1. Emerging Trends of HIV/AIDS in New York City Chris Williams, MPH NYC DOHMH

2. New York City HIV/AIDS Epidemiology 98,861 PLWHA as of 12/31/06 (62.3% diagnosed with AIDS) Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006

3. New HIV Infections by Gender, Race and Transmission Risk, 2006 Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006 New HIV Infections by Gender2006 Male272972.9% Female101627.1% New HIV Infections by Race Black189950.7% Hispanic114830.7% White61116.3% Asian/Pacific Islander742.0% New HIV Infections by Transmission Risk MSM144938.7% IDU2486.6% Heterosexual84822.6% Perinatal120.3% Unknown118731.7% Total New HIV Infections, 20063745100.0%

4. Concurrent HIV/AIDS Diagnosis by Gender, Race and Transmission Risk, 2006 Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006 Concurrent HIV/AIDS Diagnosis by Gender2006 Male72375.2% Female23924.8% Concurrent HIV/AIDS Diagnosis by Race Black50152.1% Hispanic31532.7% White12412.9% Asian/Pacific Islander202.1% Concurrent HIV/AIDS Diagnosis by Transmission Risk MSM30131.3% IDU778.0% Heterosexual22022.9% Perinatal10.1% Unknown36337.7% Total Concurrent HIV/AIDS Diagnosis962100.0%

5. HIV/AIDS Deaths by Gender, Race and Transmission Risk, 2006 Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006 HIV/AIDS deaths by Gender2006 Male142968.8% Female64731.2% HIV/AIDS deaths by Race Black110353.1% Hispanic65131.4% White29714.3% Asian/Pacific Islander211.0% HIV/AIDS deaths by Transmission Risk MSM32315.6% IDU79938.5% Heterosexual33015.9% Perinatal100.5% Unknown60729.2% Total HIV/AIDS Deaths2,076100.0%

7. Trends Among Age Groups Ages 13-19 and 20-29 account for an increasing share of new HIV infections from 2004-2006, particularly among males ages 20-29.* *HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008.

9. Emerging Populations- Women Hispanic Women have an increased share of new HIV diagnoses and Concurrent HIV/AIDS diagnosis in women, overall Source: New York City HIV/AIDS Annual Surveillance Statistics. New York: New York City Department of Health and Mental Hygiene, 2007. Updated November 27, 2007. Accessed May 20, 2008 at http://www.nyc.gov/html/doh/html/ah/hivtables.shtml.http://www.nyc.gov/html/doh/html/ah/hivtables.shtml

10. Emerging Populations- Correctional inmates and releases 25,000 HIV tests completed in 2006. In 2003, prior to rapid testing, only 6,500 tests were completed # 4.7% of male and 9.7% of female jail admissions are HIV+ # 90% of self-identifying HIV+ admissions receive post-release plans with the goal of connecting 90% of those to care** 105 overall (29.7% of males and 23.4% of females) appeared to have previously undiagnosed HIV infection at admission # # Source: HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008. **Source: Rikers Island Intake System, 2006. From Jordan, A., & Gbur, M. Presentation 5/15/08.

11. Emerging Populations- Immigrants Source: HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008.

12. Follow-up HIV care in 2006, by Sex and Race Received Follow-up HIV Medical Care at Any Site in 2006 No Documentation of Follow-up HIV Medical Care in 2006 Total Receiving Last 2005 Care at Hospital, Clinic, Extended Care or Private MD NRow %N NCol % Total 49,90291.44,7148.654,616100 Sex Male33,17991.23,2158.836,39466.6 Female16,72391.81,4998.218,22233.4 Race/ethnicity Black22,65791.12,2048.924,86145.5 Hispanic16,27992.21,3797.817,65832.3 White9,92590.61,0359.410,96020.1 Asian/Pacific Islander65691.5618.57171.3 Native American4189.1510.9460.1 Other/unknown344923083740.7 Source: From data reported by September 30, 2007, to the HIV Epidemiology and Field Services Program of the NYC DOHMH

13. Follow-up HIV care in 2006, by Age Received Follow- up HIV Medical Care at Any Site in 2006 No Documentation of Follow-up HIV Medical Care in 2006 Total Receiving Last 2005 Care at Hospital, Clinic, Extended Care or Private MD Age group at end of 2005 (years)NRow %N N 0-1264694.4385.66841.3 13-1982992.8647.28931.6 20-292,80385.746714.33,2706 30-3910,30289.21,24110.811,54321.1 40-4920,06991.91,7678.121,83640 50-5911,67193.18666.912,53723 60+3,5829327173,8537.1 Source: From data reported by September 30, 2007, to the HIV Epidemiology and Field Services Program of the NYC DOHMH

14. Follow-up HIV care in 2006, by Place of Birth Received Follow-up HIV Medical Care at Any Site in 2006 No Documentation of Follow-up HIV Medical Care in 2006 Total Receiving Last 2005 Care at Hospital, Clinic, Extended Care or Private MD Place of birthNRow %N N United States27,75191.32,6308.730,38155.6 United States dependency2,69992.62177.42,9165.3 Foreign country7,35791.76668.38,02314.7 Africa86688.311511.79811.8 Asia35491.0359.03890.7 Caribbean/West Indies3,12992.42597.63,3886.2 Central America93492.5767.51,0101.8 Europe41189.74710.34580.8 Middle East5391.458.6580.1 South America1,41392.71117.31,5242.8 Other/unknown foreign country19791.6188.42150.4 Unknown12,09591.01,2019.013,29624.3