Bureau of HIV/AIDS Surveillance Section (85) 245-443, or SC 25-443 Incidence data as of 12/31/9 Prevalence and Death data as of 4/27/9 HIV/AIDS Epidemiology Partnership 1 Broward County Excluding Dept. of Corrections
HIV Prevalence Estimates and 29 HIV & AIDS Cases, Partnership 1 Cumulative AIDS Cases (through 12/9) HIV Prevalence Total Alive # Alive % Estimates 18,825 8,635 46% 2,57 Cumulative HIV Cases (not AIDS) (through 12/9) Total Alive # Alive % 8,9 7,562 93% Grand Total Total Alive # Alive % HIV/AIDS Cases 26,915 16,197 6% ADULTS Males Females Total M:F Ratio Cumulative AIDS Cases 13,658 4,93 18,561 2.8 : 1 Cumulative HIV Cases 5,572 2,426 7,998 2.3 : 1
Presumed Living MSM* HIV/AIDS Cases By Zip Code, Partnership 1, through 28 Presumed Living MSM HIV/AIDS Cases 1-5 51-15 151-3 Over 3 N=6,34 53 33433 33763367 3344233441 3365 3373 3364 33633366 3362 3371 3369336 333213368 3339 3338 3335133319 33334 33323 3331333311 3334 41 33327 33325 3332433317 33316 33326 3331233315 33332 333313333 3332833314 334 3326 3324 3328 3321332 3319 3329 3327 3325 3323 339 3316933179 3318 NIRs are not redistributed. Excludes DOC, homeless, and cases with unknown zips. *Includes MSM/IDU cases. Data as of 4/27/9
Presumed Living IDU* HIV/AIDS Cases By Zip Code, Partnership 1, through 28 Presumed Living IDU HIV/AIDS Cases 1-25 26-5 51-75 Over 75 N=1,239 41 53 33433 3367 3344233441 3376 3373 3364 3365 33633366 3362 3371 3369336 33321 3368 3339 3338 3335133319 33334 33323 3331333311 3334 33327 3332533324 33317 33316 33326 3331233315 33332 333313333 3332833314334 3326 3324 3328 3321332 3319 3329 3327 3325 3323 339 3316933179 3318 NIRs are not redistributed. Excludes DOC, homeless, and cases with unknown zips. *Includes MSM/IDU cases. Data as of 4/27/9
Presumed Living Heterosexual HIV/AIDS Cases By Zip Code, Partnership 1, through 28 Presumed Living Heterosexual HIV/AIDS Cases 1-5 51-15 151-3 Over 3 41 53 33433 33442 337633673373 33441 3364 3365 3363 3362 3371 3369 336 333213368 3339 3338 3335133319 33334 33323 33313333113334 33326 33327 333253332433317 33316 3331233315 33332 33333332833314 334 33331 3326 33243321 3328 332 3329 3327 3325 3323 3319 339 3318 33179 N=4,9 NIRs are not redistributed. Excludes DOC, homeless, and cases with unknown zips. Data as of 4/27/9
Presumed Living HIV/AIDS Cases By Zip Code and Race/Ethnicity Partnership 1, through 28 1 Dot = 3 cases Dots are randomly placed within zip codes. Hispanic Black, not-hispanic White, not-hispanic N=14,74 41 53 33433 33763367 33442 3365 3373 3364 33633366 3371 3369 33321 3368 3339 3338 33351 33319 33334 33323 33313 33311 3334 33327 33325 3332433317 33316 33326 3331233315 33332 333313333 3332833314 334 3326 3324 3328 3321 332 3329 3327 3325 3323 339 3316933179 3318 33441 3362 336 3319 Total includes all races, some which are not on map. Excludes DOC, homeless, and cases with unknown zips. Data as of 4/27/9
1 Dot = 3 cases Dots are randomly placed within zip codes. Female Male N=15,9 Presumed Living HIV/AIDS Cases By Zip Code and Sex Partnership 1, through 28 Excludes DOC, homeless, and cases with unknown zips. Data as of 4/27/9 41 3329 33332 3327 3367 33331 33312 3333 3325 33311 3324 3339 3364 33324 3323 33325 3369 33317 33328 3321 3363 3365 3373 33314 33323 33327 33326 3371 33442 33321 3376 336 33319 334 3368 332 33351 3328 33313 339 33315 3326 33441 3338 33334 3319 3362 3334 3366 33316 3318 53 33433 3316933179
AIDS Cases & Rate per 1, Population* By Year of Report, Partnership 1, 2-29 Number of Cases 1 9 8 7 6 5 4 3 2 1 737 611 675 627 Era of HAART 929 1 2 3 4 5 6 7 8 9 79 Year of Report 751 625 884 819 Year Rate 48.7 1 36.9 2 4 3 36.9 4 53.4 5 44.5 6 42.4 7 35.4 8 49.8 9 46.8 Comment: The advent of HAART was associated with decreases in AIDS cases in the late 199 s. Generally, AIDS cases fluctuated in the early 2 s, with an increase in 24 due to increased CD4 testing statewide. Increasingly, a diagnosis of AIDS reflects late diagnosis of HIV and limited access to treatment.
Number of Cases HIV Cases & Rate per 1, Population* By Year of Report, Partnership 1, 2-29 16 14 12 1 8 6 4 2 93 9 1,81 1,49 934 956 86 781 1,38 1 2 3 4 5 6 7 8 9 Year of Report 956 Year Rate 59.8 1 54.3 2 65. 3 62.3 4 54.7 5 55.9 6 49.4 7 5. 8 79. 9 53.9 Comment: Generally, HIV cases remained fairly stable with an increase in 22 due to increased HIV testing statewide as part of the Get to Know Your Status campaign. Since that time, newly reported HIV cases have decreased each year, however in 26 their was an increase in cases reported. *Population rates calculated from annual population estimates.
8 Percent of Adult AIDS Cases by Sex and Year of Report Partnership 1, 2-29 Males M:F Ratio* 2 2.5:1 29 2.1:1 Percent of Cases 6 4 2 Females 1 2 3 4 5 6 7 8 9 Year of Report Comment: AIDS cases tend to represent HIV transmission that occurred many years ago. The relative increases in female cases reflect the changing face of the AIDS epidemic over time. *The male-to-female ratio is the number or percent of cases among males divided by the number or percent of female cases.
8 Percent of Adult HIV Cases by Sex and Year of Report Partnership 1, 1999-28 Males Percent of Cases 6 4 2 Females M:F Ratio* 2 1.5:1 29 2.8:1 1 2 3 4 5 6 7 8 9 Year of Report Comment: The trend for HIV cases by sex is the opposite of that for AIDS cases. Recent trends in HIV transmission are best described by the HIV case data. The relative increases in male HIV cases might be attributed to proportional increases in HIV transmission among men who have sex with men (MSM), which may influence future AIDS trends.
Partnership 1 Adult AIDS Cases by Sex, 29 (N=819) Adult HIV Cases by Sex, 29 (N=943) 32% Males Females 26% 68% 74% Comment: Partnership 1 s Adult Population is: 48% Male and 52% Female, therefore male cases are disproportionately impacted.
Percent of Cases 7 6 5 4 3 2 1 Percent of Adult AIDS Cases by Race/Ethnicity and Year of Report Partnership 1, 2-29 Factors Affecting Disparities White Black 1 2 3 4 5 6 7 8 9 Year of Report Hispanic -Late diagnosis of HIV. -Access to/acceptance of care. -Delayed prevention messages. -Stigma. -Non-HIV STD s in the community. -Prevalence of injection drug use. -Complex matrix of factors related to socioeconomic status Comment: Throughout the 198 s, AIDS cases among whites predominated. In 1993 (data not shown), blacks surpassed whites. In 28, blacks accounted for 59% of reported AIDS cases, but only 14% of the population. Hispanic cases decreased from 13% in 1999 to 11% in 28. Disparities are even more evident among women: Annually, more than 7% of female AIDS cases have been reported among black women since 1988. HIV case reporting, implemented in mid-1997, has shown a very similar distribution of cases by race/ethnicity and sex. *Other includes American Indian/Alaska Native, Asian/Pacific Islander, and Multi-racial.
7 Percent of Adult HIV Cases by Race/Ethnicity and Year of Report Partnership 1, 2-29 Percent of Cases 6 5 4 3 2 1 White, non-hispanic Black, non-hispanic Hispanic 1 2 3 4 5 6 7 8 9 Year of Report Comment: In absolute numbers, from 21-26, HIV cases among blacks decreased by 17%, while increasing by 27% among whites. The decreases among blacks may correspond to some extent with recent targeted prevention, while the increases among whites may be associated with recent increases in HIV transmission among white MSM.
Percent of Adult Male HIV Cases by Race/Ethnicity and Year of Report Partnership 1, 2-29 6 White, non- Hispanic Percent of Cases 5 4 3 2 1 Black, non- Hispanic Hispanic 1 2 3 4 5 6 7 8 9 Year of Report Comment: The percent of black male HIV cases has decreased from 47% in 2 to 37% in 29. Increases have been observed among both white and Hispanic male HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.
Percent of Adult Female HIV Cases by Race/Ethnicity and Year of Report Partnership 1, 2-29 Percent of Cases 12 9 6 3 White, non- Hispanic Black, non- Hispanic Hispanic 1 2 3 4 5 6 7 8 9 Year of Report Comment: Although the majority of HIV cases among women are black, the percent of black female HIV cases has decreased from 81% in 2 to 8% in 29. Increases have been observed among both white and Hispanic female HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.
Reported AIDS Case Rates per 1, Population By Sex and Race/Ethnicity, Partnership 1, 29 18 16 161.2 White Black Hispanic Rate per 1, 14 12 1 8 6 4 2 57.5 5.9 7.3 118.9 1.1 MALES Rate ratios Blacks:Whites, 2.8:1 Hispanics:Whites,.9:1 FEMALES Rate ratios Black:Whites, 16.3:1 Hispanics:Whites, 1.4:1 Male Female Comment: Among black males, the AIDS case rate is 2 times higher than among white males. Among black females, the AIDS case rate is 16-fold greater than among white females. Hispanic female rates are 1 time higher than the rates among their white counterparts. *29 Partnership 1 Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis.
Reported HIV Case Rates per 1, Population By Sex and Race/Ethnicity, Partnership 1, 29 Rate per 1, 18 16 14 12 1 8 6 4 2 86.9 165.6 Male 73.3 White Black Hispanic 7.5 11.5 Female 1.1 Comment: Among black males, the HIV case rate is nearly 2 times higher than among white males. Among black females, the HIV case rate is 14-fold greater than among white females. Hispanic female rates are 1 times higher than the rates among their white counterparts. *29 Partnership 1 Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis. MALES Rate ratios Blacks:Whites, 1.9:1 Hispanics:Whites,.8:1 FEMALES Rate ratios Black:Whites, 14.7:1 Hispanics:Whites, 1.3:1
Adult HIV and AIDS Cases, by Race/Ethnicity And Partnership 1 Population Estimates, 29 AIDS (N=819) 12% 3% 29 Partnership 1 Population Estimates* (N=1,453,937) 24% 3% HIV (N=943) 15% 1% 57% 28% 23% 5% 48% 36% White Black Hispanic Other Comment: In this snapshot of 29, blacks are over-represented among the AIDS cases, accounting for 57% of adult cases, but only 23% of the adult population. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of population. *Other includes Asian/Pacific Islanders and Native Alaskans/American Indians. *29 Partnership 1 Population Estimates, Adults (Ages 13+), DOH, Office of Planning, Evaluation and Data Analysis
Percent of Adult HIV Cases By Age Group*, Partnership 1, 2-29 Percent of Cases 45 4 35 3 25 2 15 1 5 13-19 2-29 3-39 4-49 5+ 1 2 3 4 5 6 7 8 9 Year of Report Comment: The percent of newly reported cases has shown increases among the 4-49 and the 5+ age group over the past several years.
Percent of Adult HIV Cases by Sex and Age Group at Diagnosis Partnership 1, 29 Males (N=698) Females (N=245) Percent 4 35 3 25 2 15 1 5 35 26 18 17 4 13-19 2-29 3-39 4-49 5+ Percent 35 3 3 25 25 22 2 18 15 1 5 4 13-19 2-29 3-39 4-49 5+ Note: HIV cases tend to be younger than AIDS cases: 22% of male HIV cases and 26% of female HIV cases occur among those aged 13-29, compared with only 11% of male AIDS cases and 17% of female AIDS cases in this age group. HIV cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic. This suggests that youth should be targeted.
Acronyms MSM - Men who have sex with men (includes homosexual and bisexual). IDU - Injecting drug user. This category assumes that needlesharing has taken place. Hetero - Persons infected by a partner of the opposite sex. Blood - Persons exposed through receipt of contaminated: blood/blood products, transplanted tissue/organs or artificial insemination. This category includes both confirmed and suspect cases pending investigation. Other/Unknown - Confirmed other risks.
Adult Male HIV Cases by Exposure Category and Year of Report, Partnership 1, 2-29 Cases 9 8 7 6 5 4 3 2 1 MSM IDU MSM/IDU Hetero 1 2 3 4 5 6 7 8 9 Year of Report Comment: From 25 28, MSM HIV cases increased by 52%, while heterosexual male cases increased by 16% and IDU male cases increased 44%. Note: NIRs redistributed.
Adult Female HIV Cases by Exposure Category and Year of Report, Partnership 1, 2-29 IDU Hetero 4 35 3 Cases 25 2 15 1 5 1 2 3 4 5 6 7 8 9 Year of Report Comment: The heterosexual risk continues to be the dominant mode of exposure among females. Note: NIRs redistributed.
Percent of Cases 7 6 5 4 3 2 1 Percent of Adult MSM HIV Cases by Race/Ethnicity and Year of Report Partnership 1, 2-29 Hispanic 1 2 3 4 5 6 7 8 9 Year of Report White, non- Hispanic Black, non- Hispanic NIRS NOT Redistributed
Total Adult Male Cases by Mode of Exposure and Sex Partnership 1, 29 AIDS (N=555) Note: NIRs redistributed. HIV (N=698) 3% 28% MSM IDU MSM / IDU Hetero 4% 3% 17% 5% Other 64% 76% Comment: The recent increase among MSM is indicated by the higher percent of MSM among HIV cases compared to AIDS cases, as HIV cases tend to represent a more recent picture of the epidemic.
Total Adult Female Cases by Mode of Exposure and Sex Partnership 1, 29 AIDS (N=264) Note: NIRs redistributed. IDU Hetero 7% Other HIV (N=245) 1% 9% 93% 9% Comment: The ongoing increase among heterosexual risk compared with IDU is indicated by the higher percent of heterosexuals among HIV cases compared to AIDS cases, as HIV cases tend to represent a more recent picture of the epidemic.
Reported PLWHA Rates per 1, Population By Sex and Race/Ethnicity Partnership 1*, through 28 Rate per 1, 2. 18. 16. 14. 12. 1. 8. 6. 4. 2.. 1153.2 1864.6 86.7 Males White Black Hispanic Other** 723.4 116.6 1552.1 292.2 157.7 Females MALES Rate ratios Blacks:Whites, 1.6:1 Hispanics:Whites,.7:1 FEMALES Rate ratios Black:Whites, 13.3:1 Hispanics:Whites, 1.:1 Comment: Among black males, the HIV/AIDS case rate for cases alive and reported through 28 is 2 times higher than among white males. Among black females, the AIDS case rate is 13 times higher than among white females. Hispanic male rates 1 times higher and Hispanic female rates are 1 times higher than the rates among their white counterparts. Data excludes Department of Corrections cases. *28 Total Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis **Other includes Asian/Pacific Islander, American Indian/Alaska Native and/or Other/Unknown Races.
Living Adult Male HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure Partnership 1*, Data through 28 White, non-hispanic N=(4,886) Black, non-hispanic N=(3,916) Hispanic N=(1,598) 3% 5%3%% 53% Heterosexual 2% 8% 5% 11% 1% MSM 31% 89% IDU 4% 1% MSM IDU MSM/IDU Hetero Other** 75% Comment: Among male PLWHAs, the distribution of risk among whites differs from that among blacks and Hispanics. MSM represents the highest risk for whites and Hispanics. White males have the smallest percentage of heterosexual contact cases. Note: Adjustments have been made to redistribute NIR cases. Data as of 4/27/9. *Data excludes Dept. of Corrections. **Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.
Living Adult Female HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure Partnership 1*, Data through 28 White, non-hispanic N=(511) Black, non-hispanic N=(3,558) Hispanic N=(325) 66% Heterosexual IDU 2% 3% 8% 4% 13% 32% 89% 83% IDU Hetero Other** Comment: Among female PLWHAs, the distribution of risk among whites differs from that among blacks and Hispanics. Heterosexual contact is the majority risk for all races. Adjustments have been made to redistribute NIR cases. Data as of 4/27/9. *Data excludes Dept. of Corrections. **Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.
Number of Deaths 8 6 4 2 Resident HIV/AIDS Deaths by Year, Partnership 1, 1994-28* 693 677 459 Race/Ethnicity 28 No. rate White Male 44 1.7 White Female 7 1.7 Black Male 78 38. Black Female 71 31.6 Hispanic Male 14 6.6 Hispanic Female 7 3.2 Other*** 3 4.9 TOTAL 224 12.8 274 21215282 265 29438 285 294 314 236224 94 96 98 2 4 6 8 Year Source: Office of Vital Statistics, Death Certificates *A change in coding of HIV/AIDS deaths from ICD-9 to ICD-1, effective in 1999, has resulted in an estimated increase of approximately 14% in the annual number of HIV/AIDS deaths.
Some Useful Links CDC HIV/AIDS Surveillance Reports (State and Metro Data): http://www.cdc.gov/hiv/stats/hasrlink.htm MMWR (Special Articles on Diseases, Including HIV/AIDS): http://www.cdc.gov/mmwr/ U.S. Census Data (Available by State, County): http://www.census.gov Florida Dept. of Health, Bureau of HIV/AIDS Website (Slide Sets, Fact Sheets, Monthly Surveillance Report, Counseling & Testing Data, etc., etc.): http://www.doh.state.fl.us/disease_ctrl/aids/index.html
The reason for collecting, analyzing and disseminating information on a disease is to control that disease. Collection and analysis should not be allowed to consume resources if action does not follow. --Foege WH et al. Int. J of Epidemiology 1976; 5:29-37
For Florida HIV/AIDS Surveillance Data Contact: (85) 245-4444 For Florida HIV/AIDS Surveillance Data Contact: (85) 245-4444 Lorene Maddox, MPH Ext. 2613 Lorene Maddox, MPH Ext. 2613 Tracina Bush Ext. 2612 Tracina Bush, BSW Ext. 2612 Brandi Knight, MPH Ext. 2373 Julia Fitz, MPH Ext. 2373 Internet Internet http://www.doh.state.fl.us/disease_ctrl/aids/index.html http://www.floridaaids.org Intranet http://dohiws.doh.state.fl.us Intranet http://dohiws.doh.state.fl.us CDC s Internet site for HIV/AIDS Slides: http://www.cdc.gov/hiv/graphics.htm