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Epidemic to Endemic : HIV Endemic in San Francisco. Gay men: Endemic. Injection drug users: Endemic. Heterosexuals: Neither epidemic nor endemic. Transfemales: ???????????????. McFarland, 2009. What Has Not Changed: Burden of Disease. 2001. 2006. 2011. Fisher, 2010.
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Epidemic to Endemic : HIV Endemic in San Francisco Gay men: Endemic Injection drug users: Endemic Heterosexuals: Neither epidemic nor endemic Transfemales: ??????????????? McFarland, 2009
What Has Not Changed: Burden of Disease 2001 2006 2011 Fisher, 2010
What Has Not Changed: Disparities BRPs living with HIV/AIDS compared to the general population, San Francisco 2010 SF Population Size = 815, 358 Source: San Francisco Department of Public Health, HIV/AIDS Epidemiology Annual Report 2010 and U.S. Census Bureau, 2009 American Community Survey
Persons living with HIV/AIDS, San Francisco 2010 SFDPH HIV/AIDS Epidemiology Annual Report, 2010
Inevitability of Infection Among San Francisco MSM Blue line = probability of infection for white MSM; red = AA MSM; McFarland 2007
Number of New Cases by Group Behavioral Risk Group Fisher, 2010
2011 HIV Incidence Estimates • Total • 815,358 population size (~2.4% rise since 2006) • 18,576 living with HIV (prevalence 2.27%) • 736 new infections (incidence rate 0.09%) • ( CI 534 – 977) Fisher, 2010