1. HIV/STD Syndemic An Overview of South Los Angeles
Los Angeles County Department of Public Health
Division of HIV and STD Programs
Research and Evaluation

2. 4,060 sq mi 155,959 sq mi 9,848,011 36,961,664 Los Angeles County
California
Estimated living HIV/AIDS Cases
59,500
134,401*
Reported HIV/AIDS Cases
43,900
111,100
Los Angeles County
California
4,060 sq mi
155,959 sq mi
Los Angeles County
California
9,848,011
36,961,664
(Optional slide): This slide shows Los Angeles County in comparison with the State of California. We are 2.6% of the state’s land area, 26.6% of the population, and 46.1% of the estimated living HIV/AIDS cases as of January 1, 2011.
Data Source: Los Angeles County Department of Public Health, HIV Surveillance, 2012 California State Department of Public Health, State Surveillance Data, 2012
*134,401 calculated assuming 21% of HIV positive Californians are unaware of their status.
Data Source: U.S. Census , 2010

3. Estimated HIV/AIDS Cases
Population
Estimated HIV/AIDS Cases
9,848,011
59,500
Los Angeles County is the most populous in the United States with 9.8 million residents. The County is diverse in both it’s people and geography. There is no one majority racial/ethnic group and the County’s geography consists of urban, suburban, and rural areas divided by several mountain ranges.
Data Source: U.S. Department of Commerce, 2010; Los Angeles County Department of Public Health, HIV Surveillance, 2011

4. Los Angeles County Chicago Houston New York City San Francisco
Philadelphia
(Optional slide): With over 4,000 square miles, Los Angeles County is larger than San Francisco (City and County), The District of Columbia, Philadelphia, Houston, Chicago, and all 5 boroughs of New York City combined.
District of Columbia
Data Source: U.S. Census Bureau, Topologically Integrated Geographic Encoding and Referencing system, Maps Drawn at 1:750,000 scale.

5. 2012 Estimated Number of Persons Living with HIV and AIDS in LAC
12,800
1,200
1,600
43,900
Estimate
~ 59,500 living
with HIV (including AIDS) in LAC
Source: LAC Division of HIV and STD Programs, reported as of 12/31/2011.
(1) Estimate that 21.5% of HIV+ in LA County are unaware of their infection; modified from CDC estimate.
(2) Of 4,853 notifications pending investigation, estimate half of 2,400 who
have detectable VL or confirmatory test to be unduplicated cases.
(3) Out of the 3,200 cases reported as code, half are thought to represent unduplicated cases. 5

6. Percent Persons Diagnosed with HIV
by Gender and Year, LAC,
87%
Male
Percent
Female
12%
Transgender 1%
Year
* Data provisional due to reporting delay.
Source: HIV/AIDS Surveillance Summary, data as of December 2011. 26

7. Persons Living with HIV/AIDS in LAC per 100,000 population
Persons Living with HIV/AIDS in LAC per 100,000 population* by Race/Ethnicity
*Sometimes called “Prevalence Rate”; it is really a proportion.
Source: HIV/AIDS Surveillance Summary, data as of December 2011.

8. RATES OF HIV DIAGNOSES AMONG MEN BY RACE/ETHNICITY*, LAC, 2006-2011
Source: HIV/AIDS Surveillance Summary, data as of December 2011.

9. RATES OF HIV DIAGNOSES AMONG WOMEN BY RACE/ETHNICITY*, LAC, 2006-2011
Source: HIV/AIDS Surveillance Summary, data as of December 2011.

11. Central Cluster, 2009 HIV and Syphilis Burden
HIV Demographic Summary
African-American
27.8%
Men
81.5%
Women
18.5%
Latino
44.4%
90.7%
9.3%
White
23.8%
97.4%
2.6%
This is an optional map slide. This map was developed from the HIV Epidemiology Program’s Semi Annual Surveillance Report and shows AIDS cases identified in CY2007 by Health District.
Disease Burden Summary n %
HIV
861
46.3%
Syphilis + HIV
642
58.5%
Syphilis no HIV
712
44.6%
Gonorrhea
3,330
42.1%

12. South Cluster, 2009 HIV and Syphilis Burden
HIV Demographic Summary %
African-American
24.5%
Men
83.3%
Women
16.7%
Latino
44.2%
83.0%
17.0%
White
26.7%
91.8%
8.2%
This is an optional map slide. This map was developed from the HIV Epidemiology Program’s Semi Annual Surveillance Report and shows AIDS cases identified in CY2007 by Health District.
Disease Burden Summary n %
HIV
318
18.4%
Syphilis + HIV 94
9.0%
Syphilis no HIV
222
13.9%
Gonorrhea
1,613
20.4%

13. Source: HIRS, Calendar Year 2007
Data Source: eHARS as of September 30, 2011

14. Source: HIRS, Calendar Year 2007
Data Source: eHARS as of September 30, 2011

15. New Syphilis Cases by Resident Zip Code, 2009
Source: HIRS, Calendar Year 2007
Data Source: STD Surveillance, 2011

16. New Syphilis Cases by Resident Zip Code, SPA 6, 2009
Source: HIRS, Calendar Year 2007
Data Source: STD Surveillance, 2011

17. Source: HIRS, Calendar Year 2007
Data Source: eHARS, ADAP, Medicare, and MediCal and Casewatch, Jul09-Jun10

18. Target Population, Overall vs SPA 6, CY 2010
Characteristic
Overall
SPA 6
N (%)
n (%)
Number of HIV Tests
40,938
3,837
New Positives1
435
1.1% 54
1.4%
Men
27,509
67.2%
2,247
58.6%
Gay men
12,218
29.8%
620
27.6%
Non- gay identified men who have sex with men2
817
2.0% 51
2.3%
Women
12,981
31.7%
1,540
40.1%
Women who have sex partners of unknown HIV status
12,763
31.2%
1,515
98.4%
Transgender Individuals
448 50
1.3%
People who Share Needles/Works
3,682
9.0%
236
6.2%
Data Source: HIV Testing System (HTS) as of
1 New Positives refers to individuals who self-reported never having a prior positive HIV test result.
2 Includes males who did not self-identify as homosexual or bisexual and reported having sex with men.

19. Race/Ethnicity, Overall vs SPA 6, CY 2010
Data Source: HIV Information Resources System (HIRS) as of 12/31/11

20. Age, Overall vs SPA 6, CY2010
n = 3,837
Data Source: HIV Information Resources System (HIRS) as of 12/31/11

21. Getis-Ord Gi* calculated at 6,000 foot threshold using the fixed distance band
spatial conceptualization
Source: American Community Survey, 5-year estimates, U.S. Census

22. Thank You! Division of HIV and STD Programs
600 South Commonwealth Avenue, 10th Floor
Los Angeles, California
Phone: (213)