The Upper Manhattan Experience: HIV Epidemiology

Transcription

1 The Experience: HIV Epidemiology M. Monica Sweeney, MD, MPH Assistant Commissioner Bureau of HIV/AIDS Prevention & Control Collaborative Meeting April 10, 2012

2 ZIP Codes - Extended

3 The HIV/AIDS Epidemic In NYC

4 Treatment Cascade PLWHA, ,410 PLWHA in ,848 Evidence of Care in 2011 (CD4 or Viral Load Test) 8,654 => 1 Viral Load Test Reported in ,506 Viral Load Suppression<=400 copies/ml) at Last Viral Load Test

5 HIV/AIDS in * and - Extended**, 2010 Basic Statistics 432 new HIV diagnoses (12.41% of diagnoses in NYC) 346 HIV without AIDS (80.1%) 86 concurrent with AIDS (19.9%) 13,410 persons living with HIV/AIDS (PLWHA), accounting for 12.10% of all PLWHA in NYC 5,254 HIV only (39.2%) 8,156 AIDS (60.8%) -Extended 519 new HIV diagnoses (14.9% of diagnoses in NYC) 414 HIV without AIDS (79.8%) 105 concurrent with AIDS (20.2%) 17,610 persons living with HIV/AIDS (PLWHA), accounting for 15.9% of all PLWHA in NYC 6,987 HIV only (39.7%) 10,623 AIDS (60.3%) * includes parts of the Upper West Side, Central Harlem-Morningside Heights, Washington Heights-Inwood, and East Harlem: 10025, 10026, 10027, 10029, 10030, 10031, 10032, 10033, 10034, 10035, 10037, 10039, * Extended** includes all zip codes in and additional participating providers in zip codes 10019, 10022, 10023, 10024, 10021, 10028, 10128

6 HIV/AIDS in and - Extended, 2010 Basic Statistics... continued 432 Newly Diagnosed - Transmission Risk 51.9% MSM (224) 2.8% IDU (12) 17.4% Heterosexual (75) 0.2% Perinatal (1) 27.8 % Unknown (120) 13,410 Persons Living with HIV/AIDS - Transmission Risk 33.3% MSM (4,459) 20.0% IDU (2,687) 18.8% Heterosexual (2,526) 2.4% Perinatal (317) 0.2% Other (25) 25.3% Unknown (3,396) -Extended 519 Newly Diagnosed - Transmission Risk 54.5% MSM (283) 3.3% IDU (17) 14.8% Heterosexual (77) 0.2% Perinatal (1) 27.2% Unknown (141) 17,610 Persons Living with HIV/AIDS - Transmission Risk 41.2% MSM (7,257) 17.4% IDU (3,064) 15.9% Heterosexual (2,800) 1.9% Perinatal (332) 0.2% Other (32) 23.4% Unknown (4,125)

7 <20, 1.6% PLWHA in, 2010 Age and Sex (compared to NYC) 20-29, 7.3% AGE SEX 60+, 13.5% 30-39, 15.4% Female 29% 50-59, 29.2% 40-49, 33% Male 71% <20, 1.5% 20-29, 7.3 NYC % % Female 29% % % Male 71%

8 PLWHA and NYC, 2010 Race/Ethnicity (percentage) NYC Unknown, 0.4 Asian/PI, 1.6 Native American, 0.2 Asian/PI, 0.7 Native American, 0.3 Unknown, 0.1 White, 20.5 White, 12.7 Black, 44.7 Black, 52.2 Hispanic, 32.5 Hispanic, 33.9

9 Per 100,000 HIV/AIDS Prevalence Rates by Age Group, NYC and Upper Manhattan ,278 5, NYC ,416 3, ,264 Rate: 2214/100, , ,335 1, Age group (years) NYC Overall Rate: 1375/100,000

10 Per 100,000 HIV/AIDS Prevalence Rates by Race/Ethnicity, NYC and ,410 NYC 3,239 2,708 1,615 1,567 1, , Rate: 2214/100,000 NYC Overall Rate: 1375/100,000

11 Per 1,000 Crude Death Rates among PWHA by Race/Ethnicity, NYC and NYC 51.3* * * 2.1* Rate:16.5/1000 NYC Rate:15.1/ Rates based on numerators <=10 are marked with an asterisk (*) and should be interpreted with caution

12 Per 1,000 Crude Death Rates Among PWHA by Age Group, NYC and NYC Rate: 16.5/ * 3* * NYC Overall Rate: 15.1/ * 0* Age group (years) Rates based on numerators <=10 are marked with an asterisk (*) and should be interpreted with caution

13 New HIV Diagnoses in, 2010 Age and Foreign Born Region of Birth 60+, 5.3% <20, 3.9% Europe, 3.7% Middle East, 1.9% Other or Unknown Region, 0.9% 50-59, 12% 20-29, 30.8% South America, 14% Africa, 15.9% Asia, 3.7% 40-49, 22.7% Central America, 12.1% 30-39, 25.2% Caribbean, 47.7% AGE Foreign Born Individuals by Region of Birth

14 New HIV Diagnoses, and Upper Manhattan-Extended 2010, Provider Type (percentage) -Extended Inpatient Facility, 0.2 Other Facility, 3.5 Unknown, 0.8 Inpatient Facility, 0.2 Other Facility, 3.7 Unknown, 0.5 Outpatient Facility, 22 DAC Hospital, 35.5 Outpatient Facility, 23.4 DAC Hospital, 39.6 STD Clinic, 14.5 Private MD, 21.2 Non-DAC Hospital, 2.5 STD Clinic, 14.1 Private MD, 17.4 Non-DAC Hospital, 1.2