1. Central Region of Virginia HIV/AIDS and STD Trends Data through 2006

2. 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

3. Notes to Accompany Virginia HIV/AIDS Trends All data is reported as of December 31st, 2005 unless otherwise indicated. HIV and AIDS reporting Virginia regulations require reporting of HIV and AIDS cases separately. As a result, a person can be listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A person first diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at a later time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDS case. 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. Unduplicated As a result of Virginia reporting regulations for HIV and AIDS (see note above), an individual could be reported twice, once as an HIV case and once as an AIDS case. An unduplicated report will 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. Living When active (e.g., review of charts at providers 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.

4. Notes to Accompany Virginia HIV/AIDS Trends Geography All location information is based on the address that is reported to the Division at the time of report. Report Date vs. Diagnosis Date Time 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 Change On 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 severe immunosuppression in HIV-infected persons

5. 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

6. Virginia HIV*/AIDS Cases by Region (N=34,585**) **Data through 2006 *Includes those that may have progressed to AIDS

7. Central Region of Virginia (N=4,483) Cases of HIV/AIDS* (1996-2006) *Includes those that may have progressed to AIDS

8. 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 Virginias living total Most of cases are 35 years old 74% male 74% black

9. Number of People Living with HIV(not AIDS) or AIDS, in Virginia, by Region, at the end of 2006 (N=18,119)

10. Percentage of People Living with HIV (not AIDS), by Region (N=10,088*) *Data through 2006

11. Percentage of People Living with AIDS, by Region, (N=8,031*) *Data through 2006

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

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

14. Individuals Living with HIV(not AIDS)/AIDS in the Central Region of Virginia, by Risk at the end of 2006 (N=4,379) *906 cases unidentified risk or undetermined risk

15. Females Living with HIV(not AIDS)/AIDS in the Central Region of Virginia by Risk at the end of 2006 (N=1,146*) *335 cases unidentified risk or undetermined risk

16. Males Living with HIV(not AIDS)/AIDS in the Central Region by Risk at the end of 2006 (N=3,233*) *571 cases unidentified risk or undetermined risk

17. 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

18. Virginia Total Early Syphilis* Cases by Region, 2006 (N=351) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

19. Central Health Region Cases of Total Early Syphilis* (1998-2006) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

20. Individuals Reported with Total Early Syphilis* in the Central Health Region, by locality in 2006 (N=60) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

21. Individuals Reported with Total Early Syphilis* in the Central Health Region, by Race, in 2006 (N=60) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

22. Individuals Reported with Total Early Syphilis* in the Central Health Region, by age in 2006 (N=60) * Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

23. 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%)

24. Virginia Gonorrhea Cases by Region, 2006 (N=6,474)

25. Central Health Region Cases Gonorrhea (1998-2006)

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

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

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

29. 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%)

30. Virginia Chlamydia Cases by Region, 2006 (N=24,081)

31. Central Health Region Cases Chlamydia (1998-2006)

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

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

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

35. Prepared by: Carrie Dolan, MPH Epidemiologist Lindsey Matthews, MPH (updated) Division of Disease Prevention July 2007 carrie.dolan@vdh.virginia.gov *Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007