1. HIV Epidemiological Profile for Chicago EMA
Tell audience to hold questions until the end. Also mention that data was from June from TG’s directive
Stephanie Masiello Schuette
Director of HIV/STI Surveillance, Epidemiology, and Research
Chicago Department of Public Health – STI/HIV Services Bureau

2. Quick Terminology Review
Rate = a measure of the frequency of an event occurring in a defined population in a defined time
The number of litters per 100,000 dogs in one year
Proportion = No time component
The number of dogs < 2 years old in Chicago
Total number of dogs in Chicago
Ratio = Comparison
The number of female dogs in Chicago: the number of male dogs in Chicago
Chicago Department of Public Health – STI/HIV Services Bureau

3. Extent of a Disease in a Population
Incidence = measure of change from non-disease to disease (numerator) in a population at risk (denominator)
New cases
Prevalence = static measure of proportion of a population that is diseased
Existing cases
Chicago Department of Public Health – STI/HIV Services Bureau

4. Chicago Department of Public Health – STI/HIV Services Bureau
Provisional Data
Enhanced HIV/AIDS Reporting System (eHARS) is constantly being updated
The data you are seeing today were up to date as of 12/28/2015
Chicago Department of Public Health – STI/HIV Services Bureau

5. HIV Continuum of Care, Chicago EMA 2014
aNumber of persons ≥13 years of age at diagnosis and diagnosed with HIV infection between 1/1/2014 and 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
bPercent of persons ≥13 years of age linked to care (at least one CD4 or VL) within 3, 6, and 9 months of HIV diagnosis among those diagnosed with HIV infection from 1/1/2014 to 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
C Number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 or VL1 tables.
D Percent of HIV-infected adults who have at least one or more care visit between January-December 2014; Percent of HIV-infected adults who have at least two or more care visit between January-December 2014, 3 months apart. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 table.
e Percent of persons with HIV viral suppression among number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, VL1 table.
Chicago Department of Public Health – STI/HIV Services Bureau

6. HIV Continuum of Care by Sex, Chicago EMA 2014
1,294
28,218
1,149
1,095
1,059
16,726
12,176
12,598
aNumber of persons ≥13 years of age at diagnosis and diagnosed with HIV infection between 1/1/2014 and 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
bPercent of persons ≥13 years of age linked to care (at least one CD4 or VL) within 3, 6, and 9 months of HIV diagnosis among those diagnosed with HIV infection from 1/1/2014 to 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
C Number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 or VL1 tables.
D Percent of HIV-infected adults who have at least one or more care visit between January-December 2014; Percent of HIV-infected adults who have at least two or more care visit between January-December 2014, 3 months apart. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 table.
e Percent of persons with HIV viral suppression among number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, VL1 table.
Chicago Department of Public Health – STI/HIV Services Bureau

7. HIV Continuum of Care by Race/Ethnicity, Chicago EMA 2014
1,294
28,218
1,149
1,095
1,059
16,726
12,176
12,598
aNumber of persons ≥13 years of age at diagnosis and diagnosed with HIV infection between 1/1/2014 and 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
bPercent of persons ≥13 years of age linked to care (at least one CD4 or VL) within 3, 6, and 9 months of HIV diagnosis among those diagnosed with HIV infection from 1/1/2014 to 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
C Number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 or VL1 tables.
D Percent of HIV-infected adults who have at least one or more care visit between January-December 2014; Percent of HIV-infected adults who have at least two or more care visit between January-December 2014, 3 months apart. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 table.
e Percent of persons with HIV viral suppression among number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, VL1 table.
Chicago Department of Public Health – STI/HIV Services Bureau

8. HIV Continuum of Care by Age, Chicago EMA 2014
1,294
28,218
1,149
1,095
1,059
16,726
12,176
12,598
aNumber of persons ≥13 years of age at diagnosis and diagnosed with HIV infection between 1/1/2014 and 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
bPercent of persons ≥13 years of age linked to care (at least one CD4 or VL) within 3, 6, and 9 months of HIV diagnosis among those diagnosed with HIV infection from 1/1/2014 to 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
C Number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 or VL1 tables.
D Percent of HIV-infected adults who have at least one or more care visit between January-December 2014; Percent of HIV-infected adults who have at least two or more care visit between January-December 2014, 3 months apart. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 table.
e Percent of persons with HIV viral suppression among number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, VL1 table.
Chicago Department of Public Health – STI/HIV Services Bureau

9. HIV Continuum of Care by Transmission Group, Chicago EMA 2014
1,294
28,218
1,149
1,095
1,059
16,726
12,176
12,598
aNumber of persons ≥13 years of age at diagnosis and diagnosed with HIV infection between 1/1/2014 and 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
bPercent of persons ≥13 years of age linked to care (at least one CD4 or VL) within 3, 6, and 9 months of HIV diagnosis among those diagnosed with HIV infection from 1/1/2014 to 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Link1 table.
C Number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 or VL1 tables.
D Percent of HIV-infected adults who have at least one or more care visit between January-December 2014; Percent of HIV-infected adults who have at least two or more care visit between January-December 2014, 3 months apart. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, Care1 table.
e Percent of persons with HIV viral suppression among number of persons ≥13 years of age on 12/31/2013 diagnosed with HIV infection through 12/31/2013 and living with HIV on 12/31/2014. Source: Chicago HIV/AIDS Reporting System (as of 12/28/2015). NHAS output, VL1 table.
Chicago Department of Public Health – STI/HIV Services Bureau

10. Chicago Department of Public Health – STI/HIV Services Bureau

11. Demographics of New HIV Diagnoses in Chicago EMA, 2014 (n = 1,370)
Chicago Department of Public Health – STI/HIV Services Bureau

12. Demographics of PLWH in Chicago EMA, 2013 (n = 29,973)
Chicago Department of Public Health – STI/HIV Services Bureau

13. Chicago Department of Public Health – STI/HIV Services Bureau

14. Chicago Department of Public Health – STI/HIV Services Bureau

15. Increase of 6% (2,143 individuals diagnosed) needed to reach 90% goal
***Crude Estimate***
Use CDC’s IL estimate that 84% of people with HIV infection are diagnosed:
Estimate: 35,700 HIV infections in EMA
30,000 diagnosed
5,700 undiagnosed
Increase of 6% (2,143 individuals diagnosed) needed to reach 90% goal

16. Chicago Department of Public Health – STI/HIV Services Bureau
EMA New HIV Diagnoses = 1,441
25% reduction = 360 new diagnoses EMA New HIV Diagnoses in 2014 = 1,370
25% reduction = 342 new diagnoses
Estimated need = ~ 350 less new diagnoses between 2014 and 2020.
Chicago Department of Public Health – STI/HIV Services Bureau

17. From NHBS MSM4 cycle:
52% of participants stated they did not use a condom
39% of participants stated use of alcohol and 3% of participants stated use of drugs during sex
18% of participants had not been tested for HIV in the past 2 years

18. Chicago Department of Public Health – STI/HIV Services Bureau
Currently:
82% of those newly diagnosed are linked into care within 3 months
85% of those newly diagnosed are linked into care within 6 months
Chicago Department of Public Health – STI/HIV Services Bureau

19. Chicago Department of Public Health – STI/HIV Services Bureau
Currently, 43% of those diagnosed are retained in care
If we look at current numbers, we would have needed 13,220 more individuals retained to reach the 90% goal
Chicago Department of Public Health – STI/HIV Services Bureau

20. Chicago Department of Public Health – STI/HIV Services Bureau
Currently, 45% of those diagnosed are virally suppressed
If we look at current numbers, we would have needed 9,976 more individuals suppressed to reach the 80% goal
Chicago Department of Public Health – STI/HIV Services Bureau

21. Chicago Department of Public Health – STI/HIV Services Bureau
1.4% of people living with HIV infection in 2013 died
Chicago Department of Public Health – STI/HIV Services Bureau

22. Chicago Department of Public Health – STI/HIV Services Bureau
MSM 2014 =
40x more diagnoses than IDU males
18x more diagnoses than Heterosexual males
≤ 29 yrs Black MSM 2014 =
3.5x more diagnoses than same age White MSM
3x more diagnoses than same age Hispanic MSM
Black Females 2014 =
7x more diagnoses than White and 5x more diagnoses than Hispanic females, respectively
Chicago Department of Public Health – STI/HIV Services Bureau

23. Chicago Department of Public Health – STI/HIV Services Bureau
Currently, 38% of youth (13-24 yrs) and 40% IDU are virally suppressed
If we look at current numbers, we would have needed 599 more young individuals and 1,394 IDU virally suppressed to reach the 80% goal
Chicago Department of Public Health – STI/HIV Services Bureau

24. Chicago Department of Public Health – STI/HIV Services Bureau
Final Thoughts
There is a heavier burden of HIV in certain counties in the EMA.
HIV Prevalence and Incidence differs by county. Not a one-size fits all model.
Based on the data, the largest risk populations are Males, NH Blacks, MSM, and those yrs old
Goals set by indicators are challenging, but achievable
Chicago Department of Public Health – STI/HIV Services Bureau

25. Chicago Department of Public Health – STI/HIV Services Bureau
Questions?
Thanks to:
HIV/STI SER data team
Irina Tabidze
Margaret Eaglin
Joy Kane
Monique Millington
Laxmi Modali
Chicago Department of Public Health – STI/HIV Services Bureau