County of Sonoma Agenda Item Summary Report

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County of Sonoma Agenda Item Summary Report Agenda Item Number: 43 (This Section for use by Clerk of the Board Only.) Clerk of the Board 575 Administration Drive Santa Rosa, CA 95403 To: Board of Supervisors of Sonoma County Board Agenda Date: November 13, 2018 Vote Requirement: Majority Department or Agency Name(s): Department of Health Services Staff Name and Phone Number: Barbie Robinson, 5657876 Title: World AIDS Day 2018 Recommended Actions: Supervisorial District(s): Adopt a resolution proclaiming December 1, 2018 as World AIDS Day in Sonoma County. Executive Summary: The Department of Health Services requests the Sonoma County Board of Supervisors to proclaim December 1, 2018 as World AIDS Day in Sonoma County. Discussion: The World Health Organization established World AIDS Day in 1988 to focus attention on the devastating impact of the HIV/AIDS epidemic and to provide an opportunity for government, local agencies, community groups, associations, and individuals to demonstrate the importance of the fight against HIV/AIDS. The HIV Service Providers Coalition of HIV prevention and care agencies are planning a number of events during the week surrounding World AIDS Day. These events are designed to increase awareness and understanding of human immunodeficiency virus infection (HIV) and acquired immune deficiency syndrome (AIDS), to promote testing for HIV and to encourage Sonoma County residents to get involved locally and globally by volunteering at or donating to one of the many local HIV prevention and care agencies in Sonoma County. This year s theme, which marks the 30 th anniversary of World AIDS Day, is Know Your Status. Several local events scheduled for World AIDS Day are listed later in this report. Statistics regarding HIV/AIDS globally, countrywide, statewide, and countywide are provided below to inform the reader and reinforce the importance of the fight against HIV/AIDS. Global HIV/AIDS Statistics in 2017 (Source: WHO, UNAIDS) 36.9 million people globally were living with HIV. 19.5 million people were accessing antiretroviral therapy. An estimated 1.8 million people were newly infected with HIV.

940,000 people died from AIDS related illnesses. 35.4 million people have died from AIDSrelated illnesses since the start of the epidemic. United States HIV/AIDS Statistics for 2015 (Source: CDC) An estimated 38,500 persons were diagnosed with HIV infection. More than 1.1 million people are living with HIV/AIDS. Nearly 1 in 7 people living with HIV (15%) are not aware of their status. 18,303 people received an AIDS diagnosis. California HIV/AIDS Statistics in 2016 (Source: CDPH) 5,061 people received a new diagnosis of HIV infection. Approximately 132,405 persons are living with HIV infection. Sonoma County HIV/AIDS Statistics in 2017 (Source: CDPH, ehars) 33 people received a new diagnosis of HIV infection. 5 received a simultaneous diagnosis of HIV infection and AIDS. Approximately 1,600 persons are living with HIV infection. After a period of stability, it appears that the number of newly diagnosed HIV cases in Sonoma County is declining. However, this decline is not consistent across demographic categories. New cases are decreasing in men and in white individuals. The number of female and Hispanic/Latino cases are stable. Newly diagnosed persons with HIV infection or AIDS reside throughout the county. The majority of persons currently living with HIV or AIDS in Sonoma County are white males. The number of newly diagnosed AIDS cases continues to decline, primarily a result of effective treatment. Beyond these statistics is the truth that HIV/AIDS touches all of us. We all have a loved one, a friend, or a colleague who is HIV positive. And all of us are potentially at risk for contracting HIV. World AIDS Day reminds us and encourages us to support awareness of HIV/AIDS including awareness of our own HIV status, and to support efforts to decrease stigma, to improve HIV prevention and to improve care for those already infected. New prevention efforts for those at highest risk for contracting HIV are being adopted. These efforts include education for health care providers about preexposure prophylaxis (PrEP) which is supported by the Centers for Disease Control, the California Department of Public Health and many other public health organizations. We want clinicians to encourage people at highest risk for HIV to talk to their health care providers about preexposure prophylaxis. Preexposure prophylaxis, comprised of one pill once per day, significantly decreases the risk of contracting the HIV virus if an individual is exposed. Every year there is a theme for World AIDS Day. This year is Know Your Status. Everyone between the ages of 13 and 65 is encouraged to be tested at least once and those at higher risk to test much more often. Everyone should be tested and know their HIV status. On December 1 st, communities throughout the world commemorate those who have passed on, acknowledge the presence and risk of HIV/AIDS in their own lives, honor the work of those who strive to increase HIV/AIDS awareness, and commit to supporting efforts to care for HIV infected individuals and to halt new HIV infections. The Department of Health Services and the HIV Service Providers Coalition are dedicated to HIV prevention and care in Sonoma County. These organizations and others are on a journey towards our

ambitious goal of Know your Status, Getting to Zero, and Achieving an AIDSfree Generation. Proclaiming December 1, 2018 as World AIDS Day in Sonoma County provides important support and encourages others to join our effort. Local World AIDS Day Events for 2018 Event Name: Dine Out For Life Where: Participating Sonoma County Restaurants When: Thursday, November 29, 2018 More Info: 25% to 50% of sales will go to Food For Thought. Food for Thought distributes healthy food and meals to chronically ill HIV patients. Event Name: Give Back Tuesday Where: Rainbow Cattle Company in Guerneville When: Tuesday, December 4, 2018; beginning at 6:00 P.M. More Info: Raffle prizes and 20% of sales of drinks for the evening go to benefit the Sonoma County AIDS Emergency Fund. Funds help those diagnosed with HIV who have emergency expenses that are not covered by any other funding source. Event Name: HIV and Hepatitis C Testing Where: Sonoma State University Health Center When: Tuesday, December 4, 2018 More Info: Face to Face will provide HIV and Hepatitis C testing services. Prior Board Actions: For several years past, the Board has adopted resolutions proclaiming December 1st as World AIDS Day in Sonoma County, most recently on November 15, 2016. Strategic Plan Alignment Goal 1: Safe, Healthy, and Caring Community Recognizing this day as a memorial for all who have died of HIV/AIDS in Sonoma County and a time to honor those who work with and care for HIV clients and those who strive to prevent future HIV infections supports HIV/AIDS prevention, stigma reduction, and improved care of HIV infected individuals.

Expenditures Funding Sources Budgeted Expenses Additional Appropriation Requested Fiscal Summary FY 1819 Adopted FY 1920 Projected FY 2021 Projected Total Expenditures 0 0 0 General Fund/WA GF State/Federal Fees/Other Use of Fund Balance Contingencies Total Sources 0 0 0 Narrative Explanation of Fiscal Impacts: There are no fiscal impacts associated with this item. Position Title (Payroll Classification) Staffing Impacts Monthly Salary Range (A I Step) Additions (Number) Deletions (Number) Narrative Explanation of Staffing Impacts (If Required): N/A Attachments: Resolution Related Items On File with the Clerk of the Board: None

County of Sonoma State of California Date: November 13, 2018 Item Number: Resolution Number: r 4/5 Vote Required Resolution of the Board of Supervisors of the County of Sonoma, State of California, Recognizing December 1, 2018 as World AIDS Day in Sonoma County Whereas, the World Health Organization established World AIDS Day in 1988 to focus attention on the devastating impact of the HIV/AIDS epidemic and to provide an opportunity for government, local agencies, community groups, associations, and individuals to demonstrate the importance of the fight against HIV/AIDS; Whereas, on December 1 st, communities throughout the world commemorate those who have passed on and honor the work of those who strive to increase HIV/AIDS awareness, reduce fear and stigma by providing accurate information, promote testing, reduce risk for HIV transmission, and improve access to treatment and care; Whereas, the theme for World AIDS Day 2018 is Know Your Status, chosen by the World AIDS Campaign, an international coalition of HIV and AIDS groups and networks; Whereas, the Department of Health Services and the HIV Service Providers Coalition are dedicated to HIV prevention and care in Sonoma County and are on a journey towards the ambitious goal of Know your Status, Getting to Zero, and Achieving an AIDSfree Generation; and Whereas, proclaiming December 1, 2018 as World AIDS Day in Sonoma County provides important support and encourages others to join our effort. Now, Therefore, Be It Resolved that the Board of Supervisors of the County of Sonoma, does hereby recognize December 1, 2018 as World AIDS Day in Sonoma County. Supervisors: Gorin: Rabbitt: Zane: Hopkins: Gore: Ayes: Noes: Absent: Abstain: So Ordered.