HIV/AIDS EPIDEMIOLOGY IN MARYLAND

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1 HIV/AIDS EPIDEMIOLOGY IN MARYLAND WHITE HOUSE FORUM NATIONAL HIV/AIDS STRATEGY IMPLEMENTATION MEETING APRIL 29, 2013 Colin Flynn, Chief HIV Surveillance, Epidemiology and Evaluation Maryland Department of Health and Mental Hygiene Prevention and

2 MISSION AND VISION MISSION The mission of the Prevention and is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations. VISION The Prevention and envisions a future in which all Marylanders and their families enjoy optimal health and well-being. 2

3 Estimated Adults Living with Diagnosed HIV, year-end 2010, Ranked by Rates STATE/TERRITORY Cases Rate per 100, District of Columbia 14,359 2, New York 132, Virgin Islands Maryland 30, Florida 94, Puerto Rico 18, New Jersey 35, Louisiana 16, Georgia 33, Delaware 2, United States 888, CDC. HIV Surveillance Report, Vol. 23. Table 21. 3

4 Estimated HIV Diagnoses during 2011, Ranked by Rates STATE/TERRITORY Cases Rate per 100, District of Columbia Virgin Islands Maryland 1, Louisiana 1, Florida 5, Georgia 2, New York 4, Puerto Rico Mississippi Texas 5, United States 50, CDC. HIV Surveillance Report, Vol. 23. Table 19. 4

5 Maryland Ryan White Eligible Metropolitan Areas Washington Baltimore-Towson Harford Carroll Baltimore Frederick Baltimore City Howard Montgomery Anne Arundel Queen Anne s Prince George s Calvert Charles 5

6 Estimated Persons Living with Diagnosed HIV, year-end 2010, Ranked by Rates METROPOLITAN AREA Cases Rate per 100, Miami, FL 49, New York, NY-NJ-PA 143, Baltimore-Towson, MD 18, New Orleans-Metairie-Kenner, LA 7, Jackson, MS 3, San Francisco, CA 23, Memphis, TN-MS-AR 7, Washington, DC-VA-MD-WV 30, San Juan-Caguas-Guaynabo, PR 13, Baton Rouge, LA 4, United States 891, CDC. HIV Surveillance Report, Vol. 23. Table 23. 6

7 Estimated HIV Diagnoses during 2011, Ranked by Rates METROPOLITAN AREA Cases Rate per 100, Miami, FL 2, New Orleans-Metairie-Kenner, LA Baton Rouge, LA Jackson, MS Washington, DC-VA-MD-WV 1, Baltimore-Towson, MD Memphis, TN-MS-AR Atlanta-Sandy Springs-Marietta, GA 1, New York, NY-NJ-PA 5, Jacksonville, FL United States 50, CDC. HIV Surveillance Report, Vol. 23. Table 23. 7

8 Maryland Living Adult/ Adolescent HIV Cases by Region, 12/31/11 Suburban Washington 30% Baltimore City 44% N = 27,710 Suburban Baltimore 15% Corrections 5% Western 2% Eastern 2% Southern 2% Using data as reported through 12/31/2012 8

9 Maryland Living Adult/Adolescent HIV Cases by Demographics, 12/31/11 Sex at Birth Race/Ethnicity Female 36% NH- Black 77% NH- White 15% NH- Other 4% Male 64% Hispanic 4% Using data as reported through 12/31/2012 9

10 Living HIV Cases on 12/31/11 Maryland 1,800 1,600 1,400 1,200 1, Cases per 100,000 population by Race/Ethnicity and Sex at Birth 1,668 NH-Black Male 943 NH-Black Female 364 Hispanic Male NH-White Male Hispanic Female NH-White Female Using data as reported through 12/31/

11 Cases 14,000 12,000 10,000 8,000 6,000 4,000 Living Adult/Adolescent HIV Cases 12/31/11 by Exposure Category and Sex at Birth Maryland MSM MSM/IDU IDU HetSex Other 2,000 0 Male Female Using data as reported through 12/31/

12 Maryland Reported Adult/ Adolescent HIV Diagnosis Trends by Exposure Category Percent Year of HIV Diagnosis MSM IDU MSM/IDU HetSex Other Using data as reported through 12/31/

13 2011 Non-Hispanic Black HIV Diagnoses, Maryland Using data as reported through 12/31/

14 Continuum of Care Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Maryland ,793 27, Percentage ,314 11,950 9,600 7, HIV Infected HIV Diagnosed Linked to HIV Retained in Care HIV Care Engagement in HIV Care On ART Suppressed VL 0 Using data as reported through 12/31/

15 Maryland Prevention and Health Promotion Administration

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