1. San Mateo County Jurisdictional HIV Prevention Plan 2012 - 2016
Darryl Lampkin, HIV Prevention Supervisor
Eduardo Moreira-Orantes, HIV Prevention Team Lead
STD/HIV Program
January 10, 2013

2. Overview of San Mateo County
San Mateo County Profile
Covers most of the San Francisco Peninsula just south of San Francisco and north of Santa Clara County
Mostly suburban and rural areas with a few small urban centers
2010 Census documented population to be approximately 718,451 people
Racial composition: 53.4% white; 26.2% Asian/Pacific Islander; 25.4% Hispanic; and 2.6% African American

3. Overview of San Mateo County
HIV Prevention Services:
AIDS Program was established in 1985 and integrated with STD Control Unit in 2008 to become STD/HIV Program
In 2009, lost over two-thirds of funding through CA State Office of AIDS funding cuts; and, over half of HIV Prevention staff was laid off
Eliminated contractors and almost all HE/RR interventions
Continued to provide mobile HIV testing, outreach, individual level risk reduction, and community mobilization through OA funds
Group-level education and HIV testing provided through SAMHSA ADP set-aside funds
Syringe exchange services provided through County general funds

4. Overview of San Mateo County
HIV Prevention Services: 2012 – 2016
In 2011, applied for funding through CDC PS as part of San Francisco Metropolitan Statistical Area (MSA) with San Francisco and Marin County
Expanded HIV Prevention unit to include two (2) disease investigators
Appointed non-voting seat on San Francisco HPPC
Developed Jurisdictional and Comprehensive HIV Prevention Plan as part of CDC PS scope of work

5. Overview of San Mateo HIV/AIDS Epidemic
HIV/AIDS Prevalence Highlights:
As of December 2011: 1,467 people living with HIV/AIDS; almost 63% living with AIDS
Gender/age: Males make up 83% of all cases; and, over half of cases are over age 50 years
Race/ethnicity: Whites account for half of cases; African Americans account for (14%) of cases and make up less than 3% of population; Hispanics are emerging as disproportionately impacted by HIV
Transmission: MSM account for 58% of cases; heterosexual contact (12%); and IDU (11%)
Note: San Mateo continues to have a notable share of cases identified as no risk reported/no identifed risk (11%)

6. Overview of San Mateo HIV/AIDS Epidemic
HIV Incidence Highlights:
As of December 2011: 83 people were newly diagnosed with HIV
Gender/age: Males make up 90% of all cases; and, almost half of cases between ages 20 – 39 years
Race/ethnicity: Hispanics (31%); Asian/Pacific Islanders (28%); white (29%); African American (11%)
Transmission: MSM account for 57% of cases; no risk reported/no identified risk (30%); and MSM/IDU and heterosexual contact (6%)
Emerging: Hispanics in zip codes 94063/94080; API with MSM risks; heterosexual sex while high on non-IDU substances

7. San Mateo County Newly Diagnosed HIV Infections1
2007
2008
2009
2010
2011
Total Number 61 74 56 73 83
Gender
Male
Female
Transgender
89%
11% 0%
84%
15% 1%
14% 2%
76%
19% 4%
90%
10%
Race/Ethnicity
White
Black
Latino/Hispanic
Asian/Pacific/Islander
Multi-Race/Other/Unknown
41% 7%
38% 8%
36%
34% 9%
48%
37%
29%
31%
28%
Risk
MSM
IDU
Heterosexual Contact
MSM + IDU
No reported risk/Other/Unk
59%
13% 3%
18%
50%
12% 5%
51%
61%
25%
57% 6%
30%
1 San Mateo County data are reported through December 31, 2011 from the electronic HIV/AIDS Reporting System (eHARS).

8. San Mateo County Overview of HIV/AIDS Epidemic
Risk Factors of
Living HIV/AIDS Cases
by Race/Ethnicity 2011

9. San Mateo County Overview of HIV/AIDS Epidemic

10. Geographical Distribution of HIV/AIDS

11. San Mateo HIV Prevention Plan Priority Risk Populations
Targeted Behavioral/Risk Populations
Men Who Have Sex with Men (MSM)
Heterosexual sex while high on non-IDU substances
African Americans countywide
Hispanics in zip codes 94063/94080

12. San Mateo County HIV Prevention Plan Goals
Reduce new HIV infections in San Mateo County
Increase the percentage of HIV-diagnosed people who are linked to and retained in care
Decrease racial/ethnic health disparities in gay/bisexual men, African Americans, and Hispanics

13. Resources for HIV Prevention and Care
Funding Source
Activities Funded
San Mateo County General Funds
Syringe Exchange
STD Testing and treatment
CDC HIV Prevention Funds
(San Francisco DPH)
HIV testing and outreach
Risk Reduction Counseling
Drop-in Support Group
Partner Services
Linkage to Care
Prevention with Positives
Condom Distribution
Community mobilization
SAMHSA (Interagency Memorandum with Behavioral Health Agency)
HIV testing and education in alcohol and drug recovery programs
Ryan White Part A/B
Comprehensive HIV primary care
Pharmacy assistance
Ancillary support services
Housing Opportunities for People with AIDS (HOPWA)
Rent/Mortgage Assistance
Utility Assistance
Case Management
Ryan White – Minority AIDS Initiative
Linkage to/retention in care for minority HIV-positive clients

14. San Mateo County HIV Prevention Strategies
Required Activities:
Targeted HIV Testing and Outreach
Prevention with Positives
Condom Distribution
Recommended Activities:
Syringe exchange and disposal
Mobilization efforts in racial/ethnic communities
Policy initiatives (service integration and infrastructure development)

15. Questions?