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1 HIV/STD Trends in Texas Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010
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2 Outline HIV Epidemiology –National data –Texas trends –HIV testing/treatment STD Epidemiology –Syphilis –Chlamydia –Gonorrhea
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3 USA: Reported AIDS and HIV Cases As of the end of 2007, 1,051,875 AIDS cases have been reported in the United States Of these cases 7% were reported in Texas As of the end of 2007, 328,103 HIV cases have been reported in the United States* Of these cases 8% were reported in Texas *Includes 47 states, District of Columbia and 5 U.S..territories with name-based reporting as of December 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18
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4 Cumulative Reported AIDS Cases: Top 5 States, 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18
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5 Texas: The Big Picture Since 1980, >107,000 Texans have been diagnosed with HIV/AIDS >41,000 Texans with HIV/AIDS have died As of year end 2008, 62,772 Texans were living with HIV/AIDS
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6 New AIDS Cases, Deaths, and Persons Living with AIDS: Texas, 1980-2008 New AIDS Cases Deaths among AIDS Cases Living with AIDS
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7 Persons Living with HIV/AIDS: Texas, 1987 N=1,204
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8 Persons Living with HIV/AIDS: Texas, 1997 N=16,184
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9 Persons Living with HIV/AIDS: Texas, 2007 N=62,805
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10 2008 HIV/AIDS In 2008… 4,293 Texans were newly-diagnosed with HIV 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year 2,758 Texans living with HIV progressed to AIDS 1,280 Texans with HIV/AIDS died
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11 Newly-diagnosed HIV Cases: Texas, 1999-2008
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12 Newly-diagnosed HIV Case Rates by Race: Texas, 1999-2008
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13 48% 11% 36% 5% Race/Ethnicity of New HIV/AIDS Case: Texas, 2008 43% 29% 26% 2% White Hispanic Other/Unknown African American Texas Population n=24,383,647 HIV/AIDS Cases n=4,293
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14 Newly-diagnosed HIV Case Rates by Sex: Texas, 1999-2008
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15 Race/Ethnicity of New HIV/AIDS Cases: Texas, 2008 Females n=979 Males n=3,314
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16 Newly-diagnosed HIV Case Rates by Age: Texas, 1999-2008
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17 Age of New HIV/AIDS Cases: Texas, 2008
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18 HIV/AIDS Cases by Transmission Category: Texas, 2008 Men who have sex with Men (MSM) Injection drug use (IDU) MSM & IDU Heterosexual contact* Males Females * Heterosexual contact with person known to have or to be at high risk for HIV infection ** Cases with an unknown or other mode of transmission are not included
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19 Perinatally Exposed and Infected Children: Texas, 1999-2008 n=7 n=13 n=12 n=9
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20 HIV Testing and Care An estimated 16,686 people are living with HIV in Texas and are unaware of their status (undiagnosed) Approximately one-third of persons living with HIV in 2007 had unmet need for care 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year Only 14% of Texans had an HIV test last year
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21 Reportable STDs in Texas Syphilis Chlamydia Gonorrhea
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22 Primary and Secondary Syphilis Cases: Texas, 1971-2009
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23 P&S Syphilis Case Rates by Race/Ethnicity: Texas, 1995-2009
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24 P&S Syphilis Case Rates* by Year of Report and Sex: Texas, 1998-2009 * Rate = Cases per 100,000 population. Female Male
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25 P&S Syphilis Cases by Sex and MSM: Texas, 2003-2009
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26 P&S Syphilis Case Rates by County: Texas, 2009
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27 Congenital Syphilis Cases: Texas, 1991-2009
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28 Chlamydia Cases: Texas, 1988-2009
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29 Chlamydia Cases by Year of Report: Texas, 2000-2009
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30 Chlamydia Case Rates Among Women by Race/Ethnicity: Texas, 1991-2009 Hispanic Af. American White
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31 Chlamydia Case Rates by County: Texas, 2009
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32 Gonorrhea Cases: Texas, 1971-2009
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33 Gonorrhea Case Rates by Race/Ethnicity: Texas, 1991-2009
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34 Gonorrhea Cases by Age Group and Race/Ethnicity: Texas, 2009
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35 Gonorrhea Case Rates by County: Texas, 2009
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36 Acknowledgements HIV/STD surveillance staff at local and regional health departments across the state and at the central DSHS HIV/STD program who collected the data used in this presentation Ed Weckerly and Jennifer Chase of the DSHS TB/HIV/STD Epidemiology and Surveillance Branch who analyzed the data and prepared the slides
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37 Questions? Contact Information: Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Manager, TB/HIV/STD Epidemiology and Surveillance Branch Sharon.Melville@dshs.state.tx.us
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