1. Northern Virginia Title I Region HIV/AIDS Trends Data through 2005 Carrie Dolan, MPH Epidemiologist Division of Disease Prevention

2. Notes to Accompany Virginia HIV/AIDS Trends All data is reported as of December 31st, 2005 unless otherwise indicated. HIV and AIDS reporting Virginia regulations require reporting of HIV and AIDS cases separately. As a result, a person can be listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A person first diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at a later time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDS case. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event, the person will be listed as only an AIDS case. Unduplicated As a result of Virginia reporting regulations for HIV and AIDS (see note above), an individual could be reported twice, once as an HIV case and once as an AIDS case. An unduplicated report will count this individual only once. In the case of both HIV and AIDS diagnoses for one individual, age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated. Living When active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.

3. Notes to Accompany Virginia HIV/AIDS Trends Geography All location information is based on the address that is reported to the Division at the time of report. Report Date vs. Diagnosis Date Time frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees. AIDS Case Definition Change On January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severe immunosuppression in HIV-infected persons

5. Northern VA Title I Region HIV/AIDS Trends Between 2004-2005, overall decrease (13.5%) in reported HIV and AIDS* Areas designated as urban** saw a 16.6% decrease in reported HIV* and AIDS between 2004-2005 Areas designated as rural** saw a 25% increase in reported HIV* and AIDS between 2004-2005 Data through 2005 indicates in the VA portion of the DC MSA, 47% of reported cases of HIV* and AIDS were white, 42% black and 11% reported another race *Unduplicated Cases **urban includes: Loudon, Falls Church, Arlington, Alexandria, Fairfax City, Fairfax, Manassas Park, Manassas and Prince William rural includes: Clarke, Warren, Fauquier, Culpeper, Stafford, Fredericksburg, Spotsylvania, King George

6. Data through 2005 indicates that 30.5% of reported, unduplicated cases of HIV or AIDS in Virginia, are from the Northern VA. Title I Region (N=8,221) MANASSAS PARK

7. Northern Virginia Title I Region (N=4,687) Cases of HIV and AIDS* (1996-2005) *Unduplicated

8. Living Trends Estimated number of people living with HIV or AIDS in Northern Virginia Title I Region at the end of 2005= 5,389 31% of Virginia’s living total Most of cases are 32 yrs. old at diagnosis 75% male 48% black

9. Individuals Living with HIV or AIDS in the Urban Localities of the Northern Virginia Title I Region by Gender and Locality at the end of 2005 (N=4985)

10. Individuals Living with HIV or AIDS in Rural Localities of the Northern Virginia Title I Region by Gender and Locality at the end of 2005 (N=404)

11. Individuals Living with HIV or AIDS in the Northern VA Title I Region, by Race, at the end of 2005 (N=5389*) **Unknown (n=26) *Other includes: American Indian/Alaskan Native, Asian/Pacific Islander, Multiple Races

12. Northern Virginia Title I Region (N=2,450) Living with HIV or AIDS by Race* (2001-2005) * Unknown (n=9) **Other includes Asian/Pacific Islander, American Indian/Alaskan Native, Multiple Races

13. Individuals Living with HIV or AIDS in the Northern VA Title I Region, by Risk at the end of 2005 (N=5389*) * 370 No Identified Risk 469 Undetermined Risk 186

14. Percentage of Men Living with HIV or AIDS in the Northern Region of Virginia that reported their risk of infection as MSM (N=2406*) *Data through December 2005 33.87 % 23.94% 3.08%.25%.71%.87%.83% 1.29% 1.00%.37% 1.12% 21.11 % 7.02 % MANASSAS PARK. 25 % 2.20%

15. Individuals Living with HIV or AIDS in the Northern Virginia Title I Region, by Risk, excluding MSM, at the end of 2005 (N=2798*) *370 cases no identified risk 469 cases undetermined/not reported 1 cell suppressed to protect confidentiality

16. Northern Virginia Title I Region (N=2,450) Living with HIV or AIDS by Gender* (2001-2005)

17. Prepared by: Carrie Dolan, MPH Epidemiologist Division of Disease Prevention April 2006 carrie.dolan@vdh.virginia.gov Data accessed from HARS on 04/19/2006