Uvalde HSDA Counties: Dimmitt, Edwards, Kinney, LeSalle, Maverick, Real, Uvalde, Val Verde, Zavala

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Uvalde HSDA Draft Uvalde HSDA Counties: Dimmitt, Edwards, Kinney, LeSalle, Maverick, Real, Uvalde, Val Verde, Zavala Epi Profile In the Uvalde HSDA, the number of new diagnoses has remained flat and stable for the past several years. There were 5 people living with HIV (PLWH) in this area as of the end of 26. This includes only people with diagnosed infections with a current address in this area. People with undiagnosed HIV are not included. In 26, people were newly diagnosed with HIV. Gender Men make up the majority of PLWH and the majority of new diagnoses. 9 8 7 6 5 4 3 2 Females 7 Females Males 34 Males 9 PLWH 26 New Diagnoses 26 Males Females Priority Populations (6 of total PLWH, 9 of new diagnoses) Priority populations make up the majority of PLWH and the majority of new diagnoses. Latino MSM are the largest priority population among PLWH and among new diagnoses. Black Women % PLWH 26 PLWH 6 4 Latino MSM 78 52% White MSM 9 6% Black MSM 2 % PLWH Black Women New Diagnoses 26 Latino MSM 9 9 White MSM Black MSM Texas Department of State Health Services, HIV/STD Prevention and Branch September 27

Mode of Exposure MSM makes up the primary mode of exposure among PLWH and among new diagnoses. PLWH 26 New Diagnoses 26 Heterosexuals 35 23% Modes of Transmission Heterosexuals Modes of Transmission PWID 27 8% MSM 89 59% PWID MSM 9 9 Age The majority of PLWH are 45 and older; the majority of new diagnoses are among people 25-45. PLWH 26 New Diagnoses 26 45+ 97 64% 25-45 47 3% < = 24 7 5% 25-45 5 5 45+ < = 24 4 4 Race/Ethnicity The majority of PLWH and the majority of new diagnoses are among Latinx individuals. PLWH 26 New Diagnoses 26 Other/Unknown % Latinx 3 87% White 4 9% Black 5 3% Other/Unknown Latinx White Black Texas Department of State Health Services, HIV/STD Prevention and Branch September 27 2

26 Continuum When people are able to achieve retention in care, they are able to achieve viral suppression. In the Uvalde HSDA, 54% of total PLWH have achieved viral suppression, and 86% of PLWH who are retained in care achieved viral suppression. Retention in care is a priority area. 68% of PLWH had at least one episode of HIV care & treatment. This means roughly 7 PLWH were in care. 54% of PLWH were virally. This means that roughly 5 PLWH were virally 63% of PLWH were retained in care (2 episodes of HIV care & treatment across the year). This means that roughly 6 PLWH were retained in care Of those 6 PLWH who were retained in care, 86%, or roughly 5 of those 6 PLWH, were virally. Texas Department of State Health Services, HIV/STD Prevention and Branch September 27 3

26 Continuum of, Parity Table DRAFT-Uvalde HSDA All communities who are retained in care are able to achieve viral suppression goals, except for people under the age of 35 Black MSM and Black Women. White MSM are able to achieve retention goals. All other communities need more opportunities to achieve retention. PLWH visit % retained if any care % of those retained # % # % # % % # % % All PLWH 5 2 68% 95 63% 93% 82 54% 86% Female 7 % 2 7% 65% 92% 59% 9% Male 34 89% 9 67% 84 63% 93% 72 54% 86% White 4 9% 79% 79% 79% Black 5 3% 2 4 2 4 2 5 Latinx 3 86% 88 68% 8 62% 92% 69 53% 85% <=24 7 5% 6 86% 4 57% 67% 3 43% 75% 25 34 2 4% 2 57% 9 43% 75% 7 33% 78% 35 44 26 7% 7 65% 6 62% 94% 5 58% 94% 45+ 97 64% 67 69% 66 68% 99% 57 59% 86% MSM 89 59% 65 73% 6 67% 92% 49 55% 82% PWID 27 7% 7 6% 6 58% 94% 6 57% 98% Heterosexual 35 23% 2 59% 9 56% 95% 7 5 89% White MSM 9 6% 8 92% 8 92% 8 92% Black MSM 2 % 5 5 Latino MSM 78 52% 56 7% 5 65% 9% 4 53% 8% Black Women % Texas Department of State Health Services, HIV/STD Prevention and Branch September 27 4

26 Continuum of, Parity Bar Charts Race/Ethnicity Age 8 8 6 6 4 4 2 2 White Black Latinx < = 24 25-44 45+ 8 6 4 2 Mode of Transmission MSM PWID Heterosexuals 8 6 4 2 Priority Group White MSM Black MSM Latino MSM Black Women Texas Department of State Health Services, HIV/STD Prevention and Branch September 27 5

Targets DRAFT-Uvalde HSDA Among priority populations, the community with the greatest need for new opportunities to achieve retention are Latino MSM. PLWH 85% retained goal Gap 8 goal Gap # % # % # # # # # All PLWH 5 95 63% 28 33 82 2 2 Female 7 % 65% 4 3 Male 34 89% 84 63% 4 3 72 9 9 White 4 9% 79% 2 - Black 5 3% 2 4 4 2 3 2 Latinx 3 86% 8 62% 3 69 89 2 <=24 7 5% 4 57% 6 2 3 5 2 25 34 2 4% 9 43% 8 9 7 4 7 35 44 26 7% 6 62% 22 6 5 8 3 45+ 97 64% 66 68% 82 6 57 66 9 MSM 89 59% 6 67% 76 6 49 6 2 PWID 27 7% 6 58% 23 7 6 8 3 Heterosexual 35 23% 9 56% 29 7 23 6 White MSM 9 6% 8 92% 7-8 6-2 Black MSM 2 % 5 2 2 2 Latino MSM 78 52% 5 65% 67 6 4 54 3 Black Women % Texas Department of State Health Services, HIV/STD Prevention and Branch September 27 6