1. AIDS Through The Ages Kevin E. Taubman, M.D., F.A.C.S. Cheryl Waldeck, MA, F.L.O.C. Kristin Foulks, BA, MPH Candidate Colin Carroll, MS-2 Ashkawn Ehsan, MS-1 Trenton Kinnear, MS-1 Bahar Malakouti, MS-2 Andrew Robbins, MS-2

2. Background Year 2011: No time to be complacent about HIV –Nationwide: > 40,000 new cases annually 25% HIV+ population are > 50 years of age. 27% increase in HIV/AIDS cases among adolescents (13-19) in last 6 years. –Oklahoma: 1998-2007: 350% increase in HIV+ if > 60 years 44% of those in OK (age 60+) with no identifiable traditional risk factor. Incidence in adolescents increased 25%.

3. Generational and Ethnic Disparities Outcomes are different –Adolescents: 39% of HIV-infected children progress to AIDS-defining illnesses within one year of HIV+ status. 59% undiagnosed until manifestation of AIDS-defining illness –Older Individuals (50+): Mortality higher and survival time shorter compared with younger adults 39-46% mortality within 3 years of HIV/AIDS diagnosis

4. Generational and Ethnic Disparities African Americans and HIV –Nationwide: Since 2007, more than 46% of documented HIV/AIDS cases. 57% of HIV/AIDS-related deaths. In 2009, 21,673 new cases were AA –Versus 42,959 total new US cases 13-19: Represent 73% of new cases (2009) –Oklahoma: Account for 23% of Oklahomans with HIV/AIDS (despite being 7.6% of total OK populous) Oklahoma: 100% increase in last 10 years in both adolescent and 50+ groups

5. The Goal Primary Outcome –Increased community awareness and education through community based participatory research (CBPR) Secondary Outcomes –Increased access to diagnosis and treatment –Prevention

6. The Stakeholders – The Community Local Community Service Council HOPE (Health Outreach Prevention Education) Life Senior Services Tulsa CARES Tulsa County Health Department Internal Medicine Specialty Services Clinic – OSU Tulsa Public Schools University of Oklahoma School of Community Medicine Youth Services of Tulsa Regional/National Center for Disease Control and Prevention (CDC) AIDS Coalition Ryan White Foundation Margaret Hudson Program NAACP AARP Boys and Girls Clubs of America Youth Service America Oklahoma State Department of Education

7. Methodology Establish Task Force –Members Representatives from selected community organizations and the targeted emerging at-risk community populations –Goal Identify available resources (Local, Regional, National) –Education, Care, Prevention, Funding Through CBPR coordinate the implementation of established/existing and/or pilot projects designed to focus on this population

8. Timeline and Budget

9. Appreciation and Acknowledgements Dr. Gerry Clancy and Dr. Dan Duffy Cheryl Waldeck 2011 Summer Institute – University of Oklahoma, Tulsa, School of Community Medicine Ryan White AIDS Foundation Tulsa City/County Health Department