1. HIV/AIDS in Michigan January 1, 2010 Michigan Department of Community Health HIV/STD/VH/TB Epidemiology Section Division of Communicable Diseases Bureau of Epidemiology

2. Quarterly HIV/AIDS Report, Michigan January 2010 This presentation was created as a companion to the Quarterly HIV/AIDS Report for January 1, 2010. Please refer to the quarterly report for further details, definitions and technical notes: http://www.michigan.gov/documents/mdch/JAN_2010_3 07661_7.pdf

3. Data on Prevalent Cases Section 1

4. The prevalence estimate is based on, and includes, the number of persons living with HIV/AIDS and reported by name but also contains estimates of living, HIV infected persons who have : not yet been tested tested but not yet reported tested but were reported anonymously Estimate of HIV Prevalence

5. Persons living in MI with HIV/AIDS by Sex # Persons est. or reported living with HIV/AIDS

6. Persons living in MI with HIV/AIDS by Race & Ethnicity # Persons est. or reported living with HIV/AIDS

7. Persons living in MI with HIV/AIDS by Age at Diagnosis, Ages 0-60+ # Persons est. or reported living with HIV/AIDS

8. Reported Persons Living with HIV/AIDS in MI by Race (n=14,371) Persons reported living with HIV/AIDS

9. Prevalence Rates of Reported Persons Living with HIV/AIDS in MI by Race Rates Per 100,000 Population NOTE: Rates are not available for “Multi, Unk & Other” category.

10. Reported Persons Living with HIV/AIDS in MI by Sex & Race (n=14,371) Persons reported living with HIV/AIDS

11. Prevalence Rates of Reported Persons Living with HIV/AIDS in MI by Sex & Race Rates Per 100,000 Population

12. Risk Transmission Categories Risk transmission categories are the hierarchical risk categories that have been used for displaying HIV transmission risk in Michigan and national HIV/AIDS statistics since the 1980’s. The order from top to bottom is meant to represent the most likely route through which HIV is transmitted, and thus implies that some modes of transmission are more efficient than others.

13. Prevalent HIV/AIDS Cases by Risk (n=14,371)

14. Prevalent HIV/AIDS Cases Among Black Males by Risk (n =6,079)

15. Prevalent HIV/AIDS Cases Among White Males by Risk (n =4,331)

16. Prevalent HIV/AIDS Cases Among Black Females by Risk (n =2,437)

17. Prevalent HIV/AIDS Cases Among White Females by Risk (n =635)

18. Exposure Categories Exposure categories convey all risks that a person is documented to have engaged in that could have exposed him or her to HIV. Like the traditional risk hierarchy categories, the exposure categories are mutually exclusive, meaning that each person is only included in one category. Michigan is the first state to display mode of transmission using exposure categories. The plan is to convert to these categories nationally as well.

19. Exposure Categories for Prevalent HIV/AIDS Cases (n=14,371) Any MSM 52% Any Heterosexual 42% Any IDU 16% NOTE: The “Any” percentages on this slide overlap

20. Exposure Categories for Prevalent HIV/AIDS Cases, Males Only (n=11,084) Any MSM 68% Any Heterosexual 33% Any IDU 14% NOTE: The “Any” percentages on this slide overlap

21. Exposure Categories for Prevalent HIV/AIDS Cases, Females Only (n=3,287) Any Heterosexual 73% Any IDU 20% NOTE: The “Any” percentages on this slide overlap

22. New Diagnoses, Deaths, Prevalence Section 2

23. New Diagnoses, Deaths, and Prevalence of HIV/AIDS by Year NOTE: New diagnoses are not adjusted for reporting delay so the decrease in recent years is due to reporting lag and not a true decrease HIV/AIDS Prevalence New HIV Diagnoses Deaths

24. HIV/AIDS Deaths in MI by Race & Sex

25. Number of Deaths Year of Death HIV Related Deaths in MI, all ages, by Race and Sex 1987-2008 2/5/10

26. Leading Causes of Death Among Black Men in MI Ages 25-441990-2008 Number of Deaths Year 2/5/10

27. Leading Causes of Death Among White Men in MI Ages 25-441990-2008 Number of Deaths Year 2/5/10

28. Leading Causes of Death Among Black Women in MI Ages 25-441990-2008 Number of Deaths Year 2/5/10

29. Leading Causes of Death Among White Women in MI Ages 25-441990-2008 Number of Deaths Year 2/5/10

30. Geographic Distribution of HIV/AIDS Section 3

31. Reported HIV Prevalence and Prevalence Rates by Residence at Diagnosis

32. Information on Perinatally HIV Exposed Infants Section 4

33. Infection Status of Perinatal HIV Exposures, 2003-2009 Number of Infants