Impact of HIV Disease by Country of Birth in Florida, Reported Through 2011 Florida Department of Health HIV/AIDS & Hepatitis Program Annual data trends as of 12/31/2011 Living (Prevalence) data as of 05/16/2012 Created: 07/31/12 Revision: 10/17/12

HIV and AIDS Case Data  Adult cases represent ages 13 and older, pediatric cases are those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.  Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic.  Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases.  HIV prevalence data are generated later in the year, usually in May, when most of the “expected” death data are complete.  Unless otherwise note, cases with an unknown or blank country of birth were eliminated from these analyses.

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Definitions of Mode of Exposure Categories  MSM = Men who have sex with men  IDU = Injection Drug Use  MSM/IDU = Men who have sex with men & Injection Drug Use  Heterosexual = Heterosexual contact with person with HIV/AIDS or known HIV risk  OTHER = includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.  NIR = Cases reported with No Identified Risk  Redistribution of NIRs = This illustrates the effect of statistically assigning (redistributing) the NIRs to recognized exposure (risk) categories by applying the proportions of historically reclassified NIRs to the unresolved NIRs.

Florida’s Population* By Country of Birth (2010 US Census) * American Community Survey 3-year Estimate

Male AIDS Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, , Florida *FB=Foreign Born, USB=US Born

Female AIDS Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, , Florida *FB=Foreign Born, USB=US Born

Male HIV Infection Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, , Florida *FB=Foreign Born, USB=US Born

Female HIV Infection Cases by Race/Ethnicity and Country of Birth* and Year of Diagnosis, , Florida *FB=Foreign Born, USB=US Born

Adult HIV/AIDS Cases, Known Dead, Regardless of Cause, by Race/Ethnicity and Country of Birth* and Year of Death, Florida, *FB=Foreign Born, USB=US Born

Impact of HIV Disease among Blacks, by Country of Birth in Florida, Reported Through 2011

Black Foreign-Born Adult HIV/AIDS Cases by Country of Birth and Year of Report, , Florida Note: Each year, the majority of black foreign born HIV/AIDS cases were Haitian born. Enhanced reporting laws were implemented in Nov. 2006, leading to an artificial peak in HIV cases in 2007 & 2008.

Black Foreign-Born, Adult HIV/AIDS Cases, Known Dead, Regardless of Cause, by Country of Birth and Year of Death, Florida, Note: Each year, the majority of black foreign born HIV/AIDS case deaths were Haitian born. Enhanced reporting laws were implemented in Nov. 2006, leading to an artificial peak in HIV cases in 2007 & 2008.

Males N=27,335 Females N=20,165 Black Adults Living with HIV Disease, by Country of Birth & Sex, Reported through 2011, Florida Foreign-BornUS BornUnknown* The majority (78% males and 76% females) of blacks living with HIV disease in Florida were born in the United States.

Black Adults Living with HIV Disease, by Selected Country of Birth, Reported through 2011, Florida Over 100 Cases Cases 1-50 Cases0 Cases Living HIV/AIDS Cases Haiti N=7,118 Jamaica N=917

Non-U.S. Born Blacks Living with HIV Disease, by Country of Birth, by Reporting Area Reported Through 2011, Florida N=9,381

Black Adults Living with HIV Disease, by Country of Birth*, Reported through 2011, for Florida and Selected South Florida Counties** *Data sorted by foreign country of birth by number of cases, and excludes cases whose country of birth is unknown. **County data exclude Department of Correction cases.

Black Adults Living with HIV Disease, by Country of Birth, Reported through 2010, Florida and South Florida Counties Florida (N=46,007) Miami-Dade (N=11,489) Broward (N=7,696) Palm Beach (N=4,733)

Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported Through 2011, Florida & South Florida *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC) Males (N=26,406) Females (N=19,601) Florida Males (N=12,904) Females (N=11,014) South Florida

Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported Through 2011, Florida & Central Florida *Central Florida = Orange, Osceola and Seminole Counties (excl DOC) Florida Males (N=1,992) Females (N=1,308) Central Florida Males (N=26,406) Females (N=19,601)

Black Adults Living with HIV Disease, by Country of Birth and Sex, Reported Through 2011, Florida & Southwest Florida *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC) Florida Males (N=2,110) Females (N=1,464) Southwest Florida Males (N=26,406) Females (N=19,601)

Black Adults Males Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, Florida Haiti N=3,930 Jamaica N=567 U.S. Born N=21,158 Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases.

Black Adults Females Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, Florida Haiti N=3,233 Jamaica N=370 U.S. Born N=15,381 Note: NIRs redistributed. Female US-born cases were more likely to be injection drug users than their Haitian-born or Jamaican-born counterparts.

Black Adult Males Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, South Florida* Haiti N=3,096 Jamaica N=423 U.S. Born N=8,911 Note: NIRs redistributed. *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC) Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases.

Black Adult Females Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, South Florida* *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC) Haiti N=2,593 Jamaica N=297 U.S. Born N=7,748 Note: NIRs redistributed. Note: NIRs redistributed. Female US-born cases were more likely to be injection drug users than their Haitian-born or Jamaican-born counterparts.

Black Adult Males Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, Central Florida* *Central Florida = Orange, Osceola and Seminole Counties (excl DOC) Haiti N=283 Jamaica N=37 U.S. Born N=1,586 Note: NIRs redistributed. Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases.

Black Adult Females Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, Central Florida* *Central Florida = Orange, Osceola and Seminole Counties (excl DOC) Haiti N=254 Jamaica N=20 U.S. Born N=943 Note: NIRs redistributed. Note: NIRs redistributed. Female US-born cases were more likely to be injection drug users than their Haitian-born or Jamaican-born counterparts.

Black Adult Males Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, Southwest Florida* *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC) Haiti N=49 Jamaica N=24 U.S. Born N=1,989 Note: NIRs redistributed. Note: NIRs redistributed. Heterosexual contact is a much more common risk factor among male cases born in Haiti and Jamaica, compared to US-born cases.

Black Adult Females Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported Through 2011, Southwest Florida* *Southwest Florida = Hernando, Hillsborough, Pasco, and Pinellas Counties (excl DOC) Haiti N=33 Jamaica N=16 U.S. Born N=1,372 Note: NIRs redistributed. Female US-born cases were more likely to be injection drug users than their Haitian-born or Jamaican-born counterparts.

Black Adults Living with HIV Disease by Country of Birth Mode of Exposure* and Sex Reported through 2011, Florida

Impact of HIV Disease among Hispanics, by Country of Birth in Florida, Reported Through 2011

Hispanic Foreign-Born HIV/AIDS Cases, by Country of Birth and Year of Report, , Florida Note: Each year, the majority of Hispanic foreign born HIV/AIDS cases with a known country of birth were Cuban born followed by Puerto Rican born.

Hispanic Foreign-Born, Adult HIV/AIDS Cases, Known Dead, Regardless of Cause, by Country of Birth and Year of Death, Florida, Note: Each year, the majority of Hispanic foreign born HIV/AIDS case deaths with a known country of birth were Cuban born, followed by Puerto Rican born.

Males N=15,483 Females N=3,860 Foreign-BornUS BornUnknown* The majority (59% for males and 51% for females) of Hispanics living with HIV disease in Florida were foreign born. Hispanic Adults Living with HIV Disease, by Country of Birth & Sex, Reported through 2011, Florida

Cuba N=2,806 Over 100 Cases Cases 1-50 Cases0 Cases Living HIV/AIDS Cases Puerto Rico N=1,886 Hispanic Adults Living with HIV Disease, by Selected Country of Birth, Reported through 2011, Florida

Non-U.S. Born Hispanics Living with HIV Disease, by Country of Birth, by Reporting Area, Reported Through 2011, Florida N=10,814

*Data sorted by foreign country of birth by number of cases, and excludes cases whose country of birth is unknown. **County data exclude Department of Correction cases. Hispanic Adults Living with HIV Disease, by Country of Birth*, reported through 2011, for Florida and Selected South Florida Counties**

Living Hispanic Adults Living with HIV Disease by Country of Birth, Reported through 2011 Florida and South Florida Counties Florida (N=16,845) Miami-Dade (N=8,391) Broward (N=1,917) Palm Beach (N=860)

Hispanic Adults Living with HIV Disease by Country of Birth and Sex Reported through 2011, Florida & South Florida Males (N=13,396) Females (N=3,449) Florida Males (N=9,227) Females (N=1,941) South Florida *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC)

Hispanic Adults Living with HIV Disease by Country of Birth and Sex Reported through 2011, Florida & Central Florida Florida Males (N=1,360) Females (N=505) Central Florida *Central Florida = Orange, Osceola and Seminole Counties (excl DOC) Males (N=13,396) Females (N=3,449)

Hispanic Adults Living with HIV Disease by Country of Birth and Sex Reported through 2011, Florida & Southwest Florida Florida Males (N=892) Females (N=393) Southwest Florida *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC) Males (N=13,396) Females (N=3,449)

Hispanic Adult Males Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported through 2011, Florida Cuba N=2,575 Puerto Rico N=1,420 U.S. Born N=4,393 Note: NIRs redistributed. Injection drug use is a much more common risk factor among male cases born in Puerto Rico, while MSM cases were more predominate among Cuban-born and US-born cases.

Cuba N=296 Puerto Rico N=532 U.S. Born N=1,451 Hispanic Adult Females Living with HIV Disease, by Selected Country of Birth and Mode of Exposure, Reported through 2011, Florida Note: NIRs redistributed. Female Cuban-born cases were less likely to be injection drug users than their U.S.-born or Puerto Rico-born counterparts.

Hispanic Adult Males Living with HIV Disease by Selected Country of Birth and Mode of Exposure Reported through 2011, South Florida* Cuba N=2,330 Puerto Rico N=682 U.S. Born N=2,396 *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC) Note: NIRs redistributed. Injection drug use is a much more common risk factor among male cases born in Puerto Rico, while MSM cases were more predominate among Cuban-born and US-born cases.

Cuba N=272 Puerto Rico N=198 U.S. Born N=620 Hispanic Adult Females Living with HIV Disease by Selected Country of Birth and Mode of Exposure Reported through 2011, South Florida* *South Florida = Dade, Broward, and Palm Beach Counties (excl DOC) Note: NIRs redistributed. Female Cuban-born cases were less likely to be injection drug users than their U.S.-born or Puerto Rico-born counterparts.

Hispanic Adult Males Living with HIV Disease by Selected Country of Birth and Mode of Exposure Reported through 2011, Central Florida* Cuba N=39 Puerto Rico N=324 U.S. Born N=705 *Central Florida = Orange, Osceola and Seminole Counties (excl DOC) Note: NIRs redistributed. Injection drug use is a much more common risk factor among male cases born in Puerto Rico, while MSM cases were more predominate among Cuban-born and US-born cases.

Cuba N=2 Puerto Rico N=137 U.S. Born N=290 Hispanic Adult Females Living with HIV Disease by Selected Country of Birth and Mode of Exposure Reported through 2011, Central Florida* *Central Florida = Orange, Osceola and Seminole Counties (excl DOC) Note: NIRs redistributed. Female Cuban-born cases were less likely to be injection drug users than their U.S.-born or Puerto Rico-born counterparts.

Hispanic Adult Males Living with HIV Disease by Selected Country of Birth and Mode of Exposure Reported through 2011, Southwest Florida* Cuba N=55 Puerto Rico N=132 U.S. Born N=513 *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC) Note: NIRs redistributed. Injection drug use is a much more common risk factor among male cases born in Puerto Rico, while MSM cases were more predominate among Cuban-born and US-born cases.

Cuba N=15 Puerto Rico N=95 U.S. Born N=220 Hispanic Adult Females Living with HIV Disease by Selected Country of Birth and Mode of Exposure Reported through 2011, Southwest Florida* *Southwest Florida = Hernando, Hillsborough, Pasco and Pinellas Counties (excl DOC) Note: NIRs redistributed. Female Cuban-born cases were less likely to be injection drug users than their U.S.-born or Puerto Rico-born counterparts.

Hispanic Adults HIV/AIDS Cases by Country of Birth Mode of Exposure* and Sex Reported through 2011, Florida

For Florida HIV/AIDS Surveillance Data Contact: (850) Lorene Maddox, MPH Ext Tracina Bush, BSW Ext Julia Fitz, MPH Ext Visit Florida’s internet site for: Monthly Surveillance Reports Slide Sets and Fact Sheets Annual Reports and Epi Profiles Visit CDC’s HIV/AIDS Internet site for: Surveillance Reports, fact sheets and slide sets