HIV Continuum of Care Connecticut, 2015

Transcription

1 HIV Continuum of Care Connecticut, 2015 Heidi Jenkins, Section Chief TB, HIV, STD & Viral Hepatitis Section Public Health Initiatives State of Connecticut Department of Public Health 05/25/2017

2 HIV Continuum of Care, Connecticut, ,442 87% 93% 96% 98% 4 79% 8,236 63% 6,593 69% 7, % HIV diagnosed 2015 Linked 1 month Linked 3 months Linked 6 months Linked 12 months Based on persons receiving HIV care in 2015 among persons 13 years old at diagnosis, resided in Connecticut (based on most recent residence) and diagnosed with HIV infection through 2014 and living with HIV on 12/31/2015. A visit is defined as a CD4, viral load, or genotype test result during the evaluation period. The overall HIV population is overestimated because cases are only followed up for 11 months after 12/31/2015. CDC suggests cases should be followed up at least 18 months to collect death certificate information. Source: HIV surveillance data through December Based on the number of persons 13 years old, diagnosed with HIV in 2015, who resided in Connecticut (based on residence of HIV diagnosis) and were linked to care within 1,3,6, after HIV diagnosis. Source: HIV surveillance data through December 2016.

3 By risk factor, % 628 MSM 65% % % 136 IDU 77% 78% % months 455 Heterosexual Contact 87% 203 NIR/NRR (unknown) % 74% % % 2 85% Based on persons receiving HIV care in 2015 among persons 13 years old at diagnosis, resided in Connecticut (based on most recent residence) and diagnosed with HIV infection and living with HIV on 12/31/2015. A visit is defined as a CD4, viral load, or genotype test result during the evaluation period. The overall HIV population is overestimated because cases are only followed up for 5 months after 12/31/2015. CDC suggests cases should be followed up at least 18 months to collect death certificate information. Source: preliminary HIV surveillance data through June 2016.

4 By Race/Ethnicity, % 532 Black/AA 64% % Hispanic 84% % 73% % 2 87% % % White % % 36 Other Races % % 2 92% Based on persons receiving HIV care in 2015 among persons 13 years old at diagnosis, resided in Connecticut (based on most recent residence) and diagnosed with HIV infection and living with HIV on 12/31/2015. A visit is defined as a CD4, viral load, or genotype test result during the evaluation period. The overall HIV population is overestimated because cases are only followed up for 5 months after 12/31/2015. CDC suggests cases should be followed up at least 18 months to collect death certificate information. Source: preliminary HIV surveillance data through June

5 By Selected Cities, Bridgeport 1392 Hartford 79% % % % % 63% % 2 83% 88 Based on persons receiving HIV care in 2015 among persons 13 years old at diagnosis, resided in the designated city (based on most recent residence) and diagnosed with HIV infection through 2014 and living with HIV on 12/31/2015. A visit is defined as a CD4, viral load, or genotype test result during the evaluation period. The overall HIV population is overestimated because cases are only followed up for 11 months after 12/31/2015. CDC suggests cases should be followed up at least 18 months to collect death certificate information. Source: preliminary HIV surveillance data through December 2016.

6 By Selected Cities, 2015 New Haven Stamford % % % % % % 87% Based on persons receiving HIV care in 2015 among persons 13 years old at diagnosis, resided in the designated city (based on most recent residence) and diagnosed with HIV infection through 2014 and living with HIV on 12/31/2015. A visit is defined as a CD4, viral load, or genotype test result during the evaluation period. The overall HIV population is overestimated because cases are only followed up for 11 months after 12/31/2015. CDC suggests cases should be followed up at least 18 months to collect death certificate information. Source: preliminary HIV surveillance data through December 2016.

7 By Selected Cities, 2015 Waterbury % % % Based on persons receiving HIV care in 2015 among persons 13 years old at diagnosis, resided in the designated city (based on most recent residence) and diagnosed with HIV infection through 2014 and living with HIV on 12/31/2015. A visit is defined as a CD4, viral load, or genotype test result during the evaluation period. The overall HIV population is overestimated because cases are only followed up for 11 months after 12/31/2015. CDC suggests cases should be followed up at least 18 months to collect death certificate information. Source: HIV surveillance data through December 2016.

8 STD Trends, 2016 No. % Change Chlamydia 13,911 (+5%) Gonorrhea 2,723 (+3) P&S Syphilis 110 (-2%) EL Syphilis 84 (27%)

9 Getting To Zero Commission Representation from the 5 cities with the highest number of cases reported Focus on MSM of color, Black females, transgender females Local health departments, HIV service organizations, community members Also faith based, research, drug user health, DPH, DOC, Planned Parenthood, etc.

10 CT GtZ Commission Commission selected by DPH Commissioner Facilitator to work with selected Commission for one year Role of the Commission is to develop a G2Z template for CT G2Z plan will be provided to the 5 cities to implement Local G2Z plans will be shared with other cities for their own development Goal is to allow cities to plan their own G2Z initiative to meet local needs

11 Research??????? How can we address stigma in HIV care and prevention? How can we engage community partners in the G2Z process?

12 Heidi Jenkins