northern virginia title i region hiv/aids trends data through 2005 carrie dolan, mph epidemiologist...
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Northern Virginia Title I Region HIV/AIDS TrendsData through 2005
Carrie Dolan, MPHEpidemiologistDivision of Disease Prevention
Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.
HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.
UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.
LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.
Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.
Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.
AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons
Northern VA Title I Region HIV/AIDS Trends Between 2004-2005, overall decrease (13.5%) in
reported HIV and AIDS* Areas designated as urban** saw a 16.6% decrease
in reported HIV* and AIDS between 2004-2005 Areas designated as rural** saw a 25% increase in
reported HIV* and AIDS between 2004-2005 Data through 2005 indicates in the VA portion of the
DC MSA, 47% of reported cases of HIV* and AIDS were white, 42% black and 11% reported another race
*Unduplicated Cases**urban includes: Loudon, Falls Church, Arlington, Alexandria, Fairfax City, Fairfax, Manassas Park, Manassas and Prince William rural includes: Clarke, Warren, Fauquier, Culpeper, Stafford, Fredericksburg, Spotsylvania, King George
Data through 2005 indicates that 30.5% of reported, unduplicated cases of HIV or AIDS in Virginia, are from the Northern VA. Title I Region (N=8,221)
MANASSAS PARK
Northern Virginia Title I Region (N=4,687)Cases of HIV and AIDS* (1996-2005)
263
185
247268 272
352
319 310
219
118
168142
193164
215
299
206224
243
280
0
50
100
150
200
250
300
350
400
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Year of Report
Report
ed C
ase
s_
Cases of AIDS
Cases of HIV
*Unduplicated
Living Trends
Estimated number of people living with HIV or AIDS in Northern Virginia Title I Region at the end of 2005= 5,389
31% of Virginia’s living total Most of cases are 32 yrs. old at diagnosis 75% male 48% black
Individuals Living with HIV or AIDS in the Urban Localities of the Northern Virginia Title I Region by Gender and Locality at the end of 2005 (N=4985)
299
24
436
9 34 2
183
846 893
67
1297
34120 126
8
350216
410
75150225300375450525600675750825900975
10501125120012751350
ALE
XAN
DRIA
ARLI
NG
TON
CO
.
FAIR
FAX
FAIR
FAX C
O.
FALL
SCH
URCH
LOU
DO
UN
CO
.
MAN
ASS
AS
MAN
ASS
AS
PARK
PRIN
CE
WIL
LIAM
CO
.
Locality
Rep
orte
d C
ases
_
Females (n=1244)Males (n=3741)
Individuals Living with HIV or AIDS in Rural Localities of the Northern Virginia Title I Region by Gender and Locality at the end of 2005 (N=404)
4
1521
3
24
612
44
32
49
15
6558
2614
16
05
101520253035404550556065707580859095
100CLA
RKE
CO
.
CU
LPEP
ER C
O.
FAU
QU
IER C
O.
FRED
ERIC
KSB
URG
KIN
G G
EORG
E CO
.
SPO
TSYLV
AN
IACO
.
STAFF
ORD
CO
.
WARREN
CO
.
Locality
Rep
orte
d C
ases
_
Females (n=103)Males (n=301)
Individuals Living with HIV or AIDS in the Northern VA Title I Region, by Race, at the end of 2005 (N=5389*)
2607
549
2100
1070200400600800
1000120014001600180020002200240026002800
Report
ed C
ase
s__
Black Hispanic
White Other**
**Unknown (n=26)*Other includes: American Indian/Alaskan Native, Asian/Pacific Islander, Multiple Races
Northern Virginia Title I Region (N=2,450)Living with HIV or AIDS by Race* (2001-2005) 267
233 235
209
150
251
169186
142
54 61 6882
10 14 14 13 10
210
63
0
50
100
150
200
250
300
2001 2002 2003 2004 2005
Year of Report
Report
ed C
ase
s_
Black White
Hispanic Other**
* Unknown (n=9)**Other includes Asian/Pacific Islander, American Indian/Alaskan Native, Multiple Races
Individuals Living with HIV or AIDS in the Northern VA Title I Region, by Risk at the end of 2005 (N=5389*)
27
945
652
2406
24833 53
0200400600800
100012001400160018002000220024002600
Rep
ort
ed C
ases_
_
HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)
MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion/Blood Products
*370 No Identified Risk 469 Undetermined Risk
186
Percentage of Men Living with HIV or AIDS in the Northern Region of Virginia that reported their risk of infection as MSM (N=2406*)
*Data through December 2005
33.87%
23.94%
3.08%
.25%
.71% .87%
.83%
1.29%
1.00%
1.00%.37%
1.12%
21.11%7.02%
MANASSAS PARK
.25%
2.20%
Individuals Living with HIV or AIDS in the Northern Virginia Title I Region, by Risk, excluding MSM, at the end of 2005 (N=2798*)
231
95
1826
322
422
153
15 28
623
25
0
50
100
150
200
250
300
350
400
450
500
550
600
650
Hemophilia HeterosexualContact
IDU MultipleHeterosexual
Pediatric Transfusion
Locality
Rep
orte
d C
ases
_
Females (n=992)Males (n=966)
*370 cases no identified risk 469 cases undetermined/not reported1 cell suppressed to protect confidentiality
Northern Virginia Title I Region (N=2,450)Living with HIV or AIDS by Gender* (2001-2005)
146 143 145117
309
449
340358
327
116
0
50
100
150
200
250
300
350
400
450
500
2001 2002 2003 2004 2005
Year of Report
Report
ed C
ase
s_
Female Male
Prepared by:
Carrie Dolan, MPHEpidemiologistDivision of Disease PreventionApril [email protected]
Data accessed from HARS on 04/19/2006