hiv in baltimore city - maryland · comparing age at diagnosis, 2017 hiv diagnoses to age on...
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HIV in Baltimore City
Colin Flynn, ScM
Prevention and Health Promotion Administration
Center for HIV Surveillance, Epidemiology and Evaluation
April 18, 2019
MARYLAND DEPARTMENT OF HEALTH
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MISSION AND VISIONPrevention and Health Promotion Administration
MISSION
The mission of the Prevention and Health Promotion Administration is to protect, promote and improve
the health and well-being of all Marylanders and their families through provision of public health
leadership and through community-based public health efforts in partnership with local health
departments, providers, community based organizations, and public and private sector agencies, giving
special attention to at-risk and vulnerable populations.
VISION
The Prevention and Health Promotion Administration envisions a future in which all Marylanders and
their families enjoy optimal health and well-being.
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HIV Diagnosis Trends, 2008-2017, Maryland and Baltimore City
Percent of new
Maryland cases in
Baltimore City
decreased from
38% to 22%
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HIV Diagnosis Trends, 2008-2017, by Geographic Area, Maryland
More cases now
come from the
Washington
suburbs than from
the Baltimore
metropolitan area
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Ending the HIV Epidemic. A Plan for America – Feb. 2019
Includes:
Baltimore City
Montgomery County
Prince George’s County
Washington, D.C.
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HIV Diagnosis Trends, 2011-2018, Ending the HIV Epidemic Jurisdictions, Maryland
0
50
100
150
200
250
300
350
400
450
2011 2012 2013 2014 2015 2016 2017 2018
EAPC= Estimated Annual Percent Change
As reported through 3/31/2019
Baltimore City EAPC -10.3%
Prince George’s Co. EAPC -2.9%
Montgomery Co. EAPC -4.0%
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Living HIV Diagnoses, Year-end 2016 – Ranked by Rates
Rank Metropolitan Area Reported Cases Rate per 100,000
1 Miami-Fort Lauderdale-West Palm Beach, FL 53,269 872.2
2 New York-Newark-Jersey City, NY-NJ-PA 138,830 684.7
3 Baton Rouge, LA 5,097 610.0
4 Baltimore-Columbia-Towson, MD 17,013 607.4
5 New Orleans-Metairie, LA 7,679 604.1
6 Atlanta-Sandy Springs-Roswell, GA 32,043 552.9
7 Memphis, TN-MS-AR 6,926 514.9
8 Jackson, MS 2,911 502.3
9 San Francisco-Oakland-Hayward, CA 23,031 490.1
10 Columbia, SC 3,923 479.9
18 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 23,920 393.6
30 Washington-Arlington-Alexandria, DC-VA-MD-WV 20,038 325.8
United States* 1,008,264 308.5
CDC. HIV Surveillance Report, 2017. Vol. 29. Table 30
* 50 states, DC & PR
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HIV Continuum of Care, 2017, Baltimore City
Using data as reported through 6/30/2018
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HIV Diagnosis Trends, 1985-2017, Sex at Birth, Baltimore City
Using data as reported through 6/30/2018
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People Living with Diagnosed HIV, 12/31/2017, by Gender, Baltimore City
Male, 6,623, 64%
Transmale, 6, 0%
Female, 3,690, 35%
Transfemale, 134, 1%
Adult/Adolescent HIV Diagnoses, Current Address in Baltimore City and Alive on 12/31/2017, Current Gender,
N = 10,453
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HIV Diagnosis Trends, 1985-2017, Race/Ethnicity, Baltimore City
Using data as reported through 6/30/2018
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1,685.3
133.7
2,721.3
545.9
0
500
1,000
1,500
2,000
2,500
3,000
Hispanic AmericanIndian
Asian Black PacificIslander
White
Baltimore City (Age 13+ Rate=2,020.6/100,000)
***
Using data as reported through 6/30/2018. *** suppressed due to small cell size
People Living with Diagnosed HIV, 12/31/2017, by Race/Ethnicity, Baltimore City
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HIV Diagnosis Trends, 1985-2017, Age at Diagnosis, Baltimore City
Using data as reported through 6/30/2018
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HIV Diagnoses, 2017, by Age at Diagnosis, Baltimore City
0
5
10
15
20
25
30
35
13-19 20-29 30-39 40-49 50-59 60+
Pe
rce
nt
Age at Diagnosis of New 2017 HIV Diagnoses
New Dx
Using data as reported through 6/30/2018
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People Living with Diagnosed HIV, 12/31/2017, by Age on 12/31/2017, Baltimore City
0
5
10
15
20
25
30
35
13-19 20-29 30-39 40-49 50-59 60+
Pe
rce
nt
Age on 12/31/2017 of Persons Living with Diagnosed HIV or AIDS
PLWHA
Using data as reported through 6/30/2018
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Comparing Age at Diagnosis, 2017 HIV Diagnoses to Age on 12/31/2017, People Living with Diagnosed HIV, 12/31/2017, Baltimore City
0
5
10
15
20
25
30
35
40
13-24 25-34 35-44 45-54 55-64 65+
Pe
rce
nt
Age at Diagnosis of New 2017 HIV Diagnoses versus Age on 12/31/2017 of Persons Living with Diagnosed HIV
New Dx PLWHA
PLWH are
aging with
HIV, while
the new HIV
diagnoses
are getting
younger
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Estimated Percent Undiagnosed HIV, 2016, United States
0
5
10
15
20
25
30
35
40
45
Pe
rce
nt
Estimated Percent of People Living with HIV that is Undiagnosed, United States, 2016
Total = 14.2%
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HIV Diagnosis Trends, 1985-2017, Exposure Category, Baltimore City
Using data as reported through 6/30/2018
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MSM32%
MSM/IDU5%
IDU30%
Heterosexual32%
Other<1%
Age 13+ N=10,453
Using data as reported through 6/30/2018
People Living with Diagnosed HIV, 12/31/2017, by Exposure Category, Baltimore City
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Other, 52 Other, 98Heterosexual,
1,038
Heterosexual, 2,256IDU, 1,750
IDU, 1,342
MSM/IDU, 551
MSM, 3,364
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male Female
Age 13+ N=10,453
Using data as reported through 6/30/2018
People Living with Diagnosed HIV, 12/31/2017, by Sex at Birth and by Exposure Category, Baltimore City
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https://phpa.health.maryland.gov
Maryland Department of Health
Prevention and Health Promotion Administration