1 / 37

HIV/STD Trends in Texas

HIV/STD Trends in Texas. Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010. Outline. HIV Epidemiology National data Texas trends HIV testing/treatment STD Epidemiology Syphilis Chlamydia Gonorrhea.

kristenw
Télécharger la présentation

HIV/STD Trends in Texas

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HIV/STD Trends in Texas Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010

  2. Outline • HIV Epidemiology • National data • Texas trends • HIV testing/treatment • STD Epidemiology • Syphilis • Chlamydia • Gonorrhea

  3. USA: Reported AIDS and HIV Cases • As of the end of 2007, 1,051,875 AIDS cases have been reported in the United States • Of these cases 7% were reported in Texas • As of the end of 2007, 328,103 HIV cases have been reported in the United States* • Of these cases 8% were reported in Texas *Includes 47 states, District of Columbia and 5 U.S. .territories with name-based reporting as of December 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18

  4. Cumulative Reported AIDS Cases:Top 5 States, 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18

  5. Texas: The Big Picture • Since 1980, >107,000 Texans have been diagnosed with HIV/AIDS • >41,000 Texans with HIV/AIDS have died • As of year end 2008, 62,772 Texans were living with HIV/AIDS

  6. New AIDS Cases, Deaths, and Persons Livingwith AIDS: Texas, 1980-2008 Living with AIDS New AIDS Cases Deaths among AIDS Cases

  7. Persons Living with HIV/AIDS: Texas, 1987N=1,204

  8. Persons Living with HIV/AIDS: Texas, 1997N=16,184

  9. Persons Living with HIV/AIDS: Texas, 2007N=62,805

  10. 2008 HIV/AIDS In 2008… • 4,293 Texans were newly-diagnosed with HIV • 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year • 2,758 Texans living with HIV progressed to AIDS • 1,280 Texans with HIV/AIDS died

  11. Newly-diagnosed HIV Cases:Texas, 1999-2008

  12. Newly-diagnosed HIV Case Rates by Race:Texas, 1999-2008

  13. White 48% African American 11% 36% Hispanic 5% Other/Unknown Race/Ethnicity of New HIV/AIDS Case:Texas, 2008 Texas Population n=24,383,647 HIV/AIDS Cases n=4,293 29% 43% 26% 2%

  14. Newly-diagnosed HIV Case Rates by Sex:Texas, 1999-2008

  15. Race/Ethnicity of New HIV/AIDS Cases:Texas, 2008 Males n=3,314 Females n=979

  16. Newly-diagnosed HIV Case Rates by Age:Texas, 1999-2008

  17. Age of New HIV/AIDS Cases: Texas, 2008

  18. HIV/AIDS Cases by Transmission Category:Texas, 2008 Females Males Heterosexual contact* Men who have sex with Men (MSM) MSM & IDU Injection drug use (IDU) * Heterosexual contact with person known to have or to be at high risk for HIV infection ** Cases with an unknown or other mode of transmission are not included

  19. Perinatally Exposed and Infected Children: Texas, 1999-2008 n=13 n=12 n=9 n=7

  20. HIV Testing and Care • An estimated 16,686 people are living with HIV in Texas and are unaware of their status (undiagnosed) • Approximately one-third of persons living with HIV in 2007 had unmet need for care • 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year • Only 14% of Texans had an HIV test last year

  21. Reportable STDs in Texas Syphilis Chlamydia Gonorrhea

  22. Primary and Secondary Syphilis Cases:Texas, 1971-2009

  23. P&S Syphilis Case Rates by Race/Ethnicity: Texas, 1995-2009

  24. P&S Syphilis Case Rates* by Year of Report and Sex: Texas, 1998-2009 Male Female * Rate = Cases per 100,000 population.

  25. P&S Syphilis Cases by Sex and MSM:Texas, 2003-2009

  26. P&S Syphilis Case Rates by County:Texas, 2009

  27. Congenital Syphilis Cases:Texas, 1991-2009

  28. Chlamydia Cases:Texas, 1988-2009

  29. Chlamydia Cases by Year of Report:Texas, 2000-2009

  30. Chlamydia Case Rates Among Women by Race/Ethnicity: Texas, 1991-2009 Af. American Hispanic White

  31. Chlamydia Case Rates by County:Texas, 2009

  32. Gonorrhea Cases:Texas, 1971-2009

  33. Gonorrhea Case Rates by Race/Ethnicity: Texas, 1991-2009

  34. Gonorrhea Cases by Age Group and Race/Ethnicity: Texas, 2009

  35. Gonorrhea Case Rates by County:Texas, 2009

  36. Acknowledgements • HIV/STD surveillance staff at local and regional health departments across the state and at the central DSHS HIV/STD program who collected the data used in this presentation • Ed Weckerly and Jennifer Chase of the DSHS TB/HIV/STD Epidemiology and Surveillance Branch who analyzed the data and prepared the slides

  37. Questions? • Contact Information: Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Manager, TB/HIV/STD Epidemiology and Surveillance Branch Sharon.Melville@dshs.state.tx.us

More Related