1. HIV/STD Epidemiology in Oklahoma HIV/STD Service Division of Prevention and Preparedness Oklahoma State Department of Health

2. Cumulative HIV/AIDS in Oklahoma

3. HIV/AIDS in Oklahoma As of December 31, 2010, 8,462 cases had been diagnosed with HIV/AIDS in Oklahoma: –4,908 were living with HIV and/or AIDS –3,013 were HIV infections and 5,449 were AIDS cases –85.3% were male, while 14.7% were female. Since 1982, 3,554 deaths were among people diagnosed with HIV/AIDS, 86 of these deaths occurred in 2010. In 2010, 208 HIV cases and 92 AIDS cases reported.

4. HIV/AIDS in Oklahoma By Age Group (Age at Diagnosis): –30-39 years (3,213; 38.0%), –20-29 years (2,652; 31.3%), –40-49 years (1,582; 18.7%), –50-59 years (508; 6%), –13-19 years (224; 2.7%), and –All other ages (less than 3%). By Race: –Whites (5,441; 64.4%) –Blacks (1,794; 21.2%) –American Indian/Alaska Natives (536; 6.3%) –Hispanics (504; 6.0%) –Asian/Pacific Islander (46; 0.5%) By Risk: –Approximately 2/3 of all cases were Men Who Have Sex with Men (MSM) or MSM and Injection Drug Use (IDU).

5. New HIV/AIDS Cases in Oklahoma

6. New HIV/AIDS Cases in 2010 300 cases of HIV/AIDS were diagnosed in 2010: –HIV: 208 –AIDS : 92 From 2006-2010: –There was a downward trend in AIDS cases (from 188 to 92 cases), and a –Upward trend in newly diagnosed HIV (not AIDS) cases (from 157 to 208 cases). Of the 86 deaths in 2010, 11 were diagnosed and died in the same year.

7. HIV/AIDS in Oklahoma by Sex Males account for: 49.5% of Oklahoma population 83% of new HIV/AIDS cases Newly diagnosed rate of 13.4 per 100,000 Females account for: 50.5% of Oklahoma population 17% of new HIV/AIDS cases Newly diagnosed rate of 2.7 per 100,000

8. 20-29 years: 35.0% (105 cases) 30-39 years: 25.7% (77 cases) 40-49 years: 22.0% (66 cases) 50-59 years: 10.0% (30 cases) 60-69 years: 3.3% (10 cases) Teenagers (13-19 years): 3.0% (9 cases) Children (12 and younger): 1.0% (3 cases) New HIV/AIDS by Age

9. New HIV/AIDS Cases by Race Whites (72.2% of OK population) –46% of new HIV/AIDS cases –Newly diagnosed rate of 5.1 per 100,000 Blacks (7.4% of OK population) –35% of new HIV/AIDS cases –Newly diagnosed rate of 37.8 per 100,000 (7 times higher than Whites) Hispanics (8.9% of OK population) –8% of new HIV/AIDS cases –Newly diagnosed rate of 7.2 per 100,000 (1.4 times higher than Whites) AI/AN (8.6% of OK population) –7% of new HIV/AIDS cases –Newly diagnosed rate of 6.5 per 100,000

10. New HIV/AIDS Cases in Oklahoma among MSM Race: –Whites (51.9%) 3.0 cases per 100,000 –Blacks (32.7%) 18.4 cases per 100,000 Age Groups: –20-29 years (67, 42.9%) –30-39 years (36, 23.1%) –40-49 years (30, 19.2%) –50-59 years (14, 9.0%) –Teenagers 13-19 years (7, 4.5%)

11. New HIV/AIDS Cases in Oklahoma among Heterosexuals Second largest transmission group (63, 21%). Age Groups: –20-29 years (20, 31.7%) –30-39 years (19, 30.2%) –40-49 years (13, 20.6%) –50-59 years (7, 11.1%) –60 and over (4, 6.3%) Racial and Ethnic Groups: –Blacks (105 cases, 44%, 10.1 per 100,000) (14 times the rate of Whites) –Whites (18 cases, 28.6%, 0.7 cases per 100,000) –Hispanics (9 cases, 14.3%, 2.7 cases per 100,000) –Asian/Pacific Islanders (3 cases, 4.8%, 4.3 cases per 100,000) –AI/AN and Multiple Race not released due to confidentiality concerns.

12. Deaths among HIV/AIDS Cases in Oklahoma

13. There has been a total of 3,554 deaths among persons diagnosed with HIV/AIDS : –HIV: 461 –AIDS: 3,049 42% of Oklahomans diagnosed with HIV/AIDS were classified as dead by the end of 2010. Deaths of persons with a diagnosis of HIV infection may be due to any cause.

14. Deaths among HIV/AIDS Cases in Oklahoma By Sex: –Males: 88.7% –Females: 11.3% By Risk: –MSM (1,969; 55.4%) –IDU (458; 12.9%) –MSM & IDU (441; 12.4%) –Hetero (375; 10.6%) –NRR (199; 5.6%) –Blood Products (98; 2.8%) –Perinatal (14; 0.4%) By Race/Ethnicity: –Whites (2,528; 71.1%) –Blacks (624; 17.6%) –AI/ANs (241; 6.8%) –Hispanics (123; 3.5%) –Multiple Races (28; 0.8%) –Asian/PI (10; 0.3%)

15. Deaths among HIV/AIDS Cases in Oklahoma In 2010, 86 deaths occurred at a rate of 2.3 deaths per 100,000. 16 occurred within one year of HIV diagnosis (11 diagnosed in 2010). Males accounted for 87.2%, while females accounted for 12.8% of deaths.

16. Chlamydia Cases in Oklahoma

17. Oklahoma Chlamydia Cases In 2010, a total of 14,302 cases were reported. –In 1988, there were only 2,714 –In 2010, Chlamydia accounted for 76% of all reported STDs. –Incidence rate of 381.2 per 100,000 in 2010 The rate of Chlamydia among females was 2.5 times higher than males –Females: 552.1 per 100,000 (72% of cases) –Males: 219.4 per 100,000

18. Oklahoma Chlamydia Cases By Age Group –Highest Rates 15-19: 1,936.6 per 100,000 20-24: 2,031.8 per 100,000 –Highest Percent Increase 45-49: 19.6% increase from 2009 (23.6 per 100,000) By Race/Ethnicity –Black: 1,594.5 per 100,000 –White: 249.9 per 100,000 –American Indian/Alaska Native: 499.6 per 100,00 –Asian/Pacific Islander: 227.5 per 100,000 –Hispanic: 415.1 per 100,000

19. Oklahoma Chlamydia Cases By County –Oklahoma: 483.9 per 100,000 –Tulsa: 521.4 per 100,000 –Comanche: 963.8 per 100,000 Comanche county showed an 15.9% increase, while Oklahoma and Tulsa counties showed a decrease from 2009

20. Oklahoma Chlamydia Cases

21. Gonorrhea Cases in Oklahoma

22. Oklahoma Gonorrhea Cases In 2010, a total of 4,369 cases were report –In 1943, the beginning of Gonorrhea Surveillance, there were only 4,715. –Women made up the majority of cases in the United States and Oklahoma since 2002. –In 2010, Blacks in Oklahoma had the highest rate of gonorrhea (882 per 100,000).

23. Oklahoma Gonorrhea Cases By Gender –Males: Made up 43% of Oklahoma cases –Females: Made up 57% of Oklahoma cases By Race/Ethnicity –Black: 882 per 100,000 –American Indian/Alaska Native: 102 per 100,000 –White: 47 per 100,000 –Asian/Pacific Islander: 29 per 100,000 –Hispanic: 59 per 100,000

24. Gonorrhea Cases By County By Number of Cases –Oklahoma County 1,460 cases ( 33.4%) Decreased by 15.9% –Tulsa County 1,329 (30.4%) Decreased by 9.7% –Comanche County 310 (7.1%) Increased rate of 35% By Case Rate –Comanche County 249.8 per 100,000 –Tulsa County 220.3 per 100,000 –Okmulgee County 217.1 per 100,000 Okmulgee County had a rate increase of 77.9% (from 122 per 100,000 in 2009).

25. Oklahoma Gonorrhea Cases

26. Syphilis Cases in Oklahoma

27. Early Syphilis in Oklahoma Early Syphilis includes primary, secondary, and early latent syphilis In 2012, 232 cases of early Syphilis in Oklahoma –Incidence rate of 6.2 per 100,000 –State rate decreased from 2009 (from 7.0 to 6.2 per 100,000) Nationally the rate has increased annually over the past ten years. –Primarily among men (from 3.0 cases in 2001 to 7.8 cases in 2009).

28. Early Syphilis in Oklahoma By Gender –74% of cases were male –The rate of total cases has decreased since 2009, but the male rate has increased from 3 to 7.8 By Age Group –Ages 20-24 had a rate of 16.3 per 100,000 –Ages 25-29 had a rate of 16.6 per 100,000

29. Early Syphilis in Oklahoma By Race/Ethnicity –Black: Highest rate at 31.3 per 100,000 7 times higher than Whites –White: 4.4 per 100,000 –Asian/Pacific Islander: 7.2 per 100,000 1.6 times higher than Whites –Hispanic: 6.6 per 100,000 34.8% decrease from 2009

30. Early Syphilis in Oklahoma By County –Oklahoma Most cases and highest rate (14.6 per 100,000) –McCurtain Second highest rate (12.1 per 100,000) –Tulsa Third highest rate (9.9 per 100,000) Early Syphilis in Oklahoma county decreased by 11.2%

31. The End