eastern region of virginia hiv/aids and std trends data through 2006
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Eastern Region of Virginia HIV/AIDS and STD Trends Data through 2006. Eastern Region. Accomack Chesapeake Essex Gloucester Hampton Isle of Wight James City King & Queen King William Lancaster Mathews Middlesex Newport News. Norfolk North Hampton Northumberland Portsmouth - PowerPoint PPT PresentationTRANSCRIPT
Eastern Region of Virginia
HIV/AIDS and STD TrendsData through 2006
Eastern Region •Accomack•Chesapeake•Essex•Gloucester•Hampton•Isle of Wight•James City•King & Queen•King William•Lancaster•Mathews•Middlesex•Newport News
•Norfolk•North Hampton•Northumberland•Portsmouth•Richmond County•South Hampton•Suffolk•Virginia Beach•Westmoreland•Williamsburg•York
Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2006 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 Eastern Region saw a 8% decrease in reported
HIV/AIDS In the Eastern Region, Portsmouth showed the most
notable decrease (48%) In 2006, 23% of reported cases of HIV/AIDS in the
Eastern region were White, 72% Black, and 5% were Hispanic
Majority of the reported cases of HIV/AIDS were male (70%)
*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%
Eastern33.7%
*Includes those that may have progressed to AIDS
Eastern Region of Virginia (N=6,433)Cases of HIV*/AIDS (1996-2006)
318
257
303
264 276
173 175 185
137
284
373283 281
346
476
322
407439
258 266 267
343
0
50
100
150
200
250
300
350
400
450
500
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s_
Cases of HIV (n=3461)
Cases of AIDS (n=2972)
*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 Eastern Virginia at the end of 2006 ≈ 5851
32% of Virginia’s living total Most of cases are 32 years old 72% male 71% black
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
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
5500
6000
6500
Rep
ort
ed L
ivin
g
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%
Eastern29.2%
*Data through 2006
Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region of Virginia by Locality as of the end of 2006 (N=5,851)1983
725
560485
17210850 43 41 40 39 35 25 24 22 20 20 18 14 12 9 7 4 4
993
396
0
200
400
600
800
1000
1200
1400
1600
1800
2000
NO
RFO
LK
VIR
GIN
IA B
EACH
NEW
PO
RT N
EW
S
PO
RTSM
OU
TH
HAM
PTO
N
CH
ESAPEAKE
SU
FFO
LK
ACCO
MACK C
O.
WIL
LIAM
SBU
RG
RIC
HM
ON
D C
O.
NO
RTH
AM
PTO
NCO
.
YO
RK C
O.
GLO
UCESTER C
O.
ISLE
OF W
IGH
T C
O.
SO
UTH
AM
PTO
N C
O.
FRAN
KLI
N
JAM
ES C
ITY C
O.
LAN
CASTER C
O.
NO
RTH
UM
BERLA
ND
CO
.W
ESTM
ORELA
ND
CO
.
ESSEX C
O.
MID
DLE
SEX C
O.
KIN
G A
ND
QU
EEN
CO
.
KIN
G W
ILLI
AM
CO
.
MATH
EW
S C
O.
PO
QU
OSO
N
Locality
Rep
orte
d L
ivin
g_
Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region, by Race, at the end of 2006 (N=5,851)
9 30
4141
1981 33
1439
0
500
1000
1500
2000
2500
3000
3500
4000
4500
Report
ed L
ivin
g_
Race
American Indian/ Alaskan Native
Asian/ Pacific Islander
Black
Hispanic
Multiple
Unknown
White
Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region, by Risk at the end of 2006 (N=5,581)
11
1178
716
2064
195 28367
22
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2200
Rep
orte
d Li
ving
_
Risk Factor
HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)
MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion/Blood Products
*1315 cases unidentified risk or undetermined risk
Females Living with HIV(not AIDS)/AIDS in the Eastern Region of Virginia by Risk at the end of 2006 (N=1664*)
1
261
86
34
786
120
50100150200250300350400450500550600650700750800
Hemophilia HeterosexualContact
Injecting DrugUse (IDU)
MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Rep
orte
d L
ivin
g_ Females (n=1664)
*484 cases unidentified risk or undetermined risk
Males Living with HIV(not AIDS)/AIDS in the Eastern Region by Risk at the end of 2006 (N=4187*)
10
455
2064
195
33 10
392
197
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2200
Hemophilia HeterosexualContact
IDU MSM MSM & IDU MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Rep
ort
ed L
ivin
g_ Males (n=4187)
*831 cases unidentified risk or undetermined risk
Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%) in
reported syphilis Eastern Region saw a 13% increase in reported syphilis In the Eastern Region, Suffolk showed the most notable
decrease (53%) In 2006, 10% of reported cases of Syphilis in the Eastern
region were white, 88% black and 2% reported another race
Majority of the reported cases of Syphilis were male (76%)
*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%
Eastern Health Region Cases of Total Early Syphilis* (1998-2006)
114
99 101
68
45
103
140
158167
0
20
40
60
80
100
120
140
160
180
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by locality in 2006 (N=158)
61
2317 15 13
83 1 1
16
0
5
10
15
20
25
3035
40
45
50
55
60
65
70N
ORFO
LK
PO
RTSM
OU
TH
NEW
PO
RT
NEW
S
VIR
GIN
IABEACH
SU
FFO
LK
HAM
PTO
N
CH
ESAPEAKE
ISLE
OF W
IGH
T
SO
UTH
AM
PTO
N
WIL
LIAM
SBU
RG
Locality
Rep
orte
d C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by Race, in 2006 (N=158)
1
139
216
0
20
40
60
80
100
120
140
160
Report
ed C
ase
s
Count of CASES
Race
Asian/Pacific Islander
Black
Hispanic
White
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by age in 2006 (N=158)
10
40
32
15 1620
16
9
0
5
10
15
20
25
30
35
40
4513 -
19
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Gonorrhea Trends Between 2005-2006, statewide decrease (23%) in
reported Gonorrhea. 34% decrease in reported Hispanic cases.
Eastern Region saw a 24% decrease in reported Gonorrhea
In the Eastern Region, Norfolk showed the most notable decrease (33%)
In 2006, 12% of reported cases of Gonorrhea in the Eastern region were White, 83% Black, 7% were Hispanic, and 3% were unknown
Majority of the reported cases of Gonorrhea were female (52%)
VirginiaGonorrhea Cases by Region, 2006 (N=6,474)
Northwest6.5%
Southwest15.1%
Central29.7%
Northern6.9%
Eastern41.8%
Eastern Health Region Cases Gonorrhea (1998-2006)
4211
48975088 5029
4479
39803574
2707
4229
0
1000
2000
3000
4000
5000
6000
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s
Individuals Reported with Gonorrhea in the Eastern Health Region, by locality in 2006 (N=2707)
575562
417
319
229171
129
41 31 31 30 27 22 15 13 9 9 8 7 6 4 2 126 230
100
200
300
400
500
600
700N
ORFO
LK
NEW
PO
RT N
EW
S
VIR
GIN
IA B
EACH
HAM
PTO
N
CHESAPEAKE
PO
RTSM
OUTH
SUFFO
LK
FRAN
KLIN
CIT
Y
ACCO
MACK
ESSEX
JAM
ES C
ITY
ISLE O
F W
IGHT
YO
RK
WESTM
ORELAN
D
SO
UTHAM
PTO
N
NO
RTHUM
BERLAN
D
LAN
CASTER
GLO
UCESTER
NO
RTHAM
PTO
N
WIL
LIA
MSBURG
RIC
HM
ON
D C
O.
KIN
G W
ILLIA
M
KIN
G A
ND Q
UEEN
MID
DLESEX
PO
QUO
SO
N
Locality
Rep
orte
d C
ases
Individuals Reported with Gonorrhea in the Eastern Health Region, by Race, in 2006 (N=2,707)
12
2,253
19 16 76331
0
500
1000
1500
2000
2500
Report
ed C
ase
s
Race
Asian/Pacific IslanderBlackHispanicOtherUnknownWhite
Individuals Reported with Gonorrhea in the Eastern Health Region, by Age, in 2006 (N=2,707)
8
752
491
197143
8840 45
943
0
100
200
300
400
500
600
700
800
900
1000
11000-
12
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported
Chlamydia and 26% increase in reported Hispanic Cases Eastern Region saw a 8% increase in reported
Chlamydia In the Eastern Region, Chesapeake showed the most
notable increase (25%) In 2006 in the Eastern Region, 18% of reported cases of
Chlamydia were white, 69% black and 9% were unknown
Majority of the reported cases of Chlamydia were female (73%)
VirginiaChlamydia Cases by Region, 2006 (N=24,081)
Northwest11.5%
Southwest11.9%
Central22.5%
Northern13.4%
Eastern40.6%
Eastern Health Region Cases Chlamydia (1998-2006)
43395222
6847 66877266
82309030
9783
4777
0
2000
4000
6000
8000
10000
12000
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s_
Individuals Reported with Chlamydia in the Eastern Health Region, by locality in 2006 (N=9,783)
17861545
812 732
399
121 88 74 60 60 52 44 40 25 21 19 652 34
7061 4
113163
1167
2235
0
500
1000
1500
2000
2500N
ORFO
LK
VIR
GIN
IA B
EACH
NEW
PO
RT N
EW
S
HAM
PTO
N
CHESAPEAKE
PO
RTSM
OUTH
SUFFO
LK
ACCO
MACK
YO
RK
ISLE O
F W
IGHT
FRAN
KLIN
CIT
Y
SO
UTHAM
PTO
N
WESTM
ORELAN
D
JAM
ES C
ITY
ESSEX
NO
RTHAM
PTO
N
GLO
UCESTER
NO
RTHUM
BERLAN
D
LAN
CASTER
WIL
LIA
MSBURG
KIN
G W
ILLIA
M
MID
DLESEX
KIN
G A
ND Q
UEEN
RIC
HM
ON
D C
O.
MATHEW
S
PO
QUO
SO
N
Locality
Rep
orte
d C
ases
Individuals Reported with Chlamydia in the Eastern Health Region, by Race, in 2006 (N=9,783)
109
6786
240 81842
1725
0
1000
2000
3000
4000
5000
6000
7000
8000
Report
ed C
ase
s
Race
Asian/Pacific Islander
Black
Hispanic
Other
Unknown
White
Individuals Reported with Chlamydia in the Eastern Region, by age in 2006 (N=9,783)
10
3268
4037
1494
499253 102 66 50
0
500
1000
1500
2000
2500
3000
3500
4000
4500
50000-
12
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
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