HIV

1. HIV/AIDSEpidemiologyFlorida Bureau of HIV/AIDS Surveillance Section (850) 245-4430, or SC 205-4430 Incidence data as of 12/31/2006 Prevalence and Death data as of 04/05/07 2006 HIV/AIDSEpidemiologyFlorida 2006 HIV/AIDSEpidemiologyFlorida

2. The Epidemic in Florida2006 This provides a snapshot of the epidemic in Florida in 2006. Data in the balance of this presentation address the situation through 2005. Cases among those in the �Other� category account for less than one-half percent of all cases in Florida, a number too small to be shown in most graphic analyses. These include Asian/Pacific Islanders, American Indians/Alaska Natives and multi-racial persons. This presentation focuses on the 3 major racial/ethnic groups in Florida: Non-Hispanic whites (whites), non-Hispanic blacks (blacks) and Hispanics. Optional to discuss last bullet: The HIV prevalence estimate of 125,000 includes reported persons living with HIV/AIDS (or PLWHAs) and all those who are HIV-infected but undiagnosed and unaware of their infection. This estimate excludes those who have died. CDC estimates that about one-quarter of HIV-infected people do not know their infection status, and these people may be responsible for most transmissions of HIV. This provides a snapshot of the epidemic in Florida in 2006. Data in the balance of this presentation address the situation through 2005. Cases among those in the �Other� category account for less than one-half percent of all cases in Florida, a number too small to be shown in most graphic analyses. These include Asian/Pacific Islanders, American Indians/Alaska Natives and multi-racial persons. This presentation focuses on the 3 major racial/ethnic groups in Florida: Non-Hispanic whites (whites), non-Hispanic blacks (blacks) and Hispanics. Optional to discuss last bullet: The HIV prevalence estimate of 125,000 includes reported persons living with HIV/AIDS (or PLWHAs) and all those who are HIV-infected but undiagnosed and unaware of their infection. This estimate excludes those who have died. CDC estimates that about one-quarter of HIV-infected people do not know their infection status, and these people may be responsible for most transmissions of HIV.

3. Private MDs Medical Records Death Certificates Laboratories Medical Examiners Counseling & Testing Sites Correctional Facilities Hospitals (ICD-9), Billing HIV Patient Care Clinics Registries (e.g., AZT, TB, Cancer) Reporting Sources of HIV/AIDS Cases Reporting Sources of HIV/AIDS Cases Private MDs Medical Records Death Certificates Laboratories Medical Examiners Counseling & Testing Sites Correctional Facilities Hospitals (ICD-9), Billing HIV Patient Care Clinics Registries (e.g., AZT, TB, Cancer) Comment: Most diseases rely on �passive� surveillance for case finding. Surveillance for HIV/AIDS is �active� and passive, with workers specifically dedicated to case finding and/or epidemiologic follow-up, resulting in a very high completeness of reporting and decent classification of exposure (risk) category. Reporting Sources of HIV/AIDS Cases Private MDs Medical Records Death Certificates Laboratories Medical Examiners Counseling & Testing Sites Correctional Facilities Hospitals (ICD-9), Billing HIV Patient Care Clinics Registries (e.g., AZT, TB, Cancer) Comment: Most diseases rely on �passive� surveillance for case finding. Surveillance for HIV/AIDS is �active� and passive, with workers specifically dedicated to case finding and/or epidemiologic follow-up, resulting in a very high completeness of reporting and decent classification of exposure (risk) category.

4. HIV/AIDS Surveillance, Florida A Few General Comments High completeness of reporting of diagnosed, reportable cases (~90%). Good timeliness of reporting: 82% of AIDS within 6 months of diagnosis; 76% of HIV within 2 months of positive test. There are delays in reporting of newly diagnosed (incident) cases and deaths, but often trends in cases by year of report can be used as a reasonable proxy for incidence or cases by year of diagnosis). Using the year of report does not involve any reporting delays. HIV/AIDS Surveillance, Florida A Few General Comments High completeness of reporting of diagnosed, reportable cases (~90%). Good timeliness of reporting: 82% of AIDS within 6 months of diagnosis; 76% of HIV within 2 months of positive test. There are delays in reporting of newly diagnosed (incident) cases and deaths, but often trends in cases by year of report can be used as a reasonable proxy for incidence or cases by year of diagnosis). Using the year of report does not involve any reporting delays.

5. HIV Case Reporting Reflects good demographic information. Tends to represent more recent infections. No retroactive reporting in Florida prior to implementation in July 1997. Patients are tested on a self-selected basis. Anonymous tests are not reported. Data provides a minimum estimate of HIV prevalence. All states now have HIV infection reporting. Unless otherwise noted, HIV cases are HIV regardless of AIDS status cases. These HIV data may include those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive. HIV Case Reporting Reflects good demographic information. Tends to represent more recent infections. No retroactive reporting in Florida prior to implementation in July 1997. Patients are tested on a self-selected basis. Anonymous tests are not reported. Data provides a minimum estimate of HIV prevalence. All states now have HIV infection reporting. Unless otherwise noted, HIV cases are HIV regardless of AIDS status cases. These HIV data may include those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive. HIV Case Reporting Reflects good demographic information. Tends to represent more recent infections. No retroactive reporting in Florida prior to implementation in July 1997. Patients are tested on a self-selected basis. Anonymous tests are not reported. Data provides a minimum estimate of HIV prevalence. All states now have HIV infection reporting. Unless otherwise noted, HIV cases are HIV regardless of AIDS status cases. These HIV data may include those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive.

6. AIDS Rates per 100,000 Population Reported by County of Residence* Florida, 2006 Based on 2005 statewide population estimates, the 2005 state rate is 32.1 per 100,000 population. *County totals exclude Department of Corrections cases (N=175). Numbers on counties are cases reportedAIDS Rates per 100,000 Population Reported by County of Residence* Florida, 2006 Based on 2005 statewide population estimates, the 2005 state rate is 32.1 per 100,000 population. *County totals exclude Department of Corrections cases (N=175). Numbers on counties are cases reported

7. HIV Cases Reported by County of Residence* Florida, 2006 Based on 2005 statewide population estimates, the 2006 state rate is 33.5 per 100,000 population. *County totals exclude Department of Corrections cases (N=293). This map does not reflect HIV incidence. Numbers on counties are cases reported. HIV Cases Reported by County of Residence* Florida, 2006 Based on 2005 statewide population estimates, the 2006 state rate is 33.5 per 100,000 population. *County totals exclude Department of Corrections cases (N=293). This map does not reflect HIV incidence. Numbers on counties are cases reported.

8. Percent of Reported Adult AIDS Cases and Population by Area, Florida, 2006 Percent of Reported Adult AIDS Cases and Population by Area, Florida, 2006Percent of Reported Adult AIDS Cases and Population by Area, Florida, 2006

9. Percent of Reported Adult HIV Cases and Population by Area, Florida, 2006 Percent of Reported Adult HIV Cases and Population by Area, Florida, 2006Percent of Reported Adult HIV Cases and Population by Area, Florida, 2006

10. AIDS Cases By Year of Report, Florida, 1997-2006 Comment: The advent of HAART was associated with decreases in AIDS cases in the late 1990�s. Generally, AIDS cases remained fairly stable in the early 2000�s, with an increase in 2004 due to increased CD4 testing statewide. Increasingly, a diagnosis of AIDS reflects late diagnosis of HIV and limited access to treatment. AIDS Cases By Year of Report, Florida, 1997-2006 Comment: The advent of HAART was associated with decreases in AIDS cases in the late 1990�s. Generally, AIDS cases remained fairly stable in the early 2000�s, with an increase in 2004 due to increased CD4 testing statewide. Increasingly, a diagnosis of AIDS reflects late diagnosis of HIV and limited access to treatment.

11. AIDS Case Rate per 100,000 Population* By Year of Report, Florida, 1997-2006 *Population rates calculated from annual population estimates. Comment: The advent of HAART was associated with decreases in AIDS cases in the late 1990�s. Generally, AIDS cases remained fairly stable in the early 2000�s, with an increase in 2004 due to increased CD4 testing statewide. Increasingly, a diagnosis of AIDS reflects late diagnosis of HIV and limited access to treatment. AIDS Case Rate per 100,000 Population* By Year of Report, Florida, 1997-2006 *Population rates calculated from annual population estimates. Comment: The advent of HAART was associated with decreases in AIDS cases in the late 1990�s. Generally, AIDS cases remained fairly stable in the early 2000�s, with an increase in 2004 due to increased CD4 testing statewide. Increasingly, a diagnosis of AIDS reflects late diagnosis of HIV and limited access to treatment.

12. AIDS Increases in Florida, 2004 and Leveling Back in 2005 The increases were simultaneous, all demographic subgroups (age, race, sex) and most zip codes. This suggests that to a great extent the increases may be due to a system-wide improvement in case detection and reporting more so than an increase in actual occurrence of disease in 2004. Changes in 2004 include: A large volume of HIV testing in publicly funded settings coincided with improved ways to link positives into care. Linkage into care more CD4 testing greater detection of those with immunologically defined AIDS. Further study may be warranted to rule in or rule out alternative, contributing factors. AIDS Increases in Florida, 2004 and Leveling Back in 2005 The increases were simultaneous, all demographic subgroups (age, race, sex) and most zip codes. This suggests that to a great extent the increases may be due to a system-wide improvement in case detection and reporting more so than an increase in actual occurrence of disease in 2004. Changes in 2004 include: A large volume of HIV testing in publicly funded settings coincided with improved ways to link positives into care. Linkage into care more CD4 testing greater detection of those with immunologically defined AIDS. Further study may be warranted to rule in or rule out alternative, contributing factors.

13. HIV Cases By Year of Report, Florida, 1998-2006 Comment: Generally, HIV cases remained fairly stable with an increase in 2002 due to increased HIV testing statewide as part of the �Get to Know Your Status� campaign. Since that time, newly reported HIV cases have decreased each year. HIV Cases By Year of Report, Florida, 1998-2006 Comment: Generally, HIV cases remained fairly stable with an increase in 2002 due to increased HIV testing statewide as part of the �Get to Know Your Status� campaign. Since that time, newly reported HIV cases have decreased each year.

14. HIV Case Rate per 100,000 Population* By Year of Report, Florida, 1998-2006 *Population rates calculated from annual population estimates. Comment: Generally, HIV cases remained fairly stable with an increase in 2002 due to increased HIV testing statewide as part of the �Get to Know Your Status� campaign. Since that time, newly reported HIV cases have decreased each year. HIV Case Rate per 100,000 Population* By Year of Report, Florida, 1998-2006 *Population rates calculated from annual population estimates. Comment: Generally, HIV cases remained fairly stable with an increase in 2002 due to increased HIV testing statewide as part of the �Get to Know Your Status� campaign. Since that time, newly reported HIV cases have decreased each year.

15. AIDS and HIV Cases By Year of Report, Florida, 1981-2006 *The AIDS surveillance case definition was expanded for adults/adolescents in 1993. **HIV infection reporting was implemented July 1997. Comment: From 2003 to 2005, there was a decrease of 11% in HIV cases and an increase of 8% in AIDS cases. The HIV decrease may reflect an actual decrease in transmission, while the AIDS increase in 2004 appears to be partially due to enhanced laboratory reporting of CD4 counts and viral loads. Increasingly, in the era of HAART, a diagnosis of AIDS reflects treatment issues like access to care, adherence and viral resistance. AIDS and HIV Cases By Year of Report, Florida, 1981-2006 *The AIDS surveillance case definition was expanded for adults/adolescents in 1993. **HIV infection reporting was implemented July 1997. Comment: From 2003 to 2005, there was a decrease of 11% in HIV cases and an increase of 8% in AIDS cases. The HIV decrease may reflect an actual decrease in transmission, while the AIDS increase in 2004 appears to be partially due to enhanced laboratory reporting of CD4 counts and viral loads. Increasingly, in the era of HAART, a diagnosis of AIDS reflects treatment issues like access to care, adherence and viral resistance.

16. United States *These numbers do not represent actual cases in persons with a diagnosis of AIDS. Rather, these numbers are point estimates of cases diagnosed that have been adjusted for reporting delays. The estimates have not been adjusted for incomplete reporting. 2005 data not available. United States *These numbers do not represent actual cases in persons with a diagnosis of AIDS. Rather, these numbers are point estimates of cases diagnosed that have been adjusted for reporting delays. The estimates have not been adjusted for incomplete reporting. 2005 data not available.

17. Percent of Adult AIDS Cases by Sex and Year of Report, Florida, 1997-2006 Comment: AIDS cases tend to represent HIV transmission that occurred many years ago. The relative increases in female cases reflect the changing face of the AIDS epidemic over time. *The male-to-female ratio is the number or percent of cases among males divided by the number or percent of female cases. Percent of Adult AIDS Cases by Sex and Year of Report, Florida, 1997-2006 Comment: AIDS cases tend to represent HIV transmission that occurred many years ago. The relative increases in female cases reflect the changing face of the AIDS epidemic over time. *The male-to-female ratio is the number or percent of cases among males divided by the number or percent of female cases.

18. Percent of Adult HIV Cases By Sex and Year of Report, Florida, 1998-2006 Comment: The trend for HIV cases by sex is the opposite of that for AIDS cases. Recent trends in HIV transmission are best described by the HIV case data. The relative increases in male HIV cases might be attributed to proportional increases in HIV transmission among men who have sex with men (MSM), which may influence future AIDS trends. There is additional evidence to support this MSM hypothesis, which we will now examine more closely. Percent of Adult HIV Cases By Sex and Year of Report, Florida, 1998-2006 Comment: The trend for HIV cases by sex is the opposite of that for AIDS cases. Recent trends in HIV transmission are best described by the HIV case data. The relative increases in male HIV cases might be attributed to proportional increases in HIV transmission among men who have sex with men (MSM), which may influence future AIDS trends. There is additional evidence to support this MSM hypothesis, which we will now examine more closely.

19. Pediatric* AIDS Cases by Age Group and Year of Diagnosis, Florida, 1990-2006** Pediatric* AIDS Cases by Age Group and Year of Diagnosis, Florida, 1990-2006** The incidence of AIDS in children under age two reached a high of 113 cases in 1992; this decreased to only two cases for children under the age of two in 2006 (Figure 2). HIV testing of pregnant women, combined with the introduction of zidovudine (ZDV) to prevent perinatal HIV transmission, has resulted in a 86% (Figure 9) reduction in perinatal HIV/AIDS cases in infants born in Florida since 1992. Consequently, it is important for all pregnant women to know their HIV status. This is substantiated by the fact that 95% of the 2,066 pediatric HIV/AIDS cases reported in Florida through 2006 were perinatally acquired. Florida law requires health care providers who attend a pregnant woman to test her for HIV at the initial prenatal care visit and again at 28 � 32 weeks gestation, unless she refuses. Pregnancy Risk Assessment Monitoring System data (PRAMS) indicate that in 2003, 89.6% of pregnant women received an HIV test during pregnancy. Pediatric AIDS cases reported at age two and older have also sharply declined since 1994 (Figure 2). This is partially due to the maternal use of antiretroviral treatment to prevent perinatal transmission of HIV, as well as the use of prophylactic medicines in HIV-infected pediatric cases to prevent AIDS opportunistic infections.Pediatric* AIDS Cases by Age Group and Year of Diagnosis, Florida, 1990-2006** The incidence of AIDS in children under age two reached a high of 113 cases in 1992; this decreased to only two cases for children under the age of two in 2006 (Figure 2). HIV testing of pregnant women, combined with the introduction of zidovudine (ZDV) to prevent perinatal HIV transmission, has resulted in a 86% (Figure 9) reduction in perinatal HIV/AIDS cases in infants born in Florida since 1992. Consequently, it is important for all pregnant women to know their HIV status. This is substantiated by the fact that 95% of the 2,066 pediatric HIV/AIDS cases reported in Florida through 2006 were perinatally acquired. Florida law requires health care providers who attend a pregnant woman to test her for HIV at the initial prenatal care visit and again at 28 � 32 weeks gestation, unless she refuses. Pregnancy Risk Assessment Monitoring System data (PRAMS) indicate that in 2003, 89.6% of pregnant women received an HIV test during pregnancy. Pediatric AIDS cases reported at age two and older have also sharply declined since 1994 (Figure 2). This is partially due to the maternal use of antiretroviral treatment to prevent perinatal transmission of HIV, as well as the use of prophylactic medicines in HIV-infected pediatric cases to prevent AIDS opportunistic infections.

20. FLORIDA Pediatric HIV/AIDS Cases* By Race/Ethnicity Reported through 2006 (N=2,066) 2006 Florida Population Estimates (Ages <13) (N= 2,941,177) *Include cases in persons aged >12 yrs. at HIV or AIDS diagnosis with a ped risk aged <=12. 2006 data are provisional. 2006 Population Estimates, DOH, Office of Planning, Evaluation and Data AnalysisFLORIDA Pediatric HIV/AIDS Cases* By Race/Ethnicity Reported through 2006 (N=2,066) 2006 Florida Population Estimates (Ages <13) (N= 2,941,177) *Include cases in persons aged >12 yrs. at HIV or AIDS diagnosis with a ped risk aged <=12. 2006 data are provisional. 2006 Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis

21. UNITED STATES Comment: The US Adult Population is: 49% Male and 51% Female, therefore male cases are disproportionately impacted. UNITED STATES Comment: The US Adult Population is: 49% Male and 51% Female, therefore male cases are disproportionately impacted.

22. FLORIDA Comment: Florida�s Adult Population is: 49% Male and 51% Female, therefore male cases are disproportionately impacted. FLORIDA Comment: Florida�s Adult Population is: 49% Male and 51% Female, therefore male cases are disproportionately impacted.

23. Number of Adult AIDS Cases by Race/Ethnicity* And Year of Report, Florida, 1990-2006 Comment: Increasingly, in the era of HAART, a diagnosis of AIDS reflects treatment issues, e.g., late diagnosis of HIV, access to/acceptance of care, and adherence/viral resistance. Increases in 2004 were due to an increase in testing, not an increase in AIDS morbidity. AIDS cases among blacks have predominated, accounting for 53% of cases in 2006, compared with 28% among whites and 18% among Hispanics. Blacks account for only 15% of the population in Florida. *Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial. **The AIDS case definition was expanded in 1993. Data as of 12/31/06.Number of Adult AIDS Cases by Race/Ethnicity* And Year of Report, Florida, 1990-2006 Comment: Increasingly, in the era of HAART, a diagnosis of AIDS reflects treatment issues, e.g., late diagnosis of HIV, access to/acceptance of care, and adherence/viral resistance. Increases in 2004 were due to an increase in testing, not an increase in AIDS morbidity. AIDS cases among blacks have predominated, accounting for 53% of cases in 2006, compared with 28% among whites and 18% among Hispanics. Blacks account for only 15% of the population in Florida. *Other includes American Indian/Alaska Native, Asian/Pacific Islander, and multi-racial. **The AIDS case definition was expanded in 1993. Data as of 12/31/06.


25. Percent of Adult AIDS Cases by Race/Ethnicity* And Year of Report, Florida, 1996-2006 Comment: In 2006, blacks accounted for 52% of reported AIDS cases, but only 15% of the population. Hispanic cases remain stable at 18% in 2006. Disparities are even more evident among women: Annually, more than 70% of female AIDS cases have been reported among black women since 1988. HIV case reporting, implemented in mid-1997, has shown a very similar distribution of cases by race/ethnicity and sex. *Other includes American Indian/Alaska Native, Asian/Pacific Islander, and Multi-racial.Percent of Adult AIDS Cases by Race/Ethnicity* And Year of Report, Florida, 1996-2006 Comment: In 2006, blacks accounted for 52% of reported AIDS cases, but only 15% of the population. Hispanic cases remain stable at 18% in 2006. Disparities are even more evident among women: Annually, more than 70% of female AIDS cases have been reported among black women since 1988. HIV case reporting, implemented in mid-1997, has shown a very similar distribution of cases by race/ethnicity and sex. *Other includes American Indian/Alaska Native, Asian/Pacific Islander, and Multi-racial.

26. Percent of Adult MALE AIDS Cases By Race/Ethnicity* and Year of Report Florida, 1997-2006 Comment: For most of the past 10 years, black males accounted for more than 50% of AIDS cases among men. *Other races represent less than 1% of the cases and are not included. Percent of Adult MALE AIDS Cases By Race/Ethnicity* and Year of Report Florida, 1997-2006 Comment: For most of the past 10 years, black males accounted for more than 50% of AIDS cases among men. *Other races represent less than 1% of the cases and are not included.

27. Percent of Adult FEMALE AIDS Cases By Race/Ethnicity* and Year of Report Florida, 1997-2006 Comment: For most of the past 10 years, black women accounted for more than 70% of AIDS cases among women. *Other races represent less than 1% of the cases and are not included. Percent of Adult FEMALE AIDS Cases By Race/Ethnicity* and Year of Report Florida, 1997-2006 Comment: For most of the past 10 years, black women accounted for more than 70% of AIDS cases among women. *Other races represent less than 1% of the cases and are not included.


29. Percent of Adult HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: In absolute numbers, from 1999-2006, HIV cases among blacks decreased by 31%, while increasing by 13% among whites and 21% among Hispanics. The decreases among blacks may correspond to some extent with recent targeted prevention, while the increases among whites may be associated with recent increases in HIV transmission among white MSM. Percent of Adult HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: In absolute numbers, from 1999-2006, HIV cases among blacks decreased by 31%, while increasing by 13% among whites and 21% among Hispanics. The decreases among blacks may correspond to some extent with recent targeted prevention, while the increases among whites may be associated with recent increases in HIV transmission among white MSM.

30. Percent of Adult MALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: The percent of black male HIV cases has decreased from 51% in 1998 to 41% in 2006. Increases have been observed among both white and Hispanic male HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.Percent of Adult MALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: The percent of black male HIV cases has decreased from 51% in 1998 to 41% in 2006. Increases have been observed among both white and Hispanic male HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.

31. Percent of Adult FEMALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: Although the majority of HIV cases among women are black, the percent of black female HIV cases has decreased from 74% in 1998 to 66% in 2006. Increases have been observed among both white and Hispanic female HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.Percent of Adult FEMALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: Although the majority of HIV cases among women are black, the percent of black female HIV cases has decreased from 74% in 1998 to 66% in 2006. Increases have been observed among both white and Hispanic female HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.

32. Percent of Adult HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: In absolute numbers, from 1999-2006, HIV cases among blacks decreased by 31%, while increasing by 13% among whites and 21% among Hispanics. The decreases among blacks may correspond to some extent with recent targeted prevention, while the increases among whites may be associated with recent increases in HIV transmission among white MSM. Percent of Adult HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: In absolute numbers, from 1999-2006, HIV cases among blacks decreased by 31%, while increasing by 13% among whites and 21% among Hispanics. The decreases among blacks may correspond to some extent with recent targeted prevention, while the increases among whites may be associated with recent increases in HIV transmission among white MSM.

33. Percent of Adult MALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: The percent of black male HIV cases has decreased from 51% in 1998 to 41% in 2006. Increases have been observed among both white and Hispanic male HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.Percent of Adult MALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: The percent of black male HIV cases has decreased from 51% in 1998 to 41% in 2006. Increases have been observed among both white and Hispanic male HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.

34. Percent of Adult FEMALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: Although the majority of HIV cases among women are black, the percent of black female HIV cases has decreased from 74% in 1998 to 66% in 2006. Increases have been observed among both white and Hispanic female HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.Percent of Adult FEMALE HIV Cases by Race/Ethnicity* and Year of Report Florida, 1998-2006 Comment: Although the majority of HIV cases among women are black, the percent of black female HIV cases has decreased from 74% in 1998 to 66% in 2006. Increases have been observed among both white and Hispanic female HIV cases over this same time period. *Other races represent less than 1% of the cases and are not included.

35. 2000 US Population* and Estimated Numbers of Adult AIDS and HIV** Cases by Race/Ethnicity Reported in 2005, US Comment: In 2005, blacks are over-represented among the AIDS and HIV cases, accounting for 50% of adult AIDS cases and 49% of adult HIV cases, but only 11% of the adult population. Hispanics represent 11% of the adult population and account for 19% of the adult AIDS cases and 18% of the adult HIV cases. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of population. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races. **HIV data are ONLY from 33 states with confidential name-based HIV infection reporting.2000 US Population* and Estimated Numbers of Adult AIDS and HIV** Cases by Race/Ethnicity Reported in 2005, US Comment: In 2005, blacks are over-represented among the AIDS and HIV cases, accounting for 50% of adult AIDS cases and 49% of adult HIV cases, but only 11% of the adult population. Hispanics represent 11% of the adult population and account for 19% of the adult AIDS cases and 18% of the adult HIV cases. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of population. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races. **HIV data are ONLY from 33 states with confidential name-based HIV infection reporting.

36. Estimates of diagnosed Adult AIDS CasesBy Sex and Race/Ethnicity United States, 2005* *These numbers do not represent actual cases in persons with a diagnosis of AIDS. Rather, these numbers are point estimates of cases diagnosed that have been adjusted for reporting delays. The estimates have not been adjusted for incomplete reporting. Estimates of diagnosed Adult AIDS CasesBy Sex and Race/Ethnicity United States, 2005* *These numbers do not represent actual cases in persons with a diagnosis of AIDS. Rather, these numbers are point estimates of cases diagnosed that have been adjusted for reporting delays. The estimates have not been adjusted for incomplete reporting.

37. 2006 Florida Population Estimates* and Adult HIV and AIDS Cases by Race/Ethnicity Reported in 2006, Florida Comment: In 2006, blacks are over-represented among the AIDS and HIV cases, accounting for 53% of adult AIDS cases and 49% of adult HIV cases, but only 15% of the adult population. Hispanics represent 19% of the adult population and account for 18% of the adult AIDS cases and 20% of the adult HIV cases. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of population. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races. *2006 Florida Population Estimates, Adults (Ages 13+), DOH, Office of Planning, Evaluation and Data Analysis2006 Florida Population Estimates* and Adult HIV and AIDS Cases by Race/Ethnicity Reported in 2006, Florida Comment: In 2006, blacks are over-represented among the AIDS and HIV cases, accounting for 53% of adult AIDS cases and 49% of adult HIV cases, but only 15% of the adult population. Hispanics represent 19% of the adult population and account for 18% of the adult AIDS cases and 20% of the adult HIV cases. A group is disproportionately impacted to the extent that the percentage of cases exceeds the percentage of population. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races. *2006 Florida Population Estimates, Adults (Ages 13+), DOH, Office of Planning, Evaluation and Data Analysis

38. Reported Adult AIDS CasesBy Sex and Race Ethnicity, Florida, 2006 Comment: In this snapshot of 2006, blacks are over-represented among the AIDS cases, accounting for 45% of adult cases among men and 68% of the adult cases among women. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races Reported Adult AIDS CasesBy Sex and Race Ethnicity, Florida, 2006 Comment: In this snapshot of 2006, blacks are over-represented among the AIDS cases, accounting for 45% of adult cases among men and 68% of the adult cases among women. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races

39. Reported Adult HIV Cases By Sex and Race/Ethnicity, Florida, 2006 Comment: In this snapshot of 2006, blacks are over-represented among the HIV cases, accounting for 41% of adult cases among men and 66% of the adult cases among women. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races Reported Adult HIV Cases By Sex and Race/Ethnicity, Florida, 2006 Comment: In this snapshot of 2006, blacks are over-represented among the HIV cases, accounting for 41% of adult cases among men and 66% of the adult cases among women. *Other includes Asian/Pacific Islanders, Native Alaskans/American Indians and mixed races

40. THE FORMULA USED FOR CALCULATING THE RATE IS: A specific example, using Florida AIDS data: Number of AIDS Cases Reported in 1996 X 100,000 = 7,300 X 100,000 Estimated Population of Florida in 1996 14,000,000 = 52.1 per 100,000 population (This is the same rate as 5.21 per 10,000 population or 0.521 per 1,000 or 0.0521 percent.) Rates allow direct comparison of the burden of disease on various communities, by taking the population size into account. THE FORMULA USED FOR CALCULATING THE RATE IS: RATE = Number of cases in a specified time X 100,000 Population at that time A specific example, using Florida AIDS data: Number of AIDS Cases Reported in 1996 X 100,000 = 7,300 X 100,000 Estimated Population of Florida in 1996 14,000,000 = 52.1 per 100,000 population (This is the same rate as 5.21 per 10,000 population or 0.521 per 1,000 or 0.0521 percent.) Rates allow direct comparison of the burden of disease on various communities, by taking the population size into account. THE FORMULA USED FOR CALCULATING THE RATE IS: RATE = Number of cases in a specified time X 100,000 Population at that time A specific example, using Florida AIDS data: Number of AIDS Cases Reported in 1996 X 100,000 = 7,300 X 100,000 Estimated Population of Florida in 1996 14,000,000 = 52.1 per 100,000 population (This is the same rate as 5.21 per 10,000 population or 0.521 per 1,000 or 0.0521 percent.) Rates allow direct comparison of the burden of disease on various communities, by taking the population size into account.

41. HIV and AIDS Cases in Men by Race/Ethnicity Rate per 100,000 Population*, Florida, 2006 AIDS Rate ratios: Black-to-White � 6.1:1 Hispanic-to-White � 2.0:1 HIV Rate ratios: Black-to-White � 5.2:1 Hispanic-to-White � 2.2:1 Data Based on 2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis HIV data includes those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive. HIV data does NOT reflect incidence of diagnosis, only incidence of report. HIV and AIDS Cases in Men by Race/Ethnicity Rate per 100,000 Population*, Florida, 2006 AIDS Rate ratios: Black-to-White � 6.1:1 Hispanic-to-White � 2.0:1 HIV Rate ratios: Black-to-White � 5.2:1 Hispanic-to-White � 2.2:1 Data Based on 2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis HIV data includes those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive. HIV data does NOT reflect incidence of diagnosis, only incidence of report.

42. HIV and AIDS Cases in Women by Race/Ethnicity Rate per 100,000 Population*, Florida, 2006 AIDS Rate ratios: Black-to-White � 17.3:1 Hispanic-to-White � 2.9:1 HIV Rate ratios: Black-to-White � 15.6:1 Hispanic-to-White � 2.7:1 2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis HIV data includes those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive. HIV data does NOT reflect incidence of diagnosis, only incidence of report. HIV and AIDS Cases in Women by Race/Ethnicity Rate per 100,000 Population*, Florida, 2006 AIDS Rate ratios: Black-to-White � 17.3:1 Hispanic-to-White � 2.9:1 HIV Rate ratios: Black-to-White � 15.6:1 Hispanic-to-White � 2.7:1 2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis HIV data includes those cases that have converted to AIDS. These HIV cases cannot be added with AIDS cases to get combined totals since the categories are not mutually exclusive. HIV data does NOT reflect incidence of diagnosis, only incidence of report.

43. Reported Adult AIDS Case Rates per 100,000 PopulationBy Sex and Race/Ethnicity, Florida, 2006 Comment: Among black males, the AIDS case rate for 2006 is 6 times higher than among white males. Among black females, the AIDS case rate is 17 times higher than among white females. Hispanic male rates are 2 times higher and Hispanic female rates are3 times higher than the rates among their white counterparts. *2005 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis for ages 13+.Reported Adult AIDS Case Rates per 100,000 PopulationBy Sex and Race/Ethnicity, Florida, 2006 Comment: Among black males, the AIDS case rate for 2006 is 6 times higher than among white males. Among black females, the AIDS case rate is 17 times higher than among white females. Hispanic male rates are 2 times higher and Hispanic female rates are3 times higher than the rates among their white counterparts. *2005 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis for ages 13+.

44. Reported Adult HIV Case Rates per 100,000 PopulationBy Sex and Race/Ethnicity, Florida, 2006 Comment: Similar to AIDS, among black males, the HIV case rate for 2006 is 5 times higher than among white males. Among black females, the HIV case rate is 16 times higher than among white females. Hispanic male rates are 2 times higher and Hispanic female rates are 3 times higher than the rates among their white counterparts. *2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis for ages 13+. Reported Adult HIV Case Rates per 100,000 PopulationBy Sex and Race/Ethnicity, Florida, 2006 Comment: Similar to AIDS, among black males, the HIV case rate for 2006 is 5 times higher than among white males. Among black females, the HIV case rate is 16 times higher than among white females. Hispanic male rates are 2 times higher and Hispanic female rates are 3 times higher than the rates among their white counterparts. *2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis for ages 13+.

45. UNITED STATES *These numbers do not represent actual cases in persons with a diagnosis of AIDS. Rather, these numbers are point estimates of cases diagnosed that have been adjusted for reporting delays. The estimates have not been adjusted for incomplete reporting. UNITED STATES *These numbers do not represent actual cases in persons with a diagnosis of AIDS. Rather, these numbers are point estimates of cases diagnosed that have been adjusted for reporting delays. The estimates have not been adjusted for incomplete reporting.

46. Percent of Adult Cases By Age Group, Florida, 2006 Comment: HIV cases tend to be younger than AIDS cases. HIV cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic. Percent of Adult Cases By Age Group, Florida, 2006 Comment: HIV cases tend to be younger than AIDS cases. HIV cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic.

47. Percent of Adult AIDS Cases by Sex and Age Group at Diagnosis Florida, 2006 Comment: Females tend to be diagnosed with AIDS at a younger age than males, suggesting earlier onset of sexual activity and exposure to HIV, possibly through sex with older male partners. Percent of Adult AIDS Cases by Sex and Age Group at Diagnosis Florida, 2006 Comment: Females tend to be diagnosed with AIDS at a younger age than males, suggesting earlier onset of sexual activity and exposure to HIV, possibly through sex with older male partners.

48. Percent of Adult HIV Cases by Sex and Age Group at Diagnosis Florida, 2006 Note: HIV cases tend to be younger than AIDS cases: 24% of male HIV cases and 31% of female HIV cases occur among those aged 13-29, compared with only 12% of male AIDS cases and 18% of female AIDS cases in this age group. HIV cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic. This suggests that Youth should be targeted. Percent of Adult HIV Cases by Sex and Age Group at Diagnosis Florida, 2006 Note: HIV cases tend to be younger than AIDS cases: 24% of male HIV cases and 31% of female HIV cases occur among those aged 13-29, compared with only 12% of male AIDS cases and 18% of female AIDS cases in this age group. HIV cases tend to reflect more recent transmission than AIDS cases, and thus present a more current picture of the epidemic. This suggests that Youth should be targeted.

49. Percent of AIDS Cases By Age of Diagnosis and Year of Report Florida, 1997-2006 Comment: The percent of newly reported cases has shown increases among the 40-49 and 50+ age groups over the past several years. Percent of AIDS Cases By Age of Diagnosis and Year of Report Florida, 1997-2006 Comment: The percent of newly reported cases has shown increases among the 40-49 and 50+ age groups over the past several years.

50. Percent of Adult HIV Cases By Age Group*, Florida, 1998-2006 Comment: The percent of newly reported cases has shown increases among the 40-49 age group over the past several years. Percent of Adult HIV Cases By Age Group*, Florida, 1998-2006 Comment: The percent of newly reported cases has shown increases among the 40-49 age group over the past several years.

51. Definitions MSM = Male Sex with Male IDU = Injecting Drug Use MSM/IDU = Male Sex with Male/Injecting Drug Use Hetero = Heterosexual contact with person with HIV/AIDS or known HIV risk NIR = No Identified Risk Definitions MSM = Male Sex with Male IDU = Injecting Drug Use MSM/IDU = Male Sex with Male/Injecting Drug Use Hetero = Heterosexual contact with person with HIV/AIDS or known HIV risk NIR = No Identified Risk Definitions MSM = Male Sex with Male IDU = Injecting Drug Use MSM/IDU = Male Sex with Male/Injecting Drug Use Hetero = Heterosexual contact with person with HIV/AIDS or known HIV risk NIR = No Identified Risk

52. Reported Adult AIDS Cases by Mode of ExposureUnited States vs. Florida Comment: The proportion of MSM and IDU is higher in the US (44% and 24% respectively ) compared with Florida (40% and 16% respectively). The higher percentage of heterosexual risk cases in Florida (24%) compared with the US (13%) leads to the higher percentage of NIRs in Florida (14%) compared to the US (10%). Reported Adult AIDS Cases by Mode of ExposureUnited States vs. Florida Comment: The proportion of MSM and IDU is higher in the US (44% and 24% respectively ) compared with Florida (40% and 16% respectively). The higher percentage of heterosexual risk cases in Florida (24%) compared with the US (13%) leads to the higher percentage of NIRs in Florida (14%) compared to the US (10%).

53. Reported Adult HIV (not AIDS) Cases By Mode of Exposure, United States vs. Florida Comment: The proportion of MSM for the US is the same as that for Florida (33%). However, the percent of IDU cases are higher in the US (14% vs. 8%) and heterosexual cases are lower (19% vs. 32%). NIR cases are more than one fourth of all of the cases for both the US and Florida. Reported Adult HIV (not AIDS) Cases By Mode of Exposure, United States vs. Florida Comment: The proportion of MSM for the US is the same as that for Florida (33%). However, the percent of IDU cases are higher in the US (14% vs. 8%) and heterosexual cases are lower (19% vs. 32%). NIR cases are more than one fourth of all of the cases for both the US and Florida.

54. Living HIV/AIDS Adult Cases by Exposure Category for Selected States Comment: The proportion of MSM and IDU is higher in the other states compared with Florida. The higher percentage of heterosexual risk cases in Florida compared with the other states leads to the higher percentage of NIRs in Florida. Living HIV/AIDS Adult Cases by Exposure Category for Selected States Comment: The proportion of MSM and IDU is higher in the other states compared with Florida. The higher percentage of heterosexual risk cases in Florida compared with the other states leads to the higher percentage of NIRs in Florida.

55. Redistribution of PLWA Cases with No Identified Risk (NIRs), Florida, Through 2006 Comment: This illustrates the effect of statistically assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs. The largest impact of this procedure is on the heterosexuals, going from 44% to 61% of the total PLWHAs (but see Nwanyanwu et al., AJPH, 1993). All risk data in this presentation have NIRs redistributed, except for the zip code maps. PLWHA = reported persons living with HIV/AIDS. Redistribution of PLWA Cases with No Identified Risk (NIRs), Florida, Through 2006 Comment: This illustrates the effect of statistically assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs. The largest impact of this procedure is on the heterosexuals, going from 44% to 61% of the total PLWHAs (but see Nwanyanwu et al., AJPH, 1993). All risk data in this presentation have NIRs redistributed, except for the zip code maps. PLWHA = reported persons living with HIV/AIDS.

56. Reported Adult AIDS Cases by Mode of ExposureCumulative vs. 2006, Florida Comment: In more recent years, the percentages of cases with a heterosexual has increased, whereas the Percentages of cases with an MSM or IDU risk have decreased. Reported Adult AIDS Cases by Mode of ExposureCumulative vs. 2006, Florida Comment: In more recent years, the percentages of cases with a heterosexual has increased, whereas the Percentages of cases with an MSM or IDU risk have decreased.

57. Adult Male AIDS Cases by Exposure Category and Year of Report, Florida, 1997-2006 Comment: From 2001 � 2006, MSM AIDS cases increased by 11%, while heterosexual male cases increased by 6% and IDU male cases decreased 25%. Note: NIRs redistributedAdult Male AIDS Cases by Exposure Category and Year of Report, Florida, 1997-2006 Comment: From 2001 � 2006, MSM AIDS cases increased by 11%, while heterosexual male cases increased by 6% and IDU male cases decreased 25%. Note: NIRs redistributed

58. Adult Female AIDS Cases by Exposure Category and Year of Report, Florida, 1997-2006 Comment: The heterosexual risk continues to be the dominant mode of exposure among females. Note: NIRs redistributed. Adult Female AIDS Cases by Exposure Category and Year of Report, Florida, 1997-2006 Comment: The heterosexual risk continues to be the dominant mode of exposure among females. Note: NIRs redistributed.

59. Adult Male HIV Cases by Exposure Category and Year of Report, Florida, 1998-2006 Comment: From 2001 � 2006, MSM HIV cases increased by 8%, while heterosexual male cases decreased by 20% and IDU male cases decreased 34%. Note: NIRs redistributed Adult Male HIV Cases by Exposure Category and Year of Report, Florida, 1998-2006 Comment: From 2001 � 2006, MSM HIV cases increased by 8%, while heterosexual male cases decreased by 20% and IDU male cases decreased 34%. Note: NIRs redistributed

60. Adult Female HIV Cases by Exposure Category and Year of Report, Florida, 1998-2006 Comment: The heterosexual risk continues to be the dominant mode of exposure among females. Note: NIRs redistributed. Adult Female HIV Cases by Exposure Category and Year of Report, Florida, 1998-2006 Comment: The heterosexual risk continues to be the dominant mode of exposure among females. Note: NIRs redistributed.

61. Adult Male Cases By Mode of Exposure, Florida, 2006 Adult Male Cases By Mode of Exposure, Florida, 2006 Comment: The recent increase among MSM is indicated by the higher percent of MSM among HIV cases compared to AIDS cases, as HIV cases tend to represent a more recent picture of the epidemicAdult Male Cases By Mode of Exposure, Florida, 2006 Comment: The recent increase among MSM is indicated by the higher percent of MSM among HIV cases compared to AIDS cases, as HIV cases tend to represent a more recent picture of the epidemic

62. Adult Female Cases By Mode of Exposure, Florida, 2006 Comment: The ongoing increase among heterosexual risk compared with IDU is indicated by the higher percent of heterosexuals among HIV cases compared to AIDS cases, as HIV cases tend to represent a more recent picture of the epidemic. Adult Female Cases By Mode of Exposure, Florida, 2006 Comment: The ongoing increase among heterosexual risk compared with IDU is indicated by the higher percent of heterosexuals among HIV cases compared to AIDS cases, as HIV cases tend to represent a more recent picture of the epidemic.

63. HIV Prevalence Estimates and Cumulative HIV & AIDS Cases, Florida, through 2006 HIV Prevalence Estimates and Cumulative HIV & AIDS Cases, Florida, through 2006 HIV Prevalence Estimates and Cumulative HIV & AIDS Cases, Florida, through 2006

64. AIDS in the U.S.* AIDS in the U.S.* ~An average 40,000 new HIV infections in the US per year. ~An average 6,000 in Florida per year. The #2 cause of death in African Americans aged 25-44. 524,060 AIDS DEATHS ~1.039 � 1.185 million people living with HIV in the US** ~25% new HIV infections in people under 25. In 13 to 19-year-olds, male-to-female ratio = 1:1. ~100,000 people living with HIV in Florida.*** AIDS in the U.S.* ~An average 40,000 new HIV infections in the US per year. ~An average 6,000 in Florida per year. The #2 cause of death in African Americans aged 25-44. 524,060 AIDS DEATHS ~1.039 � 1.185 million people living with HIV in the US** ~25% new HIV infections in people under 25. In 13 to 19-year-olds, male-to-female ratio = 1:1. ~100,000 people living with HIV in Florida.***

65. Persons Living with AIDS U.S., & Florida Persons Living with AIDS U.S., & Florida

66. AIDS Cases, Case Deaths and Persons Living with AIDS (PLWA), by Year Florida, 1987-2006* AIDS Cases, Case Deaths and Persons Living with AIDS (PLWA), by Year Florida, 1987-2006* *AIDS cases by year of diagnosis. AIDS case deaths by year of death. AIDS case deaths are individuals reported in HARS with AIDS whose status is now dead. They may or may not have died of AIDS-related illness. **The AIDS surveillance case definition was expanded for adults/adolescents in 1993. Data as of 04/05/07. AIDS Cases, Case Deaths and Persons Living with AIDS (PLWA), by Year Florida, 1987-2006* *AIDS cases by year of diagnosis. AIDS case deaths by year of death. AIDS case deaths are individuals reported in HARS with AIDS whose status is now dead. They may or may not have died of AIDS-related illness. **The AIDS surveillance case definition was expanded for adults/adolescents in 1993. Data as of 04/05/07.

67. Persons Living with HIV and AIDS (PLWHAs) Reported by County of Residence* Florida, Data Through 2006 *County totals exclude Department of Corrections cases (N=4,200). Numbers on counties are cases reported. Data as of 04/05/07 Persons Living with HIV and AIDS (PLWHAs) Reported by County of Residence* Florida, Data Through 2006 *County totals exclude Department of Corrections cases (N=4,200). Numbers on counties are cases reported. Data as of 04/05/07

68. Persons Living with HIV and AIDS (PLWHAs) Rates per 100,000 Population Reported by County of Residence* Florida, Data Through 2006 *County totals exclude Department of Corrections cases (N=4,200). Numbers on counties are cases reported. Data as of 04/05/07 Persons Living with HIV and AIDS (PLWHAs) Rates per 100,000 Population Reported by County of Residence* Florida, Data Through 2006 *County totals exclude Department of Corrections cases (N=4,200). Numbers on counties are cases reported. Data as of 04/05/07

69. HIV Prevalence Estimates Approximately 1 in 168 (0.6%) Floridians are currently living with HIV infection: 1 in 346 Whites 1 in 46 Blacks 1 in 176 Hispanics HIV Prevalence Estimates 93,000-107,000 (mid-range 100,000) Approximately 1 in 168 (0.6%) Floridians are currently living with HIV infection: 1 in 346 Whites 1 in 46 Blacks 1 in 176 Hispanics HIV Prevalence Estimates 93,000-107,000 (mid-range 100,000) Approximately 1 in 168 (0.6%) Floridians are currently living with HIV infection: 1 in 346 Whites 1 in 46 Blacks 1 in 176 Hispanics

70. Percentage of Reported HIV/AIDS Cases* By Age of Diagnosis vs. Current Age, Florida Comment: Age at diagnosis among recently diagnosed HIV/AIDS cases (alive or dead) is most useful for planning primary HIV prevention. However, the distribution of living HIV/AIDS cases by current age, which is shifted towards the older age groups due to survival time, is most useful to focus on �prevention for positives�, i.e., secondary prevention. It is also useful to target those in need of care and treatment and support for medication adherence. 13-29 yr: 21% by age at diagnosis 10% by current age 50+ yr: 16% by age at diagnosis. 26% by current age. *Number of HIV/AIDS cases (2001-2005)=40,309; PLWHAs thru 2005=78,741 Percentage of Reported HIV/AIDS Cases* By Age of Diagnosis vs. Current Age, Florida Comment: Age at diagnosis among recently diagnosed HIV/AIDS cases (alive or dead) is most useful for planning primary HIV prevention. However, the distribution of living HIV/AIDS cases by current age, which is shifted towards the older age groups due to survival time, is most useful to focus on �prevention for positives�, i.e., secondary prevention. It is also useful to target those in need of care and treatment and support for medication adherence. 13-29 yr: 21% by age at diagnosis 10% by current age 50+ yr: 16% by age at diagnosis. 26% by current age. *Number of HIV/AIDS cases (2001-2005)=40,309; PLWHAs thru 2005=78,741

71. Percent of Living Adult HIV/AIDS Cases by Sex and Current Age Group Florida, Data through 2006 Comment: Females tend to be diagnosed with AIDS at a younger age than males, suggesting earlier onset of sexual activity and exposure to HIV, possibly through sex with older male partners. Data as of 04/05/07 Percent of Living Adult HIV/AIDS Cases by Sex and Current Age Group Florida, Data through 2006 Comment: Females tend to be diagnosed with AIDS at a younger age than males, suggesting earlier onset of sexual activity and exposure to HIV, possibly through sex with older male partners. Data as of 04/05/07

72. Percent of Living MALE Adult HIV/AIDS Cases by Race/ethnicity and Current Age Group Florida, Data through 2006, N=56,002 Other races are <1% of cases. Percent of Living MALE Adult HIV/AIDS Cases by Race/ethnicity and Current Age Group Florida, Data through 2006, N=56,002 Other races are <1% of cases.

73. Percent of Living FEMALE Adult HIV/AIDS Cases by Race/ethnicity and Current Age Group Florida, Data through 2006, N=24,785 Other races are <1% of cases.Percent of Living FEMALE Adult HIV/AIDS Cases by Race/ethnicity and Current Age Group Florida, Data through 2006, N=24,785 Other races are <1% of cases.

74. Living Adult HIV/AIDS CasesCompared to FL Population Estimates Comment: In this snapshot of living HIV/AIDS cases through 2006, 51% are black, whereas only 16% of Florida�s population are black. This indicates a disparity of HIV/AIDS in the black population. *Data includes Dept of Corrections cases. **Other includes Asian/Pacific Islanders and Native Alaskans/American Indians. Data as of 04/05/07 *2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data AnalysisLiving Adult HIV/AIDS CasesCompared to FL Population Estimates Comment: In this snapshot of living HIV/AIDS cases through 2006, 51% are black, whereas only 16% of Florida�s population are black. This indicates a disparity of HIV/AIDS in the black population. *Data includes Dept of Corrections cases. **Other includes Asian/Pacific Islanders and Native Alaskans/American Indians. Data as of 04/05/07 *2006 Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis

75. Living Adult HIV/AIDS CasesBy Sex and Race/Ethnicity Florida*, through December 2006 Comment: In this snapshot of living HIV/AIDS cases through 2006, among males 42% are black and the majority of females are black (70%). *Data includes Dept of Corrections cases. **Other includes Asian/Pacific Islanders and Native Alaskans/American Indians. Data as of 04/05/07 Living Adult HIV/AIDS CasesBy Sex and Race/Ethnicity Florida*, through December 2006 Comment: In this snapshot of living HIV/AIDS cases through 2006, among males 42% are black and the majority of females are black (70%). *Data includes Dept of Corrections cases. **Other includes Asian/Pacific Islanders and Native Alaskans/American Indians. Data as of 04/05/07

76. Reported PLWHA Rates per 100,000 Population By Sex and Race/EthnicityFlorida*, through 2006 *Other includes Asian/Pacific Islander, American Indian/Alaska Native and/or Other/Unknown Races. Comment: Among black males, the HIV/AIDS case rate for cases alive and reported through 2006 is 5 times higher than among white males. Among black females, the AIDS case rate is 18 times higher than among white females. Hispanic male rates 2 times higher and Hispanic female rates are 3 times higher than the rates among their white counterparts. Data includes Department of Corrections cases. 2006 Total Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis Reported PLWHA Rates per 100,000 Population By Sex and Race/EthnicityFlorida*, through 2006 *Other includes Asian/Pacific Islander, American Indian/Alaska Native and/or Other/Unknown Races. Comment: Among black males, the HIV/AIDS case rate for cases alive and reported through 2006 is 5 times higher than among white males. Among black females, the AIDS case rate is 18 times higher than among white females. Hispanic male rates 2 times higher and Hispanic female rates are 3 times higher than the rates among their white counterparts. Data includes Department of Corrections cases. 2006 Total Florida Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis

77. Annual Prevalence of Adult HIV/AIDS CasesFlorida, 1995-2006 Annual Prevalence of Adult HIV/AIDS CasesFlorida, 1996-2006 As a result of declining deaths, annual HIV/AIDS diagnoses have exceeded deaths since 1995, and the number of persons reported with HIV/AIDS that are presumed to be alive has been increasing. Since the year 1995, prevalent cases have increased by over 375%. In the past year the prevalence increased by 8%. Data as of 02/08/07Annual Prevalence of Adult HIV/AIDS CasesFlorida, 1996-2006 As a result of declining deaths, annual HIV/AIDS diagnoses have exceeded deaths since 1995, and the number of persons reported with HIV/AIDS that are presumed to be alive has been increasing. Since the year 1995, prevalent cases have increased by over 375%. In the past year the prevalence increased by 8%. Data as of 02/08/07

78. Annual Prevalence of Adult HIV/AIDS CasesBy Sex, Florida, 1996-2006 Annual Prevalence of Adult HIV/AIDS CasesBy Sex, Florida, 1996-2006 Although increases are seen among both men and women, women account for an increasing proportion of persons living with AIDS. In 2005, women accounted for 31% of person living with AIDS, compared with 25% in 1996. Annual Prevalence of Adult HIV/AIDS CasesBy Sex, Florida, 1996-2006 Although increases are seen among both men and women, women account for an increasing proportion of persons living with AIDS. In 2005, women accounted for 31% of person living with AIDS, compared with 25% in 1996.

79. Annual Prevalence of Adult Male HIV/AIDS CasesBy Race/Ethnicity, Florida, 1996-2006 Annual Prevalence of Adult Male HIV/AIDS CasesBy Race/Ethnicity, Florida, 1996-2006 Annual Prevalence of Adult Male HIV/AIDS CasesBy Race/Ethnicity, Florida, 1996-2006

80. Living Adult HIV/AIDS Cases (PLWHAs) By Mode of Exposure and Sex Florida*, Data through 2006Living Adult HIV/AIDS Cases (PLWHAs) By Mode of Exposure and Sex Florida*, Data through 2006

81. Living Adult Male HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure Florida*, Data through 2006 Comment: Among male PLWHAs, the distribution of risk among blacks differs from that among whites and Hispanics. MSM represents the highest risk for all races. White males have the smallest percentage of heterosexual contact cases. Note: Adjustments have been made to redistribute NIR cases. Data as of 04/05/07. *Data includes Dept. of Corrections. **Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks. Living Adult Male HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure Florida*, Data through 2006 Comment: Among male PLWHAs, the distribution of risk among blacks differs from that among whites and Hispanics. MSM represents the highest risk for all races. White males have the smallest percentage of heterosexual contact cases. Note: Adjustments have been made to redistribute NIR cases. Data as of 04/05/07. *Data includes Dept. of Corrections. **Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.

82. Annual Prevalence Adult Male HIV/AIDS Cases By Mode of Exposure (NIRs redistributed)* Florida, Diagnosed 1996-2006 Annual Prevalence Adult Male HIV/AIDS Cases By Mode of Exposure (NIRs redistributed)* Florida, Diagnosed 1996-2006 *Adjustments have been made to account for the redistribution of cases with no identified risk (NIR). MSM=male sex with male; IDU=injection drug use; **HIV infection reporting was implemented July 1997. Comment: PLWHA�s represent those in need of care and secondary prevention initiatives to prevent further transmission. The increase in number of PLWHA�s is due to a combination of factors: survival time is increasing, those recently reported are more likely to be alive, and the annual number of persons reported with HIV or AIDS exceeds the number of deaths. MSM is the predominant mode of exposure. MSM cases are increasing the fastest. (data as of 04/05/07). Annual Prevalence Adult Male HIV/AIDS Cases By Mode of Exposure (NIRs redistributed)* Florida, Diagnosed 1996-2006 *Adjustments have been made to account for the redistribution of cases with no identified risk (NIR). MSM=male sex with male; IDU=injection drug use; **HIV infection reporting was implemented July 1997. Comment: PLWHA�s represent those in need of care and secondary prevention initiatives to prevent further transmission. The increase in number of PLWHA�s is due to a combination of factors: survival time is increasing, those recently reported are more likely to be alive, and the annual number of persons reported with HIV or AIDS exceeds the number of deaths. MSM is the predominant mode of exposure. MSM cases are increasing the fastest. (data as of 04/05/07).

83. Annual Prevalence Adult Female HIV/AIDS CasesBy Race/Ethnicity, Florida, 1996-2006 Annual Prevalence Adult Female HIV/AIDS CasesBy Race/Ethnicity, Florida, 1996-2006Annual Prevalence Adult Female HIV/AIDS CasesBy Race/Ethnicity, Florida, 1996-2006

84. Living Adult Female HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure Florida*, Data through 2006 Comment: Among female PLWHAs, the distribution of risk among whites differs from that among blacks and Hispanics. Heterosexual contact is the majority risk for all races. Adjustments have been made to redistribute NIR cases. Data as of 04/05/07. *Data includes Dept. of Corrections. **Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks. Living Adult Female HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure Florida*, Data through 2006 Comment: Among female PLWHAs, the distribution of risk among whites differs from that among blacks and Hispanics. Heterosexual contact is the majority risk for all races. Adjustments have been made to redistribute NIR cases. Data as of 04/05/07. *Data includes Dept. of Corrections. **Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.

85. Annual Prevalence Adult Female HIV/AIDS Cases By Mode of Exposure (NIRs redistributed)* Florida, Diagnosed 1996-2006 Annual Prevalence Adult Female HIV/AIDS Cases By Mode of Exposure (NIRs redistributed)* Florida, Diagnosed 1996-2006 *Adjustments have been made to account for the redistribution of cases with no identified risk (NIR). IDU=injection drug use. **HIV infection reporting was implemented July 1997. Comment: PLWHA�s represent those in need of care and secondary prevention initiatives to prevent further transmission. The increase in number of PLWHA�s is due to a combination of factors: survival time is increasing, those recently reported are more likely to be alive, and the annual number of persons reported with HIV or AIDS exceeds the number of deaths. Heterosexual cases are increasing the fastest. (data as of 04/05/07). Annual Prevalence Adult Female HIV/AIDS Cases By Mode of Exposure (NIRs redistributed)* Florida, Diagnosed 1996-2006 *Adjustments have been made to account for the redistribution of cases with no identified risk (NIR). IDU=injection drug use. **HIV infection reporting was implemented July 1997. Comment: PLWHA�s represent those in need of care and secondary prevention initiatives to prevent further transmission. The increase in number of PLWHA�s is due to a combination of factors: survival time is increasing, those recently reported are more likely to be alive, and the annual number of persons reported with HIV or AIDS exceeds the number of deaths. Heterosexual cases are increasing the fastest. (data as of 04/05/07).

86. Percent of Reported Living HIV/AIDS Cases* and Population by Area, Florida, through 2006 *Total living HIV/AIDS cases equals 81,832 (excluding Dept. of Corrections). Note: Area 9 =Palm Beach Co., Area 10=Broward Co., Area 11a=Miami-Dade Co. Data as of 04/05/07. Percent of Reported Living HIV/AIDS Cases* and Population by Area, Florida, through 2006 *Total living HIV/AIDS cases equals 81,832 (excluding Dept. of Corrections). Note: Area 9 =Palm Beach Co., Area 10=Broward Co., Area 11a=Miami-Dade Co. Data as of 04/05/07.

87. Percentage of Reported HIV/AIDS Cases* By Age of Diagnosis vs. Current Age, Florida Comment: Age at diagnosis among recently diagnosed HIV/AIDS cases (alive or dead) is most useful for planning primary HIV prevention. However, the distribution of living HIV/AIDS cases by current age, which is shifted towards the older age groups due to survival time, is most useful to focus on �prevention for positives�, i.e., secondary prevention. It is also useful to target those in need of care and treatment and support for medication adherence. 13-29 yr: 21% by age at diagnosis 10% by current age 50+ yr: 16% by age at diagnosis. 26% by current age. *Number of HIV/AIDS cases (2001-2005)=40,309; PLWHAs thru 2005=78,741 Percentage of Reported HIV/AIDS Cases* By Age of Diagnosis vs. Current Age, Florida Comment: Age at diagnosis among recently diagnosed HIV/AIDS cases (alive or dead) is most useful for planning primary HIV prevention. However, the distribution of living HIV/AIDS cases by current age, which is shifted towards the older age groups due to survival time, is most useful to focus on �prevention for positives�, i.e., secondary prevention. It is also useful to target those in need of care and treatment and support for medication adherence. 13-29 yr: 21% by age at diagnosis 10% by current age 50+ yr: 16% by age at diagnosis. 26% by current age. *Number of HIV/AIDS cases (2001-2005)=40,309; PLWHAs thru 2005=78,741

88. Resident HIV/AIDS DeathsBy Year, Florida, 1994 � 2006* *Rates are expressed as deaths per 100,000 population based on 2006 Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis **A new national system for coding death certificates (ICD-10) began in 1999, which resulted in an increase of approximately 14% in the annual number of HIV/AIDS deaths. Comment: HIV/AIDS deaths decreased markedly from 1996-1998, associated with the advent of HAART in 1996. Deaths in 2006 were 60% lower than in the peak year, 1995. A leveling of the trend since 1998 may reflect factors such as viral resistance, late diagnosis of HIV, adherence problems, and lack of access to or acceptance of care. Racial/ethnic disparities are evident in the death rate data. Source: Office of Vital Statistics and Bureau of HIV/AIDS, death certificates coded to HIV/AIDS as underlying cause.Resident HIV/AIDS DeathsBy Year, Florida, 1994 � 2006* *Rates are expressed as deaths per 100,000 population based on 2006 Population Estimates, DOH, Office of Planning, Evaluation and Data Analysis **A new national system for coding death certificates (ICD-10) began in 1999, which resulted in an increase of approximately 14% in the annual number of HIV/AIDS deaths. Comment: HIV/AIDS deaths decreased markedly from 1996-1998, associated with the advent of HAART in 1996. Deaths in 2006 were 60% lower than in the peak year, 1995. A leveling of the trend since 1998 may reflect factors such as viral resistance, late diagnosis of HIV, adherence problems, and lack of access to or acceptance of care. Racial/ethnic disparities are evident in the death rate data. Source: Office of Vital Statistics and Bureau of HIV/AIDS, death certificates coded to HIV/AIDS as underlying cause.

89. Resident HIV/AIDS Deaths Total Deaths vs. Black DeathsBy Year, Florida, 1998 � 2006 Source: Office of Vital Statistics, Death Certificates There was a 2.3% increase in total HIV resident deaths from 2005 to 2006. There was a 9.6% increase in black HIV resident deaths from 2005 to 2006.Resident HIV/AIDS Deaths Total Deaths vs. Black DeathsBy Year, Florida, 1998 � 2006 Source: Office of Vital Statistics, Death Certificates There was a 2.3% increase in total HIV resident deaths from 2005 to 2006. There was a 9.6% increase in black HIV resident deaths from 2005 to 2006.

90. Resident HIV/AIDS Death Rates Per 100,000 Population, by Race/Ethnicity, Florida, 2006 Comment: In 2006, black males were 7 times as likely as white males to die of HIV/AIDS, up from 6 in 2005. The HIV/AIDS death rate among black females was 22 times higher than among white females, up from 17 in 2005. Source: Office of Vital Statistics (Death Certificate Data) DOH, Office of Planning, Evaluation and Data Analysis (2006 Population Estimates)Resident HIV/AIDS Death Rates Per 100,000 Population, by Race/Ethnicity, Florida, 2006 Comment: In 2006, black males were 7 times as likely as white males to die of HIV/AIDS, up from 6 in 2005. The HIV/AIDS death rate among black females was 22 times higher than among white females, up from 17 in 2005. Source: Office of Vital Statistics (Death Certificate Data) DOH, Office of Planning, Evaluation and Data Analysis (2006 Population Estimates)

91. Percent of Resident* HIV/AIDS Deaths By Race/Ethnicity and Year of Death, Florida, 1996-2006 Comment: In 2006, the proportional distribution of HIV resident deaths by race/ethnicity was: whites 25%, blacks 61% and Hispanics 13%. This compares to 27%, 57% an 14% respectively for 2005. Source: Office of Vital Statistics (Death Certificate Data)Percent of Resident* HIV/AIDS Deaths By Race/Ethnicity and Year of Death, Florida, 1996-2006 Comment: In 2006, the proportional distribution of HIV resident deaths by race/ethnicity was: whites 25%, blacks 61% and Hispanics 13%. This compares to 27%, 57% an 14% respectively for 2005. Source: Office of Vital Statistics (Death Certificate Data)

92. Resident HIV/AIDS Death Rates Among Persons 25-44 Years of Age, by Sex and Race By Year of Death, Florida, 1995-2006 Note: 1995 was the peak year for HIV/AIDS deaths. Source: Death Data: Office of Vital Statistics, Death Certificates 1995-1999 rates based on 1990 Census population; 2000-present rates based on 2000 Census Resident HIV/AIDS Death Rates Among Persons 25-44 Years of Age, by Sex and Race By Year of Death, Florida, 1995-2006 Note: 1995 was the peak year for HIV/AIDS deaths. Source: Death Data: Office of Vital Statistics, Death Certificates 1995-1999 rates based on 1990 Census population; 2000-present rates based on 2000 Census

93. Death Rates From Leading Causes of Death Among Persons 25-44 Years of Age By Year of Death, Florida, 1987-2006 Death Rates From Leading Causes of Death Among Persons 25-44 Years of Age By Year of Death, Florida, 1987-2006 Note: 1995 was the peak year for resident HIV/AIDS deaths. In 2006, HIV/AIDS was the 4th leading cause of death. Source: Death data: Office of Vital Statistics, Death Certificates Population data: Annual mid-point estimates, Office of Data, Planning and Evaluation Death Rates From Leading Causes of Death Among Persons 25-44 Years of Age By Year of Death, Florida, 1987-2006 Note: 1995 was the peak year for resident HIV/AIDS deaths. In 2006, HIV/AIDS was the 4th leading cause of death. Source: Death data: Office of Vital Statistics, Death Certificates Population data: Annual mid-point estimates, Office of Data, Planning and Evaluation

94. AIDS-Defining Conditions* Most Commonly Reported For Adults and Adolescents, Florida, 2006 AIDS-Defining Conditions* Most Commonly Reported For Adults and Adolescents, Florida, 2006 *Note: data are not mutually exclusive, many cases have more than 1 disease. As of 05/14/07, a total of 4,948 adult/adolescent AIDS cases were reported in 2006. PCP was the number one defining AIDS condition, followed by Wasting Syndrome and Candidiasis, esophageal.AIDS-Defining Conditions* Most Commonly Reported For Adults and Adolescents, Florida, 2006 *Note: data are not mutually exclusive, many cases have more than 1 disease. As of 05/14/07, a total of 4,948 adult/adolescent AIDS cases were reported in 2006. PCP was the number one defining AIDS condition, followed by Wasting Syndrome and Candidiasis, esophageal.

95. Total HIV Antibody Tests Administered: 1996-2005 Total HIV Antibody Tests Administered: 1996-2005

96. Total HIV Seropositivity Rate 1992-2005 Total HIV Seropositivity Rate 1992-2005

97. Impact of STDs on HIV Infection Early detection and treatment of STDs has a major impact on sexual transmission of HIV. Much of the heterosexually transmitted HIV infection can be prevented by reducing other underlying STDs. STDs increase HIV infectivity and susceptibility. Impact of STDs on HIV Infection Early detection and treatment of STDs has a major impact on sexual transmission of HIV. Much of the heterosexually transmitted HIV infection can be prevented by reducing other underlying STDs. STDs increase HIV infectivity and susceptibility. Impact of STDs on HIV Infection Early detection and treatment of STDs has a major impact on sexual transmission of HIV. Much of the heterosexually transmitted HIV infection can be prevented by reducing other underlying STDs. STDs increase HIV infectivity and susceptibility.

98. Percent of Gonorrhea Cases* By Sex and Race/Ethnicity Florida, 2006 *26% of these cases are among adolescents (ages 13-19).Percent of Gonorrhea Cases* By Sex and Race/Ethnicity Florida, 2006 *26% of these cases are among adolescents (ages 13-19).

99. Percent of Gonorrhea Cases* By Sex and Race/Ethnicity Florida, 2006 *26% of these cases are among adolescents (ages 13-19).Percent of Gonorrhea Cases* By Sex and Race/Ethnicity Florida, 2006 *26% of these cases are among adolescents (ages 13-19).

100. Percent of Chlamydia Cases* By Sex and Race/Ethnicity Florida, 2006 *35% of these cases are among adolescents (ages 13-19). Percent of Chlamydia Cases* By Sex and Race/Ethnicity Florida, 2006 *35% of these cases are among adolescents (ages 13-19).

101. Syphilis, Chlamydia, Gonorrhea and AIDS Rates per 100,000 Population Florida, 1991-2006* Syphilis, Chlamydia, Gonorrhea and AIDS Rates per 100,000 Population Florida, 1991-2006* *Chlamydia data available for 1996-2006 only. 2006 STD data provisional Syphilis, Chlamydia, Gonorrhea and AIDS Rates per 100,000 Population Florida, 1991-2006* *Chlamydia data available for 1996-2006 only. 2006 STD data provisional

102. Florida�s Six Priority Populations for 2005 for Primary & Secondary HIV Prevention Based on the Florida Epi Profile, 2005* Black heterosexual women White MSM Black women who have sex with men who have have sex with men & women Hispanic MSM Adolescents and young adults Injection drug users *Unofficial priorities. Note: While identifying these populations, it is essential to avoid stigmatizing them. Florida�s Six Priority Populations for 2005 for Primary & Secondary HIV Prevention Based on the Florida Epi Profile, 2005* Black heterosexual women White MSM Black women who have sex with men who have have sex with men & women Hispanic MSM Adolescents and young adults Injection drug users *Unofficial priorities. Note: While identifying these populations, it is essential to avoid stigmatizing them.

103. Some Key Conclusions In Florida, more than 10,000 HIV/AIDS cases per year have been reported from 1998-2005; there has been an increase compared to previous years that showed a leveling of a downward trend. The number of persons living with HIV/AIDS has steadily risen to 75,734 cases through 2005. Non-Hispanic blacks are disproportionately impacted by HIV/AIDS. The reasons for this are multi-factorial and complex. HIV/AIDS deaths are 60% lower than when they peaked in 1996. Some Key Conclusions In Florida, more than 10,000 HIV/AIDS cases per year have been reported from 1998-2005; there has been an increase compared to previous years that showed a leveling of a downward trend. The number of persons living with HIV/AIDS has steadily risen to 75,734 cases through 2005. Non-Hispanic blacks are disproportionately impacted by HIV/AIDS. The reasons for this are multi-factorial and complex. HIV/AIDS deaths are 60% lower than when they peaked in 1996.

104. Some Key Conclusions (Continued) Pediatric AIDS cases have decreased almost 92% since they peaked in 1992. MSM have consistently accounted for the greatest number of persons living with HIV/AIDS. Recent indicators suggest that HIV transmission among MSM may be increasing. PLWHA cases due to heterosexual contact are increasing quite fast, and are now almost equal in number to MSM cases. Some Key Conclusions (Continued) Pediatric AIDS cases have decreased almost 92% since they peaked in 1992. MSM have consistently accounted for the greatest number of persons living with HIV/AIDS. Recent indicators suggest that HIV transmission among MSM may be increasing. PLWHA cases due to heterosexual contact are increasing quite fast, and are now almost equal in number to MSM cases.

105. For Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444 Lorene Maddox, MPH Ext. 2613 Tracina Bush, AA Ext. 2612 Brandi Knight, BS Ext. 2373 Internet http://www.doh.state.fl.us/disease_ctrl/aids/index.html Intranet http://dohiws.doh.state.fl.us CDC�s Internet site for HIV/AIDS Slides: http://www.cdc.gov/hiv/graphics.htm For Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444 Lorene Maddox, MPH Ext. 2613 Tracina Bush, AA Ext. 2612 Brandi Knight, BS Ext. 2373 Internet http://www.doh.state.fl.us/disease_ctrl/aids/index.html Intranet http://dohiws.doh.state.fl.us CDC�s Internet site for HIV/AIDS Slides: http://www.cdc.gov/hiv/graphics.htm

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