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Southwest Region of Virginia HIV/AIDS and STD Trends Data through 2006

Southwest Region of Virginia HIV/AIDS and STD Trends Data through 2006. Southwest Region. ALLEGHANY AMHERST APPOMATTOX BEDFORD BEDFORD CITY BLAND BOTETOURT BRISTOL BUCHANAN CAMPBELL CARROLL CLIFTON FORGE COVINGTON CRAIG DANVILLE DICKENSON. FLOYD FRANKLIN CO. GALAX GILES

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Southwest Region of Virginia HIV/AIDS and STD Trends Data through 2006

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  1. Southwest Region of VirginiaHIV/AIDS and STD TrendsData through 2006

  2. Southwest Region • ALLEGHANY • AMHERST • APPOMATTOX • BEDFORD • BEDFORD CITY • BLAND • BOTETOURT • BRISTOL • BUCHANAN • CAMPBELL • CARROLL • CLIFTON FORGE • COVINGTON • CRAIG • DANVILLE • DICKENSON • FLOYD • FRANKLIN CO. • GALAX • GILES • GRAYSON • HENRY • LEE • LYNCHBURG • MARTINSVILLE • MONTGOMERY • NORTON • PATRICK • PITTSYLVANIA • PULASKI • RADFORD • ROANOKE CITY • ROANOKE CO. • RUSSELL • SALEM • SCOTT • SMYTH • TAZEWELL • WASHINGTON • WISE • WYTHE

  3. Notes to Accompany Virginia HIV/AIDS Trends All data is reported as of December 31st, 2005 unless otherwise indicated. HIV and AIDS reporting Virginia regulations require reporting of HIV and AIDS cases separately. As a result, a person can be listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A person first diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at a later time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDS case. 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. Unduplicated As a result of Virginia reporting regulations for HIV and AIDS (see note above), an individual could be reported twice, once as an HIV case and once as an AIDS case. An unduplicated report will 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. Living When 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.

  4. Notes to Accompany Virginia HIV/AIDS Trends Geography All location information is based on the address that is reported to the Division at the time of report. Report Date vs. Diagnosis Date Time 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 Change On 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 severe immunosuppression in HIV-infected persons

  5. HIV*/AIDS Trends • Between 2005-2006, statewide increase (3%) in reported HIV/AIDS • Southwest Region saw a 18% decrease in reported HIV/AIDS • In the Southwest Region, Lynchburg showed the most notable decrease (40%) • In 2006, 44% of reported cases of HIV/AIDS in the Southwest region were White, 46% Black and 7% were Hispanic and 3% reported another race • Majority of the reported cases of HIV/AIDS were male (76%) *Includes those that may have progressed to AIDS

  6. VirginiaHIV*/AIDS Cases by Region (N=34,585**) *Includes those that may have progressed to AIDS **Data through 2006

  7. Southwest Region of Virginia (N=1,501)Cases of HIV/AIDS* (1996-2006) *Includes those that may have progressed to AIDS

  8. People living with HIV(not AIDS)/AIDS Trends • Number of people living with HIV(not AIDS)/AIDS in Southwest Virginia at the end of 2006 ≈ 1409 • 8% of Virginia’s living total • Most of cases are 32 years old • 70% male • 51% black

  9. Number of People Living with HIV(not AIDS) or AIDS,in Virginia, by Region, at the end of 2006 (N=18,107)

  10. Percentage of People Living with HIV (not AIDS), by Region (N=10,088*) *Data through 2006

  11. Percentage of People Living with AIDS, by Region, (N=8,031*) *Data through 2006

  12. Individuals Living with HIV(not AIDS)/AIDSin the Southwest Region of Virginia by Locality at the end of 2006 (N=1,409)

  13. Individuals Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia, by Race, at the end of 2006 (N=1,409)

  14. Individuals Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia, by Risk at the end of 2006 (N=1,409) *282 cases unidentified risk or undetermined risk

  15. Females Living with HIV(not AIDS)/AIDS in the Southwest Region of Virginia by Risk at the end of 2006 (N=417*) *114 cases unidentified risk or undetermined risk

  16. Males Living with HIV(not AIDS)/AIDS in the Southwest Region by Risk at the end of 2006 (N=992*) *168 cases unidentified risk or undetermined risk

  17. Total Early Syphilis* Trends • Between 2005-2006, statewide increase (21%) in reported syphilis • Southwest Region reported syphilis doubled between 2005-2006 • In 2006, 52% of reported cases of Syphilis in the Southwest region were white, 43% black • Majority of the reported cases of Syphilis were male (71%) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

  18. VirginiaTotal Early Syphilis* Cases by Region, 2006 (N=351) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

  19. Southwest Health Region Cases of Total Early Syphilis* (1998-2006) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

  20. Individuals Reported with Total Early Syphilis* in the Southwest Health Region, by locality in 2006 (N=21) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

  21. Individuals Reported with Total Early Syphilis* in the Southwest Health Region, by Race, in 2006 (N=21) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

  22. Individuals Reported with Total Early Syphilis* in the Southwest Health Region, by age in 2006 (N=21) *Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

  23. Gonorrhea Trends • Between 2005-2006, statewide decrease (22%) in reported gonorrhea. 34% decrease in reported Hispanic cases. • Southwest Region saw a 10% decrease in reported Gonorrhea • In the Southwest Region, Lynchburg showed the most notable increase (38%) • In 2006, 24% of reported cases of Gonorrhea in the Southwest region were White, 72% Black, and 2% were Hispanic • Majority of the reported cases of Gonorrhea were female (53%)

  24. VirginiaGonorrhea Cases by Region, 2006 (N=6,474)

  25. Southwest Health Region Cases Gonorrhea (1998-2006)

  26. Individuals Reported with Gonorrhea in the Southwest Health Region, by Race, in 2006 (N=975)

  27. Individuals Reported with Gonorrhea in the Southwest Health Region, by locality in 2006 (N=975)* *Not shown: Localities with only one case

  28. Individuals Reported with Gonorrhea in the Southwest Health Region, by Age, in 2006 (N=975)

  29. Chlamydia Trends • Between 2005-2006, statewide increase (6%) in reported Chlamydia and 26% increase in reported Hispanic Cases • Southwest Region saw a 2% increase in reported Chlamydia • In the Southwest Region, Danville showed the most notable decrease (20%) and Lynchburg showed the most notable increase (36%) • In 2006 in the Southwest Region, 43% of reported cases of Chlamydia were white, 48% black and 5% were unknown • Majority of the reported cases of Chlamydia were female (75%)

  30. VirginiaChlamydia Cases by Region, 2006 (N=24,081)

  31. Southwest Health Region Cases Chlamydia (1998-2006)

  32. Individuals Reported with Chlamydia in the Southwest Health Region, by Race, in 2006 (N=2,876)

  33. Individuals Reported with Chlamydia in the Southwest Health Region, by locality in 2006 (N=2,876)

  34. Individuals Reported with Chlamydia in the Southwest Region, by age in 2006 (N=2,876)

  35. Prepared by: Carrie Dolan, MPH Epidemiologist Lindsey Matthews, MPH (updated) Division of Disease Prevention July 2007 carrie.dolan@vdh.virginia.gov *Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007

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