Minnesota Treatment Cascade for People Living with HIV/AIDS April 2015
|
|
- Edward Sims
- 7 years ago
- Views:
Transcription
1 Minnesota Treatment Cascade for People Living with HIV/AIDS April 2015 STD/HIV/TB Section Infectious Disease Prevention, Epidemiology and Control Division P.O. Box 64975, St. Paul, MN
2 Introduction As part of the National HIV/AIDS Strategy for the United States, the Minnesota Department of Health (MDH) has calculated an HIV treatment cascade using HIV surveillance data. These calculations help us better understand the HIV epidemic and the disparities that exist in delivery of care among HIV positive people in Minnesota. Data Source In Minnesota, laboratory-confirmed infections of human immunodeficiency virus (HIV) are monitored by MDH through an active and passive surveillance system. State rules (Minnesota Rule ) require both physicians and laboratories to report all cases of HIV infection (HIV or AIDS) directly to the MDH. Additionally, regular contact is maintained with several clinical sites to ensure completeness of reporting. In June 2011, an amendment to the communicable disease reporting rule was passed, requiring the report of all CD4 and viral load (VL) test results. Data in this report include cases diagnosed with HIV infection 1 as of December 31, 2013 and alive at year-end 2014 and reported to the MDH as of April 8 th, Data Limitations Laboratory data are used as a proxy for a care visit to calculate each segment of the treatment cascade, which may underestimate the true value of engagement in care. The accuracy of the cascade depends on complete reporting of laboratory results. 1 HIV (non-aids) or AIDS at first report. MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 1
3 Definitions of measures used in Minnesota s Treatment Cascade People Living with HIV/AIDS (Diagnosed Prevalence) CDC estimates that between 18% and 20% of HIV infected individuals are not diagnosed and includes this estimate in the national treatment cascade. 2 CDC recommends for local adaptations of the treatment cascade to use the diagnosed prevalence as the estimate for people living with HIV/AIDS within their jurisdiction. This does not include an estimate of the proportion of people living with undiagnosed HIV infection. Therefore Minnesota s treatment cascade is not a direct comparison to other cascades that include an estimate of positive persons with unknown status. To calculate the diagnosed prevalence used in this cascade, surveillance data were used to estimate the number of people over the age of 13 living in Minnesota at the end of 2014 who were diagnosed with HIV infection (regardless of residence at diagnosis) by the year end of This estimate serves as the underlying population for retention in care and viral suppression measures, hence is seen on the graph as 100% as people living with HIV/AIDS in Minnesota. Retention in care Retention in care is defined in Minnesota as one laboratory test within the year 2014 for patients alive and living in Minnesota at the end of 2014 who were diagnosed through year-end Because Minnesota s definition of retention in care is different than the national and other local cascades, use caution when comparing the retention in care measure to the national estimate. Viral Suppression Viral suppression is defined as a VL test result of 200 copies/ml at the most recent test during 2014 for patients alive and living in Minnesota at the end of 2014 who were diagnosed through year-end MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 2
4 Linkage to Care Linkage to care is calculated using a denominator that is different than the other measures on the cascade. Linkage to care is defined as those who are diagnosed in Minnesota during the year 2013 and had a CD4 or VL test performed within 90 days of initial diagnosis. Because the passage of the revised communicable disease reporting rule to mandate the report of all CD4 and VL tests for HIV positive patients only occurred in 2011, reports of laboratory tests performed before that time are incomplete. Therefore, estimates for linkage to care are not useful for cases diagnosed prior to The continuum of HIV care in Minnesota (Overall) In Minnesota, there are 7,628 people over the age of 13 who were diagnosed with HIV through 2013 and were living in Minnesota at the end of Of the 7,628 people living with HIV at the end of 2014, 5,514 (72%) had at least one CD4 or VL test performed in 2014 (retention in care). Additionally, of the 7,628 people living with HIV/AIDS, 4,826 (63%) had a VL test of 200 copies/ml at their most recent test in 2014 (viral suppression) (Table 1). In 2013, there were 299 persons over the age of 13 who were diagnosed in Minnesota. Of these 299, 261 (87%) had a CD4 or VL test performed within 90 days of their initial diagnosis (linkage to care) (Table 2). MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 3
5 MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 4
6 Characteristics Table 1 Treatment Cascade Number of persons diagnosed with HIV Infection through 12/31/2013 and living in Minnesota on 12/31/2014 (Overall population) Number of persons who have >=1 lab tests between 1/1/2014 through 12/31/2014 Number of persons who had a VL test result of 200 copies/ml at their last test result in the year 2014 Sex Male Female Current Age Race/Ethnicity Hispanic White African-American African-born American Indian Asian/Pacific Islander Multiple Races Mode of Exposure MSM IDU MSM/IDU Hetero Other Unspecified Geography (Current Residence) 11- county Metropolitan Area* Greater Minnesota Disease Status HIV (non-aids) AIDS Total Hemophilia, transplant, transfusion, mother with HIV or HIV risk * Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington, Wright Counties MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 5
7 Characteristics Table 2 Linkage to Care Number of persons diagnosed with HIV Infection in 2013 in Minnesota (Overall population) Number of persons who had >=1 lab tests within 90 days of diagnosis Sex Male Female Age at diagnosis Race/Ethnicity Hispanic White African-American African-born American Indian 6 6 Asian/Pacific Islander Multiple Races 7 7 Mode of Exposure MSM IDU 5 4 MSM/IDU 10 9 Hetero Other 0 0 Unspecified Geography (Residence at diagnosis) 11- county Metropolitan Area* Greater Minnesota Disease Status HIV (non-aids) AIDS Total Hemophilia, transplant, transfusion, mother wit HIV or HIV risk * Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington, Wright Counties MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 6
8 Highlights of the continuum of HIV care among select populations Sex at Birth Substantial differences in the continuum of HIV care are not seen between males and females. However women are linked to care at a slightly higher than rate than men (90% versus 87%), but men have a higher rate of viral suppression than women (64% versus 61%). MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 7
9 Race/Ethnicity Trends in the cascade of HIV care in Minnesota differ by racial/ethnic group. White people have the highest rate of viral suppression (70%) while African-American, Hispanic and African-born persons have lower rates at 55%, 56% and 57%, respectively. Linkage to care cannot be displayed for all racial/ethnic groups because some groups had less than 5 persons in MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 8
10 Risk Group Differences in retention of care and viral suppression exist between risk groups. People who inject drugs (IDU) have the lowest rate of viral suppression (54%) while men who have sex with men (MSM) have the highest viral suppression rate (67%). Linkage to care cannot be displayed for all risk groups because some groups had less than 5 persons with that risk in MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 9
11 Current Age Young people living with HIV/AIDS (aged 13-29) have lower rates of linkage to care and retention in care compared to other age groups and they also have the lowest rate of viral suppression (59%). The rate of viral suppression increases in each of the age groups with people living with HIV/AIDS age 60 and older with highest rate of suppression at 71%. MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 10
12 Geography The HIV treatment cascade differs for people who live in the 11-county metropolitan area compared to those who live in Greater Minnesota. While linkage to care is higher in the metro area (88% versus 83% in the Greater Minnesota), there is no difference in viral suppression by geography. MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 11
13 HIV disease status People who have had an AIDS diagnosis have higher rates of engagement in care at every step of the treatment cascade than people living with HIV (non-aids). There could be several explanations for this difference. One possible explanation for this is AIDS patients could be more closely monitored by their physician. Another potential explanation is there could be underreporting of laboratory results for patients without an AIDS diagnosis as this was how CD4 and VL tests were reported prior to the rule change in MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 12
14 Loss to follow-up An analysis of those who were not virally suppressed was conducted to determine if people had simply not had a VL test done during 2014 or if the VL result was >200 copies/ml (Table 3). Of the 2,802 people who were not virally suppressed, 566 (20%) had a VL of >200 copies/ml, while 2,236 (80%) had no VL test performed at all. MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 13
15 Table 3 Not Virally Suppressed High Viral Load vs. No Viral Load Reported Characteristics VL >200 No VL in 2014 Sex Male Female Current Age Race/Ethnicity Hispanic White African-American African-born American Indian Asian/Pacific Islander Multiple races Mode of Exposure MSM IDU MSM/IDU Hetero Other Unspecified Geography (Current Residence) 11- county Metropolitan Area* Greater Minnesota Disease Status HIV (non-aids) AIDS Total *Persons with multiple, and unknown races Hemophilia, transplant, transfusion, mother wit HIV or HIV risk * Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington, Wright Counties MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 14
16 Future Work Because CD4 and VL reporting did not become mandatory until 2011, it is not currently possible to calculate a treatment cascade among people with new diagnoses. In the future, as more years of data are complete, MDH will calculate a cascade for new diagnoses. This will allow for the comparison of the treatment cascade for those newly diagnosed to those who were diagnosed in the past as well as monitor changes in the trends over time. MINNESOTA HIV/AIDS SURVEILLANCE SYSTEM 15
Minnesota HIV/AIDS Epidemiologic Profile
Minnesota HIV/AIDS Epidemiologic Profile DECEMBER 2015 Executive Summary Abbreviations Used AIDS Acquired Immune Deficiency Syndrome ADAP AIDS Drugs Assistance Program CCCHAP Community Cooperative Council
More informationHIV Surveillance Update
HIV Surveillance Update Presentation to: CAPUS Metro Atlanta Testing and Linking Consortium (MATLC) Presented by: Deepali Rane, MPH and Jane Kelly, MD Georgia Department of Public Health Epidemiology Date:
More informationUsing HIV Surveillance Data to Calculate Measures for the Continuum of HIV Care
Using HIV Surveillance Data to Calculate Measures for the Continuum of HIV Care Anna Satcher Johnson, MPH Symposium on Measuring the HIV Care Continuum Center for AIDS Research University of Washington
More informationWISCONSIN AIDS/HIV PROGRAM NOTES
Wisconsin 2014 HIV Care Continuum: Statewide and Select Population Groups Casey Schumann, MS, AIDS/HIV Program Epidemiologist, AIDS/HIV Program, Wisconsin Division of Public Health Background The HIV care
More informationGeorgia HIV/AIDS Surveillance Summary. Data Through December 31, 2010
Georgia HIV/AIDS Surveillance Summary Data Through December 31, 2010 HIV/AIDS Epidemiology Section Division of Health Protection Georgia Department of Public Health Table of Contents Acknowledgements...
More informationHIV Epidemiology in New York State
HIV Epidemiology in New York State Lou Smith, MD, MPH Director, Division of Epidemiology, Evaluation and Research AIDS Institute, New York State Department of Health 2 HIV Surveillance in New York State
More informationHepatitis C Virus Infection: Prevalence Report, 2003 Data Source: Minnesota Department of Health HCV Surveillance System
Hepatitis C Virus Infection: Prevalence Report, 2003 Data Source: Minnesota Department of Health HCV Surveillance System P.O. Box 9441 Minneapolis, MN 55440-9441 612-676-5414, 1-877-676-5414 www.health.state.mn.us/immunize
More informationHIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida, 2014
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. HIV Infection Among Those with an Injection Drug Use*-Associated Risk, Florida,
More informationHIV/AIDS In the Houston Area
HIV/AIDS In the Houston Area 2014 Epidemiologic Supplement for HIV/AIDS Prevention and Care Services Planning CONTENTS Notes.... 2 Executive Summary... 3 Comparison of HIV Rates in Houston, Texas, and
More informationWest Virginia HIV/AIDS Surveillance Report 2009 Update West Virginia HIV/AIDS Program
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
More informationEstimates of New HIV Infections in the United States
Estimates of New HIV Infections in the United States Accurately tracking the HIV epidemic is essential to the nation s HIV prevention efforts. Yet monitoring trends in new HIV infections has historically
More informationUnderstanding the HIV Care Continuum
Understanding the HIV Care Continuum Overview Recent scientific advances have shown that antiretroviral therapy (ART) not only preserves the health of people living with HIV, but also dramatically lowers
More information2012 2014 Maryland HIV Plan
Maryland Department of Health & Mental Hygiene Prevention and Health Promotion Administration 2012 2014 Maryland HIV Plan Comprehensive HIV Plan Statewide Coordinated Statement of Need Maryland HIV Prevention
More informationHIV/AIDS Epidemiology Report
HIV/AIDS Epidemiology Report 2012 County of San Diego Health and Human Services Agency Division of Public Health Services Epidemiology and Immunization Services Branch HIV/AIDS Surveillance Program Epidemiology
More informationHIV Continuum of Care Monitoring Framework 2014
HIV Continuum of Care Monitoring Framework 2014 Addendum to meeting report: Regional consultation on HIV epidemiologic information in Latin America and the Caribbean HIV Continuum of Care Monitoring Framework
More informationThe HIV/AIDS Epidemic in California s Latino Population
The HIV/AIDS Epidemic in California s Latino Population Barbara Bailey, M.S. Acting Chief Office of AIDS California Department of Health Services www.dhs.ca.gov/aids AIDS Incidence (Cases per 100,000)
More informationSTOP HIV/AIDS Quarterly Monitoring Report
STOP HIV/AIDS Quarterly Monitoring Report Quarter 2, 2012 April 1, 2012 June 30, 2012 Lauren MacDonald 1, Dr. Reka Gustafson 2, Tim Chu 1, Dr. Jat Sandhu 1 1 Public Health Surveillance Unit 2 Communicable
More informationHIV/AIDS in the Houston Area
HIV/AIDS in the Houston Area The 2013 Houston Area Integrated Epidemiologic Profile for HIV/AIDS Prevention and Care Services Planning Page 1 Disclaimer: This document is the most current HIV/AIDS epidemiologic
More informationSTOP HIV/AIDS Quarterly Monitoring Report
STOP HIV/AIDS Quarterly Monitoring Report Quarter 4, 2011 October 1, 2011 December 31, 2011 Lauren MacDonald 1, Dr. Reka Gustafson 2, Tim Chu 1, Dr. Jat Sandhu 1 1 Public Health Surveillance Unit 2 Communicable
More information4/3/2012. Surveillance. Direct Care. Prevention. Quality Management
//1 The Epidemiology of Infectious and Chronic Diseases in Minority Communities December 7, 11 Mary G. McIntyre, M.D., M.P.H. Assistant State Health Officer for Disease Control and Prevention Alabama Department
More informationDrug Abuse Trends Minneapolis/St. Paul, Minnesota
Drug Abuse Trends Minneapolis/St. Paul, Minnesota January 21 Carol Falkowski Alcohol and Drug Abuse Division Minnesota Department of Human Services Background This report is produced twice annually for
More informationPopulation Percent C.I. All Hennepin County adults aged 18 and older 11.9% ± 1.1
Overview ` Why Is This Indicator Important? Physical inactivity can lead to obesity and type 2 diabetes. Physical activity can help control weight, reduce the risk of heart disease and some cancers, strengthen
More informationEnding the Epidemic in New York State. Federal AIDS Policy Partnership March 4, 2015
Ending the Epidemic in New York State Federal AIDS Policy Partnership March 4, 2015 1 The momentum already exists NYS is a center of HIV activism, community/government collaboration and innovation. While
More informationEXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE ELIGIBLE METROPOLITAN AREA PLANNING, PHILADELPHIA
EXECUTIVE SUMMARY: INTEGRATED EPIDEMIOLOGIC PROFILE FOR HIV/AIDS PREVENTION AND CARE PLANNING, PHILADELPHIA ELIGIBLE METROPOLITAN AREA 2015 Prepared for the Philadelphia Eligible Metropolitan Area Ryan
More informationIllustrating HIV/AIDS in the United States
Illustrating HIV/AIDS in the United States Black Persons 2013 Update About AIDSVu AIDSVu is a compilation of interactive, online maps that allows users to visually explore the HIV epidemic in the U.S.
More informationEXPANDED HIV TESTING AND LINKAGE TO CARE (X-TLC) IN HEALTHCARE SETTINGS ON THE SOUTH SIDE OF CHICAGO
EXPANDED HIV TESTING AND LINKAGE TO CARE (X-TLC) IN HEALTHCARE SETTINGS ON THE SOUTH SIDE OF CHICAGO R Eavou, M Taylor, C Bertozzi-Villa, D Amarathithada, R Buffington, D Pitrak and N Benbow HIV Prevention
More informationHepatitis C Infections in Oregon September 2014
Public Health Division Hepatitis C Infections in Oregon September 214 Chronic HCV in Oregon Since 25, when positive laboratory results for HCV infection became reportable in Oregon, 47,252 persons with
More informationNational Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Age Differences in Viral Suppression, Antiretroviral Therapy Use, and Adherence Among HIV-positive Men Who Have Sex With Men Receiving
More informationEpidemiologic Profile for HIV/STD Prevention & Care Planning
Epidemiologic Profile for HIV/STD Prevention & Care Planning December 2012 Please direct any comments or questions to: Communicable Disease Surveillance Unit North Carolina Communicable Disease Branch
More informationIntegrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017-2021
Integrated HIV Prevention and Care Plan Guidance, including the Statewide Coordinated Statement of Need, CY 2017-2021 Division of HIV/AIDS Prevention National Center for HIV/AIDS, Viral Hepatitis, STD,
More informationEPIDEMIOLOGY OF HEPATITIS B IN IRELAND
EPIDEMIOLOGY OF HEPATITIS B IN IRELAND Table of Contents Acknowledgements 3 Summary 4 Introduction 5 Case Definitions 6 Materials and Methods 7 Results 8 Discussion 11 References 12 Epidemiology of Hepatitis
More informationHepatitis C in Colorado 2007 Surveillance Report Cases of Acute and Chronic Hepatitis C in Colorado
Hepatitis C in Colorado 2007 Surveillance Report Cases of Acute and Chronic Hepatitis C in Colorado Note: This report is published by the Viral Hepatitis Program (VHP), Disease Control and Environmental
More informationTexas Diabetes Fact Sheet
I. Adult Prediabetes Prevalence, 2009 According to the 2009 Behavioral Risk Factor Surveillance System (BRFSS) survey, 984,142 persons aged eighteen years and older in Texas (5.4% of this age group) have
More informationInjection Drug Users in Miami-Dade: NHBS-IDU2 Cycle Preliminary Results
Injection Drug Users in Miami-Dade: NHBS-IDU2 Cycle Preliminary Results David W. Forrest, Ph.D. Marlene LaLota, M.P.H. John-Mark Schacht Gabriel A. Cardenas, M.P.H. Lisa Metsch, Ph.D. National HIV Behavioral
More informationREPORTING CHANGES FOR 2014 NYSDOH AIDS INSTITUTE. Changes to Content and Priorities
REPORTING CHANGES FOR 2014 NYSDOH AIDS INSTITUTE Changes to Content and Priorities The Continuum of Care: Cascade Terms you will see used frequently in HIV/AIDS data policy are the Continuum of Care and
More informationIntegrating Medical Care Coordination Services into HIV Clinic Medical Homes
Integrating Medical Care Coordination Services into HIV Clinic Medical Homes Carlos Vega-Matos, M.P.A. HIV Care Services Division Division of HIV and STD Programs Background DHSP funds HIV Clinics to provide
More informationDrug Use and Abuse in San Diego County, California: 2013
Drug Use and Abuse in San Diego County, California: 213 Karla D. Wagner, Ph.D. 1 ABSTRACT The most significant change observed in drug use/abuse indicators in San Diego County in 213 was an increase in
More informationImprovements in Retention in Care and Viral Suppression: Results from the First Year of the Medical Care Coordination Program in Los Angeles County
Improvements in Retention in Care and Viral Suppression: Results from the First Year of the Medical Care Coordination Program in Los Angeles County Wendy Garland, MPH; Rhodri Dierst-Davies, MPH, Ph.D;
More informationPatterns and Trends of Drug Abuse in the Baltimore/Maryland/Washington, DC, Metropolitan Area Epidemiology and Trends: 2002 2013
Patterns and Trends of Drug Abuse in the Baltimore/Maryland/Washington, DC, Metropolitan Area Epidemiology and Trends: 22 23 Eleanor Erin Artigiani, M.A., and Eric D. Wish, Ph.D. ABSTRACT The two key findings
More informationCase Finding for Hepatitis B and Hepatitis C
Case Finding for Hepatitis B and Hepatitis C John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention Atlanta, Georgia, USA Division of Viral Hepatitis National Center
More informationPopulations of Color in Minnesota
Populations of Color in Minnesota Health Status Report Update Summary Spring 2009 Center for Health Statistics Minnesota Department of Health TABLE OF CONTENTS BACKGROUND... 1 PART I: BIRTH-RELATED HEALTH
More informationYoungstown State University Bachelor's Degrees Awarded by Term and Ethnicity
July 1, 1997 through June 30, 1998 July 1, 1998 through June 30, 1999 Summer Fall Winter Spring Total Summer Fall Winter Spring Total American Indian Men 0 1 0 0 1 0 0 0 0 0 Women 0 0 0 1 1 0 1 0 0 1 Subtotal
More informationYoungstown State University Associate's Degrees Awarded by Term and Ethnicity
July 1, 1997 through June 30, 1998 July 1, 1998 through June 30, 1999 Summer Fall Winter Spring Total Summer Fall Winter Spring Total American Indian Men 0 0 0 0 0 0 0 0 0 0 Women 0 0 0 1 1 0 0 0 1 1 Subtotal
More informationMeningococcal Disease Among Men Who Have Sex with Men United States, January 2012 - June 2015
Meningococcal Disease Among Men Who Have Sex with Men United States, January 2012 - June 2015 Temitope A. Folaranmi MBChB MPH MPP Advisory Committee on Immunization Practices February 24, 2016 National
More informationMedical Cannabis Program Update
OFFICE OF MEDICAL CANNABIS Medical Cannabis Program Update APRIL 216 Minnesota s medical cannabis program began distributing medical cannabis to registered patients on July 1, 215. This update reports
More informationA Review of Rental Housing with Tax Credits
A Review of Rental Housing with Tax Credits A Review of Rental Housing with Tax Credits Contents Summer 2013 Contents Minnesota Housing Planning, Research & Evaluation CONTENTS Page Summary 1 Introduction
More informationImpact of Diabetes on Treatment Outcomes among Maryland Tuberculosis Cases, 2004-2005. Tania Tang PHASE Symposium May 12, 2007
Impact of Diabetes on Treatment Outcomes among Maryland Tuberculosis Cases, 2004-2005 Tania Tang PHASE Symposium May 12, 2007 Presentation Outline Background Research Questions Methods Results Discussion
More informationTargeted HIV Testing & Enhanced Testing Technologies. HIV Prevention Section Bureau of HIV/AIDS
Targeted HIV Testing & Enhanced Testing Technologies HIV Prevention Section Bureau of HIV/AIDS May 2012 1 Typing a Question in the Chat Box Type question in here 2 Completing the Webinar Evaluation (opened
More informationMeasures of Prognosis. Sukon Kanchanaraksa, PhD Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationHPTN 073: Black MSM Open-Label PrEP Demonstration Project
HPTN 073: Black MSM Open-Label PrEP Demonstration Project Overview HIV Epidemiology in the U.S. Overview of PrEP Overview of HPTN HPTN 061 HPTN 073 ARV Drug Resistance Conclusions Questions and Answers
More informationEpidemiology of Hepatitis C Infection. Pablo Barreiro Service of Infectious Diseases Hospital Carlos III, Madrid
Epidemiology of Hepatitis C Infection Pablo Barreiro Service of Infectious Diseases Hospital Carlos III, Madrid Worldwide Prevalence of Hepatitis C 10% No data available WHO.
More information2011 STI Annual Report
STI Annual Report Howard Brown Health Center s third Annual STI Report details sexually transmitted infection (STI) and human immunodeficiency virus (HIV) testing and behavioral trends at many of Howard
More informationChapter 20: Analysis of Surveillance Data
Analysis of Surveillance Data: Chapter 20-1 Chapter 20: Analysis of Surveillance Data Sandra W. Roush, MT, MPH I. Background Ongoing analysis of surveillance data is important for detecting outbreaks and
More informationHealth Economics Program
Health Economics Program Issue Brief 2005-01 March 2005 Employer-Based Health Insurance in Minnesota: Results from the 2002 Employer Health Insurance Survey Introduction Employer-sponsored health insurance
More informationHealth Care Access to Vulnerable Populations
Health Care Access to Vulnerable Populations Closing the Gap: Reducing Racial and Ethnic Disparities in Florida Rosebud L. Foster, ED.D. Access to Health Care The timely use of personal health services
More informationHIV/AIDS: General Information & Testing in the Emergency Department
What Is HIV? HIV/AIDS: General Information & Testing in the Emergency Department HIV is the common name for the Human Immunodeficiency Virus. HIV is a retrovirus. This means it can enter the body s own
More informationCorrelates of not receiving HIV care among HIV-infected women enrolling in a HRSA SPNS multi-site initiative
Correlates of not receiving HIV care among HIV-infected women enrolling in a HRSA SPNS multi-site initiative Oni J. Blackstock, MD, MHS Assistant Professor of Medicine Division of General Internal Medicine
More informationProgram Performance Indicators Revised Baseline & Target Setting Form January 1 June 30, 2004 Interim Progress Report
ATTACHMENT B Program Performance Indicators Revised Baseline & Target Setting Form January 1 June 30, Interim Progress Report Overall HIV Indicator A.1: The number of newly diagnosed HIV infections Original
More informationDrug Abuse Trends in the Seattle/King County Area: 2013
Drug Abuse Trends in the Seattle/King County Area: 2013 Caleb Banta-Green, 1 T. Ron Jackson, 2 Steve Freng, 3 Michael Hanrahan, 4 Cynthia Graff, 5 John Ohta, 6 Mary Taylor, 7 Richard Harruff, 8 Robyn Smith,
More informationMinnesota Office of Higher Education Updates. Minnesota Senate Higher Education and Workforce Development Committee
Minnesota Office of Higher Education Updates Minnesota Senate Higher Education and Workforce Development Committee February 3, 2015 1 SLEDS Update Student Loan Refinancing Greater Minnesota Internship
More informationUsing Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services
Using Substance Abuse Prevention and Treatment (SAPT) Block Grant HIV Set- Aside Funds for Integrated Services ADP Training Conference, Sacramento, August 21, 2012 Rachel McLean, MPH, CA Dept. of Public
More informationSix-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC)
Six-Month Outcomes from a Medical Care Coordination Program at Safety Net HIV Clinics in Los Angeles County (LAC) Wendy H. Garland, MPH; Rhodri Dierst- Davies, MPH; Sonali P. Kulkarni, MD, MPH 9 th International
More informationNew Brunswick Health Indicators
New Brunswick Health Indicators Issue 8, July 2013 A population health bulletin published by the Office of the Chief Medical Officer of Health Youth Sexual Health Sexual health is an important aspect of
More informationDrug Abuse Trends in Minneapolis/St. Paul, Minnesota: June 2013
Drug Abuse Trends in Minneapolis/St. Paul, Minnesota: June 2013 Carol Falkowski Drug Abuse Dialogues ABSTRACT Heroin and prescription opiates dominated the drug abuse situation in the Minneapolis/St. Paul
More informationDrug Abuse Trends in Minneapolis/St. Paul June 2007
A quantitative research report analyzing drug abuse data for the Twin Cities metropolitan area Drug Abuse Trends in Minneapolis/St. Paul June 2007 Carol L. Falkowski Director, Research Communications Butler
More informationMINISTERIAL ADJUSTMENT No. 1 to HUMAN SERVICES AND PUBLIC HEALTH PERSONAL/PROFESSIONAL SERVICE AGREEMENT
MINISTERIAL ADJUSTMENT No. 1 to HUMAN SERVICES AND PUBLIC HEALTH PERSONAL/PROFESSIONAL SERVICE AGREEMENT THIS AGREEMENT made and entered into by and between the COUNTY OF HENNEPIN, STATE OF MINNESOTA,
More informationEffective Integration of STI & HIV Prevention Programs
Effective Integration of STI & HIV Prevention Programs Jeanne Marrazzo, MD, MPH University of Washington, Seattle September 27, 2013 Key Points STIs are really common among those at highest risk of HIV
More informationMonitoring of HIV positive mothers and HIV exposed infants in context of Option B+ implementation
Monitoring of HIV positive mothers and HIV exposed infants in context of Option B+ implementation Kenya Outline of the presentation Background: Kenya in Context PMTCT Program progress 2012-2015 Option
More informationOutpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
More informationDepartment of Veterans Affairs National HIV/AIDS Strategy Operational Plan 2011
Department of Veterans Affairs National HIV/AIDS Strategy Operational Plan 2011 Table of Contents Purpose..3 Overview of HIV Health Care.....4 Goal 1: Reducing the Number of People who become infected
More informationFacts about Diabetes in Massachusetts
Facts about Diabetes in Massachusetts Diabetes is a disease in which the body does not produce or properly use insulin (a hormone used to convert sugar, starches, and other food into the energy needed
More informationAnnual Epidemiological Spotlight on HIV in London 2014 data
Annual Epidemiological Spotlight on HIV in London 2014 data About Public Health England Public Health England exists to protect and improve the nation's health and wellbeing, and reduce health inequalities.
More informationA Ministry of the Archdiocese of Galveston-Houston A United Way Agency
A Ministry of the Archdiocese of Galveston-Houston A United Way Agency Integrated Multidsciplinary Approach to Adapt Routine HIV Screening in a Safety Net Clinic Setting Sherri D. Onyiego MD, PhD Baylor
More informationFigure 1.1 Percentage of persons without health insurance coverage: all ages, United States, 1997-2001
Figure 1.1 Percentage of persons without health insurance coverage: all ages, United States, 1997-2001 DATA SOURCE: Family Core component of the 1997-2001 National Health Interview Surveys. The estimate
More informationInstructions for Client Placement Authorization (CPA)
Instructions for Client Placement Authorization (CPA) These instructions will be useful to the accurate completion of the new CPA (DHS-2780) dated. Each box on the CPA contains a number and a title which
More informationDC Comprehensive HIV Prevention Plan for 2012-2015: Goals and Objectives
DC Comprehensive HIV Prevention Plan for 2012-2015: Goals and Objectives The Comprehensive Plan includes program goals and objectives, monitoring and evaluation, and capacity building activities specific
More informationGARPR Online Reporting Tool
GARPR Online Reporting Tool 0 Narrative Report and Cover Sheet 1) Which institutions/entities were responsible for filling out the indicator forms? a) NAC or equivalent Yes b) NAP Yes c) Others Yes If
More informationThe Ryan White CARE Act 2000 Reauthorization
POLICY BRIEF january 2001 The Ryan White CARE Act 2000 Reauthorization Overview As the Ryan White CARE Act enters its second decade, it continues to be a critical source of care and services for people
More informationAnnual Surveillance Report 2014 Supplement
HIV in Australia Annual Surveillance Report 2014 Supplement Main findings A total of 1 236 cases of HIV infection were newly diagnosed in Australia in 2013, similar to levels in 2012 when the number of
More informationCARE COORDINATION IN NEW YORK CITY
CARE COORDINATION IN NEW YORK CITY Department of Health and Mental Hygiene Bureau of HIV/AIDS Prevention and Control Care and Treatment Unit 1 Funded Programs 28 agencies providing CCP in New York City
More informationMinneapolis-St. Paul TGA Application for 2014 Ryan White HIV/AIDS Treatment Extension Act Part A Funding INTRODUCTION 2 NEEDS ASSESSMENT 2
Minneapolis-St. Paul TGA Application for 2014 Ryan White HIV/AIDS Treatment Extension Act Part A Funding PROJECT NARRATIVE TABLE OF CONTENTS INTRODUCTION 2 NEEDS ASSESSMENT 2 METHODOLOGY 28 WORK PLAN 51
More informationRecommendations from the Minnesota Department of Health (MDH) for Completing the CDC Facility TB Risk Assessment Worksheet
Recommendations from the Minnesota Department of Health (MDH) for Completing the CDC Facility TB Risk Assessment Worksheet The Facility TB Risk Assessment Worksheet, developed by the Centers for Disease
More information2014-2016 ALAMEDA COUNTY, CALIFORNIA COMPREHENSIVE HIV PREVENTION PLAN
2014-2016 ALAMEDA COUNTY, CALIFORNIA COMPREHENSIVE HIV PREVENTION PLAN JULY 2014 Prepared by the Oakland TGA Collaborative Community Planning Council HIV Prevention Committee & the Alameda County Office
More information2013 STD/HIV Surveillance Report
213 STD/HIV Surveillance Report State of Louisiana Department of Health and Hospitals Office of Public Health Louisiana Department of Health and Hospitals Office of Public Health STD/HIV Program 145 Poydras
More informationSURVEILLANCE REPORT. Hepatitis B and C surveillance in Europe. www.ecdc.europa.eu
SURVEILLANCE REPORT Hepatitis B and C surveillance in Europe 2006 2011 www.ecdc.europa.eu Hepatitis B and C surveillance in Europe 2006 2011 Hepatitis B and C surveillance in Europe 2006 2011 SURVEILLANCE
More informationNational Health Burden of CLD in Italy
National Health Burden of CLD in Italy 11,000 deaths due to liver cirrhosis or HCC in 2006 Direct costs for the National Health System for treating CLD patients: 420 M / year for hospital care 164 M /
More informationUNITED NATIONS GENERAL ASSEMBLY SPECIAL SESSION ON HIV/AIDS. Country Progress Report 2008. Sweden
UNITED NATIONS GENERAL ASSEMBLY SPECIAL SESSION ON HIV/AIDS Country Progress Report 2008 Sweden ABBREVIATIONS...3 ACKNOWLEDGEMENTS...4 STATUS AT A GLANCE...1 NATIONAL INDICATOR DATA... 2 OVERVIEW OF THE
More informationHIV/AIDS Surveillance and Prevention: Improving the Characterization of HIV Transmission
Practice Articles HIV/AIDS Surveillance and Prevention: Improving the Characterization of HIV Transmission Mark A. Schmidt, Mph a Eve D. Mokotoff, Mph a SYNOPSIS By focusing on the most probable mode of
More informationTrends in Asthma Morbidity and Mortality
Trends in Asthma Morbidity and Mortality American Lung Association Epidemiology and Statistics Unit Research and Health Education Division September 2012 Table of Contents Asthma Mortality, 1999-2009 Asthma
More information4.0 3.5 3.0 M I L L I O N S 2.5 2.0 1.5 1.0 0.5 0.0. Figure 2.1 Number of people newly infected with HIV
Figure 2.1 Number of people newly infected with HIV 4.0 3.5 3.0 M I L L I O N S 2.5 2.0 1.5 1.0 0.5 0.0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
More informationVIRGINIA DEPARTMENT OF HEALTH Division of Disease Prevention
Virginia s Care Marker Database: Using Multiple Data Sources for HIV Care Linkage and Re-Engagement VIRGINIA DEPARTMENT OF HEALTH Division of Disease Prevention Anne Rhodes, PhD Director, HIV Surveillance
More informationNATIONAL HIV/AIDS STRATEGY IMPLEMENTING THE
NATIONAL HIV/AIDS STRATEGY IMPLEMENTING THE IMPROVING OUTCOMES: NATIONAL ACCELERATING HIV/AIDS PROGRESS STRATEGY: ALONG THE HIV CARE CONTINUUM X Office of National AIDS Policy DECEMBER 2013 Contents I.
More informationMSP holds the top ranking for education, employment and homeownership
1 Prosperity Imbalanced: The Twin Cities Metropolitan Area in 2013 September 2014 Summary Newly released data from the U.S. Census Bureau, based on household surveys collected throughout 2013, allows the
More informationThe economic impact of Normandale Community College
The economic impact of Normandale Community College F E B R U A R Y 2 0 1 3 The economic impact of February 2013 Prepared by: Jose Y. Diaz and Gabriel Pina Wilder Research 451 Lexington Parkway North Saint
More informationWith Depression Without Depression 8.0% 1.8% Alcohol Disorder Drug Disorder Alcohol or Drug Disorder
Minnesota Adults with Co-Occurring Substance Use and Mental Health Disorders By Eunkyung Park, Ph.D. Performance Measurement and Quality Improvement May 2006 In Brief Approximately 16% of Minnesota adults
More information531,000 adults in Virginia (8.7%) had diabetes that was diagnosed by a health professional. 1
Percent of adults with diabetes Prevalence of Diabetes Prevalence refers to the total number of people with an existing condition or disease, including new diagnoses, at a point in time. All rates are
More informationDrug Abuse Trends in the Seattle/King County Area: 2013
Drug Abuse Trends in the Seattle/King County Area: 2013 Caleb Banta-Green 1, T. Ron Jackson 2, Steve Freng 3, Michael Hanrahan 4, Cynthia Graff 5, John Ohta 6, Mary Taylor 7, Richard Harruff 8, Robyn Smith
More informationSTATE OF THE HIV/AIDS EPIDEMIC IN CHARLESTON
STATE OF THE HIV/AIDS EPIDEMIC IN CHARLESTON 12/1/2015 A Crisis Among Lowcountry Youth The Charleston region is facing a serious issue of rising HIV rates, particularly among those under the age of 30.
More informationGUIDELINES FOR VIRAL HEPATITIS SURVEILLANCE AND CASE MANAGEMENT
GUIDELINES FOR VIRAL HEPATITIS SURVEILLANCE AND CASE MANAGEMENT January 2005 Guidelines for Viral Hepatitis Surveillance and Case Management Ordering information To order a copy of this manual, write to:
More informationAugust 29, 2011. Re: Comment on Web-Based HIV Behavioral Survey among Men who have Sex with Men. Dear Mr. Holcomb:
August 29, 2011 BOARD OF DIRECTORS 2011 Executive Committee Dexter Louie, MD, JD, MPA Chairperson Rea Pañares, MHS Vice Chairperson Kathy Lim Ko President/CEO Debra Nakatomi Treasurer Joyce O Brien, MPH
More information