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Kansas HIV/AIDS Program 2008. Bureau of Disease Control and Prevention Kansas Department of Health and Environment. L. William Lyons Director, HIV/AIDS Program. Disclaimer. Please note that the surveillance data you are about to review may differ from prior years data.

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bureau of disease control and prevention kansas department of health and environment

Kansas HIV/AIDS Program 2008

Bureau of Disease Control and PreventionKansas Department of Health and Environment

L. William LyonsDirector, HIV/AIDS Program

disclaimer
Disclaimer
  • Please note that the surveillance data you are about to review may differ from prior years data.
  • These differences are the result of the conversion from the old HARS to the new eHARS data reporting system and the CDC de-duplication process.
  • Although the data is different, you will from this point on have a truer picture of the progression of HIV/AIDS in the state of Kansas

Healthy Kansans Living in Safe and Sustainable Environments

slide4

HIV/AIDS Cases in Kansas 2008

HIV (no AIDS) Prevalence

Estimates

38 Cases per 100,000

Cumulative AIDS Cases (through 12/08)

Total Alive# Alive %

2107134464

Cumulative HIV Cases (not AIDS) (through 12/08)

Total Alive# Alive %

1317125996

Grand Total Total Alive # Alive %

HIV/AIDS Cases 3424260376

ADULTS Males Females Total M:F Ratio

Cumulative AIDS Cases 17993082107 5.8:1

Cumulative HIV Cases 105126613174.0:1

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

new aids case rates by year of report kansas 2000 2008
New AIDS Case Rates, by Year of Report , Kansas 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

slide6

New AIDS Cases

by Year of Report, Kansas 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

new hiv no aids case rates by year of report kansas 2000 2008
New HIV (no AIDS) Case Rates, by Year of Report, Kansas 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

slide8

New HIV (no AIDS) Cases

by Year of Report, Kansas 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

new hiv aids case rates by year of report kansas 2000 2008
New HIV/AIDS Case Rates, by Year of Report, Kansas 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

slide10

Population Estimates* and New Adult HIV, and AIDS Cases by Race/Ethnicity Reported in Kansas 2008

Black

Hispanic

Other

White

2007 Kansas

Population Estimates* (N=2,775,997)

AIDS (N=106)

HIV (N=115)

*Other includes Asian/Pacific Islanders, Native Hawaiian/Pacific Islander, American Indian/Native Alaskan, and mixed races.

*2007 Kansas Population Estimates, KDHE, Office of Health Assessment, Center for Health and Environmental Statistics

**Note that the categories for White and Black are White Non-Hispanic and Black Non-Hispanic

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

slide11

White

Black

Hispanic

New Male HIV Cases By Race/Ethnicity and Year of Report, Kansas 2000-2008

Other*

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

slide12

White

Black

Hispanic

New Female HIV Cases By Race/Ethnicity and Year of Report, Kansas 2000-2008

Other*

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

new aids cases by sex and year of report kansas 2000 2008
New AIDS Cases by Sex and Year of Report, Kansas 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

new hiv aids cases by sex and year of report kansas 2000 2008
New HIV/AIDS Cases by Sex and Year of Report, Kansas, 2000-2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

slide15

Newly Diagnosed HIV (no AIDS) Cases by Race/Ethnicity and Year of Report, Kansas, 2000-2008

White

Black

Hispanic

Other*

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

percent change hiv aids 2007 2008
Percent Change HIV/AIDS 2007-2008
  • HIV: a 18.5% increase in number of cases
  • AIDS: a 16% decrease in the number of cases

Healthy Kansans Living in Safe and Sustainable Environments

number of tests by race ethnicity counseling testing 2006 2008
Number of Tests by Race/Ethnicity Counseling & Testing 2006-2008

2007

2008

2006

Healthy Kansans Living in Safe and Sustainable Environments

slide18

Resident HIV/AIDS Deaths by Year, Kansas, 1993–2008

**A new national system for coding death certificates (ICD-10) began in 1999

Source: Office of Health Assessment, Center for Health and Environmental Statistics, and Office of Epidemiology and Surveillance Kansas Death certificates coded to HIV/AIDS as underlying cause

Healthy Kansans Living in Safe and Sustainable Environments

hiv testing by ethnicity race and gender kansas january december 2008
HIV Testing by Ethnicity, Race and Gender Kansas: January-December 2008

Data Source: Kansas Counseling and Testing Services, as of 02/01/09

Healthy Kansans Living in Safe and Sustainable Environments

total testing 2007 13130 total testing 2008 24964 90 increase in testing from 2007 2008
Total testing 2007 = 13130Total testing 2008 = 2496490% increase in testing from 2007 - 2008

Healthy Kansans Living in Safe and Sustainable Environments

counseling testing kansas 2000 2007
Counseling & Testing, Kansas 2000-2007

No. HIV Tests in Publicly Funded Sites

*Percent Change: Percentage increase or decrease in 2008 when compared to 2007

Data Source: Kansas Counseling and Testing Services, as of 03/05/2008

Healthy Kansans Living in Safe and Sustainable Environments

hiv tests conducted at kdhe sponsored testing sites in kansas 1999 2008
HIV Tests Conducted at KDHE SponsoredTesting Sites in Kansas 1999-2008

Data Source: Kansas Counseling and Testing Services, as of 03/05/2008

Healthy Kansans Living in Safe and Sustainable Environments

cumulative hiv aids cases statistics in kansas 2008
Cumulative HIV, AIDS Cases Statistics in Kansas, 2008

Data Source: Kansas HIV/AIDS Surveillance System, accessed on January 13, 2008 analysis by date of report

Healthy Kansans Living in Safe and Sustainable Environments

living hiv no aids aids cases statistics by date of report kansas 2008
Living HIV (no AIDS), AIDS Cases Statistics, by Date of Report, Kansas 2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

prevalent aids cases by age by date of report 2008
Prevalent AIDS Cases by Age, by Date of Report 2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

prevalent hiv cases by age by date of report 2008
Prevalent HIV Cases by Age, by Date of Report 2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

hiv aids prevalence rates among race groups kansas 2008
HIV/AIDS Prevalence Rates Among Race Groups, Kansas 2008

Data Source: Kansas HIV/AIDS Surveillance System, accessed on January 13, 2008,analysis by date of report

2007 Population Estimates: Center for Health and Environmental Statistics, KDHE

Healthy Kansans Living in Safe and Sustainable Environments

new adult male cases by mode of exposure reported in 2008 kansas
New Adult Male Cases by Mode of Exposure Reported in 2008, Kansas

AIDS (n=85)

HIV (n=95)

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

new adult female cases by mode of exposure reported in 2008 kansas
New Adult Female Cases by Mode of Exposure Reported in 2008, Kansas

AIDS (n=21)

HIV (n=20)

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

plwha cases and population kansas through 2008
PLWHA Cases and Population, Kansas, Through 2008

PLWHA Cases

(N=2603)

Population Estimate in 2007

(N=2,775,997)

5 %

3 %

6 %

12 %

8 %

25 %

58 %

83 %

PLWHA = person living with HIV/AIDS

Data Source: Kansas HIV/AIDS Surveillance System, accessed on January 13, 2008, analysis by date of report

2007 Population Estimates: Center for Health and Environmental Statistics, KDHE

*Note categories for White and African American are Non-Hispanic White and Non-Hispanic African American

Healthy Kansans Living in Safe and Sustainable Environments

living hiv aids cases top ten counties in kansas by date of report 2008
Living HIV/AIDS Cases Top Ten Counties in Kansas, by Date of Report, 2008

Data Source: Kansas HIV/AIDS Surveillance System 2008

Healthy Kansans Living in Safe and Sustainable Environments

true incidence kansas 2004 2008
True Incidence Kansas 2004-2008

Data Source: Kansas HIV AIDS Reporting System

Healthy Kansans Living in Safe and Sustainable Environments

true incidence kansas 2004 200833
True Incidence Kansas 2004-2008

Data Source: Kansas HIV AIDS Reporting System

Healthy Kansans Living in Safe and Sustainable Environments

hiv aids program funding kansas 2008
HIV/AIDS Program Funding Kansas 2008

Healthy Kansans Living in Safe and Sustainable Environments

prevention patient care initiatives kansas 2008
Prevention/Patient Care Initiatives, Kansas, 2008
  • 6 HIV Rapid Testing Sites
  • Ryan White Part B Grant
  • Ryan White Part B Quality Management
  • Linkage to Care

23 AHP Prevention Project

FACTORS

Opt-Out Testing

Participation of providers in National HIV/AIDS Events

PEMS Rollout and Training for sites self-entry

Healthy Kansans Living in Safe and Sustainable Environments

slide36

Kansas AIDS Drug Assistance Program,

Oct-Dec 2008

CLIENTS ENROLLED IN KANSAS RYAN WHITE: 1031

CLIENTS SERVED THROUGH ADAP : 601

CLIENTS SERVED BY GENDER

CLIENTS SERVED BY ETHNICITY/RACE

*Other Non-Hispanic includes: Asians, Pacific Islanders, Native Americans, Multiple Races, and Other Races

Data Source: Kansas Ryan White CARE Program

Healthy Kansans Living in Safe and Sustainable Environments

kansas aids drug assistance program adap
KANSASAIDS DRUG ASSISTANCE PROGRAM (ADAP)
  • Sponsors 63 medications for HIV, depression, side effects, opportunistic infections
          • Current drug budget $2.2 million
  • Administered by Medicaid
  • Funded by Ryan White Part B / ADAP
  • Currently serving approximately 601 clients

Healthy Kansans Living in Safe and Sustainable Environments

kansas aids drug assistance program adap contd
KANSASAIDS DRUG ASSISTANCE PROGRAM (ADAP) Contd..

BASIC PROGRAM ELIGIBILITY

  • Document HIV+ status
  • Income  300% federal poverty level
  • Recent CD4 and viral load lab tests
  • Kansas Resident

Healthy Kansans Living in Safe and Sustainable Environments

program highlights ryan white part b program
Program Highlights Ryan White Part B Program
  • Hired eligibility specialist in Dec 2008
  • New Web-based database implemented live in July 2008
  • Working toward complete electronic referrals for eligibility of services
  • Collaborating electronically with Part A for eligibility of services
  • All claims processed and paid by HSI
  • All premiums paid by HSI
  • Hired a quality manager in February 2009
  • Secured FLEX Policy money from ADAP for laboratory services

Healthy Kansans Living in Safe and Sustainable Environments

program highlights hiv aids surveillance
Program Highlights HIV/AIDS Surveillance
  • 2008 eHARS Implementation Complete
    • eHARS is a new browser-based reporting system that has replaced HIV/AIDS Reporting System (HARS)
    • eHARS allows for more complete tracking of HIV/AIDS cases.

Healthy Kansans Living in Safe and Sustainable Environments

program highlights counseling testing and referral
Program Highlights Counseling Testing and Referral
  • Drastic increase in testing numbers, over a 90% increase. In 2007 conducted 13,126 tests in 2008 conducted 24,969 tests.
  • Began using Clearview Rapid Testing
    • Clearview HIV 1/2 STAT-PAK is a rapid qualitative screening test for the detection of antibodies to HIV-1 and HIV-2 in human whole blood, serum and plasma

Healthy Kansans Living in Safe and Sustainable Environments

slide42

Program Highlights CTR contd.

  • Collaborate with Title X Family Planning Program to institute a pilot program to determine the efficacy of opt out testing in family planning clinics
  • Institute opt out in STD clinics and Prenatal Health clinics

Healthy Kansans Living in Safe and Sustainable Environments

slide43

Program Highlights CTR contd.

  • Expanded HIV Testing
    • Collaborated with Bureau for Children, Youth, and Families Title X Family Planning Program
  • Increased access to testing by decreasing requirements
    • all moderate risk (multiple partners, sex while using non-injection drugs, etc.) and high risk (MSM, IDU, partners of positive individuals) categories
    • all individuals who have ever had sex or used injection drugs

Healthy Kansans Living in Safe and Sustainable Environments

program highlights health education risk reduction contd
Program Highlights Health Education/Risk Reduction contd.

Program Evaluation Monitoring System (PEMS) data

  • Contractors and Interventions:
    • Trained 10 HIV providers to enter data directly into PEMS
    • Increased accountability for intervention planning & delivery
    • Improved client demographics documentation
    • Improved risk behavior details documentation
    • All CDC required variables collected & entered
    • Data collection & entry occurs within CDC timeline (1 month)

Healthy Kansans Living in Safe and Sustainable Environments

community planning group priority populations
Community Planning Group Priority Populations
  • HIV +
  • Men who have Sex with Men
  • High Risk Women
  • Youth
  • Injection Drug Users (IDU)
  • High Risk Individuals

Healthy Kansans Living in Safe and Sustainable Environments

kdhe priority populations by epi data
KDHE Priority Populations by Epi Data
  • HIV +
  • White MSM 25-44 years
  • Black Female Heterosexuals
  • Black Male MSM and IDU

Healthy Kansans Living in Safe and Sustainable Environments

contact information
Contact Information

L. William Lyons, Director of HIV/AIDS Programs

Kansas Department of Health and Environment

Bureau of Disease Control and Prevention

1000 SW Jackson, Suite 210

Topeka, Kansas 66612-1274

Bus: 785-296-1037

Fax: 785-296-4197

Healthy Kansans Living in Safe and Sustainable Environments