1. 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

2. 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

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

4. Texas 2010 Engagement in HIV Care Cascade

5. 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 death data are provisional.

6. Who is being diagnosed?

7. Texas 2011 New Diagnoses by Race/Ethnicity

8. Texas New Diagnoses Rate by Race/Ethnicity,

9. Texas 2011 New Diagnoses by Imputed Risk Category

10. Texas New Diagnoses by Imputed Risk Category

11. 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 Nov;86(6):

12. 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 Nov;86(6):

13. Number of New Diagnoses by Age Group,

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

15. New Diagnoses by Age Group Among MSM

17. 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 (64%)
People in the IDU (60%) or MSM/IDU (64%) categories
Newly diagnosed individuals from the Houston EMA region (65%)

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

20. PLWH and Co-Infections by Imputed Risk Category

21. Thank You!
Ann Robbins