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HIV/STD Trends in Texas. Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010. Outline. HIV Epidemiology National data Texas trends HIV testing/treatment STD Epidemiology Syphilis Chlamydia Gonorrhea.
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HIV/STD Trends in Texas Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010
Outline • HIV Epidemiology • National data • Texas trends • HIV testing/treatment • STD Epidemiology • Syphilis • Chlamydia • Gonorrhea
USA: Reported AIDS and HIV Cases • As of the end of 2007, 1,051,875 AIDS cases have been reported in the United States • Of these cases 7% were reported in Texas • As of the end of 2007, 328,103 HIV cases have been reported in the United States* • Of these cases 8% were reported in Texas *Includes 47 states, District of Columbia and 5 U.S. .territories with name-based reporting as of December 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18
Cumulative Reported AIDS Cases:Top 5 States, 2007 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Vol. 18
Texas: The Big Picture • Since 1980, >107,000 Texans have been diagnosed with HIV/AIDS • >41,000 Texans with HIV/AIDS have died • As of year end 2008, 62,772 Texans were living with HIV/AIDS
New AIDS Cases, Deaths, and Persons Livingwith AIDS: Texas, 1980-2008 Living with AIDS New AIDS Cases Deaths among AIDS Cases
2008 HIV/AIDS In 2008… • 4,293 Texans were newly-diagnosed with HIV • 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year • 2,758 Texans living with HIV progressed to AIDS • 1,280 Texans with HIV/AIDS died
White 48% African American 11% 36% Hispanic 5% Other/Unknown Race/Ethnicity of New HIV/AIDS Case:Texas, 2008 Texas Population n=24,383,647 HIV/AIDS Cases n=4,293 29% 43% 26% 2%
Race/Ethnicity of New HIV/AIDS Cases:Texas, 2008 Males n=3,314 Females n=979
HIV/AIDS Cases by Transmission Category:Texas, 2008 Females Males Heterosexual contact* Men who have sex with Men (MSM) MSM & IDU Injection drug use (IDU) * Heterosexual contact with person known to have or to be at high risk for HIV infection ** Cases with an unknown or other mode of transmission are not included
Perinatally Exposed and Infected Children: Texas, 1999-2008 n=13 n=12 n=9 n=7
HIV Testing and Care • An estimated 16,686 people are living with HIV in Texas and are unaware of their status (undiagnosed) • Approximately one-third of persons living with HIV in 2007 had unmet need for care • 33% of Texans who first learned they had HIV in 2008 were diagnosed with AIDS within 1 year • Only 14% of Texans had an HIV test last year
Reportable STDs in Texas Syphilis Chlamydia Gonorrhea
P&S Syphilis Case Rates* by Year of Report and Sex: Texas, 1998-2009 Male Female * Rate = Cases per 100,000 population.
Chlamydia Case Rates Among Women by Race/Ethnicity: Texas, 1991-2009 Af. American Hispanic White
Gonorrhea Cases by Age Group and Race/Ethnicity: Texas, 2009
Acknowledgements • HIV/STD surveillance staff at local and regional health departments across the state and at the central DSHS HIV/STD program who collected the data used in this presentation • Ed Weckerly and Jennifer Chase of the DSHS TB/HIV/STD Epidemiology and Surveillance Branch who analyzed the data and prepared the slides
Questions? • Contact Information: Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Manager, TB/HIV/STD Epidemiology and Surveillance Branch Sharon.Melville@dshs.state.tx.us