HIV/AIDS IN MIAMI-DADE COUNTY THROUGH 2015

HIV/AIDS IN MIAMI-DADE COUNTY THROUGH 2015 Florida Department of Health in Miami-Dade County, Epidemiology, Disease Control & Immunization Services, HIV/AIDS Surveillance Unit By Rodolfo Boucugnani

Please note that as of January 2016, all HIV/AIDS data will be based on the following. Per the Bureau of HIV/AIDS: Current HIV Infection data by year of report reflects any case meeting the CDC definition of 'HIV infection' which includes all newly reported HIV cases and newly reported AIDS cases with no previous report of HIV in Florida. If a case is later identified as being previously diagnosed and reported from another state, the case will no longer be reflected as a Florida case and the data will be adjusted accordingly. Data from the most recent calendar year (2015) are considered provisional and therefore should not be used to confirm or rule out an increase in newly reported cases in Florida. The final year-end numbers are generated in July of the following year, after duplicate cases are removed from the dataset, as is customary of HIV surveillance in the US.

MIAMI-DADE COUNTY POPULATION ESTIMATES Estimated Population in 2015 = 2,642,231 White, non Hispanic = 371,484 (14%) Black, non Hispanic = 438,997 (17%) Hispanic = 1,770,030 (67%) Other * = 61,720 (2%) Males = 1,282,274 (49%) Females = 1,359,957 (51%) * Other includes American Indian/Alaska Native, Asian Pacific Islander, and all other race group Source: Florida CHARTS - Population Estimates 2015

CUMULATIVE AIDS AND HIV REPORTED CASES IN MIAMI-DADE

MIAMI-DADE COUNTY POPULATION PROJECTION AND REPORTED HIV/AIDS CASES BY RACE/ETHNICITY THROUGH 2015 POPULATION COMPOSITION 2,642,231 BLACK, 17% HISPANIC, 67% WHITE, 15% REPORTED AIDS CASES 35,753 ER, 2% REPORTED HIV CASES 15,311 BLACK, 50% BLACK, 41% HISPANIC, 44% HISPANIC, 35% ER, 2% WHITE, 13% ER, 1% WHITE, 13% Source: Miami-Dade HIV/AIDS Surveillance report December 2015 from Electronic HIV/AIDS Reporting System [ehars]

Cases REPORTED HIV & AIDS CASES BY YEAR, 1988-2015 3,500 3,000 REP. AIDS REP. HIV 2,500 2,000 1,500 1176 1,000 500 0 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Year 482 Source: Miami-Dade HIV/AIDS Surveillance report December 2015 from Electronic HIV/AIDS Reporting System [ehars]

Cases DIAGNOSED HIV & AIDS CASES BY YEAR, 1988-2015 3,500 3,000 Dx. AIDS Dx. HIV 2,500 2,000 1,500 1,000 500 1031 406 0 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Year Source: Miami-Dade HIV/AIDS Surveillance report December 2015 from Electronic HIV/AIDS Reporting System [ehars]

Cases DIAGNOSED HIV (Not AIDS) CASES BY RACE/ETHNICITY AND YEAR 2005-2015 700 600 500 400 300 200 100 Hispanic Black White 617 538 381 443 341 358 357 345 334 289 266 363 381 288 300 313 293 285 309 282 274 296 88 87 100 124 83 78 98 111 83 104 109 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year Source: Miami-Dade HIV/AIDS Surveillance, December 2015 from Electronic HIV/AIDS Reporting System [ehars]

Cases DIAGNOSED AIDS CASES BY RACE/ETHNICITY AND YEAR 2005-2015 700 600 500 595 504 Hispanic Black White 449 474 430 400 336 335 378 345 339 273 300 325 241 296 274 254 270 286 208 190 200 90 190 104 85 68 188 100 61 39 48 48 27 40 0 24 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Year of Diagnosis Source: Miami-Dade HIV/AIDS Surveillance, December 2015 from Electronic HIV/AIDS Reporting System [ehars]

8% 2% 0% DIAGNOSED ADULT HIV CASES BY RACE/ETHNICITY, EXPOSURE CATEGORY AND GENDER, THROUGH 2015 Hispanic Male = 5,831 Black Male = 3,518 White Male = 1,766 2% 8% MSM 80% 2% 33% 18% Hispanic Female = 936 Black Female =2,676 White Female = 220 17% 7% 0% MSM 42% 5% 4% 2% 3% 6% MSM 85% 13% 6% 16% 19% 0% 76% 81% 65% LEYEND MSM=Male-to-male sexual contact. =Injection drug use. =Heterosexual contact w/people at risk or infected w/hiv =Other risk includes: Adult MSM &, Hemophiliac, Transfusion, Adult case reported w/pediatric risk. Source: Miami-Dade HIV/AIDS Surveillance, December 2015 from Electronic HIV/AIDS Reporting System [ehars]

DIAGNOSED ADULT AIDS CASES BY RACE/ETHNICITY, EXPOSURE CATEGORY AND GENDER, THROUGH 2015 9% 7% Hispanic Male = 10,823 Black Male = 10,589 White Male = 4,116 5% 8% MSM 71% 17% 6% 28% MSM 28% 21% 8% 2% 6% 4% MSM 80% 76% Hispanic Female 1,689 Black Female = 6,982 White Female = 457 2% 8% 14% 2% 66% 10% 22% 45% 3% 7% 45% LEYEND MSM=Male-to-male sexual contact. =Injection drug use. =Heterosexual contact w/people at risk or infected w/hiv =Other risk includes: Adult MSM &, Hemophiliac, Transfusion, Adult case reported w/pediatric risk. Source: Miami-Dade HIV/AIDS Surveillance, December 2015 from Electronic HIV/AIDS Reporting System [ehars]

REPORTED HIV/AIDS CASES THROUGH 2015 BY AGE GROUP AT AGE OF DIAGNOSIS 36% AIDS (35,753) HIV (15,311) 24% 30% 29% 25% 14% 13% 12% 1% 1% 1% 3% 6% 5% PEDIATRIC 13-19 20-29 30-39 40-49 50-59 60 & OVER AGE GROUP Source: Miami-Dade HIV/AIDS Surveillance, December 2015 from Electronic HIV/AIDS Reporting System [ehars]

Number of Deaths 1,400 HUMAN IMMUNODEFICIENCY VIRUS DEATHS BY YEAR 1995 2015* 1,200 1,182 1,000 886 800 600 400 545 444 512 480 466 411 424 442 407 443 397 352 200 282 268 230 218 227 195 184 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015* Year * 2015 Provisional data Source: Office of Vital Statistics based on resident deaths

HIV/AIDS CASES LIVING IN MIAMI-DADE IN 2014 (Data as of June 2015)

HIV/AIDS CASES LIVING IN MIAMI-DADE IN 2014, BY RACE/ETHNICITY & GENDER (Data as of June 2015) BLACK, 44% FEMALE, 28% ER, 1% WHITE, 12% HISPANIC, 43% MALE, 72% TOTAL LIVING CASES = 26,042 Source: Miami-Dade HIV/AIDS Surveillance report December 2014 from Electronic HIV/AIDS Reporting System [ehars] as of June 2015

POPULATION PYRAMID OF HIV/AIDS CASES LIVING IN MIAMI-DADE IN 2014 A g e G r o u p Over 89 MALE, n=18,858 FEMALE, n=7,184 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 Under 15 4,000 3,000 2,000 1,000 0 1,000 2,000 Source: Miami-Dade HIV/AIDS Surveillance report December 2014 from Electronic HIV/AIDS Reporting System [ehars] as of June 2015

HIV/AIDS CASES ADULT LIVING CASES IN MIAMI-DADE IN 2014, BY RACE/ETHNICITY & GENDER (Data as of June 2015) Adult Male = 18,840 Adult Female = 7,171 19% 1% 3% 10% MSM/ 4% 5% MSM 71% 87% LEYEND MSM=Male-to-male sexual contact. =Injection drug use. =Heterosexual contact w/people at risk or infected w/hiv =Other risk includes: Adult MSM &, Hemophiliac, Transfusion, Adult case reported w/pediatric risk. Source: Miami-Dade HIV/AIDS Surveillance, December 2015 from Electronic HIV/AIDS Reporting System [ehars]

GEOGRAPHIC DISTRIBUTION OF HIV/AIDS CASES LIVING IN MIAMI-DADE IN 2014 Legend PLWHA No Case 1-202 203-424 425-890 891-2,018 33192 33194 33185 33193 33018 33178 33182 33172 33184 33174 33175 33165 33183 33173 33179 33180 33055 33056 33015 33169 33162 33160 33054 33014 33181 33016 33168 33161 33167 33154 33012 33166 33122 33013 33147 33010 33142 33138 33141 33150 33127 33137 33140 33125 33136 33139 33126 33128 33132 33135 3313033131 33144 33109 33134 33145 33129 33155 33133 33146 33149 33143 33156 33196 33186 33176 TOTAL N=26,042 33187 33170 33177 33158 33157 33189 33190 ³ These cases are those whose current residence is Miami-Dade County regardless of where they were reported. 33030 33031 33032 33039 33033 33034 33035 This map excludes Department of Correction cases, homeless, and cases with unknown ZIP code, or out of jurisdiction. 0 2.25 4.5 9 13.5 18 Miles Source: Miami-Dade HIV/AIDS Surveillance report December 2014 from Electronic HIV/AIDS Reporting System [ehars] as of June 2015

GEOGRAPHIC DISTRIBUTION OF HIV/AIDS CASES LIVING IN MIAMI-DADE BY RACE/ETHNICITY THROUGH 2014, AS OF JUNE 2015 Legend Black No Case 1-50 51-100 101-200 201-500 Over 500 33185 33193 33192 33194 BLACKS N=11,537 33179 33180 33055 33056 33160 33015 33169 33018 33162 33160 33181 33014 33054 33154 33181 33016 3316833161 33154 33167 33154 33178 33012 33141 33013 33147 33138 33141 33150 33141 33166 33010 33140 33142 3312733137 33140 33122 33182 33172 33125 33136 33126 33132 33139 33184 33174 33144 33135 3313033131 33134 33145 33129 33109 33175 33165 33155 33183 33173 33143 33146 33133 33149 33185 33193 33192 33194 WHITES N=3,020 33179 33180 33055 33056 33160 33015 33169 33018 33162 33160 33181 33014 33054 33154 33181 33016 3316833161 33154 33167 33154 33178 33012 33141 33013 33147 33138 33141 33150 33141 33166 33010 33140 33142 3312733137 33140 33122 33182 33172 33125 33136 33126 33132 33139 33184 33174 33144 33135 3313033131 33134 33145 33129 33109 33175 33165 33155 33183 33173 33143 33146 33133 33149 33185 33193 33192 33194 HISPANICS N=11,116 33179 33180 33055 33056 33160 33015 33169 33018 33162 33160 33181 33014 33054 33154 33181 33016 3316833161 33154 33167 33154 33178 33012 33141 33013 33147 33138 33141 33150 33141 33166 33010 33140 33142 3312733137 33140 33122 33182 33172 33125 33136 33126 33132 33139 33184 33174 33144 33135 3313033131 33134 33145 33129 33109 33175 33165 33155 33183 33173 33143 33146 33133 33149 33196 33186 33176 33158 33156 33196 33186 33176 33158 33156 33196 33186 33176 33158 33156 33187 33170 33177 33157 33189 33190 33187 33170 33177 33157 33189 33190 33187 33170 33177 33157 33189 33190 33031 33032 33031 33032 33031 33032 33030 33033 33039 33030 33033 33039 33030 33033 33039 33034 33035 33034 33035 33034 33035 PLWHA are cases whose current residence is Miami-Dade regardless of where they were reported. These maps excludes D.O.C., homeless, and cases with unknown ZIP codes.

TOTAL HIV TESTS PROVIDED IN MIAMI-DADE COUNTY BY YEAR, GENDER & RACE/ETHNICITY 2010-2014 MIAMI-DADE / YEAR GENDER 2010 TOTAL TEST POS. RATE 2011 TOTAL TEST POS. RATE 2012 TOTAL TEST POS. RATE 2013 TOTAL TEST POS. RATE 2014 TOTAL TEST F EM ALE 32,385 1.1 36,295 0.9 38,804 0.8 46,883 0.7 44,133 0.6 M ALE 32,391 2.7 36,446 2.9 39,530 2.3 47,448 2.1 49,597 2.3 TRANSGENDER 73 9.6 85 2.3 126 5.6 147 2.0 171 5.9 M ISSING DATA 243 0.0 568 3.0 1,088 0.9 805 1.0 854 2.1 RACE/ ETHNICITY BLACK/ A. AM ERICAN 32,217 2.2 35,409 1.9 37,954 1.6 43,146 1.5 38,853 1.5 HISPANIC/ LATINO 27,128 1.5 30,941 1.8 33,298 1.5 42,827 1.4 42,672 1.6 W HITE 4,417 2.1 5,489 2.4 6,690 1.8 7,301 1.4 8,956 1.3 POS RATE TOTAL 65,065 1.9 73,394 1.9 79,548 1.5 95,283 1.4 94,755 1.5 The number of tests performed to blacks increased 21% comparing 2010 with 2014, 57% among Hispanics and 103% among whites. Source: Florida HIV Counseling & Testing Database

Florida Department of Health in Miami-Dade County Website http://miamidade.floridahealth.gov Data Request Rodolfo.Boucugnani@flhealth.gov