1 - adult/adolescent annual aids rates by race/ethnicity 1 and gender, lac 2005 results are...

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1 - Adult/Adolescent Annual AIDS Rates by Race/Ethnicity 1 and Gender, LAC 2005 Results are preliminary. 1 Male American Indian/Alaskan Native rates not shown due to small numbers. LA County HIV Epidemiology Program C a s es p e r 1 0 0 , 0 00 -

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Adult/Adolescent Annual AIDS Rates by Race/Ethnicity1 and Gender, LAC 2005Adult/Adolescent Annual AIDS Rates by Race/Ethnicity1 and Gender, LAC 2005

Results are preliminary. 1Male American Indian/Alaskan Native rates not shown due to small numbers.LA County HIV Epidemiology Program

Cas

es p

er 1

00,0

00

-

2

Persons Living with AIDS in LAC per 1,000 population by Race/Ethnicity*

Rates are based on year 2004 population estimates. LA County HIV Epidemiology Program, 6/2006

Per

1,0

00 P

opul

atio

n

3

Mode of Exposure for Men and Women With AIDS in LAC, as of 12/31/2005

*Other includes Hemophilia/Transfusion/Transplant and Mother w/at HIV risk Source: HIV Epidemiology Program, LAC/DHS, data as of 6/2006.

Men Womenn=18,600

n=2,266

• There are currently 4,990 women living with HIV/AIDS in Los Angeles County

2,879 or 58% are of childbearing age (15-44 years old)

• Between 2002-2007, there were 619 infants reported born to HIV+ mothers in LAC; representing an average of 103 HIV exposures per year.

*As of 12/31/2007

Data provided by A. Naghadi, LAC HIV Epidemiology Program

HIV Among Women in Los Angeles County

5

HIV/AIDS in LA County

In Los Angeles County, the impact of HIV/AIDS epidemic has been seen among:

• Men who have Sex with Men (MSM)

•Woman at Sexual Risk

•Communities of color

Sexual Transmission

• Abstinence• Safer Sex

– Male Condom– Female Condom– Dental Dams

Prevention

Needle Use

• Not Sharing Needles

• Cleaning Needles– 3x3x3 Method

• Other Harm Reduction Approaches

• Needle Exchange

Needle Use

• Not Sharing Needles

• Cleaning Needles– 3x3x3 Method

• Other Harm Reduction Approaches

• Needle Exchange

Breast Feeding

It is recommended that HIV+ women do not breastfeed infants.

PreventionPrevention

PreventionPrevention

Post Exposure Prophylaxis (PEP):• Therapy designed to reduce the possibility

of infection with the virus after known exposure.

• Primarily intended for prevention in cases where there has been known high risk work related exposure.

• PEP may be considered after a sexual exposure under certain conditions.

Universal Precautions

•Wash hands thoroughly

•Wear latex gloves

•Use masks and eye protection

•Wear a gown

•Use resuscitation bag or mouth piece for CPR

Use 1 part bleach to 9 parts water

for blood spills and bodily fluids

HIV Testing

HIV test looks for antibodies to HIV (1985) HIV test looks for antibodies to HIV (1985)

ELISAScreening test, sensitive: if positive, test run 2x

ELISAScreening test, sensitive: if positive, test run 2x

99.9% 99.9% accurateaccurate

Western Blot

Confirmatory test: specifically detects HIV antibodies

Western Blot

Confirmatory test: specifically detects HIV antibodies

Ways to Test

Anonymous Anonymous Confidential

Informed Consent

12 years old

- Blood test

12 years old

- Blood test

Informed consent

13 years old - Oral test

(OraSure)

- Rapid test (OraQuick)

13 years old - Oral test

(OraSure)

- Rapid test (OraQuick)

For More Information

Jason, MPH, OAPP

(213) 351-8334, [email protected]