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HIV/STD Trends in Texas

HIV/STD Trends in Texas . Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010 . Outline. HIV Epidemiology National data Texas trends HIV testing/treatment STD Epidemiology Syphilis Chlamydia Gonorrhea.

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HIV/STD Trends in Texas

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  1. HIV/STD Trends in Texas Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010

  2. Outline • HIV Epidemiology • National data • Texas trends • HIV testing/treatment • STD Epidemiology • Syphilis • Chlamydia • Gonorrhea

  3. USA: Reported AIDS and HIV Cases • As of the end of 2007, 1,051,875 AIDS cases have been reported in the United States • Of these cases 7% were reported in Texas • As of the end of 2007, 328,103 HIV cases have been reported in the United States* • Of these cases 8% were reported in Texas *Includes 47 states, District of Columbia and 5 U.S. .territories with name-based reporting as of December 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18

  4. Cumulative Reported AIDS Cases:Top 5 States, 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18

  5. Texas: The Big Picture • Since 1980, >107,000 Texans have been diagnosed with HIV/AIDS • >41,000 Texans with HIV/AIDS have died • As of year end 2008, 62,772 Texans were living with HIV/AIDS

  6. New AIDS Cases, Deaths, and Persons Livingwith AIDS: Texas, 1980-2008 Living with AIDS New AIDS Cases Deaths among AIDS Cases

  7. Persons Living with HIV/AIDS: Texas, 1987N=1,204

  8. Persons Living with HIV/AIDS: Texas, 1997N=16,184

  9. Persons Living with HIV/AIDS: Texas, 2007N=62,805

  10. 2008 HIV/AIDS In 2008… • 4,293 Texans were newly-diagnosed with HIV • 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year • 2,758 Texans living with HIV progressed to AIDS • 1,280 Texans with HIV/AIDS died

  11. Newly-diagnosed HIV Cases:Texas, 1999-2008

  12. Newly-diagnosed HIV Case Rates by Race:Texas, 1999-2008

  13. White 48% African American 11% 36% Hispanic 5% Other/Unknown Race/Ethnicity of New HIV/AIDS Case:Texas, 2008 Texas Population n=24,383,647 HIV/AIDS Cases n=4,293 29% 43% 26% 2%

  14. Newly-diagnosed HIV Case Rates by Sex:Texas, 1999-2008

  15. Race/Ethnicity of New HIV/AIDS Cases:Texas, 2008 Males n=3,314 Females n=979

  16. Newly-diagnosed HIV Case Rates by Age:Texas, 1999-2008

  17. Age of New HIV/AIDS Cases: Texas, 2008

  18. HIV/AIDS Cases by Transmission Category:Texas, 2008 Females Males Heterosexual contact* Men who have sex with Men (MSM) MSM & IDU Injection drug use (IDU) * Heterosexual contact with person known to have or to be at high risk for HIV infection ** Cases with an unknown or other mode of transmission are not included

  19. Perinatally Exposed and Infected Children: Texas, 1999-2008 n=13 n=12 n=9 n=7

  20. HIV Testing and Care • An estimated 16,686 people are living with HIV in Texas and are unaware of their status (undiagnosed) • Approximately one-third of persons living with HIV in 2007 had unmet need for care • 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year • Only 14% of Texans had an HIV test last year

  21. Reportable STDs in Texas Syphilis Chlamydia Gonorrhea

  22. Primary and Secondary Syphilis Cases:Texas, 1971-2009

  23. P&S Syphilis Case Rates by Race/Ethnicity: Texas, 1995-2009

  24. P&S Syphilis Case Rates* by Year of Report and Sex: Texas, 1998-2009 Male Female * Rate = Cases per 100,000 population.

  25. P&S Syphilis Cases by Sex and MSM:Texas, 2003-2009

  26. P&S Syphilis Case Rates by County:Texas, 2009

  27. Congenital Syphilis Cases:Texas, 1991-2009

  28. Chlamydia Cases:Texas, 1988-2009

  29. Chlamydia Cases by Year of Report:Texas, 2000-2009

  30. Chlamydia Case Rates Among Women by Race/Ethnicity: Texas, 1991-2009 Af. American Hispanic White

  31. Chlamydia Case Rates by County:Texas, 2009

  32. Gonorrhea Cases:Texas, 1971-2009

  33. Gonorrhea Case Rates by Race/Ethnicity: Texas, 1991-2009

  34. Gonorrhea Cases by Age Group and Race/Ethnicity: Texas, 2009

  35. Gonorrhea Case Rates by County:Texas, 2009

  36. Acknowledgements • HIV/STD surveillance staff at local and regional health departments across the state and at the central DSHS HIV/STD program who collected the data used in this presentation • Ed Weckerly and Jennifer Chase of the DSHS TB/HIV/STD Epidemiology and Surveillance Branch who analyzed the data and prepared the slides

  37. Questions? • Contact Information: Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Manager, TB/HIV/STD Epidemiology and Surveillance Branch Sharon.Melville@dshs.state.tx.us

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