Central Region of Virginia

HIV/AIDS and STD TrendsData through 2006

Central Region •HENRICO•HOPEWELL•LUNENBURG•MECKLENBURG•NEW KENT•NOTTOWAY•PETERSBURG•POWHATAN•PRINCE EDWARD•PRINCE GEORGE•RICHMOND CITY•RICHMOND CO.•SURRY•SUSSEX

•AMELIA•BRUNSWICK•BUCKINGHAM•CHARLES CITY•CHARLOTTE•CHESTERFIELD•COLONIAL HEIGHTS•CUMBERLAND•DINWIDDIE•EMPORIA•GOOCHLAND•GREENSVILLE•HALIFAX•HANOVER

Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.

HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. 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.

UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill 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.

LivingWhen 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.

Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.

Report Date vs. Diagnosis DateTime 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 ChangeOn 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 severeimmunosuppression in HIV-infected persons

HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported

HIV/AIDS Central Region saw a 9% increase in reported HIV/AIDS In the Central Region, Petersburg showed the most

notable increase (cases doubled) In 2006, 20% of reported cases of HIV/AIDS in the

Central region were White, 74% Black, 5% were Hispanic and 1% reported another race

Majority of the reported cases of HIV/AIDS were male (69%)

*Includes those that may have progressed to AIDS

VirginiaHIV*/AIDS Cases by Region (N=34,585**)

**Data through 2006

Northwest6.3%

Southwest8.3%

Central24.4%

Northern27.3%

Eastern33.7%

*Includes those that may have progressed to AIDS

Central Region of Virginia (N=4,483)Cases of HIV/AIDS* (1996-2006)

225 230

157

263

219

246

270 264

231

207186

154

106

134

202

269

212

205

204

175 137187

0

50

100

150

200

250

300

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ases_

Cases of HIV (n=2432)

Cases of AIDS (n=2051)

*Includes those that may have progressed to AIDS

People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not

AIDS)/AIDS in Central Virginia at the end of 2006 ≈ 4379

24% of Virginia’s living total Most of cases are 35 years old 74% male 74% black

Number of People Living with HIV(not AIDS) or AIDS,

in Virginia, by Region, at the end of 2006 (N=18,119)

4379

58515263

1217 1409

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

5500

6000

6500

Rep

ort

ed L

ivin

g

Region

CentralEasternNorthernNorthwestSouthwest

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

Northwest5.8%

Southwest7.6%

Central25.8%

Northern26.0%

Eastern34.8%

*Data through 2006

Percentage of People Living with AIDS, by Region, (N=8,031*)

Northwest7.9%

Southwest8.0%

Central22.1%

Northern32.8%

Eastern29.2%

*Data through 2006

Individuals Living with HIV(not AIDS)/AIDS in the Central Region of Virginia by Locality at the end of 2006 (N=4,379)

140 89 82 69 61 54 39 35 23 17 10 9 8 2

349

111830375359657487

353

1964

550

91

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2200RIC

HM

ON

D

HEN

RIC

O C

O.

CH

ESTERFIE

LD C

O.

PETERSBU

RG

PO

WH

ATAN

CO

.

GREEN

SVIL

LE C

O.

MECKLE

NBU

RG

CO

.

BU

CKIN

GH

AM

CO

.

GO

OCH

LAN

D C

O.

HO

PEW

ELL

BRU

NSW

ICK C

O.

HALI

FAX C

O.

HAN

OVER C

O.

NO

TTO

WAY C

O.

PRIN

CE G

EO

RG

E C

O.

SU

SSEX C

O.

DIN

WID

DIE

CO

.

PRIN

CE E

DW

ARD

CO

.

LUN

EN

BU

RG

CO

.

EM

PO

RIA

CO

LON

IAL

HEIG

HTS

NEW

KEN

T C

O.

CU

MBERLA

ND

CO

.

CH

ARLO

TTE C

O.

SU

RRY C

O.

CH

ARLE

S C

ITY C

O.

AM

ELI

A C

O.

SO

UTH

BO

STO

N

Locality

Rep

orte

d L

ivin

g_

Individuals Living with HIV(not AIDS)/AIDS in the Central Region of Virginia, by Race, at the end of 2006 (N=4,379)

3 15

3223

128 4 20

986

0

500

1000

1500

2000

2500

3000

3500

Report

ed L

ivin

g

Race

American Indian/Alaskan Native

Asian/Pacific Islander

Black

Hispanic

Multiple

Unknown

White

Individuals Living with HIV(not AIDS)/AIDS in the Central Region of Virginia, by Risk at the end of 2006 (N=4,379)

14

851729

1501

22287 49 20

0

200

400

600

800

1000

1200

1400

1600

1800

Report

ed L

ivin

g

Risk Factor

HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)

MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion

*906 cases unidentified risk or undetermined risk

Females Living with HIV(not AIDS)/AIDS in the Central Region of Virginia by Risk at the end of 2006 (N=1,146*)

538

38 23 12

200

0

50

100

150

200

250

300

350

400

450

500

550

600

HeterosexualContact

Injecting Drug Use(IDU)

MultipleHeterosexual

Contacts

Pediatric Transfusion

Risk Factor

Rep

orte

d L

ivin

g_ Females (n=1146)

*335 cases unidentified risk or undetermined risk

Males Living with HIV(not AIDS)/AIDS in the Central Region by Risk at the end of 2006 (N=3,233*)

14

529

1501

222

26 8

313

490

200

400

600

800

1000

1200

1400

1600

Hemophilia HeterosexualContact

Injecting DrugUse (IDU)

Men Having Sexwith Men(MSM)

MSM & IDU MultipleHeterosexual

Contacts

Pediatric Transfusion

Risk Factor

Rep

orte

d L

ivin

g_ Males (n=3233)

*571 cases unidentified risk or undetermined risk

Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%) in

reported syphilis Central Region had a 54% increase in reported syphilis In the Central Region, Chesterfield showed the most

notable increase (from 0 cases to 12 cases) In 2006, 33% of reported cases of Syphilis in the Central

region were white, 67% black Majority of the reported cases of Syphilis were male

(92%)

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis

or Early Latent Syphilis

Virginia

Total Early Syphilis* Cases by Region, 2006 (N=351)

Northwest5.1%

Southwest6.0%

Central17.1%

Northern26.8%

Eastern45.0%

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Central Health Region Cases of Total Early Syphilis* (1998-2006)

76

40

54

28

3831

39

60

101

0

20

40

60

80

100

120

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Central Health Region, by locality in 2006 (N=60)

25

12

9

3 2 2 1 1 1 13

0

5

10

15

20

25

30RIC

HM

ON

DCIT

Y

CH

ESTERFIE

LD

HEN

RIC

O

HAN

OVER

PETERSBU

RG

GO

OCH

LAN

D

HO

PEW

ELL

CH

ARLE

S C

ITY

MECKLE

NBU

RG

NO

TTO

WAY

PRIN

CE

ED

WARD

Locality

Rep

orte

d C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Central Health Region, by Race, in 2006 (N=60)

40

20

05

101520253035404550

Report

ed C

ase

s

Race

Black White

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Central Health Region, by age in 2006 (N=60)

2

87

3

16

13

65

0

2

4

6

8

10

12

14

16

18

20

13 - 1

9

20 - 2

4

25 - 2

9

30 - 3

4

35 - 3

9

40 - 4

4

45 - 4

9

50+

Age

Rep

orte

d C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Gonorrhea Trends Between 2005-2006, statewide decrease (22%) in

reported gonorrhea. 34% decrease in reported Hispanic cases.

Central Region saw a 22% decrease in reported gonorrhea

In the Central Region, Richmond City showed the most notable decrease (33%)

In 2006, 9% of reported cases of Gonorrhea in the Central region were White, 86% Black, and 6% were unknown

Majority of the reported cases of Gonorrhea were male (53%)

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

Northwest6.5%

Southwest15.1%

Central29.7%

Northern6.9%

Eastern41.8%

Central Health Region Cases Gonorrhea (1998-2006)

2834 2868

3486

2956

24572283

2475

1926

2461

0

500

1000

1500

2000

2500

3000

3500

4000

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s_

Individuals Reported with Gonorrhea in the Central Health Region, by Race, in 2006 (N=1926)

8

1649

28 8 56177

0200400600800

100012001400160018002000

Report

ed C

ase

s

Race

Asian/Pacific Islander

Black

Hispanic

Other

Unknown

White

Individuals Reported with Gonorrhea in the Central Health Region, by locality in 2006 (N=1926)

294

184131

6523 21 12 11 10 8 6 5 3 2 2

234688111113222831

4346

888

2017

0

100

200

300

400

500

600

700

800

900

RIC

HM

OND C

ITY

HEN

RIC

O

CHES

TERFI

ELD

PET

ERSBURG

PRIN

CE

GEO

RGE

HOPEW

ELL

HALI

FAX

HANOVER

DIN

WID

DIE

MEC

KLE

NBURG

PRIN

CE

EDW

ARD

BRUNSW

ICK

NOTT

OW

AY

CHARLE

S C

ITY

EMPORIA

COLO

NIA

L HEI

GHTS

GREE

NSVIL

LE

LUNEN

BURG

SURRY

CHARLO

TTE

AM

ELIA

GOOCHLA

ND

SUSSEX

BUCKIN

GHAM

CUM

BER

LAND

POW

HATA

N

NEW

KEN

T

RADFO

RD

SM

YTH

GIL

ES

GRAYSON

PATR

ICK

Locality

Rep

orte

d C

ases

Individuals Reported with Gonorrhea in the Central Health Region, by Age, in 2006 (N=1926)

576

665

307

13195

55 38 58

050

100150200250300350400450500550600650700750800

13-1

9

20 - 2

4

25 - 2

9

30 - 3

4

35 - 3

9

40 - 4

4

45 - 4

9

50+

Age

Rep

orte

d C

ases

Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported

Chlamydia and 26% increase in reported Hispanic Cases Central Region saw a 7% increase in reported

Chlamydia In the Central Region, Prince George showed the most

notable increase (40%) In 2006 in the Central Region, 14% of reported cases of

Chlamydia were white, 72% black and 9% were unknown

Majority of the reported cases of Chlamydia were female (72%)

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

Northwest11.5%

Southwest11.9%

Central22.5%

Northern13.4%

Eastern40.6%

Central Health Region Cases Chlamydia (1998-2006)

3575 36674059

42624705 4825

53145054

5419

0

1000

2000

3000

4000

5000

6000

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s

Individuals Reported with Chlamydia in the Central Health Region, by Race, in 2006 (N=5,419)

2 42

3877

209 29

509751

0

500

1000

1500

2000

2500

3000

3500

4000

Report

ed C

ase

s

Race

American Indian/Alaskan NativeAsian/Pacific IslanderBlackHispanicOtherUnknownWhite

Individuals Reported with Chlamydia in the Central Health Region, by locality in 2006 (N=5,419)

828671

297 294115 108 106 80 79 69 63 45 43 39 38 37 32 29 29 26 25 25 23 19

2198

52 490

500

1000

1500

2000

2500

RIC

HM

OND C

ITY

HENRIC

O

CHESTERFIE

LD

PRIN

CE G

EORGE

PETERSBURG

HOPEW

ELL

HALIF

AX

HANOVER

MECKLENBURG

PRIN

CE E

DW

ARD

DIN

WID

DIE

BRUNSW

ICK

NOTTOW

AY

SUSSEX

LUNENBURG

COLONIA

L H

EIG

HTS

GREENSVIL

LE

AM

ELIA

EM

PORIA

SURRY

CUM

BERLAND

GOOCHLAND

POW

HATAN

CHARLOTTE

NEW

KENT

BUCKIN

GHAM

CHARLES C

ITY

Locality

Rep

orte

d C

ases

Individuals Reported with Chlamydia in the Central Region, by age in 2006 (N=5,419)

11

2104 2084

752

234121 53 29 28

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2200

0-1

2

13-1

9

20 - 2

4

25 - 2

9

30 - 3

4

35 - 3

9

40 - 4

4

45 - 4

9

50+

Age

Rep

ort

ed C

ase

s

Prepared by:

Carrie Dolan, MPHEpidemiologist

Lindsey Matthews, MPH (updated)

Division of Disease PreventionJuly 2007carrie.dolan@vdh.virginia.gov

*Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007