CD4 or viral load (VL) within 3 months of diagnosis date including the day of diagnosis for those diagnosed between 01/01/2011 and 12/31/2011, inclusively Any care >= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml in most recent VL in 2012 Each bar in the continuum is independent of those preceding it; all percentages are of the total number of persons (N) diagnosed with HIV in each category

Caveats and clarifications The number of individuals (N) in some sub-populations is small. Use caution in interpretation. It is possible for a person to be NOT linked to care within 3 months and/or NOT retained in care (> 2 CD4 or VL in 12 months) yet be in “any care” (> 1 CD4 or VL in the previous 12 months) and virally suppressed. Methodology for the care continuum and completeness of HIV data varies among jurisdictions, thus limiting direct comparisons with other states or the national continuum. The Georgia DPH HIV/AIDS Epidemiology Program has used the same methodology for the care continuum for all Georgia Health Districts. Monitoring trends over time within a District, or comparisons between Districts, can be meaningful. Missing information on race, sex and/or transmission category reflects missing data on case report forms that remains unresolved.

Caveat for District 8-2, Southwest (Albany) Because of a systems error in which some laboratory facilities were not reporting some laboratory values, the Care Continuum methodology used here generates an artificially low retention in care measurement. Retention in care is thus excluded from all but the first slide

Adults and Adolescents Living with HIV, District 8-2 Southwest (Albany), Georgia, 2012 N= 1886 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Linked to care= CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N= 105) Any care>= 1 CD4 or VL in 2012 Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N=105 All Georgia VS 41%

Adults and Adolescents Living with HIV, District 8-2 Southwest (Albany), Georgia, 2012, by Sex N= 1299 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia; Excludes 4 persons for whom sex is unknown Linked to care= CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N=105) Any care >= 1 CD4 or VL in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N= 583

Adults and Adolescents Living with HIV, District 8-2 Southwest (Albany), Georgia, 2012, by Race/Ethnicity N= 1395 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Linked to care = CD4 or VL within 3 months of diagnosis, among those diagnosed 01/01/11-12/31/11 (N=105) Any care>= 1 CD4 or VL in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

Adults and Adolescents Living with HIV, District 8-2 Southwest (Albany), Georgia, 2012, by Current Age (in Years) N= 432 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Linked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N=105) Any care >= 1 CD4 or VL in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N= 617N= 506

Transmission category definitions Multiple imputation was used to assign transmission category where missing MSM = Male to male sexual contact IDU = Injection drug use MSM/IDU = Male to male sexual contact and injection drug use HET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infection Other = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified (majority of “Other”)

Adult and Adolescent Males Living with HIV, District 8-2 Southwest (Albany), Georgia, 2012, by Transmission Category N= 741 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia; Excludes 4 persons for whom sex is unknown Linked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N= 71) * Number of new diagnoses in 2011 was <=5 so linked is not depicted Any care >= 1 CD4 or VL in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N= 58 N= 54 * *

Adult and Adolescent Females Living with HIV, District 8-2 Southwest (Albany), Georgia, 2012, by Transmission Category N= 239 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia; Excludes 4 persons for whom sex is unknown Linked to care= CD4 or VL within 3 months of diagnosis for those diagnosed 01/01/11-12/31/11 (N= 34) * Number of new diagnoses in 2011 was <=5 so linked is not depicted Any care >= 1 CD4 or VL in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012 N= 26 *

Viral Suppression Among Those Retained in Care District 8-2 Southwest (Albany), Georgia, 2012, by Sex N= 356N= 121 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

Viral Suppression Among Those Retained in Care District 8-2 Southwest (Albany), Georgia, 2012, by Race/Ethnicity N= 340 N= 28N= 81 N= 28 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

Viral Suppression Among Those Retained in Care District 8-2 Southwest (Albany), Georgia, 2012, by Current Age (in Years) N= 127 N= 175 N= 116 N= 48 N= 11 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

Viral Suppression Among Males Retained in Care, District 8-2 Southwest (Albany), Georgia, 2012, by Transmission Category N= 230N= 11N= 13N= 18 N= 84 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012

Viral Suppression Among Females Retained in Care, District 8-2 Southwest (Albany), Georgia, 2012, by Transmission Category N= 74N= 9N= 38 Adults and adolescents >= age 13, diagnosed by 12/31/2011, living as of 12/31/2012 Current address in District 8-2 Southwest (Albany), Georgia Retained in care >= 2 CD4 or VL at least 3 months apart in 2012 Viral suppression (VS) = VL<200 copies/ml on most recent viral load in 2012