Northwest Region of VirginiaHIV/AIDS and STD TrendsData through 2006
Northwest Region •ALBEMARLE•AUGUSTA•BATH•BUENA VISTA•CAROLINE•CHARLOTTESVILLE•CLARKE•CULPEPER•FAUQUIER•FLUVANNA•FREDERICK
•FREDERICKSBURG•GREENE•HARRISONBURG•HIGHLAND•KING GEORGE•LEXINGTON•LOUISA•MADISON•NELSON•ORANGE•PAGE
•RAPPAHANNOCK•RICHMOND CO.•ROCKBRIDGE•ROCKINGHAM•SHENANDOAH•SPOTSYLVANIA•STAFFORD•STAUNTON•WARREN•WAYNESBORO•WINCHESTER
Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.
HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.
UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.
LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.
Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.
Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.
AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons
HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported
HIV/AIDS Northwest Region saw a 24% decrease in reported
HIV/AIDS In the Northwest Region, Fauquier and Fluvanna each
showed the most notable decrease (88%) In 2006, 49% of reported cases of HIV/AIDS in the
Northwest region were White, 38% Black and 11% were Hispanic and 2% reported another race
Majority of the reported cases of HIV/AIDS were male (76%)
*Includes those that may have progressed to AIDS
VirginiaHIV*/AIDS Cases by Region (N=34,585**)
**Data through 2006
Northwest6.3%
Southwest8.3%
Central24.4%
Northern27.3%Eastern
33.7%
*Includes those that may have progressed to AIDS
Northwest Region of Virginia (N=1,286)Cases of HIV/AIDS* (1996-2006)
61
50 51
34
71
58
35
79
66
90
5142
76 77
6154
61
505143
6659
0102030405060708090
100
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006Year of Report
Repo
rted
Cas
es_
Cases of HIV (n=576)Cases of AIDS (n=710)
*Includes those that may have progressed to AIDS
People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not
AIDS)/AIDS in Northwest Virginia at the end of 2006 ≈ 1217
7% of Virginia’s living total Most of cases are 35 years old 73% male 48% white
Number of People Living with HIV(not AIDS) or AIDS,
in Virginia, by Region, at the end of 2006 (N=18,119)
4379
58515263
1217 1409
0500
100015002000250030003500400045005000550060006500
Repo
rted
Livi
ng
Region
CentralEasternNorthernNorthwestSouthwest
Percentage of People Living with HIV (not AIDS), by Region (N=10,088*)
Northwest5.8%
Southwest7.6%
Central25.8%
Northern26.0%
Eastern34.8%
*Data through 2006
Percentage of People Living with AIDS, by Region, (N=8,031*)
Northwest7.9%
Southwest8.0%
Central22.1%
Northern32.8%Eastern
29.2%
*Data through 2006
Individuals Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia by Locality at the end of 2006 (N=1,217)
7363
53 46 4232 29 23 20 16 9 8 7 7 7 6 3
79
151621273137445056
86
156
8867
0
50
100
150
200CH
ARLO
TTES
VILL
EST
AFFO
RD C
O.SP
OTSY
LVAN
IACO
.W
INCH
ESTE
RFR
EDER
ICKS
BURG
ALBE
MAR
LE C
O.CU
LPEP
ER C
O.HA
RRIS
ONBU
RGST
AUNT
ONAU
GUST
A CO
.FA
UQUI
ER C
O.FL
UVAN
NA C
O.RO
CKIN
GHAM
CO.
CARO
LINE
CO.
WAR
REN
CO.
ORAN
GE C
O.LO
UISA
CO.
FRED
ERIC
K CO
.KI
NG G
EORG
E CO
.W
AYNE
SBOR
ONE
LSON
CO.
CLAR
KE C
O.SH
ENAN
DOAH
CO.
GREE
NE C
O.M
ADIS
ON C
O.RO
CKBR
IDGE
CO.
BATH
CO.
LEXI
NGTO
NPA
GE C
O.RA
PPAH
ANNO
CKCO
.BU
ENA
VIST
A
Locality
Repo
rted
Liv
ing_
Individuals Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia, by Race, at the end of 2006 (N=1,217)
4
559
681 2
583
0
50
100
150
200
250300
350
400
450
500550
600
650
Repo
rted
Livin
g
Race
Asian/Pacific IslanderBlackHispanicMultipleUnknownWhite
Individuals Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia, by Risk at the end of 2006 (N=1,217)
5
239178
490
53 4917 16
050
100150200250300350400450500550
Repo
rted
Livi
ng
Risk Factor
HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion
*170 cases unidentified risk or undetermined risk
Females Living with HIV(not AIDS)/AIDS in the Northwest Region of Virginia by Risk at the end of 2006 (N=331*)
165
219 7
57
0
50
100
150
200
HeterosexualContact
Injecting Drug Use(IDU)
MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Repo
rted
Liv
ing_
Females (n=331)
*72 cases unidentified risk or undetermined risk
Males Living with HIV(not AIDS)/AIDS in the Northwest Region by Risk at the end of 2006 (N=886*)
5
121
490
53
8 9
74
280
100
200
300
400
500
Hemophilia HeterosexualContact
Injecting DrugUse (IDU)
Men Having Sexwith Men(MSM)
MSM & IDU MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Repo
rted
Liv
ing_
Males (n=886)
*98 cases unidentified risk or undetermined risk
Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%)
in reported syphilis Northwest Region had a 5% decrease in
reported syphilis In 2006, 72% of reported cases of Syphilis in the
Northwest region were white, 22% black Majority of the reported cases of Syphilis were
male (94%)
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Virginia Total Early Syphilis* Cases by Region, 2006 (N=351)
Northwest5.1%
Southwest6.0%
Central17.1%
Northern26.8%
Eastern45.0%
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Northwest Health Region Cases of Total Early Syphilis* (1998-2006)
6
3
7 76
10
1918
11
02468
101214161820
1998 1999 2000 2001 2002 2003 2004 2005 2006Year of Report
Repo
rted
Cas
es
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Northwest Health Region, by locality in 2006 (N=18)
3
2 2
1 1 1 1 1 1 1 1 1 11
0
1
2
3
4
5SP
OTSY
LVAN
IA
AUGU
STA
STAU
NTON
ALBE
MAR
LE
CHAR
LOTT
ESVI
LLE
CULP
EPER
FAUQ
UIER
FLUV
ANNA
FRED
ERIC
K
KING
GEO
RGE
LEXI
NGTO
N
ROCK
INGH
AM
STAF
FORD
WAR
REN
Locality
Repo
rted
Cas
es
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Northwest Health Region, by Race, in 2006 (N=18)
1
4
13
0123456789
101112131415
Repo
rted
Case
s
Race
Asian/Pacific IslanderBlackWhite
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Northwest Health Region, by age in 2006 (N=18)
1 1
4
2
4
0
4
2
0
1
2
3
4
513
- 19
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49 50+
Age
Repo
rted
Cas
es
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Gonorrhea Trends Between 2005-2006, statewide decrease (22%) in
reported gonorrhea. 34% decrease in reported Hispanic cases.
Northwest Region saw a 23% decrease in reported Gonorrhea
In the Northwest Region, Charlottesville showed the most notable decrease (63%)
In 2006, 38% of reported cases of Gonorrhea in the Northwest region were White, 54% Black, and 4% were unknown
Majority of the reported cases of Gonorrhea were female (60%)
VirginiaGonorrhea Cases by Region, 2006 (N=6,474)
Northwest6.5%
Southwest15.1%
Central29.7%
Northern6.9%
Eastern41.8%
Northwest Health Region Cases Gonorrhea (1998-2006)
513448 470 462 441
629
546
422487
0
100
200
300
400
500
600
700
1998 1999 2000 2001 2002 2003 2004 2005 2006Year of Report
Repo
rted
Cas
es_
Individuals Reported with Gonorrhea in the Northwest Health Region, by Race, in 2006 (N=422)
1 2
226
10 417
162
0
50
100
150
200
250
Repo
rted
Cas
es
Race
American Indian/AlaskanNativeAsian/Pacific Islander
Black
Hispanic
Multiple
Unknown
White
Individuals Reported with Gonorrhea in the Northwest Health Region, by locality in 2006 (N=422)
34 33 3128 28
25 2420 20 18 17
11 9 9 7 7 5 5 4 3 3 3 1 1 1
48
1611
0
10
20
30
40
50
60
STAF
FORD
ALBE
MAR
LE
SPOT
SYLV
ANIA
FAUQ
UIER
FRED
ERIC
KSBU
RG
WIN
CHES
TER
CHAR
LOTT
ESVI
LLE
CULP
EPER
AUGU
STA
ORAN
GE
WAR
REN
CARO
LINE
LOUI
SA
FRED
ERIC
K
WAY
NESB
ORO
HARR
ISON
BURG
MAD
ISON
SHEN
ANDO
AH
STAU
NTON
KING
GEO
RGE
ROCK
INGH
AM
RAPP
AHAN
NOCK
CLAR
KE
FLUV
ANNA
GREE
NE
NELS
ON
PAGE
ROCK
BRID
GE
Locality
Repo
rted
Cas
es
Individuals Reported with Gonorrhea in the Northwest Health Region, by Age, in 2006 (N=422)
1
133151
75
2411 13 6 8
0
50
100
150
2000-
12
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49 50+
Age
Repo
rted
Cas
es
Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported
Chlamydia and 26% increase in reported Hispanic Cases Northwest Region saw a 8% increase in reported
Chlamydia In the Northwest Region, Spotsylvania showed the most
notable increase (39%) In 2006 in the Northwest Region, 43% of reported cases
of Chlamydia were white, 34% black and 13% were unknown
Majority of the reported cases of Chlamydia were female (77%)
VirginiaChlamydia Cases by Region, 2006 (N=24,081)
Northwest11.5%
Southwest11.9%
Central22.5%
Northern13.4%
Eastern40.6%
Northwest Health Region Cases Chlamydia (1998-2006)
1491 16091859
2175 20702203
24162578
2777
0
500
1000
1500
2000
2500
3000
1998 1999 2000 2001 2002 2003 2004 2005 2006Year of Report
Repo
rted
Cas
es
Individuals Reported with Chlamydia in the Northwest Health Region, by Race, in 2006 (N=2,777)
2 30
931
234
23
354
1203
0
300
600
900
1200
1500
Repo
rted
Cas
es
Race
American Indian/AlaskanNativeAsian/Pacific Islander
Black
Hispanic
Other
Unknown
White
Individuals Reported with Chlamydia in the Northwest Health Region, by locality in 2006 (N=2,777)
202186
159144 141 137 135 132
10885
68 66 63 63 53 48 36 33 28 26 22 21 15 9 7 7 5
311318
80 69
0
50
100
150
200
250
300
350
400
STAF
FORD
SPOT
SYLV
ANIA
CHAR
LOTT
ESVI
LLE
ALBE
MAR
LE
HARR
ISON
BURG
WIN
CHES
TER
FRED
ERIC
KSBU
RG
FRED
ERIC
K
AUGU
STA
CULP
EPER
FAUQ
UIER
CARO
LINE
ROCK
INGH
AM
WAY
NESB
ORO
LOUI
SA
WAR
REN
ORAN
GE
STAU
NTON
SHEN
ANDO
AH
KING
GEO
RGE
PAGE
GREE
NE
FLUV
ANNA
ROCK
BRID
GE
NELS
ON
CLAR
KE
MAD
ISON
BUEN
A VI
STA
BATH
LEXI
NGTO
N
RAPP
AHAN
NOCK
Locality
Repo
rted
Cas
es
Individuals Reported with Chlamydia in the Northwest Region, by age in 2006 (N=2,777)
6
10191099
417
13253 31 10 10
0
100
200
300400
500600700
800
900
1000
1100
12001300
0-12
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Repo
rted
Cas
es
Prepared by:
Carrie Dolan, MPHEpidemiologist
Lindsey Matthews, MPH (updated)
Division of Disease PreventionJuly [email protected]
*Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007