1. Northwest Region of Virginia HIV/AIDS and STD Trends Data through 2006

2. Northwest Region ALBEMARLE AUGUSTA BATH BUENA VISTA CAROLINE CHARLOTTESVILLE CLARKE CULPEPER FAUQUIER FLUVANNA FREDERICK FREDERICKSBURG GREENE HARRISONBURG HIGHLAND KING GEORGE LEXINGTON LOUISA MADISON NELSON ORANGE PAGE RAPPAHANNOCK RICHMOND CO. ROCKBRIDGE ROCKINGHAM SHENANDOAH SPOTSYLVANIA STAFFORD STAUNTON WARREN WAYNESBORO WINCHESTER

3. Notes to Accompany Virginia HIV/AIDS Trends All data is reported as of December 31st, 2005 unless otherwise indicated. HIV and AIDS reporting Virginia regulations require reporting of HIV and AIDS cases separately. As a result, a person can be listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A person first diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at a later time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDS case. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event, the person will be listed as only an AIDS case. Unduplicated As a result of Virginia reporting regulations for HIV and AIDS (see note above), an individual could be reported twice, once as an HIV case and once as an AIDS case. An unduplicated report will count this individual only once. In the case of both HIV and AIDS diagnoses for one individual, age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated. Living When active (e.g., review of charts at providers offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.

4. Notes to Accompany Virginia HIV/AIDS Trends Geography All location information is based on the address that is reported to the Division at the time of report. Report Date vs. Diagnosis Date Time frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees. AIDS Case Definition Change On January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severe immunosuppression in HIV-infected persons

5. HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported HIV/AIDS Northwest Region saw a 24% decrease in reported HIV/AIDS In the Northwest Region, Fauquier and Fluvanna each showed the most notable decrease (88%) In 2006, 49% of reported cases of HIV/AIDS in the Northwest region were White, 38% Black and 11% were Hispanic and 2% reported another race Majority of the reported cases of HIV/AIDS were male (76%) *Includes those that may have progressed to AIDS

6. Virginia HIV*/AIDS Cases by Region (N=34,585**) **Data through 2006 *Includes those that may have progressed to AIDS

7. Northwest Region of Virginia (N=1,286) Cases of HIV/AIDS* (1996-2006) *Includes those that may have progressed to AIDS

8. People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not AIDS)/AIDS in Northwest Virginia at the end of 2006 1217 7% of Virginias living total Most of cases are 35 years old 73% male 48% white

9. Number of People Living with HIV(not AIDS) or AIDS, in Virginia, by Region, at the end of 2006 (N=18,119)

10. Percentage of People Living with HIV (not AIDS), by Region (N=10,088*) *Data through 2006

11. Percentage of People Living with AIDS, by Region, (N=8,031*) *Data through 2006

12. Individuals Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia by Locality at the end of 2006 (N=1,217)

13. Individuals Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia, by Race, at the end of 2006 (N=1,217)

14. Individuals Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia, by Risk at the end of 2006 (N=1,217) *170 cases unidentified risk or undetermined risk

15. Females Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia by Risk at the end of 2006 (N=331*) *72 cases unidentified risk or undetermined risk

16. Males Living with HIV(not AIDS)/AIDS in the Northwest Region by Risk at the end of 2006 (N=886*) *98 cases unidentified risk or undetermined risk

17. Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%) in reported syphilis Northwest Region had a 5% decrease in reported syphilis In 2006, 72% of reported cases of Syphilis in the Northwest region were white, 22% black Majority of the reported cases of Syphilis were male (94%) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

18. Virginia Total Early Syphilis* Cases by Region, 2006 (N=351) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

19. Northwest Health Region Cases of Total Early Syphilis* (1998-2006) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

20. Individuals Reported with Total Early Syphilis* in the Northwest Health Region, by locality in 2006 (N=18) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

21. Individuals Reported with Total Early Syphilis* in the Northwest Health Region, by Race, in 2006 (N=18) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

22. Individuals Reported with Total Early Syphilis* in the Northwest Health Region, by age in 2006 (N=18) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

23. Gonorrhea Trends Between 2005-2006, statewide decrease (22%) in reported gonorrhea. 34% decrease in reported Hispanic cases. Northwest Region saw a 23% decrease in reported Gonorrhea In the Northwest Region, Charlottesville showed the most notable decrease (63%) In 2006, 38% of reported cases of Gonorrhea in the Northwest region were White, 54% Black, and 4% were unknown Majority of the reported cases of Gonorrhea were female (60%)

24. Virginia Gonorrhea Cases by Region, 2006 (N=6,474)

25. Northwest Health Region Cases Gonorrhea (1998-2006)

26. Individuals Reported with Gonorrhea in the Northwest Health Region, by Race, in 2006 (N=422)

27. Individuals Reported with Gonorrhea in the Northwest Health Region, by locality in 2006 (N=422)

28. Individuals Reported with Gonorrhea in the Northwest Health Region, by Age, in 2006 (N=422)

29. Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported Chlamydia and 26% increase in reported Hispanic Cases Northwest Region saw a 8% increase in reported Chlamydia In the Northwest Region, Spotsylvania showed the most notable increase (39%) In 2006 in the Northwest Region, 43% of reported cases of Chlamydia were white, 34% black and 13% were unknown Majority of the reported cases of Chlamydia were female (77%)

30. Virginia Chlamydia Cases by Region, 2006 (N=24,081)

31. Northwest Health Region Cases Chlamydia (1998-2006)

32. Individuals Reported with Chlamydia in the Northwest Health Region, by Race, in 2006 (N=2,777)

33. Individuals Reported with Chlamydia in the Northwest Health Region, by locality in 2006 (N=2,777)

34. Individuals Reported with Chlamydia in the Northwest Region, by age in 2006 (N=2,777)

35. Prepared by: Carrie Dolan, MPH Epidemiologist Lindsey Matthews, MPH (updated) Division of Disease Prevention July 2007 carrie.dolan@vdh.virginia.gov *Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007