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

2. Eastern Region Accomack Chesapeake Essex Gloucester Hampton Isle of Wight James City King & Queen King William Lancaster Mathews Middlesex Newport News Norfolk North Hampton Northumberland Portsmouth Richmond County South Hampton Suffolk Virginia Beach Westmoreland Williamsburg York

3. Notes to Accompany Virginia HIV/AIDS Trends All data is reported as of December 31st, 2006 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 Eastern Region saw a 8% decrease in reported HIV/AIDS In the Eastern Region, Portsmouth showed the most notable decrease (48%) In 2006, 23% of reported cases of HIV/AIDS in the Eastern region were White, 72% Black, and 5% were Hispanic Majority of the reported cases of HIV/AIDS were male (70%) *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. Eastern Region of Virginia (N=6,433) 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 Eastern Virginia at the end of 2006 5851 32% of Virginias living total Most of cases are 32 years old 72% male 71% black

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 Eastern Region of Virginia by Locality as of the end of 2006 (N=5,851)

13. Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region, by Race, at the end of 2006 (N=5,851)

14. Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region, by Risk at the end of 2006 (N=5,581) *1315 cases unidentified risk or undetermined risk

15. Females Living with HIV(not AIDS)/AIDS in the Eastern Region of Virginia by Risk at the end of 2006 (N=1664*) *484 cases unidentified risk or undetermined risk

16. Males Living with HIV(not AIDS)/AIDS in the Eastern Region by Risk at the end of 2006 (N=4187*) *831 cases unidentified risk or undetermined risk

17. Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%) in reported syphilis Eastern Region saw a 13% increase in reported syphilis In the Eastern Region, Suffolk showed the most notable decrease (53%) In 2006, 10% of reported cases of Syphilis in the Eastern region were white, 88% black and 2% reported another race Majority of the reported cases of Syphilis were male (76%) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

18. Virginia Total Early Syphilis Cases by Region, 2006 (N=351)

19. Eastern 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 Eastern Health Region, by locality in 2006 (N=158) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

21. Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by Race, in 2006 (N=158) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

22. Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by age in 2006 (N=158) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

23. Gonorrhea Trends Between 2005-2006, statewide decrease (23%) in reported Gonorrhea. 34% decrease in reported Hispanic cases. Eastern Region saw a 24% decrease in reported Gonorrhea In the Eastern Region, Norfolk showed the most notable decrease (33%) In 2006, 12% of reported cases of Gonorrhea in the Eastern region were White, 83% Black, 7% were Hispanic, and 3% were unknown Majority of the reported cases of Gonorrhea were female (52%)

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

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

26. Individuals Reported with Gonorrhea in the Eastern Health Region, by locality in 2006 (N=2707)

27. Individuals Reported with Gonorrhea in the Eastern Health Region, by Race, in 2006 (N=2,707)

28. Individuals Reported with Gonorrhea in the Eastern Health Region, by Age, in 2006 (N=2,707)

29. Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported Chlamydia and 26% increase in reported Hispanic Cases Eastern Region saw a 8% increase in reported Chlamydia In the Eastern Region, Chesapeake showed the most notable increase (25%) In 2006 in the Eastern Region, 18% of reported cases of Chlamydia were white, 69% black and 9% were unknown Majority of the reported cases of Chlamydia were female (73%)

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

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

32. Individuals Reported with Chlamydia in the Eastern Health Region, by locality in 2006 (N=9,783)

33. Individuals Reported with Chlamydia in the Eastern Health Region, by Race, in 2006 (N=9,783)

34. Individuals Reported with Chlamydia in the Eastern Region, by age in 2006 (N=9,783)

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