1 HIV/STD Syndemic An Overview of South Los Angeles Los Angeles County Department of Public Health...
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1 HIV/STD Syndemic An Overview of South Los Angeles Los Angeles County Department of Public Health Division of HIV and STD Programs Research and Evaluation
1 HIV/STD Syndemic An Overview of South Los Angeles Los Angeles County Department of Public Health Division of HIV and STD Programs Research and Evaluation
1 HIV/STD Syndemic An Overview of South Los Angeles Los Angeles
County Department of Public Health Division of HIV and STD Programs
Research and Evaluation
Slide 2
Los Angeles CountyCalifornia 9,848,01136,961,664 Los Angeles
CountyCalifornia 4,060 sq mi155,959 sq mi Los Angeles County
California Estimated living HIV/AIDS Cases 59,500134,401* Reported
HIV/AIDS Cases 43,900111,100 Data Source: U.S. Census, 2010 Data
Source: Los Angeles County Department of Public Health, HIV
Surveillance, 2012 California State Department of Public Health,
State Surveillance Data, 2012 *134,401 calculated assuming 21% of
HIV positive Californians are unaware of their status.
Slide 3
Population Estimated HIV/AIDS Cases 9,848,01159,500 Data
Source: U.S. Department of Commerce, 2010; Los Angeles County
Department of Public Health, HIV Surveillance, 2011
Slide 4
4 Los Angeles County Data Source: U.S. Census Bureau,
Topologically Integrated Geographic Encoding and Referencing
system, 2009. Maps Drawn at 1:750,000 scale.
Slide 5
LA COUNTY HIV EPIDEMIOLOGY PROGRAM 2012 Estimated Number of
Persons Living with HIV and AIDS in LAC (1) Estimate that 21.5% of
HIV+ in LA County are unaware of their infection; modified from CDC
estimate. (2) Of 4,853 notifications pending investigation,
estimate half of 2,400 who have detectable VL or confirmatory test
to be unduplicated cases. (3) Out of the 3,200 cases reported as
code, half are thought to represent unduplicated cases. Estimate ~
59,500 living with HIV (including AIDS) in LAC 43,900 12,800 1,600
1,200 Source: LAC Division of HIV and STD Programs, reported as of
12/31/2011.
Slide 6
LA COUNTY HIV EPIDEMIOLOGY PROGRAM 26 Year Percent Percent
Persons Diagnosed with HIV by Gender and Year, LAC, 2006-11 Source:
HIV/AIDS Surveillance Summary, data as of December 2011. * Data
provisional due to reporting delay. Female Male 12% 87% Transgender
1%
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LA COUNTY HIV EPIDEMIOLOGY PROGRAM *Sometimes called Prevalence
Rate; it is really a proportion. Source: HIV/AIDS Surveillance
Summary, data as of December 2011. Persons Living with HIV/AIDS in
LAC per 100,000 population* by Race/Ethnicity
Slide 8
LA COUNTY HIV EPIDEMIOLOGY PROGRAM RATES OF HIV DIAGNOSES AMONG
MEN BY RACE/ETHNICITY*, LAC, 2006-2011 Source: HIV/AIDS
Surveillance Summary, data as of December 2011.
Slide 9
LA COUNTY HIV EPIDEMIOLOGY PROGRAM RATES OF HIV DIAGNOSES AMONG
WOMEN BY RACE/ETHNICITY*, LAC, 2006-2011 Source: HIV/AIDS
Surveillance Summary, data as of December 2011.
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Slide 11
Central Cluster, 2009 HIV and Syphilis Burden
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South Cluster, 2009 HIV and Syphilis Burden
Slide 13
LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year
2007 Data Source: eHARS as of September 30, 2011
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LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year
2007 Data Source: eHARS as of September 30, 2011
Slide 15
LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year
2007 Data Source: STD Surveillance, 2011 New Syphilis Cases by
Resident Zip Code, 2009
Slide 16
LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year
2007 Data Source: STD Surveillance, 2011 New Syphilis Cases by
Resident Zip Code, SPA 6, 2009
Slide 17
LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: HIRS, Calendar Year
2007 Data Source: eHARS, ADAP, Medicare, and MediCal and Casewatch,
Jul09-Jun10
Slide 18
Target Population, Overall vs SPA 6, CY 2010 18 Data Source:
HIV Testing System (HTS) as of 123111 1 New Positives refers to
individuals who self-reported never having a prior positive HIV
test result. 2 Includes males who did not self-identify as
homosexual or bisexual and reported having sex with men.
Slide 19
Race/Ethnicity, Overall vs SPA 6, CY 2010 19 Data Source: HIV
Information Resources System (HIRS) as of 12/31/11 n = 3,837
Slide 20
Age, Overall vs SPA 6, CY2010 20 Data Source: HIV Information
Resources System (HIRS) as of 12/31/11 n = 3,837
Slide 21
LA COUNTY HIV EPIDEMIOLOGY PROGRAM Source: American Community
Survey, 5-year estimates, U.S. Census Getis-Ord Gi* calculated at
6,000 foot threshold using the fixed distance band spatial
conceptualization 21
Slide 22
Thank You! Division of HIV and STD Programs 600 South
Commonwealth Avenue, 10 th Floor Los Angeles, California 90005-4001
Phone: (213) 351-8000