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AIDS Through The Ages

AIDS Through The Ages. Kevin E. Taubman, M.D., F.A.C.S. Cheryl Waldeck , MA, F.L.O.C. Kristin Foulks , BA, MPH Candidate Colin Carroll, MS-2 Ashkawn Ehsan , MS-1 Trenton Kinnear , MS-1 Bahar Malakouti , MS-2 Andrew Robbins, MS-2. Background.

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AIDS Through The Ages

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  1. AIDS Through The Ages Kevin E. Taubman, M.D., F.A.C.S. Cheryl Waldeck, MA, F.L.O.C. Kristin Foulks, BA, MPH Candidate Colin Carroll, MS-2 AshkawnEhsan, MS-1 Trenton Kinnear, MS-1 BaharMalakouti, MS-2 Andrew Robbins, MS-2

  2. Background • Year 2011: No time to be complacent about HIV • Nationwide: > 40,000 new cases annually • 25% HIV+ population are > 50 years of age. • 27% increase in HIV/AIDS cases among adolescents (13-19) in last 6 years. • Oklahoma: • 1998-2007: 350% increase in HIV+ if > 60 years • 44% of those in OK (age 60+) with no identifiable traditional risk factor. • Incidence in adolescents increased 25%.

  3. Generational and Ethnic Disparities • Outcomes are different • Adolescents: • 39% of HIV-infected children progress to AIDS-defining illnesses within one year of HIV+ status. • 59% undiagnosed until manifestation of AIDS-defining illness • Older Individuals (50+): • Mortality higher and survival time shorter compared with younger adults • 39-46% mortality within 3 years of HIV/AIDS diagnosis

  4. Generational and Ethnic Disparities • African Americans and HIV • Nationwide: • Since 2007, more than 46% of documented HIV/AIDS cases. • 57% of HIV/AIDS-related deaths. • In 2009, 21,673 new cases were AA • Versus 42,959 total new US cases • 13-19: Represent 73% of new cases (2009) • Oklahoma: • Account for 23% of Oklahomans with HIV/AIDS (despite being 7.6% of total OK populous) • Oklahoma: 100% increase in last 10 yearsin both adolescent and 50+ groups

  5. The Goal • Primary Outcome • Increased community awareness and education through community based participatory research (CBPR) • Secondary Outcomes • Increased access to diagnosis and treatment • Prevention

  6. The Stakeholders – The Community • Local • Community Service Council • HOPE (Health Outreach Prevention Education) • Life Senior Services • Tulsa CARES • Tulsa County Health Department • Internal Medicine Specialty Services Clinic – OSU • Tulsa Public Schools • University of Oklahoma School of Community Medicine • Youth Services of Tulsa • Regional/National • Center for Disease Control and Prevention (CDC) • AIDS Coalition • Ryan White Foundation • Margaret Hudson Program • NAACP • AARP • Boys and Girls Clubs of America • Youth Service America • Oklahoma State Department of Education

  7. Methodology • Establish Task Force • Members • Representatives from selected community organizations and the targeted emerging at-risk community populations • Goal • Identify available resources (Local, Regional, National) • Education, Care, Prevention, Funding • Through CBPR coordinate the implementation of established/existing and/or pilot projects designed to focus on this population

  8. Timeline and Budget

  9. Appreciation and Acknowledgements • Dr. Gerry Clancy and Dr. Dan Duffy • Cheryl Waldeck • 2011 Summer Institute – University of Oklahoma, Tulsa, School of Community Medicine • Ryan White AIDS Foundation • Tulsa City/County Health Department

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