1. Eastern Region of Virginia HIV/AIDS Trends Data through 2005

2. 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.

3. 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

4. Virginia Statewide HIV/AIDS Trends Between 2004-2005, statewide decrease (11.2%) in reported HIV and AIDS* Eastern Region saw a 6.2% decrease in reported HIV and AIDS* Norfolk showed the most notable decrease (30.9%) and the most notable increase was in Portsmouth (57.1%) Data through 2005 indicates in the Eastern Region, 26.6% of reported cases of HIV and AIDS* were white, 69.8% black and 3.6% reported another race *Duplicated Cases

5. Virginia HIV or AIDS* Cases by Region (N=26,980) *Unduplicated *Data through 2005

6. Eastern Region of Virginia (N=5,303) Cases of HIV and AIDS* (1996-2005) *Unduplicated

7. Estimated Number of People Living with HIV or AIDS, in Virginia, by Region, at the end of 2005 (N=17,531)

8. Percentage of People Living with HIV, by Region, from Virginia Statewide Total (N=9,697) 25.5% Central 7.5% 5.8% Northern Northwest Southwest 25.8% Eastern 35.3%

9. Percentage of People Living with AIDS, by Region, from Virginia Statewide Total (N=7,834) 22.1% Central 8.22% 7.8% Northern Northwest Southwest 31.8% Eastern 30.1%

10. Living Trends Estimated number of people living with HIV or AIDS in Eastern Virginia at the end of 2005= 5780 33% of Virginias living total Most of cases are 32 yrs. old at diagnosis 71% male 71% black

11. Individuals Living with HIV or AIDS in the Three Rivers Health District Region of Virginia by Gender and Locality at the end of 2005 (N=181)

12. Individuals Living with HIV or AIDS in the Peninsula District of the Eastern Region of Virginia by Gender and Locality at the end of 2005 (N=812)

13. Individuals Living with HIV or AIDS in the Eastern Shore, Western Tidewater, Portsmouth, Chesapeake, Virginia Beach, Hampton and Norfolk Health Districts in the Eastern Region of Virginia by Gender and Locality at the end of 2005 (N=4,787)

14. Individuals Living with HIV or AIDS in the Eastern Region of Virginia, by Race, at the end of 2005 (N=5780*) **Unknown (n=37) *Other includes: American Indian/Alaskan Native, Asian/Pacific Islander, Multiple Races

15. Individuals Living with HIV or AIDS in the Eastern Region of Virginia, by Risk at the end of 2005 (N=5,780*) *1244 cases unidentified risk or undetermined risk

16. Percentage of men living with HIV or AIDS in the Eastern Region of Virginia that reported their risk of infection as MSM (N=2020*) 32% *Data through December 2005 Portsmouth 36.4% 7.8% Three Rivers Peninsula Eastern Shore Western Tidewater Chesapeake Virginia Beach Hampton Norfolk 2.4% 12.4% 4.1% 8.9% 7.1% 19.1% 1.8% Portsmouth 36.4% 7.8%

17. Individuals Living with HIV or AIDS in the Eastern Region of Virginia by Risk, excluding MSM, at the end of 2005 (N=3564*) *1244 cases unidentified risk or undetermined risk

18. Percentage of women living with HIV or AIDS, in the Eastern Region of Virginia, that reported their risk of infection as heterosexual contact (N=790*) *Data through December 2005 Three Rivers Peninsula Eastern Shore Western Tidewater Chesapeake Virginia Beach Hampton Norfolk 3.9% 14.2% 4.8% 9.6% 9.5% 15.7% 3.8% Portsmouth 31.3% 7.2%

19. Prepared by: Carrie Dolan, MPH Epidemiologist Division of Disease Prevention March 2006 carrie.dolan@vdh.virginia.gov