HIV/AIDS in the Binghamton Tri-County Region Revised June 2007



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Transcription:

HIV/AIDS in the Binghamton Tri-County Revised June 2007 HIV is the virus that causes AIDS. You can be infected with HIV but not diagnosed with AIDS. The Centers for Disease Control (CDC) estimated that in 2003 there were at least 1.6 million persons estimated to be infected with HIV in the U.S. This number includes more than one-half million people who have died from AIDS. The CDC estimates that 1,039,000 1,185,000 people were living with HIV or AIDS in the U.S. in 2003 (CDC 2005). As of 2005, the New York State Department of Health, Bureau of HIV/AIDS Epidemiology, reported that 172,051 persons were diagnosed with AIDS (cumulative cases) and an additional 41,881 persons were living with HIV in New York State (NYS, April 2007). New York State is divided geographically into sixteen Ryan White Care Act regions. The Binghamton for HIV/AIDS reporting by the NYS Bureau of HIV/AIDS Epidemiology includes Broome, Chenango and Tioga Counties. As of 2005, 154 persons are living with HIV and an additional 193 persons are living with AIDS in the Binghamton region, not including prisoners. In the three county region, 12 persons received their initial HIV diagnosis and 15 persons received their initial AIDS diagnosis in 2005. Of all the New York State Ryan White s, the Binghamton region has the fewest number of persons living with HIV or diagnosed with AIDS. The Binghamton region also had the fewest number of persons receiving their initial HIV or AIDS diagnosis in 2005. The following tables provide county specific, regional and state-wide information regarding HIV/AIDS provided by the New York State County HIV/AIDS Cases Diagnosed through 2005 Excludes Living HIV* Includes Excludes AIDS** Living Includes Excludes Includes Broome 124 127 151 156 291 296 Chenango 15 19 29 38 44 60 Tioga 15 15 13 13 29 29 Total Binghamton 154 161 193 207 364 385 *All cases reported and confirmed from June 2000 2006 ** All cases reported and confirmed from 1983-2006 Initial HIV & AIDS Cases and Living with HIV & AIDS Cases, 2001-2005 In the, Excluding Year Initial HIV Living with HIV Initial AIDS Living with AIDS 2001 18 105 16 144 2002 10 126 18 134 2003 5 132 21 155 2004 11 144 19 176 2005 12 154 15 193 From 2001 to 2005, there was a 32% increase in the number of persons living in the Binghamton region who had been diagnosed with HIV. At the same time, there was an 25% increase in the number of people living with AIDS.

AIDS Cases Three Year Comparison 2002 2005 HIV Care Network AIDS Dec. 2002* AIDS 2005** % Increase AIDS Cases Dec. 2002 Dec. 2005 Broome County 248 291 15% Chenango County 34 44 23% Tioga County 23 29 21% Total 305 364 16% Upstate NY excludes NYC 24,163 27,084 11% NY State (total) 155,177 172,051 10% ** Cases reported and confirmed from 1983-2006. As the above tables show, the rate of increase of cumulative AIDS cases in the Binghamton region is higher than the rate of increase for either other upstate counties or for New York State as a whole in the three year period ending 2005. AIDS Cases by Age Group AIDS Cases as of 2002* AIDS Cases as of 2005** % Increase AIDS Cases Dec. 2002 Dec. 2005 Percent of AIDS Cases in the Binghamton Aged 24 years and younger 17 19 11% 5.2% Aged 25-29 years 35 43 19% 11.8% Aged 30-49 years 221 263 16% 72.3% Aged 50 years and up 32 39 18% 10.7% Total 305 364 16% 100% ** Cases reported and confirmed from 1983-2006. The above table shows that despite persons aged 30-49 years comprise the largest number of cumulative AIDS cases in the Binghamton region; the largest increase in cumulative AIDS cases were in persons aged 25-29 years followed closely be people aged 50 years and up.

AIDS Cases by Ethnicity Dec. 31, 2002 2005 From 2002-2004 Percent of White 210 238 12% 65.4% Black 68 87 22% 23.9% Hispanic 26 34 24% 9.3% Other 1 5 80% 1.4% Total Binghamton 305 364 16% 100% ** Cases reported and confirmed from 1983-2005. AIDS Cases Comparison of Ethnicity to Population AIDS 2005* Percent of AIDS Cases in Percent of Population in ** White 238 65.4% 93.4% Black 87 23.9% 2.3% Hispanic 34 9.3% 1.6% Other 5 1.4% 4% Total Binghamton 364 100% 303,721 *Cases reported and confirmed from 1983 2005. **U.S. Census Bureau, 2000 Census Demographics. Persons who are from minority communities are disproportionately affected by HIV/AIDS in our region and account for most of the increase in new cases of AIDS. U.S. data also reveals that persons from minority communities are disproportionately affected by HIV/AIDS on a national level. The population data in the above table was taken from the U.S. Census Bureau 2000 Demographics. Population included in Other includes Asian, Native Americans, Native Hawaiian, other Pacific Islanders, other races and those who self-reported more than two races during the 2000 Census.

31, 2002 AIDS Cases by Gender 31, 2005 From Dec. 2002 to Dec. 2005 Percent of Male 232 269 14% 74% Female 73 95 23% 26% ** Cases reported and confirmed from 1983-2006. The above table shows that the number of cases of AIDS increased more in women than men in our region between 2002 and 2005. Men, however, still comprise most of the cases of AIDS. AIDS Cases by Transmission Risk For (Broome, Chenango & Tioga Counties) (excludes prisoners) 31, 2002 * 31, 2005** From 2002-2005 Percent of Male-Male Sex (MSM) 131 148 11% 40.7% Injecting Drug Use (IDU) 75 83 10% 22.8% MSM and IDU 20 21 5% 5.8% Heterosexual 32 43 26% 11.8% Blood Products 4 3 N/A 0.8% Pediatric Risk 4 4 N/A 1.1% Other or unknown 39 62 37% 17% ** Cases reported and confirmed from 1983-2006. The above table shows that heterosexual sex is the transmission risk factor with the largest increase between 2002 and 2005 in the three county region. Men who have sex with men still comprise the largest percent of cumulative AIDS cases in the region and have the second largest increase in new cases from 2002-2005. Notes: 1. Newly diagnosed refers to reported cases reported for the first time. 2. cases refer to reported cases both living and deceased. 3. Living HIV cases includes all reported persons living with HIV who have not developed AIDS. 4. Living AIDS cases include all reported persons living with AIDS. 5. Initial HIV diagnosis all living HIV cases reported for the first time. 6. Initial AIDS diagnosis refers to all AIDS cases reported for the first time.

Notes (con t): 7. Cases classified as were those individuals diagnosed with incarcerated in a city, county or state correctional facility. The residence reflects the address of the correctional facility not the individual s home residence. References: 1. Centers for Disease Control, CDC HIV/AIDS Fact Sheet, June 2005. Http://www.cdc.gov/hiv. 2. New York State HIV/AIDS Surveillance Semiannual Report, For Cases Diagnosed through 31, 2002. Revised March 2005. Bureau of HIV/AIDS Epidemiology, New York State 3. New York State HIV/AIDS Surveillance Semiannual Report, For Cases Diagnosed through 2004. Issued April 2006. Bureau of HIV/AIDS Epidemiology, New York State 4. New York State HIV/AIDS Surveillance Semiannual Report, For Cases Diagnosed through 2005. Issued April 2007. Bureau of HIV/AIDS Epidemiology, New York State 5. U.S. Census Bureau, Census 2000 Demographic Profile (Broome, Chenango and Tioga Counties). http://factfinder.census.gov.