HIV in Baltimore City - Maryland · Comparing Age at Diagnosis, 2017 HIV Diagnoses to Age on...
21
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
Transcript of HIV in Baltimore City - Maryland · Comparing Age at Diagnosis, 2017 HIV Diagnoses to Age on...
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
2
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.
3
HIV Diagnosis Trends, 2008-2017, Maryland and Baltimore City
Percent of new
Maryland cases in
Baltimore City
decreased from
38% to 22%
4
HIV Diagnosis Trends, 2008-2017, by Geographic Area, Maryland
More cases now
come from the
Washington
suburbs than from
the Baltimore
metropolitan area
5
Ending the HIV Epidemic. A Plan for America – Feb. 2019
Includes:
Baltimore City
Montgomery County
Prince George’s County
Washington, D.C.
6
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%
7
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
8
HIV Continuum of Care, 2017, Baltimore City
Using data as reported through 6/30/2018
9
HIV Diagnosis Trends, 1985-2017, Sex at Birth, Baltimore City
Using data as reported through 6/30/2018
10
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
11
HIV Diagnosis Trends, 1985-2017, Race/Ethnicity, Baltimore City
Using data as reported through 6/30/2018
12
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
13
HIV Diagnosis Trends, 1985-2017, Age at Diagnosis, Baltimore City
Using data as reported through 6/30/2018
14
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
15
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
16
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
17
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%
18
HIV Diagnosis Trends, 1985-2017, Exposure Category, Baltimore City
Using data as reported through 6/30/2018
19
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
20
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
https://phpa.health.maryland.gov
Maryland Department of Health
Prevention and Health Promotion Administration
