2019 hiv/aids epidemiology update · questions special data request must be made through hiv/aids...
TRANSCRIPT
2019 HIV/AIDS Epidemiology
Update 2018 Data
James Dowling
Health Program Coordinator
Division of Public Health
Primary Sources
Enhanced HIV/AIDS Reporting System
(EHARS) – Collects infection data from all
legally bound reporting sources throughout
the State.
2018 Delaware Population Consortium
2017 CDC HIV/AIDS Surveillance Report
Questions
Special data request must be made through
HIV/AIDS Surveillance Coordinator James
Dowling
– Phone – (302)744-1016
– Email – [email protected]
– (special data is that which is not specifically
covered in the following slides)
HIV/AIDS Trends in Delaware 3,501 living cases of HIV (all stages)
December 2018
Prevalence Rates (per 100,000) All Statewide = 359.42 (n = 3,501)
African Americans = 985.82 (n = 2,069)
White = 179.30 (n = 1,090)
Hispanic = 284.44 (n = 260)
(ratios based on 2018 DE Population
Consortium Estimates and reported
Living HIV cases)
Gender Groups
TRENDS IN HIV/AIDS IN DE
Gender
--Males - 48% of Delaware’s population, yet
72% of all HIV/AIDS cases through 2018
--Females - 52% of Delaware’s population, 28% of
all reported Delaware cases through
2018
New Infections in Delaware by gender 2001 - 2018
0
50
100
150
200
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Male Female
Year
Total #
HIV Reporting
Began 07/01
271 202 223 205 176 152 173 157 153 128 109 139 112 117 106 115 124 91
Race Ethnicity Groups
TRENDS IN DE (Cont)
Ethnicity
-- African Americans (disproportionately high
HIV/AIDS rate)
44% cases attributed to African-Americans in the
late 80s---Stands at 65% at the end of 2018
despite being 21% of Delaware’s population
0
50
100
150
200
250
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Caucasian AA Hispanic Other
New Infections Diagnosed in Delaware
Race/Ethnic Groups,
2001-2018
Year
Total #
HIV Reporting
Began 07/01
NOTE: Other = Am Indian, Native Alaskan Asian, Native Hawaiian and Multi Race
271 202 223 205 176 152 173 157 153 128 109 139 112 117 106 115 124 91
0
20
40
60
80
100
120
140
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Caucasian Male Caucasian Female AA Male
AA Female Hispanic Male Hispanic Female
Other Male Other Female Unknown
New Infections Diagnosed in Delaware
by Gender and Race/Ethnic Groups,
2001-2018
HIV Reporting
Began 07/01
Year
Total # 271 202 223 205 176 152 173 157 153 128 109 139 112 117 106 115 124 91
Age Groups
TRENDS IN DE (Cont) AGE
HIV
- 77% reported were between ages of 20 – 49 at
diagnoses
- Teen groups not infected at rates seen in many other
states, DE = 5%
Stage 3 HIV (AIDS)
- 70% reported were between ages 30-54 at diagnoses
New Infections Diagnosed in Delaware by age Group,
2001-2018
1% 0%
4%
12% 13%
12%
14% 14% 13%
8%
5%
3% 2%
0%
10%
20%
30%
40%
50%
<13 13-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+
Pe
rce
nta
ge
of C
ase
s
Age at Diagnosis (Years)
Age at Dx
Mortality
TRENDS IN DE (Cont)
Mortality Better Treatment = Longer lives
HIV/AIDS Deaths
0
50
100
150
200
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
16
17
18
Deaths3,501 Living with
HIV in December
2018
Combination therapy
begins
523 Living with HIV
in December 1988
2018 death
ascertainment
incomplete
0
20
40
60
80
100
120
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 16 17 18
Year
Nu
mb
er
of
Death
s
Black White Hispanic Other
HIV/AIDS Deaths by Race, 1991 to 2018
Note: Deaths are proportionate to infections
across groups
2018 death
ascertainment
incomplete
0
20
40
60
80
100
120
140
160
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 16 17 18
Year
Nu
mb
er
of
Death
s
Male Female
HIV/AIDS Deaths by Gender, 1991 to 2018
2018 death
ascertainment
incomplete
HIV/AIDS Deaths, 1991 to 2017
Death due to underlying HIV disease
HIV Related Frequency Percent
No 926 32.53
Undetermined 95 3.34
Yes 1826 64.14
Geography
--47% of all HIV/AIDS cases reported in Delaware through 2017 originated
from Wilmington Metropolitan area.
2018 Estimated
Delaware
Pop.= 974,051 Source: Delaware Population
Consortium
58%
18%
24%
22%
30%
48%
Delaware Land Area
1,954 square miles
65%
14%
21%
Living HIV/AIDS
As of Dec 2018
n = 3,501
Behavioral Risk Groupings
Risk Categories by County of
Residence
Risk Categories by County of
Residence
Risk Categories by County of
Residence
Risk Categories in Wilmington
Metro Area
0
20
40
60
80
100
120
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
MSM IDU MSM and IDU Hetero No Risk/Other
New Infections Diagnosed in Delaware by Risk Group,
2001-2018
Total #
Year
271 202 223 205 176 152 173 157 153 128 109 139 112 117 106 115 124 91
0
10
20
30
40
50
60
70
80
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
MSM IDU MSM and IDU Hetero No Risk/Other
New Infections in Males Diagnosed in Delaware by Risk Group,
2001-2018
Total #
Year
175 136 141 131 112 104 138 107 111 101 84 101 88 74 87 88 90 69
0
10
20
30
40
50
60
70
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
IDU Hetero No Risk/Other
New Infections in Females Diagnosed in Delaware by Risk Group,
2001-2018
96 66 82 74 64 48 35 50 42 Total # 27
Year
25 38 29 43 19 27 34 22
National VS. Delaware
Living HIV Cases by Race
National - 2016
Delaware - 2018
The distribution of living HIV cases
by race nationally is
% Among HIV
30% White
42% Black
22% Hispanic
6% other races
Delaware’s living HIV cases
through 2018 by race are
% Among HIV
33% White
56% Black
8% Hispanic
3% other races
National VS. Delaware
Living Stage 3 HIV (AIDS) Cases by Race
National - 2016 Delaware - 2018
The distribution of living AIDS
cases by race nationally is
% Among AIDS
30% White
41% Black
23% Hispanic
6% other races
Delaware’s living AIDS cases
through 2018 by race are % Among AIDS
31% White
59% Black
7% Hispanic
3% other races
