West Virginia HIV/AIDS Surveillance Report 2009 Update West Virginia HIV/AIDS Program

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1 West Virginia HIV/AIDS Surveillance Report 2009 Update Bureau for Public Health Office of Epidemiology & Prevention Services Division of STD, HIV, & Hepatitis 350 Capitol Street, Room 125 Charleston, WV Joe Manchin III, Governor Patsy A. Hardy, Secretary

2 West Virginia HIV/AIDS Surveillance Report 2009 Joe Manchin, III Governor Patsy A. Hardy, FACHE, MSN, MBA Cabinet Secretary, Department of Health and Human Resources Chris Curtis, MPH Acting Commissioner, Bureau for Public Health Catherine Slemp, MD, MPH Acting State Health Officer, Bureau for Public Health Loretta Haddy, PhD, MA, MS Director, Office of Epidemiology and Prevention Services 2

3 West Virginia Department of Health and Human Resources Division of STD, HIV, and Hepatitis Administrative and Staff Acknowledgements ADMINISTRATION Loretta Haddy, PhD, MA, MS Caroline Williams, MD Susan Hall, MA HIV/AIDS SURVEILLANCE STAFF Alana Hudson, PhD Kaluwa Schoen, RN HIV/AIDS PREVENTION STAFF Nils Haynes Chuck Anziulewicz Chuck Hall Jodie Layden, MS Beverly Hensley Director, Office of Epidemiology & Prevention Services Director, Division of STD, HIV, & Hepatitis Acting Director, Division of STD, HIV, & Hepatitis HIV/AIDS Surveillance Epidemiologist HIV/AIDS Surveillance Coordinator HIV Prevention Specialist HIV Prevention Specialist HIV Prevention Specialist HIV Prevention Specialist HIV/AIDS Secretary STD PREVENTION/SURVEILLANCE STAFF Kenneth Gould Disease Intervention Specialist Supervisor Dianna Ryan, MA Disease Intervention Specialist John Armstrong Disease Intervention Specialist John Gundling, MPH Disease Intervention Specialist Chuck McConnell Disease Intervention Specialist Allan Zipf, MS Disease Intervention Specialist Matt Eakle Disease Intervention Specialist Sandra Graham, RN Adult Viral Hepatitis Prevention Coordinator Vicki Hogan, MPH Hepatitis B Epidemiologist Myra Fernatt STD Data Manager 3

4 REPORT PREPARED BY: Alana Hudson, PhD EDITED BY: Loretta Haddy, PhD, MA, MS An electronic version of the profile is available at: Please forward any comments or questions regarding this report to: Loretta Haddy, PhD, MA, MS Director Office of Epidemiology and Prevention Services 350 Capitol Street, Room 125 Charleston, West Virginia (304) Susan Hall, MA Acting Director Division of STD, HIV, and Hepatitis 350 Capitol Street, Room 125 Charleston, West Virginia (304) Data in this document are presented for diagnosis of HIV and AIDS reported to the West Virginia Department of Health and Human Resources through December Data are provisional and may vary in time due to new cases that are received and/or lost to other states. 4

5 AIDS became a reportable disease by law in West Virginia in April HIV became reportable by name in West Virginia in September NOTICE TO HEALTH CARE PROVIDERS, LABORATORIES, AND OTHERS RESPONSIBLE FOR DISEASE REPORTING: West Virginia Code 16-3C-8, et seq., 64CSR64, and 64CSR7 require that all positive HIV test results and all cases of AIDS as defined by the CDC must be reported to the West Virginia Bureau for Public Health. For information on the CDC AIDS case definition, to obtain case report forms, or to report a case, contact: West Virginia Division of STD, HIV and Hepatitis 350 Capitol Street, Room 125 Charleston, West Virginia Telephone (304) or

6 Table of Contents HIV/AIDS... 8 Number of HIV/AIDS Cases by Select Characteristics, West Virginia 4/ / Percentage of HIV/AIDS Cases by Age at Diagnosis, West Virginia Percentage of HIV/AIDS Cases by Age at Diagnosis, West Virginia Percentage of HIV/AIDS Cases by Gender, West Virginia Percentage of HIV/AIDS Cases by Gender, West Virginia Percentage of HIV/AIDS Cases by Race, West Virginia Percentage of HIV/AIDS Cases by Race, West Virginia Percentage of HIV/AIDS Cases by Exposure Category, West Virginia Percentage of HIV/AIDS Cases by Exposure Category, West Virginia Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Gender Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Race Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Age at Diagnosis Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Exposure DEATHS Deaths Among Persons with HIV/AIDS by Year of Death and Select Characteristics AIDS Number of AIDS Cases Diagnosed by Select Characteristics Percentage of AIDS Cases by Age at Diagnosis, West Virginia Percentage of AIDS Cases by Age at Diagnosis, West Virginia Percentage of AIDS Cases by Gender, West Virginia Percentage of AIDS Cases by Gender, West Virginia Percentage of AIDS Cases by Race, West Virginia Percentage of AIDS Cases by Race, West Virginia Percentage of AIDS Cases by Exposure Category, West Virginia Percentage of AIDS Cases by Exposure Category, West Virginia Persons Living with HIV/AIDS (PLWHA) Number of Persons Living with HIV/AIDS, West Virginia December 31, Percentage of Persons Living with HIV/AIDS by Current Age, West Virginia Percentage of Persons Living with HIV/AIDS by Gender, West Virginia

7 Percentage of Persons Living with HIV/AIDS by Race, West Virginia Percentage of Persons Living with HIV/AIDS by Exposure Category, West Virginia Geographic Distribution of HIV/AIDS in West Virginia Number of HIV/AIDS Cases by Public Health District, West Virginia Number of PLWHA by Public Health District, West Virginia Number of AIDS Cases by Public Health District, West Virginia Excluding Federal Corrections Data Number of HIV/AIDS by Public Health District Excluding Cases Diagnosed in Federal Prisons, West Virginia Number of PLWHA by Public Health District Excluding Cases Diagnosed in Federal Prisons, West Virginia

8 HIV/AIDS Number of HIV/AIDS Cases by Select Characteristics, West Virginia 4/ /2009 Cumulative Cumulative Characteristic through through No. No. No. No. No. No. No. Age at Diagnosis <13 19 <5 <5 <5 <5 < <5 5 < <5 <5 <5 <5 <5 26 Gender Males 1, ,927 Females Race/Ethnicity White 1, ,737 Black Hispanic 37 <5 <5 <5 <5 <5 43 Asian <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 Multiple Race 6 <5 <5 <5 <5 <5 7 Exposure Category Male-to-male sex (MSM) 1, ,238 Injection drug use (IDU) MSM/IDU 92 5 <5 <5 <5 <5 102 Heterosexual contact Perinatal 18 <5 <5 <5 <5 <5 22 Other*/Unknown Total 2, ,440 Notes. These are actual numbers of cases of HIV/AIDS that were reported to the West Virginia Bureau for Public Health as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and later AIDS, and concurrent diagnoses of HIV infection and AIDS. Excludes 4 persons of unknown race/ethnicity. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 8

9 Percentage of HIV/AIDS Cases by Age at Diagnosis, West Virginia <1% 1% 20% 6% 17% < % % 65+ Percentage of HIV/AIDS Cases by Age at Diagnosis, West Virginia % 1% 13% 4% 14% < % 34%

10 Percentage of HIV/AIDS Cases by Gender, West Virginia % Males Females 79% Percentage of HIV/AIDS Cases by Gender, West Virginia % Males Females 79% 1 0

11 Percentage of HIV/AIDS Cases by Race, West Virginia % <1% <1% <1% <1% White 23% Black Hispanic Asian Native Hawaiian/Pacific Islander 75% American Indian/Alaskan Native Multiple Race Percentage of HIV/AIDS Cases by Race, West Virginia % <1% <1% <1% <1% White 26% Black Hispanic Asian Native Hawaiian/Pacific Islander 71% American Indian/Alaskan Native Multiple Race 1 1

12 Percentage of HIV/AIDS Cases by Exposure Category, West Virginia % 1% 16% 10% 15% 56% MSM IDU MSM/IDU Heterosexual Perinatal Other/unkown Percentage of HIV/AIDS Cases by Exposure Category, West Virginia % 14% 4% 14% 51% MSM IDU MSM/IDU Heterosexual Perinatal Other/unkown 16% 1 2

13 Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Gender Number of cases Number of Adult and Adolescent HIV/AIDS Cases Diagnosed by Gender, West Virginia Year Male Female Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Race Number of cases Number of Adult and Adolescent HIV/AIDS Cases Diagnosed by Race, West Virginia Year White Black Other 1 3

14 Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Age at Diagnosis Number of cases Number of Adult and Adolesent HIV/AIDS Cases Diagnosed by Age Group, West Virginia Year Number of Adult and Adolescent HIV/AIDS Cases by Year of Diagnosis and Exposure Number of Adult and Adolescent HIV/AIDS Cases by Exposure Category, West Virginia Number of cases Year MSM IDU MSM/IDU Heterosexual Other 1 4

15 DEATHS Deaths Among Persons with HIV/AIDS by Year of Death and Select Characteristics West Virginia 4/ /2009 Characteristic Cumulative deaths through Cumulative deaths through 2009 No. No. No. No. No. No. No. Age at Death <13 6 <5 <5 <5 <5 < <5 <5 <5 <5 < <5 <5 <5 < <5 < <5 <5 <5 <5 <5 30 Gender Males Females Race/Ethnicity White Black Hispanic 8 <5 <5 <5 <5 <5 10 Asian <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 Multiple Race <5 <5 <5 <5 <5 <5 5 Exposure Category Male-to-male sex (MSM) Injection drug use (IDU) MSM/IDU 43 <5 <5 <5 <5 <5 53 Heterosexual contact 69 5 < Perinatal 5 <5 <5 <5 <5 <5 5 Other*/Unknown 121 <5 <5 5 7 <5 140 Total Notes. These are actual numbers of deaths and cases of HIV/AIDS that were reported to the West Virginia Bureau for Public Health as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and later AIDS, and concurrent diagnoses of HIV infection and AIDS. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 1 5

16 AIDS Characteristic Number of AIDS Cases Diagnosed by Select Characteristics West Virginia 4/ /2009 Cumulative through Cumulative through 2009 No. No. No. No. No. No. No. Age at Diagnosis <13 11 <5 <5 <5 <5 < <5 < <5 <5 6 < <5 <5 <5 <5 <5 25 Gender Males 1, ,374 Females Race/Ethnicity White 1, ,274 Black Hispanic 18 <5 <5 <5 <5 <5 24 Asian <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 Multiple Race 5 <5 <5 <5 <5 <5 9 Exposure Category Male-to-male sex (MSM) Injection drug use (IDU) MSM/IDU 72 6 <5 <5 <5 <5 82 Heterosexual contact Perinatal 10 <5 <5 <5 <5 <5 12 Other*/Unknown <5 203 Total 1, ,649 Notes. These are actual numbers of cases of AIDS that were reported to the West Virginia Bureau for Public Health as of December 31, No adjustments were made for reporting delays. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 1 6

17 Percentage of AIDS Cases by Age at Diagnosis, West Virginia % 1% <1% 8% 27% 20% < % Percentage of AIDS Cases by Age at Diagnosis, West Virginia % 1% 5% 6% 17% 39% 30% <

18 Percentage of AIDS Cases by Gender, West Virginia % Males Females 80% Percentage of AIDS Cases by Gender, West Virginia % Males Females 83% 1 8

19 Percentage of AIDS Cases by Race, West Virginia % <1% <1% <1% 1% White Black 26% Hispanic Asian Native Hawaiian/Pacific Islander 70% American Indian/Alaskan Native Multiple Race Percentage of AIDS Cases by Race, West Virginia % <1% <1% <1% <1% White 20% Black Hispanic Asian Native Hawaiian/Pacific Islander American Indian/Alaskan Native 77% Multiple Race 1 9

20 Percentage of AIDS Cases by Exposure Category, West Virginia <1% 9% 3% 17% 18% 53% MSM IDU MSM/IDU Heterosexual Perinatal Other/unkown Percentage of AIDS Cases by Exposure Category, West Virginia <1% 12% 5% 12% 16% 54% MSM IDU MSM/IDU Heterosexual Perinatal Other/unkown 2 0

21 Persons Living with HIV/AIDS (PLWHA) HIV/AIDS Surveillance Report 2009 Update Number of Persons Living with HIV/AIDS, West Virginia December 31, 2009 Characteristic No. % Current Age < Gender Males 1, Females Race/Ethnicity White, not Hispanic 1, Black, not Hispanic Hispanic 33 2 Asian <5 <1 Native Hawaiian/Pacific Islander <5 <1 American Indian/Alaskan Native <5 <1 Multiple Race <5 <1 Exposure Category Male-to-male sex (MSM) Injection drug use (IDU) MSM/IDU 49 3 Heterosexual contact Perinatal 17 1 Other*/Unknown Total People Living with HIV/AIDS 1, Notes. Estimated number of Persons living with HIV or AIDS as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and a later AIDS diagnosis, and concurrent diagnoses of HIV infection and AIDS. Excludes 4 persons of unknown race/ethnicity. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 2 1

22 Percentage of Persons Living with HIV/AIDS by Current Age, West Virginia % 3% 35% 14% 4% 14% 29% < Percentage of Persons Living with HIV/AIDS by Gender, West Virginia % Males Females 76% 2 2

23 Percentage of Persons Living with HIV/AIDS by Race, West Virginia % <1% <1% <1% <1% White 30% Black Hispanic Asian Native Hawaiian/Pacific Islander 67% American Indian/Alaskan Native Multiple Race Percentage of Persons Living with HIV/AIDS by Exposure Category, West Virginia % 13% 3% 16% 50% MSM IDU MSM/IDU Heterosexual Perinatal Other/unkown 16% 2 3

24 Geographic Distribution of HIV/AIDS in West Virginia West Virginia counties are grouped into eight Public Health Management Districts. The following section provides information about the distribution of HIV and AIDS in West Virginia by Public Health Management District.

25 Number of HIV/AIDS Cases by Public Health District, West Virginia 2009 Characteristic West Virginia Public Health District Total No. No. No. No. No. No. No. No. No. Age at Diagnosis <13 <5 <5 5 <5 <5 <5 <5 < <5 <5 <5 <5 <5 < Gender Males ,927 Females Race/Ethnicity White ,737 Black Hispanic <5 <5 7 <5 <5 < Asian <5 <5 <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 <5 <5 Multiple Race <5 <5 <5 <5 <5 <5 <5 <5 7 Exposure Category Male-to-male sex (MSM) ,238 Injection drug use (IDU) MSM/IDU Heterosexual contact Perinatal <5 <5 5 <5 <5 <5 <5 <5 22 Other*/Unknown Total ,440 Notes. These are actual numbers of cases of HIV/AIDS that were reported to the West Virginia Bureau for Public Health as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and later AIDS, and concurrent diagnoses of HIV infection and AIDS. Excludes 4 persons of unknown race/ethnicity. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 2 5

26 Number of PLWHA by Public Health District, West Virginia 2009 Characteristic West Virginia Public Health District Total No. No. No. No. No. No. No. No. No. Current Age <13 <5 <5 <5 <5 <5 <5 <5 < <5 <5 < < <5 <5 < Gender Males ,139 Females Race/Ethnicity White ,012 Black Hispanic <5 <5 5 <5 <5 < Asian <5 <5 <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 <5 <5 Multiple Race <5 <5 <5 <5 <5 <5 <5 <5 <5 Exposure Category Male-to-male sex (MSM) Injection drug use (IDU) < MSM/IDU <5 6 9 <5 < Heterosexual contact Perinatal <5 <5 <5 <5 <5 <5 <5 <5 17 Other*/Unknown Total ,507 Notes. Estimated number of Persons living with HIV or AIDS as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and later AIDS, and concurrent diagnoses of HIV infection and AIDS. Excludes 4 persons of unknown race/ethnicity. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 2 6

27 Number of AIDS Cases by Public Health District, West Virginia 2009 Characteristic West Virginia Public Health District Total No. No. No. No. No. No. No. No. No. Age at Diagnosis <13 <5 <5 <5 <5 <5 <5 <5 < < <5 <5 <5 <5 <5 < Gender Males ,374 Females Race/Ethnicity White ,274 Black Hispanic <5 <5 <5 <5 <5 <5 < Asian <5 <5 <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 <5 <5 Multiple Race <5 <5 <5 <5 <5 <5 <5 <5 9 Exposure Category Male-to-male sex (MSM) Injection drug use (IDU) MSM/IDU Heterosexual contact Perinatal <5 <5 <5 <5 <5 <5 <5 <5 12 Other*/Unknown Total ,649 Notes. These are actual numbers of cases of HIV/AIDS that were reported to the West Virginia Bureau for Public Health as of December 31, No adjustments were made for reporting delays. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 2 7

28 Excluding Federal Corrections Data HIV/AIDS Surveillance Report 2009 Update 2 8 Number of HIV/AIDS by Public Health District Excluding Cases Diagnosed in Federal Prisons, West Virginia 2009 Characteristic West Virginia Public Health District Total No. No. No. No. No. No. No. No. No. Age at Diagnosis <13 <5 <5 5 <5 <5 <5 <5 < <5 <5 <5 <5 <5 < Gender Males ,878 Females Race/Ethnicity White ,731 Black Hispanic <5 <5 7 <5 <5 < Asian <5 <5 <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 <5 <5 Multiple Race <5 <5 <5 <5 <5 <5 <5 <5 7 Exposure Category Male-to-male sex (MSM) ,226 Injection drug use (IDU) MSM/IDU Heterosexual contact Perinatal <5 <5 5 <5 <5 <5 <5 <5 22 Other*/Unknown Total ,310 Notes. These are actual numbers of cases of HIV/AIDS that were reported to the West Virginia Bureau for Public Health as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and later AIDS, and concurrent diagnoses of HIV infection and AIDS. Excludes 4 persons of unknown race/ethnicity. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified.

29 Number of PLWHA by Public Health District Excluding Cases Diagnosed in Federal Prisons, West Virginia 2009 Characteristic West Virginia Public Health District Total No. No. No. No. No. No. No. No. No. Current Age <13 <5 <5 <5 <5 <5 <5 <5 < <5 <5 < < <5 <5 < Gender Males ,094 Females Race/Ethnicity White ,006 Black Hispanic <5 <5 5 <5 <5 < Asian <5 <5 <5 <5 <5 <5 <5 <5 <5 Native Hawaiian or Pacific Islander <5 <5 <5 <5 <5 <5 <5 <5 <5 American Indian or Alaskan Native <5 <5 <5 <5 <5 <5 <5 <5 <5 Multiple Race <5 <5 <5 <5 <5 <5 <5 <5 <5 Exposure Category Male-to-male sex (MSM) Injection drug use (IDU) < MSM/IDU <5 6 9 <5 < Heterosexual contact Perinatal <5 <5 <5 <5 <5 <5 <5 <5 17 Other*/Unknown Total ,385 Notes. Estimated number of Persons living with HIV or AIDS as of December 31, No adjustments were made for reporting delays. Numbers include persons diagnosed with HIV infection (not AIDS), HIV infection and later AIDS, and concurrent diagnoses of HIV infection and AIDS. Excludes 4 persons of unknown race/ethnicity. *"Other" risk category includes hemophilia, blood transfusion, and risk not reported or not identified. 2 9

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