HIV EPIDEMIOLOGY PROGRAM

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1 HIV EPIDEMIOLOGY PROGRAM ADVANCED HIV DISEASE (AIDS) QUARTERLY SURVEILLANCE SUMMARY Cases Reported as of June 30, 2002 Issued July 15, S. Commonwealth Ave., Suite 1920 Los Angeles, CA (Phone) (213) (Fax) (213)

2 THOMAS L. GARTHWAITE, M.D. Director of Health Services and Chief Medical Officer JONATHAN E. FIELDING, M.D., M.P.H. Director of Public Health and Health Officer HIV Epidemiology Program GORDON BUNCH, M.A., Director 600 South Commonwealth Avenue, Suite 1920 Los Angeles, California TEL (213) ? FAX (213) July 12, 2002 Dear Colleague: In this, the July 15, 2002 issue of the Advanced HIV Disease (AIDS) Quarterly Surveillance Summary for Los Angeles County, we have added two tables to the Summary in response to frequent data requests. Table 19 breaks down cumulative AIDS cases from 1982 to the present by demographics and risk exposures for each Service Planning Area. Table 20 presents the same breakdown for AIDS cases diagnosed in the year 2000 the latest year for which data are nearly complete. Also, in Appendix 2 on page 27, we have added a caveat for the interpretation of rates in which a small number of observations are used to compute the rate. In accordance with criterion used by the National Center for Health Statistics, rates based on less than 20 observations are considered unreliable. These rates are, then, to be interpreted with more caution than would be needed for rates based on more observations, because relatively small changes in the number of observations could inordinately change the magnitude of the corresponding rate. If you have questions about why we have made these additions or how to interpret these data, please contact Virginia Hu or myself at the telephone number above. If and when future major changes are made in the Summary, we will highlight them as we have done here. Also enclosed, you will find the first Annual Report of HIV Epidemiology Program s Supplement to HIV/AIDS Surveillance (SHAS) project. SHAS is the only population-based interview study of persons diagnosed with AIDS in Los Angeles County and also includes a group of HIV-infected women from one large public clinic. SHAS is a multi-site study funded by the U.S. Centers for Disease Control and Prevention since 1990 and is currently conducted in 18 sites around the United States. SHAS was designed to obtain supplemental behavioral, demographic and other information on persons diagnosed with HIV and AIDS. In Los Angeles, SHAS is used to inform policy and planning decisions concerning the prevention and care of persons with HIV and AIDS. In addition, over 40 local and national publications and presentations have resulted from the SHAS project. For special analyses of SHAS data or questions about the project, please contact SHAS Principal Investigator, Amy Wohl, PhD, or SHAS Project Coordinator Denise Johnson, MPH, at tel. (213) Finally, a reminder that HIV surveillance began on July 1, 2002 and that HIV Epidemiology Program staff are available during business hours (tel ) to help explain the new regulations, how to implement them, or to take phone reports. Our HIV reporting web site is up and running with downloadable forms and information, including answers to some frequently asked questions. You can access our web site at Sincerely, Douglas M. Frye, MD, MPH Deputy Director and Medical Epidemiologist

3 NOTICE TO HEALTH CARE PROVIDERS AND OTHERS RESPONSIBLE FOR DISEASE REPORTING: California Code of Regulations, Title 17, Section 2500 requires that all diagnosed or suspected cases of AIDS as defined by CDC must be reported within seven (7) days to the Health Officer. In addition, California Code of Regulations, Title 17, Section 2600 requires both health care providers and laboratories report HIV cases to the Health Officer within seven (7) days. To obtain more information on the HIV/AIDS reporting requirement, or to obtain case report forms or to report a case, please visit our web site: or contact the HIV Epidemiology Program, 600 South Commonwealth Avenue, Room 805, Los Angeles, CA Phone (213) ; Fax (213) The Advanced HIV Disease (AIDS) Surveillance Summary is published quarterly by the HIV Epidemiology Program, Los Angeles County Department of Health Services. Copies of this report are available free of charge. Individuals or organizations may be added to the mailing list by contacting the HIV Epidemiology Program at the phone number or address listed above. This report is also available at our web site at Suggested Citation: HIV Epidemiology Program, Los Angeles County Department of Health Services. Advanced HIV Disease (AIDS) Surveillance Summary, July 15, 2002: 1-27 Los Angeles County Department of Health Services...Thomas L. Garthwaite, MD...Director and Chief Medical Officer Public Health...Jonathan Fielding, MD, MPH, MBA...Director Office of Health Assessment and Epidemiology...Paul Simon, MD, MPH...Director HIV Epidemiology Program...Gordon Bunch, MA...Director...Douglas Frye, MD, MPH... Deputy Director/Medical Epidemiologist Data Analysis Unit...Virginia Hu, MPH...Epidemiologist...Zhijuan Sheng, MS...Epidemiology Analyst Data Acquisition Unit...Mi Suk Yu-Harlan, MSPH Epidemiology E...Epidemiologist

4 CONTENTS Quarterly Surveillance Summary...1 Figure 1: Cases of Advanced HIV Disease (AIDS) and Deaths by Year of Diagnosis and Death among AIDS Cases by Year of Death...2 Table 1: Cases, Deaths, Living Cases and Case Fatality Rate of Advanced HIV Disease (AIDS) by Year of Diagnosis...2 Table 2: Cumulative Cases of Advanced HIV Disease (AIDS) by Gender, Age Group and Race/Ethnicity...3 Table 3: Cumulative Adult/Adolescent Cases of Advanced HIV Disease (AIDS) by Gender, Exposure Category and Race/Ethnicity...4 Table 4: Annual Adult/Adolescent Cases of Advanced HIV Disease (AIDS) and Rates per 100,000 by Gender, Year of Diagnosis and Race/Ethnicity...5 Table 5: Adult/Adolescent Cases of Advanced HIV Disease (AIDS) by Gender, Exposure Category and Year of Diagnosis...6 Table 6: White Adult/Adolescent Cases of Advanced HIV Disease (AIDS) by Gender, Exposure Category and Year of Diagnosis...7 Table 7: Black Adult/Adolescent Cases of Advanced HIV Disease (AIDS) by Gender, Exposure Category and Year of Diagnosis...8 Table 8: Hispanic Adult/Adolescent Cases of Advanced HIV Disease (AIDS) by Gender, Exposure Category and Year of Diagnosis...9 Table 9: Cumulative Pediatric Cases of Advanced HIV Disease (AIDS) by Exposure Category and Race/Ethnicity...10 Table 10: Pediatric Cases of Advanced HIV Disease (AIDS) by Exposure Category and Year of Diagnosis...10 Table 11: Pediatric Cases of Advanced HIV Disease (AIDS) by Race/Ethnicity and Year of Diagnosis...11 Table 12: Cumulative Adult/Adolescent Cases of Advanced HIV Disease (AIDS) by Gender, Race/Ethnicity and Definition Category...12 Table 13: Cumulative Adult/Adolescent and Pediatric Cases of Injection Drug-Associated Advanced HIV Disease (AIDS) by Gender, Exposure Category and Race/Ethnicity...13 Table 14: Adult/Adolescent Advanced HIV Disease (AIDS) Indicator Conditions by Gender...14 Table 15: Annual Cases of Advanced HIV Disease (AIDS) and Rates per 100,000 by Service Planning Area/Health District of Residence and Year of Diagnosis...15 Table 16: Annual Cases of Advanced HIV Disease (AIDS) and Rates per 100,000 by City/Area and Year of Diagnosis...16 Table 17: Cumulative Cases of Advanced HIV Disease (AIDS) by Supervisorial District, Gender, Age Group, Race/Ethnicity and Exposure Category...17 Table 18: Annual Cases of Advanced HIV Disease (AIDS) and Rates per 100,000 by Supervisorial District and Year of Diagnosis...18

5 Table 19: Cumulative Number of Persons Diagnosed with Advanced HIV Disease (AIDS) by Gender, Age, Race/Ethnicity and Exposure Category for each Service Planning Area In Los Angeles County, Table 20: Number of Persons Diagnosed with Advanced HIV Disease (AIDS) and Rate per 100,000 in Year 2000 by Gender, Age, Race/Ethnicity and Exposure Category for each Service Planning Area...20 Table 21: Persons Living with Advanced HIV Disease (AIDS) and Rates per 100,000 at the end of Calendar Year by Gender, Age, Race/Ethnicity and Exposure Category...21 Table 22: Persons Living with Advanced HIV Disease (AIDS) and Rate per 100,000 as of December 31, 2001 by Service Planning Area, Gender, Age, Race/Ethnicity and Exposure Category...22 Table 23: AIDS Cases and Deaths, Reported in by Gender, Race/Ethnicity, Exposure Category and Percentage Change...23 Figure 2: Male Adult/Adolescent AIDS Rates by Race/Ethnicity and Year of Diagnosis Los Angeles County Figure 3: Female Adult/Adolescent AIDS Rates by Race/Ethnicity and Year of Diagnosis Los Angeles County, Figure 4: Percent of Adult/Adolescent Advanced HIV Disease (AIDS) Cases by Race/Ethnicity and Year of Diagnosis, Appendix 1: 1993 Revised Classification System for HIV Infection and Expanded AIDS Surveillance Case Definition for Adolescents and Adults...26 Appendix 2: Surveillance Notes...27

6 Los Angeles County Department of Health Services HIV Epidemiology Program Advanced HIV Disease (AIDS) Quarterly Surveillance Summary, April-June 2002 Los Angeles County 1 New cases reported this quarter* 415 New cases reported year-to-date* 837 Deaths reported this quarter* # 401 Deaths reported year-to-date* 539 Cumulative cases 44,308 Cumulative deaths 27,645 Living cases 16,663 Cumulative case-fatality rate 62% California 2 Cumulative cases 125,848 Cumulative deaths 76,447 Living cases 49,401 Cumulative case-fatality rate 61% United States 3 Cumulative cases 793,026 Cumulative deaths 457,667 Living cases 335,359 Cumulative case-fatality rate 58% 1 Includes all cases reported to the HIV Epidemiology Program as of June 30, California Office of AIDS. Preliminary California AIDS Update, June 30, Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, June 2001, Vol. 13, No. 1. * Totals may not be consistent with previous quarterly reports due to periodic updates of the database, including the deletion of duplicate cases and the reclassification of previously reported AIDS cases as non-cases. # The large number of death reported in this quarter is due to a match with the Los Angeles and California State Death files. 1

7 FIGURE 1. CASES OF ADVANCED HIV DISEASE (AIDS) BY YEAR OF DIAGNOSIS AND DEATH AMONG AIDS CASES BY YEAR OF DEATH Cases Case diagnosed Death occurred * Year of Diagnosis/Death * Data are provisional for TABLE 1. CASES, DEATHS, LIVING CASES AND CASE-FATALITY RATES OF ADVANCED HIV DISEASE (AIDS) BY YEAR OF DIAGNOSIS, REPORTED BY JUNE 30, 2002, LOS ANGELES COUNTY Year of Diagnosis No. of Cases No. of Deaths No. of Living Case-fatality diagnosed occurred cases (1,2) Rate (%) Before (3) Total(4) Includes persons living with AIDS at the end of each year. 2. Includes persons with AIDS whose vital status is unknown. 3. Data are provisional due to reporting delay. 4. Includes persons diagnosed or died after Total death also includes cases whose date of death is unknown. 2

8 TABLE 2. CUMULATIVE CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, AGE GROUP AND RACE/ETHNICITY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Race/Ethnicity Age at Diagnosis White Black Hispanic Asian (1) AI/AN (2) Total (3) (years) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) MALE <13 25 ( 0) 47 ( 1) 58 ( 1) 2 ( 0) 1 ( 1) 133 ( 0) ( 0) 32 ( 0) 63 ( 1) 4 ( 0) 1 ( 1) 126 ( 0) ( 12) 1249 ( 16) 2583 ( 23) 110 ( 13) 31 ( 28) 6496 ( 16) ( 45) 3444 ( 45) 5288 ( 46) 344 ( 42) 52 ( 46) ( 45) ( 29) 2093 ( 27) 2397 ( 21) 256 ( 31) 17 ( 15) ( 26) ( 11) 659 ( 9) 787 ( 7) 79 ( 10) 7 ( 6) 3751 ( 9) ( 4) 195 ( 3) 277 ( 2) 20 ( 2) 3 ( 3) 1253 ( 3) Male subtotal [% of subtotal] [ 51] [ 19] [ 28] [ 2] [ 0] [100] FEMALE <13 17 ( 2) 33 ( 3) 52 ( 4) 3 ( 4) 0 ( 0) 105 ( 3) ( 1) 14 ( 1) 21 ( 2) 3 ( 4) 0 ( 0) 46 ( 1) ( 18) 271 ( 22) 300 ( 25) 9 ( 13) 2 ( 13) 726 ( 22) ( 37) 490 ( 39) 417 ( 35) 17 ( 24) 5 ( 33) 1228 ( 37) ( 22) 311 ( 25) 220 ( 18) 20 ( 29) 5 ( 33) 731 ( 22) ( 10) 98 ( 8) 121 ( 10) 13 ( 19) 2 ( 13) 311 ( 9) ( 9) 38 ( 3) 59 ( 5) 5 ( 7) 1 ( 7) 176 ( 5) Female subtotal [% of subtotal] [ 24] [ 38] [ 36] [ 2] [ 0] [100] Total [% of total] [ 49] [ 20] [ 29] [ 2] [ 0] [100] 1. Includes <5 Burmese, 24 Cambodian, 79 Chinese, 266 Filipino, 14 Guamanian, 27 Hawaiian, 7 Indian, 12 Indonesian, 114 Japanese, 35 Korean, <5 Loatian, 8 Malayan, <5 N Marianan, 5 Pacific Islander, <5 Pakistani, 28 Samoan, <5 Singaporean, <5 Sri Lankan, <5 Tahitian, 18 Taiwanese, 60 Thai, <5 Tongan, and 63 Vietnamese; 106 are of unknown Asian ethnicity. 2. AI/AN=American Indian/Alaska Native. 3. Includes 114 males and 6 females whose race/ethnicity is unknown. 3

9 TABLE 3. CUMULATIVE ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, EXPOSURE CATEGORY AND RACE/ETHNICITY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Race/Ethnicity Adult/Adolescent White Black Hispanic Asian AI/AN (2) Total (3) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) MALE Male-male sexual contact ( 84) 4971 ( 65) 8032 ( 70) 662 ( 81) 84 ( 76) ( 77) Injection drug user (IDU) 717 ( 3) 863 ( 11) 693 ( 6) 10 ( 1) 5 ( 5) 2293 ( 6) Male-male sexual contact/idu 1487 ( 7) 688 ( 9) 597 ( 5) 23 ( 3) 15 ( 14) 2812 ( 7) Hemophilia or coagulation disorder 91 ( 0) 23 ( 0) 42 ( 0) 9 ( 1) 0 ( 0) 168 ( 0) Heterosexual contact (4) 139 ( 1) 207 ( 3) 291 ( 3) 9 ( 1) 0 ( 0) 648 ( 2) Transfusion recipient 139 ( 1) 39 ( 1) 92 ( 1) 20 ( 2) 1 ( 1) 292 ( 1) Other/Undetermined 688 ( 3) 881 ( 11) 1648 ( 14) 80 ( 10) 6 ( 5) 3309 ( 8) Male subtotal [% of subtotal] [ 51] [ 19] [ 28] [ 2] [ 0] [100] FEMALE Mother with/at risk for HIV 1 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 1 ( 0) Injection drug user (IDU) 253 ( 33) 367 ( 30) 177 ( 16) 8 ( 12) 6 ( 40) 815 ( 25) Hemophilia or coagulation disorder 7 ( 1) 2 ( 0) 2 ( 0) 0 ( 0) 0 ( 0) 11 ( 0) Heterosexual contact (4) 328 ( 43) 520 ( 43) 582 ( 51) 31 ( 46) 5 ( 33) 1467 ( 46) Transfusion recipient 75 ( 10) 48 ( 4) 101 ( 9) 15 ( 22) 0 ( 0) 239 ( 7) Other/Undetermined 107 ( 14) 285 ( 23) 276 ( 24) 13 ( 19) 4 ( 27) 686 ( 21) Female subtotal [% of subtotal] [ 24] [ 38] [ 35] [ 2] [ 0] [100] Total [% of total] [ 49] [ 20] [ 28] [ 2] [ 0] [100] 1. Exposure categories are ordered hierarchically. Except for the combination listed, cases with multiple exposure categories are included in the category listed first. 2. AI/AN=American Indian/Alaska Native. 3. Includes 114 males and 6 females whose race/ethnicity is unknown. 4. Heterosexual contact with a person who is HIV-infected or at increased risk for HIV. 4

10 TABLE 4. ANNUAL ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) AND RATES (1) PER 100,000 BY GENDER, YEAR OF DIAGNOSIS AND RACE/ETHNICITY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Race/Ethnicity White Black Hispanic Other Total (2) Year of Diagnosis No. (Rate) No. (Rate) No. (Rate) No. (Rate) No. (Rate) MALE (139) 642 (192) 941 ( 72) 62 ( 17) 3785 (107) (131) 753 (227) 1038 ( 77) 110 ( 28) 3885 (108) (119) 702 (213) 1065 ( 76) 76 ( 19) 3627 (100) (107) 702 (215) 987 ( 69) 89 ( 21) 3371 ( 92) ( 98) 593 (183) 989 ( 67) 78 ( 18) 3102 ( 84) ( 74) 494 (154) 806 ( 53) 63 ( 14) 2444 ( 65) ( 44) 423 (133) 716 ( 46) 51 ( 11) 1825 ( 48) ( 38) 382 (121) 658 ( 41) 50 ( 10) 1640 ( 43) ( 33) 328 (105) 610 ( 37) 48 ( 10) 1447 ( 37) ( 26) 267 ( 86) 520 ( 31) 28 ( 5) 1182 ( 30) 2001 (3,4) 291 ( 21) 230 ( 74) 439 ( 26) 37 ( 7) 999 ( 26) Cumulative Male subtotal(5) FEMALE ( 4) 66 ( 17) 67 ( 5) 10 ( 2) 208 ( 6) ( 5) 96 ( 25) 83 ( 7) 6 ( 1) 262 ( 7) ( 5) 106 ( 27) 113 ( 9) 2 ( 0) 300 ( 8) ( 3) 140 ( 37) 99 ( 7) 7 ( 2) 296 ( 8) ( 5) 126 ( 33) 128 ( 9) 10 ( 2) 341 ( 9) ( 4) 99 ( 26) 117 ( 8) 7 ( 1) 277 ( 7) ( 3) 117 ( 32) 93 ( 6) 8 ( 2) 263 ( 7) ( 3) 72 ( 20) 87 ( 6) 5 ( 1) 202 ( 5) ( 2) 88 ( 24) 70 ( 4) 4 ( 1) 198 ( 5) ( 3) 74 ( 21) 83 ( 5) 4 ( 1) 198 ( 5) 2001 (3,4) 24 ( 2) 58 ( 16) 64 ( 4) 3 ( 1) 149 ( 4) Cumulative Female subtotal(5) Cumulative Total (5) Rates based on less than 20 observations may not be reliable (see Technical Notes, page 27). 2. Total includes cases whose race/ethnicity is unknown. 3. Data are provisional due to reporting delay. 4. Rates for year 2001 are based on 2000 population estimates. 5. Includes cases diagnosed prior to 1991 and after

11 TABLE 5. ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, EXPOSURE CATEGORY AND YEAR OF DIAGNOSIS, REPORTED BY JUNE 30, 2002, LA COUNTY Year of Diagnosis Cumulative total Adult/Adolescent (2) since 1982 (3) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) MALE Male-male sexual contact 2819 ( 78) 2596 ( 77) 2351 ( 76) 1807 ( 74) 1195 ( 65) 1041 ( 63) 911 ( 63) 722 ( 61) 597 ( 60) ( 77) Injection drug user (IDU) 252 ( 7) 249 ( 7) 180 ( 6) 163 ( 7) 129 ( 7) 101 ( 6) 78 ( 5) 81 ( 7) 75 ( 8) 2293 ( 6) Male-male sexual contact/idu 277 ( 8) 208 ( 6) 197 ( 6) 144 ( 6) 104 ( 6) 91 ( 6) 69 ( 5) 62 ( 5) 55 ( 6) 2812 ( 7) Hemophilia or coagulation disorder 13 ( 0) 17 ( 1) 12 ( 0) 5 ( 0) 10 ( 1) 1 ( 0) 2 ( 0) 3 ( 0) 5 ( 1) 168 ( 0) Heterosexual contact (4) 51 ( 1) 46 ( 1) 71 ( 2) 47 ( 2) 61 ( 3) 59 ( 4) 45 ( 3) 44 ( 4) 51 ( 5) 648 ( 2) Transfusion recipient 17 ( 0) 18 ( 1) 15 ( 0) 14 ( 1) 7 ( 0) 3 ( 0) 3 ( 0) 4 ( 0) 2 ( 0) 292 ( 1) Other/Undetermined 198 ( 5) 237 ( 7) 276 ( 9) 264 ( 11) 319 ( 17) 344 ( 21) 339 ( 23) 266 ( 23) 214 ( 21) 3310 ( 8) Male subtotal [% of subtotal] [ 9] [ 8] [ 8] [ 6] [ 4] [ 4] [ 4] [ 3] [ 2] [100] FEMALE Injection drug user (IDU) 73 ( 24) 81 ( 27) 90 ( 26) 71 ( 26) 69 ( 26) 40 ( 20) 38 ( 19) 30 ( 15) 30 ( 20) 815 ( 25) Hemophilia or coagulation disorder 2 ( 1) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 1 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 11 ( 0) Heterosexual contact (4) 160 ( 53) 155 ( 52) 187 ( 55) 140 ( 51) 121 ( 46) 95 ( 47) 89 ( 45) 79 ( 40) 42 ( 28) 1467 ( 46) Transfusion recipient 26 ( 9) 21 ( 7) 15 ( 4) 9 ( 3) 7 ( 3) 3 ( 1) 3 ( 2) 0 ( 0) 3 ( 2) 239 ( 7) Other/Undetermined 39 ( 13) 39 ( 13) 49 ( 14) 57 ( 21) 66 ( 25) 63 ( 31) 68 ( 34) 89 ( 45) 74 ( 50) 686 ( 21) Female subtotal [% of subtotal] [ 9] [ 9] [ 11] [ 9] [ 8] [ 6] [ 6] [ 6] [ 5] [100] Total [% of total] [ 9] [ 8] [ 8] [ 6] [ 5] [ 4] [ 4] [ 3] [ 3] [100] 1. Exposure categories are ordered hierarchically. Cases with multiple exposure categories are included in the category listed first. 2. Data are provisional due to reporting delay. 3. Includes cases diagnosed prior to 1993 and after Heterosexual contact with a person who is HIV-infected or at increased risk for HIV. 6

12 TABLE 6. WHITE ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, EXPOSURE CATEGORY AND YEAR OF DIAGNOSIS, REPORTED BY JUNE 30, 2002, LA COUNTY Year of Diagnosis Cumulative total Adult/Adolescent (2) since 1982 (3) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) MALE Male-male sexual contact 1485 ( 84) 1317 ( 83) 1187 ( 83) 881 ( 82) 475 ( 75) 400 ( 73) 340 ( 74) 263 ( 72) 202 ( 69) ( 84) Injection drug user (IDU) 86 ( 5) 79 ( 5) 52 ( 4) 50 ( 5) 39 ( 6) 33 ( 6) 21 ( 5) 17 ( 5) 26 ( 9) 717 ( 3) Male-male sexual contact/idu 132 ( 7) 104 ( 7) 92 ( 6) 78 ( 7) 47 ( 7) 41 ( 7) 36 ( 8) 32 ( 9) 25 ( 9) 1487 ( 7) Hemophilia or coagulation disorder 4 ( 0) 7 ( 0) 8 ( 1) 3 ( 0) 6 ( 1) 1 ( 0) 1 ( 0) 1 ( 0) 3 ( 1) 91 ( 0) Heterosexual contact (4) 15 ( 1) 8 ( 1) 17 ( 1) 5 ( 0) 10 ( 2) 10 ( 2) 12 ( 3) 2 ( 1) 9 ( 3) 139 ( 1) Transfusion recipient 5 ( 0) 5 ( 0) 5 ( 0) 2 ( 0) 2 ( 0) 0 ( 0) 2 ( 0) 1 ( 0) 0 ( 0) 139 ( 1) Other/Undetermined 46 ( 3) 59 ( 4) 71 ( 5) 60 ( 6) 55 ( 9) 63 ( 11) 48 ( 10) 50 ( 14) 26 ( 9) 689 ( 3) Male subtotal [% of subtotal] [ 9] [ 8] [ 7] [ 5] [ 3] [ 3] [ 2] [ 2] [ 1] [100] FEMALE Injection drug user (IDU) 27 ( 35) 24 ( 48) 20 ( 26) 23 ( 43) 16 ( 36) 11 ( 30) 13 ( 37) 9 ( 24) 8 ( 33) 253 ( 33) Hemophilia or coagulation disorder 1 ( 1) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 7 ( 1) Heterosexual contact (4) 37 ( 47) 18 ( 36) 39 ( 51) 23 ( 43) 24 ( 53) 19 ( 51) 20 ( 57) 13 ( 35) 6 ( 25) 328 ( 43) Transfusion recipient 3 ( 4) 4 ( 8) 4 ( 5) 0 ( 0) 1 ( 2) 1 ( 3) 0 ( 0) 0 ( 0) 1 ( 4) 75 ( 10) Other/Undetermined 10 ( 13) 4 ( 8) 13 ( 17) 7 ( 13) 4 ( 9) 6 ( 16) 2 ( 6) 15 ( 41) 9 ( 38) 107 ( 14) Female subtotal [% of subtotal] [ 10] [ 6] [ 10] [ 7] [ 6] [ 5] [ 5] [ 5] [ 3] [100] Total [% of total] [ 9] [ 8] [ 7] [ 5] [ 3] [ 3] [ 2] [ 2] [ 1] [100] 1. Exposure categories are ordered hierarchically. Cases with multiple exposure categories are included in the category listed first. 2. Data are provisional due to reporting delay. 3. Includes cases diagnosed prior to 1993 and after Heterosexual contact with a person who is HIV-infected or at increased risk for HIV. 7

13 TABLE 7. BLACK ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, EXPOSURE CATEGORY AND YEAR OF DIAGNOSIS, REPORTED BY JUNE 30, 2002, LA COUNTY Year of Diagnosis Cumulative total Adult/Adolescent (2) since 1982 (3) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) MALE Male-male sexual contact 480 ( 68) 456 ( 65) 377 ( 64) 301 ( 61) 244 ( 58) 226 ( 59) 185 ( 56) 138 ( 52) 124 ( 54) 4971 ( 65) Injection drug user (IDU) 90 ( 13) 97 ( 14) 62 ( 10) 66 ( 13) 50 ( 12) 32 ( 8) 23 ( 7) 31 ( 12) 29 ( 13) 863 ( 11) Male-male sexual contact/idu 60 ( 9) 54 ( 8) 59 ( 10) 32 ( 6) 24 ( 6) 27 ( 7) 15 ( 5) 14 ( 5) 13 ( 6) 688 ( 9) Hemophilia or coagulation disorder 2 ( 0) 2 ( 0) 1 ( 0) 1 ( 0) 0 ( 0) 0 ( 0) 1 ( 0) 0 ( 0) 1 ( 0) 23 ( 0) Heterosexual contact (4) 11 ( 2) 18 ( 3) 17 ( 3) 18 ( 4) 21 ( 5) 13 ( 3) 12 ( 4) 15 ( 6) 12 ( 5) 207 ( 3) Transfusion recipient 2 ( 0) 6 ( 1) 3 ( 1) 1 ( 0) 1 ( 0) 1 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 39 ( 1) Other/Undetermined 57 ( 8) 69 ( 10) 74 ( 12) 75 ( 15) 83 ( 20) 83 ( 22) 92 ( 28) 69 ( 26) 51 ( 22) 881 ( 11) Male subtotal [% of subtotal] [ 9] [ 9] [ 8] [ 6] [ 6] [ 5] [ 4] [ 3] [ 3] [100] FEMALE Injection drug user (IDU) 26 ( 25) 39 ( 28) 44 ( 35) 30 ( 30) 34 ( 29) 15 ( 21) 17 ( 19) 16 ( 22) 13 ( 22) 367 ( 30) Hemophilia or coagulation disorder 1 ( 1) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 2 ( 0) Heterosexual contact (4) 55 ( 52) 68 ( 49) 62 ( 49) 41 ( 41) 52 ( 44) 31 ( 43) 33 ( 38) 25 ( 34) 17 ( 29) 520 ( 43) Transfusion recipient 7 ( 7) 8 ( 6) 3 ( 2) 2 ( 2) 2 ( 2) 1 ( 1) 2 ( 2) 0 ( 0) 1 ( 2) 48 ( 4) Other/Undetermined 17 ( 16) 25 ( 18) 17 ( 13) 26 ( 26) 29 ( 25) 25 ( 35) 36 ( 41) 33 ( 45) 27 ( 47) 285 ( 23) Female subtotal [% of subtotal] [ 9] [ 11] [ 10] [ 8] [ 10] [ 6] [ 7] [ 6] [ 5] [100] Total [% of total] [ 9] [ 9] [ 8] [ 7] [ 6] [ 5] [ 5] [ 4] [ 3] [100] 1. Exposure categories are ordered hierarchically. Cases with multiple exposure categories are included in the category listed first. 2. Data are provisional due to reporting delay. 3. Includes cases diagnosed prior to 1993 and after Heterosexual contact with a person who is HIV-infected or at increased risk for HIV. 8

14 TABLE 8. HISPANIC ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, EXPOSURE CATEGORY AND YEAR OF DIAGNOSIS, REPORTED BY JUNE 30, 2002, LA COUNTY Year of Diagnosis Cumulative total Adult/Adolescent (2) since 1982 (3) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) MALE Male-male sexual contact 780 ( 73) 738 ( 75) 715 ( 72) 575 ( 71) 438 ( 61) 378 ( 57) 354 ( 58) 301 ( 58) 243 ( 55) 8032 ( 70) Injection drug user (IDU) 76 ( 7) 68 ( 7) 65 ( 7) 44 ( 5) 39 ( 5) 35 ( 5) 34 ( 6) 32 ( 6) 20 ( 5) 693 ( 6) Male-male sexual contact/idu 80 ( 8) 48 ( 5) 41 ( 4) 30 ( 4) 31 ( 4) 20 ( 3) 17 ( 3) 14 ( 3) 17 ( 4) 597 ( 5) Hemophilia or coagulation disorder 6 ( 1) 7 ( 1) 3 ( 0) 0 ( 0) 4 ( 1) 0 ( 0) 0 ( 0) 2 ( 0) 0 ( 0) 42 ( 0) Heterosexual contact (4) 22 ( 2) 19 ( 2) 36 ( 4) 24 ( 3) 29 ( 4) 36 ( 5) 20 ( 3) 25 ( 5) 29 ( 7) 291 ( 3) Transfusion recipient 9 ( 1) 7 ( 1) 5 ( 1) 11 ( 1) 3 ( 0) 1 ( 0) 0 ( 0) 3 ( 1) 1 ( 0) 92 ( 1) Other/Undetermined 92 ( 9) 100 ( 10) 124 ( 13) 122 ( 15) 172 ( 24) 188 ( 29) 185 ( 30) 143 ( 28) 129 ( 29) 1648 ( 14) Male subtotal [% of subtotal] [ 9] [ 9] [ 9] [ 7] [ 6] [ 6] [ 5] [ 5] [ 4] [100] FEMALE Injection drug user (IDU) 19 ( 17) 17 ( 17) 23 ( 18) 15 ( 13) 17 ( 18) 13 ( 15) 7 ( 10) 5 ( 6) 8 ( 13) 177 ( 16) Hemophilia or coagulation disorder 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 1 ( 1) 0 ( 0) 0 ( 0) 0 ( 0) 2 ( 0) Heterosexual contact (4) 67 ( 59) 66 ( 67) 80 ( 63) 74 ( 63) 43 ( 46) 42 ( 48) 33 ( 47) 38 ( 46) 18 ( 28) 582 ( 51) Transfusion recipient 15 ( 13) 7 ( 7) 7 ( 5) 7 ( 6) 3 ( 3) 1 ( 1) 1 ( 1) 0 ( 0) 1 ( 2) 101 ( 9) Other/Undetermined 12 ( 11) 9 ( 9) 18 ( 14) 21 ( 18) 30 ( 32) 30 ( 34) 29 ( 41) 40 ( 48) 37 ( 58) 276 ( 24) Female subtotal [% of subtotal] [ 10] [ 9] [ 11] [ 10] [ 8] [ 8] [ 6] [ 7] [ 6] [100] Total [% of total] [ 9] [ 9] [ 9] [ 7] [ 6] [ 6] [ 5] [ 5] [ 4] [100] 1. Exposure categories are ordered hierarchically. Cases with multiple exposure categories are included in the category listed first. 2. Data are provisional due to reporting delay. 3. Includes cases diagnosed prior to 1993 and after Heterosexual contact with a person who is HIV-infected or at increased risk for HIV. 9

15 TABLE 9. CUMULATIVE PEDIATRIC CASES OF ADVANCED HIV DISEASE (AIDS) BY EXPOSURE CATEGORY AND RACE/ETHNICITY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Race/Ethnicity Pediatric (<13 years) White Black Hispanic Other Total Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) Hemophilia/coagulation disorder 3 ( 7) 0 ( 0) 3 ( 3) 1 ( 17) 7 ( 3) Mother with/at risk for HIV 19 ( 45) 65 ( 81) 80 ( 73) 1 ( 17) 165 ( 69) Transfusion recipient 20 ( 48) 13 ( 16) 25 ( 23) 4 ( 67) 62 ( 26) Other/Undetermined 0 ( 0) 2 ( 3) 2 ( 2) 0 ( 0) 4 ( 2) Total [% of total] [ 18] [ 34] [ 46] [ 3] [100] 1. Exposure categories are ordered hierarchically. Except for the combination listed, cases with multiple exposure categories are included in the category listed first. TABLE 10. PEDIATRIC CASES OF ADVANCED HIV DISEASE (AIDS) BY EXPOSURE CATEGORY AND YEAR OF DIAGNOSIS REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Year of Diagnosis Before Pediatric (<13 years) (2) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) Hemophilia/coagulation disorder 7 ( 3) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) Mother with/at risk for HIV 149 ( 67) 6 (100) 3 (100) 1 (100) 2 ( 67) 4 (100) Transfusion recipient 62 ( 28) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) Other/Undetermined 3 ( 1) 0 ( 0) 0 ( 0) 0 ( 0) 1 ( 33) 0 ( 0) Total [% of total] [ 93] [ 3] [ 1] [ 0] [ 1] [ 2] 1. Exposure categories are ordered hierarchically. Except for the combination listed, cases with multiple exposure categories are included in the category listed first. 2. Data are provisional due to reporting delay. 10

16 TABLE 11. PEDIATRIC CASES OF ADVANCED HIV DISEASE (AIDS) BY RACE/ETHNICITY AND YEAR OF DIAGNOSIS REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Year of Diagnosis Before Pediatric (<13 years) (1) Race/Ethnicity No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) White 41 ( 19) 1 ( 17) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) Black 72 ( 33) 3 ( 50) 2 ( 67) 1 (100) 1 ( 33) 1 ( 25) Hispanic 102 ( 46) 2 ( 33) 1 ( 33) 0 ( 0) 2 ( 67) 3 ( 75) Other 6 ( 3) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) Total [% of total] [ 93] [ 3] [ 1] [ 0] [ 1] [ 2] 1. Data are provisional due to reporting delay. 11

17 TABLE 12. CUMULATIVE ADULT/ADOLESCENT CASES OF ADVANCED HIV DISEASE (AIDS) BY GENDER, RACE/ETHNICITY AND DEFINITION CATEGORY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Definition Category (1) Pre Definition(4) Total Race/Ethnicity Definition(2) Definition(3) Clinical Criteria CD4 Criteria No. (%) No. (%) No. (%) No. (%) No. (%) MALE White ( 57) 2672 ( 48) 142 ( 21) 5397 ( 43) ( 51) Black 3534 ( 16) 1217 ( 22) 247 ( 37) 2674 ( 21) 7672 ( 19) Hispanic 5449 ( 25) 1500 ( 27) 262 ( 39) 4184 ( 33) ( 28) Asian 447 ( 2) 102 ( 2) 15 ( 2) 249 ( 2) 813 ( 2) AI/AN (5) 46 ( 0) 13 ( 0) 7 ( 1) 45 ( 0) 111 ( 0) Male subtotal (6) [% of subtotal] [ 54] [ 14] [ 2] [ 31] [100] FEMALE White 315 ( 27) 115 ( 26) 16 ( 15) 324 ( 22) 770 ( 24) Black 433 ( 37) 156 ( 35) 58 ( 55) 575 ( 39) 1222 ( 38) Hispanic 409 ( 35) 158 ( 35) 22 ( 21) 549 ( 37) 1138 ( 35) Asian 23 ( 2) 13 ( 3) 5 ( 5) 26 ( 2) 67 ( 2) AI/AN (5) 4 ( 0) 4 ( 1) 1 ( 1) 6 ( 0) 15 ( 0) Female subtotal (6) [% of subtotal] [ 37] [ 14] [ 3] [ 46] [100] Total [% of total] [ 53] [ 14] [ 2] [ 32] [100] 1. Definition categories are ordered hierarchically. 2. MMWR 1985; 34: MMWR 1987; 36[suppl.No.1s]:1s-15s. This revision added HIV encephalopathy, wasting syndrome, and presumptive diagnosis of certain AIDS indicator-conditions. 4. MMWR 1992; 41[suppl.No.RR-17]:1-19. Clinical criteria includes pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer. CD4 criteria includes persons with less than 200 CD4+ T-lymphocytes/ul or a CD4+ T-lymphocyte percent less than 14, and no AIDS indicator clinical conditions. 5. AI/AN=American Indian/Alaska Native. 6. Includes 114 males and 6 females whose race/ethnicity is unknown. 12

18 TABLE 13. CUMULATIVE ADULT/ADOLESCENT AND PEDIATRIC CASES OF INJECTION DRUG-ASSOCIATED ADVANCED HIV DISEASE (AIDS) BY GENDER, EXPOSURE CATEGORY AND RACE/ETHNICITY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Race/Ethnicity White Black Hispanic Other Total (2) Exposure Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) ADULT/ADOLESCENT Male Injection drug user (IDU) 717 ( 32) 863 ( 53) 693 ( 50) 15 ( 27) 2293 ( 43) Male-male sexual contact/idu 1487 ( 66) 688 ( 42) 597 ( 43) 38 ( 69) 2812 ( 53) Sex with IDU 60 ( 3) 83 ( 5) 102 ( 7) 2 ( 4) 248 ( 5) Mother was IDU 1 ( 0) 1 ( 0) 0 ( 0) 0 ( 0) 2 ( 0) Adult male subtotal [% of subtotal] [ 42] [ 31] [ 26] [ 1] [100] Female Injection drug user (IDU) 253 ( 74) 367 ( 74) 177 ( 63) 14 ( 82) 815 ( 71) Sex with IDU 88 ( 26) 132 ( 26) 106 ( 37) 3 ( 18) 329 ( 29) Adult female subtotal [% of subtotal] [ 30] [ 44] [ 25] [ 1] [100] Adult subtotal [% of subtotal] [ 40] [ 33] [ 26] [ 1] [100] PEDIATRIC (<13 YEARS) Mother was IDU 8 ( 62) 17 ( 68) 7 ( 33) 0 ( 0) 32 ( 53) Mother had sex with IDU 5 ( 38) 8 ( 32) 14 ( 67) 1 (100) 28 ( 47) Pediatric subtotal [% of subtotal] [ 22] [ 42] [ 35] [ 2] [100] Total [% of total] [ 40] [ 33] [ 26] [ 1] [100] 1. Exposure categories are ordered hierarchically. Except for the combination listed, cases with multiple exposure categories are included in the category listed first. 2. Total includes cases whose race/ethnicity is unknown. 13

19 TABLE 14. ADULT/ADOLESCENT ADVANCED HIV DISEASE (AIDS) INDICATOR CONDITIONS AT TIME OF AIDS DIAGNOSIS (1) BY GENDER REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Gender Male Female Total Indicator Condition (2) No. (%) No. (%) No. (%) Candidiasis of bronchi, trachea, or lungs 181 ( 0) 25 ( 1) 206 ( 0) Candidiasis of esophagus 994 ( 2) 149 ( 5) 1143 ( 3) Carcinoma, invasive cervical. (.) 17 ( 1) 17 ( 0) Coccidioidomycosis, disseminated or extrapulmonary 67 ( 0) 5 ( 0) 72 ( 0) Cryptococcosis, extrapulmonary 769 ( 2) 54 ( 2) 823 ( 2) Cryptosporidiosis, chronic intestinal 389 ( 1) 16 ( 0) 405 ( 1) Cytomegalovirus disease other than retinitis 637 ( 2) 46 ( 1) 683 ( 2) Cytomegalovirus retinitis 429 ( 1) 33 ( 1) 462 ( 1) HIV encephalopathy 463 ( 1) 33 ( 1) 496 ( 1) Herpes simplex: chronic ulcers, pneumonitis or esophagitis 582 ( 1) 55 ( 2) 637 ( 1) Histoplasmosis, disseminated or extrapulmonary 74 ( 0) 9 ( 0) 83 ( 0) Isosporiasis, chronic intestinal 78 ( 0) 5 ( 0) 83 ( 0) Kaposi's sarcoma 1873 ( 5) 14 ( 0) 1887 ( 4) Lymphoma, Burkitt's 111 ( 0) 6 ( 0) 117 ( 0) Lymphoma, immunoblastic 380 ( 1) 19 ( 1) 399 ( 1) Lymphoma, primary in brain 70 ( 0) 3 ( 0) 73 ( 0) Mycobacterium avium or M. kansasii, disseminated 444 ( 1) 26 ( 1) 470 ( 1) M. tuberculosis, pulmonary 1015 ( 2) 108 ( 3) 1123 ( 3) M. tuberculosis, disseminated or extrapulmonary 472 ( 1) 61 ( 2) 533 ( 1) Mycobacterium, other or unidentified species 109 ( 0) 13 ( 0) 122 ( 0) Pneumocystis carinii pneumonia 5150 ( 13) 373 ( 12) 5523 ( 13) Pneumonia, recurrent 148 ( 0) 28 ( 1) 176 ( 0) Progressive multifocal leukoencephalopathy 93 ( 0) 3 ( 0) 96 ( 0) Salmonella septicemia, recurrent 39 ( 0) 3 ( 0) 42 ( 0) Toxoplasmosis of the brain 444 ( 1) 42 ( 1) 486 ( 1) Wasting syndrome 1447 ( 4) 118 ( 4) 1565 ( 4) CD4 < 200ul ( 50) 2162 ( 67) ( 51) Total The table provides only a minimum estimate of indicator conditions because date of diagnosis may be missing for some indicator conditions. 2. Cases may have more than one condition at time of AIDS diagnosis. 14

20 TABLE 15. ANNUAL CASES OF ADVANCED HIV DISEASE (AIDS) AND RATES (1) PER 100,000 BY SERVICE PLANNING AREA/HEALTH DISTRICT OF RESIDENCE AND YEAR OF DIAGNOSIS REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Year of Diagnosis Cumulative Service Planning Area/ (2) Total (3) Health District No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Antelope Valley[1] 26 ( 1) 9 23 ( 1) 7 19 ( 1) 6 15 ( 1) 5 17 ( 1) ( 1) Antelope Valley 26 ( 1) 9 23 ( 1) 7 19 ( 1) 6 15 ( 1) 5 17 ( 1) ( 1) East[7] 143 ( 7) ( 6) ( 6) ( 8) 8 95 ( 8) ( 6) Bellflower 22 ( 1) 6 24 ( 1) 7 24 ( 1) 7 17 ( 1) 5 18 ( 2) ( 1) East Los Angeles 33 ( 2) ( 1) 8 22 ( 1) 9 26 ( 2) ( 2) ( 1) San Antonio 60 ( 3) ( 3) ( 2) 7 44 ( 3) ( 3) ( 2) Whittier 28 ( 1) 9 13 ( 1) 4 27 ( 2) 8 21 ( 2) 6 19 ( 2) ( 1) Metro[4] 719 ( 34) ( 35) ( 34) ( 31) ( 30) ( 39) Central 272 ( 13) ( 14) ( 14) ( 10) ( 12) ( 11) Hollywood-Wilshire 383 ( 18) ( 18) ( 15) ( 16) ( 14) ( 23) Northeast 64 ( 3) ( 3) ( 4) ( 4) ( 4) ( 4) San Fernando[2] 261 ( 12) ( 14) ( 12) ( 12) ( 14) ( 14) East Valley 100 ( 5) ( 5) ( 4) ( 4) ( 5) ( 6) Glendale 33 ( 2) ( 2) ( 1) 6 15 ( 1) 4 28 ( 2) ( 2) San Fernando 23 ( 1) 6 20 ( 1) 5 21 ( 1) 6 19 ( 1) 5 15 ( 1) ( 1) West Valley 105 ( 5) ( 6) ( 6) ( 5) ( 5) ( 5) San Gabriel[3] 151 ( 7) ( 7) ( 7) ( 8) 6 89 ( 8) ( 7) Alhambra 22 ( 1) 6 17 ( 1) 5 13 ( 1) 4 16 ( 1) 4 11 ( 1) ( 1) El Monte 30 ( 1) 7 41 ( 2) 9 47 ( 3) ( 3) 8 23 ( 2) ( 2) Foothill 31 ( 1) ( 1) 6 13 ( 1) 4 20 ( 1) 7 12 ( 1) ( 1) Pasadena 29 ( 1) ( 1) ( 2) ( 1) ( 1) ( 1) Pomona 39 ( 2) 7 35 ( 2) 7 24 ( 1) 4 26 ( 2) 5 30 ( 3) ( 2) South[6] 241 ( 12) ( 10) ( 13) ( 14) ( 13) ( 9) Compton 34 ( 2) ( 2) ( 2) ( 2) ( 2) ( 2) South 38 ( 2) ( 2) ( 2) ( 2) ( 2) ( 1) Southeast 39 ( 2) ( 2) ( 2) ( 2) ( 2) ( 1) Southwest 130 ( 6) ( 5) ( 6) ( 7) ( 6) ( 5) South Bay[8] 324 ( 15) ( 16) ( 17) ( 18) ( 20) ( 15) Harbor 16 ( 1) 8 17 ( 1) 8 14 ( 1) 7 7 ( 1) 3 14 ( 1) ( 1) Inglewood 72 ( 3) ( 4) ( 3) ( 3) ( 4) ( 3) Long Beach 219 ( 10) ( 10) ( 12) ( 13) ( 13) ( 9) Torrance 17 ( 1) 4 34 ( 2) 8 21 ( 1) 5 22 ( 2) 5 22 ( 2) ( 2) West[5] 86 ( 4) ( 4) ( 4) ( 3) 8 35 ( 3) ( 6) West 86 ( 4) ( 4) ( 4) ( 3) 8 35 ( 3) ( 6) Total (4) 2094 (100) (100) (100) (100) (100) (100) 1. Rates based on less than 20 observations may not be reliable (see Technical Notes, page 27). 2. Data are provisional due to reporting delay. Rates for year 2001 are based on 2000 population estimates. 3. Includes cases diagnosed prior to 1997 and after Total includes cases with no information on health district 15

21 TABLE 16. ANNUAL CASES OF ADVANCED HIV DISEASE (AIDS) AND RATES (1) PER 100,000 BY CITY/AREA (2) OF RESIDENCE AND YEAR OF DIAGNOSIS TOP 35 CITIES (3) RANKED BY 2001 RATE, REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Year of Diagnosis Cumulative (4) Total (5) City/Area No. (Rate) No. (Rate) No. (Rate) No. (Rate) No. (Rate) No. West Hollywood 79 (209.4) 73 (192.2) 53 (138.7) 38 ( 98.5) 35 ( 90.7) 2684 Downtown 14 ( 61.1) 21 ( 90.4) 23 ( 97.6) 11 ( 46.3) 12 ( 50.5) 321 Slvlke-Chinatn 61 ( 67.7) 49 ( 53.4) 42 ( 44.9) 32 ( 33.8) 42 ( 44.4) 1573 Los Feliz 36 ( 84.4) 31 ( 72.4) 24 ( 55.8) 13 ( 30.1) 19 ( 43.9) 1125 Wholesale 102 (223.6) 99 (213.8) 83 (176.4) 35 ( 73.6) 18 ( 37.9) 889 Hollywood 210 ( 89.1) 188 ( 79.6) 149 ( 63.0) 119 ( 50.1) 83 ( 34.9) 5506 Long Beach 213 ( 48.0) 173 ( 38.7) 194 ( 43.1) 174 ( 38.1) 142 ( 31.1) 4068 Westmont-W Aths 11 ( 27.1) 11 ( 27.0) 7 ( 17.1) 6 ( 14.7) 11 ( 26.9) 156 Vermont Square 25 ( 32.6) 15 ( 19.4) 11 ( 14.0) 18 ( 22.9) 21 ( 26.7) 379 Watts 5 ( 13.7) * ( * ) 6 ( 15.9) 11 ( 29.0) 10 ( 26.4) 141 Studio City 21 ( 48.8) 20 ( 47.4) 10 ( 24.2) 7 ( 17.1) 10 ( 24.4) 700 West Carson * ( * ) 0 ( - ) * ( * ) * ( * ) 5 ( 24.2) 44 Westlake 42 ( 29.5) 42 ( 28.8) 45 ( 30.1) 31 ( 20.5) 35 ( 23.1) 853 Miracle Mile S 25 ( 59.2) 18 ( 43.2) 16 ( 39.0) 9 ( 22.0) 9 ( 22.0) 551 Crenshaw 32 ( 47.9) 24 ( 36.2) 22 ( 33.4) 23 ( 35.2) 14 ( 21.4) 526 W Adms-Expo Pk 40 ( 29.4) 30 ( 21.8) 29 ( 20.8) 36 ( 25.7) 29 ( 20.7) 704 Inglewood 24 ( 22.3) 29 ( 26.9) 12 ( 11.1) 17 ( 15.6) 22 ( 20.2) 472 Adams-La Brea 30 ( 52.8) 22 ( 38.6) 25 ( 43.8) 20 ( 35.1) 11 ( 19.3) 405 Boyle Heights 15 ( 11.5) 20 ( 14.9) 27 ( 19.4) 33 ( 23.4) 26 ( 18.4) 419 N Hollywood 48 ( 41.6) 38 ( 32.8) 36 ( 31.0) 34 ( 29.2) 21 ( 18.0) 1167 S Vermont 30 ( 30.3) 21 ( 21.1) 29 ( 29.0) 26 ( 26.0) 17 ( 17.0) 488 Bell 5 ( 13.7) * ( * ) 6 ( 16.1) * ( * ) 6 ( 16.0) 86 Willowbrook 7 ( 18.9) 6 ( 16.0) 6 ( 15.8) 9 ( 23.5) 6 ( 15.7) 131 Huntington Park 12 ( 19.5) 9 ( 14.4) 5 ( 7.9) 10 ( 15.6) 10 ( 15.6) 167 Belvedere Grdns 10 ( 13.1) 7 ( 9.0) 10 ( 12.4) 12 ( 14.7) 12 ( 14.7) 174 Green Meadows 14 ( 25.7) 15 ( 27.2) 14 ( 25.1) 8 ( 14.3) 8 ( 14.3) 250 Wilshire Ctr S 31 ( 31.1) 20 ( 19.7) 17 ( 16.4) 28 ( 26.7) 15 ( 14.3) 541 Wilshire Ctr N 28 ( 36.9) 27 ( 35.0) 25 ( 31.8) 31 ( 39.1) 11 ( 13.9) 634 Centrl Av-S Pk 26 ( 20.9) 23 ( 18.1) 19 ( 14.6) 20 ( 15.3) 18 ( 13.8) 432 Sylmar 7 ( 10.7) 9 ( 13.6) 9 ( 13.4) 6 ( 8.9) 9 ( 13.4) 138 San Pedro * ( * ) 7 ( 10.0) 5 ( 7.1) * ( * ) 9 ( 12.8) 170 Pico Rivera 6 ( 8.8) * ( * ) 7 ( 9.9) 5 ( 7.0) 9 ( 12.7) 136 Reseda 18 ( 20.3) 11 ( 12.4) 10 ( 11.3) 8 ( 9.0) 11 ( 12.4) 277 Altadena 10 ( 24.4) 5 ( 12.2) * ( * ) * ( * ) 5 ( 12.4) 175 Westchester 11 ( 25.4) 6 ( 13.9) 5 ( 11.7) * ( * ) 5 ( 11.7) Rates based on less than 20 observations may not be reliable (see Technical Notes, page 27). 2. The city of Los Angeles is broken down into "areas" or geographic units with more than 15,000 residents. 3. Includes cities and areas that had more than 15,000 residents and more than five AIDS cases in Data are provisional due to reporting delay. Rates for 2001 are based on 2000 population estimates. 5. Includes cases diagnosed prior to 1997 and after * Fewer than five cases. 16

22 TABLE 17. CUMULATIVE CASES OF ADVANCED HIV DISEASE (AIDS) BY SUPERVISORIAL DISTRICT, GENDER, AGE GROUP, RACE/ETHNICITY, AND EXPOSURE CATEGORY REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Supervisorial District Total (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) GENDER Male 6465 ( 91) 760( 88) ( 97) 5781 ( 92) 3492 ( 91) ( 93) Female 678 ( 9) 108( 12) 565 ( 3) 476 ( 8) 361 ( 9) 3323 ( 7) AGE GROUP <13 60 ( 1) 6( 1) 40 ( 0) 29 ( 0) 32 ( 1) 238 ( 1) ( 0) 5( 1) 31 ( 0) 25 ( 0) 21 ( 1) 172 ( 0) ( 18) 164( 19) 2433 ( 15) 1004 ( 16) 550 ( 14) 7222 ( 16) ( 43) 371( 43) 7645 ( 46) 2920 ( 47) 1600 ( 42) ( 45) ( 25) 213( 25) 4445 ( 27) 1576 ( 25) 1036 ( 27) ( 26) ( 9) 77( 9) 1538 ( 9) 532 ( 9) 425 ( 11) 4062 ( 9) ( 4) 30( 3) 471 ( 3) 171 ( 3) 189 ( 5) 1429 ( 3) RACE/ETHNICITY (2) White 1961 ( 27) 166( 19) ( 68) 3649 ( 58) 2176 ( 56) ( 49) Black 967 ( 14) 456( 53) 1522 ( 9) 909 ( 15) 597 ( 15) 8974 ( 20) Hispanic 4021 ( 56) 229( 26) 3315 ( 20) 1527 ( 24) 943 ( 24) ( 29) Asian 161 ( 2) 13( 2) 309 ( 2) 141 ( 2) 111 ( 3) 885 ( 2) AI/AN (3) 24 ( 0) 1( 0) 44 ( 0) 25 ( 0) 12 ( 0) 127 ( 0) EXPOSURE CATEGORY Male-male sexual contact 4440 ( 62) 518( 60) ( 82) 4496 ( 72) 2564 ( 67) ( 71) Injection drug user (IDU) 596 ( 8) 85( 10) 611 ( 4) 523 ( 8) 322 ( 8) 3108 ( 7) Male-male sexual contact/idu 435 ( 6) 54( 6) 1040 ( 6) 458 ( 7) 180 ( 5) 2812 ( 6) Hemophilia/coagulation disorder 29 ( 0) 3( 0) 40 ( 0) 39 ( 1) 34 ( 1) 186 ( 0) Heterosexual contact 410 ( 6) 66( 8) 374 ( 2) 338 ( 5) 235 ( 6) 2115 ( 5) Transfusion recipient 122 ( 2) 13( 2) 138 ( 1) 87 ( 1) 93 ( 2) 593 ( 1) Mother with/at risk for HIV 47 ( 1) 4( 1) 26 ( 0) 19 ( 0) 18 ( 0) 166 ( 0) Other/Undetermined 1064 ( 15) 121( 14) 748 ( 5) 297 ( 5) 407 ( 11) 3999 ( 9) Total 7143 (100) 869(100) (100) 6257 (100) 3853 (100) (100) 1. Include cases with unknown Supervisorial District. 2. Does not include cases whose race/ethnicity is unknown. 3. AI/AN=American Indian, Alaskan Native. 17

23 TABLE 18. ANNUAL CASES OF ADVANCED HIV DISEASE (AIDS) AND RATES (1) PER 100,000 BY SUPERVISORIAL DISTRICT AND YEAR OF DIAGNOSIS REPORTED BY JUNE 30, 2002 LOS ANGELES COUNTY Supervisorial District No. [Rate] No. [Rate] No. [Rate] No. [Rate] No. [Rate] DIAGNOSIS YEAR [ 35] 740 [ 41] 1621 [ 91] 562 [ 32] 381 [ 21] [ 34] 838 [ 46] 1596 [ 90] 605 [ 34] 397 [ 22] [ 36] 803 [ 44] 1447 [ 81] 549 [ 31] 366 [ 20] [ 32] 762 [ 41] 1366 [ 76] 479 [ 26] 318 [ 17] [ 30] 653 [ 35] 1185 [ 66] 524 [ 29] 322 [ 17] [ 22] 551 [ 29] 906 [ 50] 424 [ 23] 218 [ 11] [ 19] 463 [ 24] 605 [ 34] 308 [ 16] 172 [ 9] [ 17] 405 [ 21] 562 [ 31] 272 [ 14] 142 [ 7] [ 16] 359 [ 18] 436 [ 24] 278 [ 15] 124 [ 6] [ 13] 358 [ 18] 354 [ 19] 246 [ 13] 99 [ 5] 2001 (2,3) 236 [ 11] 278 [ 14] 278 [ 15] 206 [ 11] 106 [ 5] 1. Rates based on less than 20 observations may not be reliable (see Technical Notes, page 27). 2. Data are provisional due to reporting delay. 3. Rates for year 2001 are calculated using 2000 population estimates. 18

24 TABLE 19. CUMULATIVE NUMBER OF PERSONS DIAGNOSED WITH ADVANCED HIV DISEASE (AIDS) BY GENDER, AGE, RACE/ETHNICITY AND EXPOSURE CATEGORY FOR EACH SERVICE PLANNING AREA IN LOS ANGELES COUNTY, Service Planning Antelope Valley San Fernando San Gabriel Metro West South East South Bay/LB Total (1) Area No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) GENDER Male 343 ( 86) 5892 ( 94) 2838 ( 88) ( 96) 2424 ( 94) 3515 ( 84) 2201 ( 89) 6003 ( 91) ( 93) Female 56 ( 14) 403 ( 6) 371 ( 12) 716 ( 4) 143 ( 6) 661 ( 16) 276 ( 11) 558 ( 9) 3323 ( 7) AGE GROUP (2) <13 6 ( 2) 32 ( 1) 32 ( 1) 46 ( 0) 10 ( 0) 38 ( 1) 26 ( 1) 35 ( 1) 238 ( 1) * ( *) 17 ( 0) 23 ( 1) 41 ( 0) * ( *) 36 ( 1) 13 ( 1) 30 ( 0) 172 ( 0) ( 17) 910 ( 14) 570 ( 18) 2638 ( 15) 354 ( 14) 841 ( 20) 500 ( 20) 1089 ( 17) 7222 ( 16) ( 45) 2723 ( 43) 1373 ( 43) 7795 ( 45) 1178 ( 46) 1696 ( 41) 1078 ( 44) 3057 ( 47) ( 45) ( 23) 1695 ( 27) 761 ( 24) 4653 ( 27) 660 ( 26) 1035 ( 25) 557 ( 22) 1639 ( 25) ( 26) ( 9) 691 ( 11) 300 ( 9) 1534 ( 9) 247 ( 10) 374 ( 9) 210 ( 8) 533 ( 8) 4062 ( 9) ( 4) 227 ( 4) 150 ( 5) 461 ( 3) 114 ( 4) 156 ( 4) 93 ( 4) 178 ( 3) 1429 ( 3) RACE/ETHNICITY (3) White 219 ( 55) 4057 ( 64) 1233 ( 38) 9413 ( 55) 1771 ( 69) 235 ( 6) 594 ( 24) 3419 ( 52) ( 49) Black 94 ( 24) 551 ( 9) 578 ( 18) 2537 ( 15) 347 ( 14) 2793 ( 67) 149 ( 6) 1569 ( 24) 8974 ( 20) Hispanic 82 ( 21) 1531 ( 24) 1261 ( 39) 4754 ( 28) 381 ( 15) 1118 ( 27) 1679 ( 68) 1389 ( 21) ( 29) Asian * ( *) 118 ( 2) 122 ( 4) 354 ( 2) 48 ( 2) 20 ( 0) 41 ( 2) 157 ( 2) 885 ( 2) AI/AN * ( *) 16 ( 0) 6 ( 0) 55 ( 0) 5 ( 0) 6 ( 0) 11 ( 0) 23 ( 0) 127 ( 0) EXPOSURE CATEGORY MSM 200 ( 50) 4545 ( 72) 2009 ( 63) ( 78) 2017 ( 79) 2196 ( 53) 1510 ( 61) 4606 ( 70) ( 71) IDU 65 ( 16) 409 ( 6) 305 ( 10) 758 ( 4) 120 ( 5) 493 ( 12) 203 ( 8) 583 ( 9) 3108 ( 7) MSM/IDU 22 ( 6) 322 ( 5) 169 ( 5) 1172 ( 7) 121 ( 5) 265 ( 6) 131 ( 5) 477 ( 7) 2812 ( 6) Hemophi/Transfusion 19 ( 5) 140 ( 2) 100 ( 3) 129 ( 1) 59 ( 2) 97 ( 2) 91 ( 4) 124 ( 2) 779 ( 2) Heterosexual contact 38 ( 10) 297 ( 5) 229 ( 7) 417 ( 2) 86 ( 3) 392 ( 9) 179 ( 7) 398 ( 6) 2115 ( 5) Mother w/at HIV risk * ( *) 19 ( 0) 24 ( 1) 36 ( 0) 6 ( 0) 28 ( 1) 16 ( 1) 24 ( 0) 166 ( 0) Other/Undetermined 53 ( 13) 563 ( 9) 373 ( 12) 1231 ( 7) 158 ( 6) 705 ( 17) 347 ( 14) 349 ( 5) 3999 ( 9) Total 399 (100) 6295 (100) 3209 (100) (100) 2567 (100) 4176 (100) 2477 (100) 6561 (100) (100) 1. Total includes persons with no information on SPA. 2. Age at time of diagnosis. 3. Does not include cases whose race/ethnicity is unknown. * Fewer than five cases. 19

25 TABLE 20. NUMBER OF PERSONS DIAGNOSED WITH ADVANCED HIV DISEASE (AIDS) AND RATE (1) PER 100,000 IN YEAR 2000 BY GENDER, AGE, RACE/ETHNICITY AND EXPOSURE CATEGORY FOR EACH SERVICE PLANNING AREA IN LOS ANGELES COUNTY Service Planning Antelope Valley San Fernando San Gabriel Metro West South East South Bay/LB Total (2) Area No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate No. (%) Rate GENDER Male + ( +) ( 88) ( 76) ( 89) ( 82) ( 79) ( 81) ( 88) ( 86) 24 Female * ( *) * 20 ( 12) 2 27 ( 24) 3 48 ( 11) 8 8 ( 18) 3 40 ( 21) 8 20 ( 19) 3 29 ( 12) ( 14) 4 AGE GROUP (3) <13 * ( *) * 0 ( 0) - 0 ( 0) - 0 ( 0) - 0 ( 0) - * ( *) * * ( *) * 0 ( 0) - * ( *) * ( 0) - 0 ( 0) - * ( *) * * ( *) * 0 ( 0) - * ( *) * * ( *) * * ( *) * 10 ( 1) * ( *) * 18 ( 11) 7 11 ( 10) 4 61 ( 14) 30 5 ( 11) 6 33 ( 17) ( 19) ( 9) ( 13) ( 40) ( 51) ( 47) ( 42) ( 53) ( 32) ( 42) ( 48) ( 44) ( 33) ( 26) ( 27) ( 26) ( 22) ( 31) ( 23) ( 30) ( 27) * ( *) * 15 ( 9) 7 12 ( 11) 6 51 ( 12) 44 * ( *) * 24 ( 13) 33 9 ( 8) 7 22 ( 9) ( 11) ( 0) - 5 ( 3) 2 * ( *) * 21 ( 5) 12 * ( *) * 11 ( 6) 10 6 ( 6) 3 9 ( 4) 4 58 ( 4) 4 RACE/ETHNICITY (4) White 5 ( 33) 2 71 ( 42) 8 18 ( 16) ( 33) ( 56) 7 7 ( 4) ( 14) ( 40) ( 29) 13 Black 5 ( 33) ( 10) ( 21) ( 21)146 6 ( 13) ( 54) 29 5 ( 5) ( 31) ( 25) 41 Hispanic 5 ( 33) 6 79 ( 46) ( 61) ( 43) ( 29) ( 42) ( 80) ( 25) ( 44) 13 Other (5) 0 ( 0) - * ( *) * * ( *) * 11 ( 3) 5 * ( *) * * ( *) * * ( *) * 7 ( 3) 3 32 ( 2) 3 EXPOSURE CATEGORY (6) MSM 6 ( 40) 82 ( 48) 47 ( 41) 249 ( 58) 28 ( 62) 65 ( 34) 59 ( 55) 151 ( 60) 722 ( 52) IDU 0 ( 0) 17 ( 10) 12 ( 11) 26 ( 6) * ( *) 16 ( 8) 6 ( 6) 23 ( 9) 111 ( 8) MSM/IDU * ( *) 10 ( 6) * ( *) 18 ( 4) * ( *) 5 ( 3) * ( *) 19 ( 8) 62 ( 4) Hemophi/Transfusion 0 ( 0) * ( *) 0 ( 0) * ( *) 0 ( 0) * ( *) * ( *) 0 ( 0) 7 ( 1) Heterosexual contact * ( *) 19 ( 11) 14 ( 12) 27 ( 6) * ( *) 19 ( 10) 10 ( 9) 27 ( 11) 123 ( 9) Mother w/at HIV risk 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) 0 ( 0) * ( *) * ( *) 0 ( 0) * ( *) Other/Undetermined 7 ( 47) 40 ( 24) 39 ( 34) 103 ( 24) 9 ( 20) 85 ( 44) 29 ( 27) 32 ( 13) 356 ( 26) Total 15 (100) (100) (100) (100) (100) (100) (100) (100) (100) Rates based on less than 20 observations may not be reliable (see Technical Notes, page 27). 2. Total includes persons with no information on SPA. 3. Age at time of diagnosis. 4. Does not include cases whose race/ethnicity is unknown. 5. Other includes Asian/Pacific Islander and American Indian/Alaska Native. 6. Rate for exposure category is not available. * Fewer than five cases. + Statistics is not shown due to small number in related cells. 20