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HIV Surveillance Report, 2010

HIV Surveillance Report, 2010. Minnesota Department of Health HIV/AIDS Surveillance System Glenise Johnson, MPH HIV Surveillance Epidemiologist. National Context. U.S. State-Specific AIDS Rates per 100,000 Population Year 2008. Overview of HIV/AIDS in Minnesota.

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HIV Surveillance Report, 2010

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  1. HIV Surveillance Report, 2010 Minnesota Department of Health HIV/AIDS Surveillance System Glenise Johnson, MPH HIV Surveillance Epidemiologist

  2. National Context

  3. U.S. State-Specific AIDS Rates per 100,000 PopulationYear 2008

  4. Overview of HIV/AIDS in Minnesota Persons Living with HIV/AIDS in Minnesota

  5. Estimated Number of PersonsLiving with HIV/AIDS in Minnesota * This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes state prisoners and refugees arriving through the HIV+ Refugee Resettlement Program, as well as HIV+ refugee/immigrants arriving through other programs.

  6. HIV/AIDS in Minnesota:Number of Prevalent Cases, and Deaths by Year, 1996-2010 *Deaths among MN AIDS cases, regardless of location of death and cause. ^Deaths in Minnesota among people with HIV/AIDS, regardless of location of diagnosis and cause.

  7. Persons Living with HIV/AIDS in Minnesotaby Current Residence, 2010

  8. Persons Living with HIV/AIDS in Minnesota by Gender, 2010 5,243 (77%) 1,571 (23%)

  9. Persons Living with HIV/AIDS in Minnesotaby Gender and Race/Ethnicity, 2010

  10. Number of Cases and Rates (per 100,000 persons) of Persons Living with HIV/AIDS by Race/Ethnicity† – Minnesota, 2010 Census Data used for rate calculations. † “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded. †† Accurate population estimates for African-born persons and MSM (any race) living in Minnesota are unavailable – anecdotal (50,000) and 2000 US Census data (35,188) ) were used to create the range of rates reported for African-born. ^ Other = Multi-racial persons or persons with unknown race

  11. Persons Living with HIV/AIDS in Minnesotaby Age† and Gender, 2010

  12. Foreign-Born Persons Living with HIV/AIDS in Minnesota by Region of Birth, 1996-2010 Region of Birth Latin Amer/Car – Includes Mexico, Caribbean, and Central/South American countries

  13. New HIV Infections, 2010

  14. HIV/AIDS in Minnesota:New HIV Infection, HIV (non-AIDS) and AIDS Cases by Year, 1996-2010 *Includes all new cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis) diagnosed within a given calendar year. ^Includes all new cases of AIDS diagnosed within a given calendar year, including AIDS at first diagnosis. This includes refugees in the HIV+ Resettlement Program, as well as, other refugee/immigrants diagnosed with AIDS subsequent to their arrival in the United States.

  15. HIV Infections* in Minnesota by Residence at Diagnosis, 2010 Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area. * HIV or AIDS at first diagnosis

  16. Gender and Race/Ethnicity

  17. HIV Infections* Diagnosed in Year 2010 and General Population in Minnesota by Race/Ethnicity

  18. HIV Infections* by Gender andYear of Diagnosis, 1996 - 2010 * HIV or AIDS at first diagnosis

  19. HIV Infections* Diagnosed in Year 2010by Gender and Race/Ethnicity n = Number of persons Afr Amer = African American (Black, not African-born persons) Afr born = African-born (Black, African-born persons) Amer Ind = American Indian Other = Multi-racial persons or persons with unknown race * HIV or AIDS at first diagnosis

  20. Adolescents and Young Adults

  21. HIV Infections* Among Adolescents and Young Adults† by Gender and Year of Diagnosis, 1996 - 2010 * HIV or AIDS at first diagnosis †Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds.

  22. HIV Infections* Among Adolescents and Young Adults† by Gender and Race/Ethnicity, 2008 - 2010 Combined

  23. HIV Infections* Among Adolescents and Young Adults† by Gender and Estimated Exposure Group#,2008 - 2010 Combined

  24. Births to HIV-Infected Women and Number of Perinatally Acquired HIV Infections* by Year of Birth, 1996 - 2010 * HIV or AIDS at first diagnosis for a child exposed to HIV during mother’s pregnancy, at birth, and/or during breastfeeding.

  25. HIV among Foreign-born Persons

  26. HIV Infections* among Foreign-Born Persons†in Minnesota by Year of Diagnosis and Region of Birth, 1996 - 2010 Region of Birth# * HIV or AIDS at first diagnosis † Excludes persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival in Minnesota. # Latin America/Car includes Mexico and all Central, South American, and Caribbean countries.

  27. HIV Infections* Among Foreign-Born Persons†by Gender and Age, 2010

  28. Late Testing

  29. Time of Progression to AIDS for HIV Infections Diagnosed in Minnesota*, 2000 - 2010† *Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival in Minnesota. ^ Percent of cases progressing to AIDS within one year of initial diagnosis with HIV Infection. † Numbers/Percent for cases diagnosed in 2010 only represents cases progressing to AIDS through April 4, 2011.

  30. Summary • The number of people living with HIV in 2010 has increased by 4% since 2009. • The number of newly reported HIV infections in 2010 decreased by 11% compared to 2009, but is the second highest number of cases reported since 1995. • Among new cases of HIV/AIDS, disparities still persist for adolescents and young adults (24% of cases), minorities (50% of cases) and MSM (54% of cases).

  31. Contact Information Glenise Johnson, MPH HIV Surveillance Epidemiologist, STD and HIV Section Telephone: 651-201-5624 E-mail: glenise.johnson@state.mn.us

  32. Hepatitis A, B & C in Minnesota, 2010 Kristin Sweet, MPH Minnesota Department of Health Hepatitis Surveillance System

  33. Basic Features of Hepatitis Viruses Virus A B C Transmission fecal-oral parenteral parenteral Incubation Period* 4 (2-6) 8-12 (6-24) 6-9 (2-24) Chronic Infection No Yes Yes * Weeks

  34. Chronic Viral Hepatitis Infection Hepatitis A 0% Hepatitis B 6-10% Hepatitis C 85%

  35. Communicable Disease Reporting – HIV & Hepatitis Hepatitis A, B, C, D and E, HIV and AIDS are all reportable by name to the Minnesota Department of Health (MDH). All reported cases may be contacted by the MDH Surveillance staff for epidemiological follow-up.

  36. Minnesota Hepatitis Surveillance System Hepatitis B reportable since 1987 Hepatitis C reportable since 1998 Passive data collection

  37. Introduction Data in this presentation are current through 2010 Definitions: Acute case: Infected within the last six months Symptomatic Chronic case: Infected for over six months Asymptomatic or symptomatic Resolved cases: No evidence of current infection Evidence of past infection Data Source: Minnesota Viral Hepatitis Surveillance System

  38. Data limitations The slides rely on data from HCV and HBV cases diagnosed through 2010 and reported to the Minnesota Department of Health (MDH) Hepatitis Surveillance System. Some limitations of surveillance data: Data do not include hepatitis-infected persons who have not been tested Data do not include persons whose positive test results have not been reported to the MDH Persons are assumed to be alive unless the MDH has knowledge of their death. Persons whose most recently reported state of residence was Minnesota are assumed to be currently residing in Minnesota unless the MDH has knowledge of their relocation. Data Source: Minnesota Viral Hepatitis Surveillance System

  39. Acute Viral Hepatitis • Acute case: • Infected within the last six months • Symptomatic

  40. Reported rate per 100,000 population of acute viral hepatitisUnited States, 1999-2008 Data Source: Surveillance for Acute Viral Hepatitis --- United States, 2007, May 22, 2009 / 58(SS03);1-27

  41. Number of Acute Cases per year Minnesota,1999-2010 Data Source: MN Viral Hepatitis Surveillance System

  42. Chronic Viral Hepatitis

  43. Overview of Chronic HBV in MN • Chronic case: • Infected for over six months • Includes cases with no evidence of recent infection • Asymptomatic or symptomatic

  44. Reported Number of Personswith Chronic HBV in MN As of December 31, 2010, 19,420* persons are assumed alive and living in MN with chronic HBV *Includes persons with unknown city of residence Note: Includes all chronic, and probable chronic cases. Data Source: MN Viral Hepatitis Surveillance System

  45. Persons Living with HBV in MN by Current Residence, 2010 Total number with residence information = 18,657 (763 missing residence information) Metro = Seven-county metro area including Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area. Data Source: MN Viral Hepatitis Surveillance System

  46. Persons with Chronic HBV in MN by Age, 2010 Median Age: 42 Data Source: MN Viral Hepatitis Surveillance System

  47. Chronic HBV in MN by Gender, 2010 Data Source: MN Viral Hepatitis Surveillance System

  48. Persons Living with Chronic HBV in Minnesota by Race,2010 Persons with unknown race=2,460 Afr Amer = African American /Black Asian=Asian or Pacific Islander Amer Ind = American Indian Other = Multi-racial persons or persons with other race Data Source: MN Viral Hepatitis Surveillance System

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