1. 1 Data for 2012 Priority Setting in Small Doses #1 HIV/AIDS Surveillance Data

2. 2 Importance of HIV/AIDS Surveillance Data in Priority Setting Provided to the Coalitions by the Bureau of Epidemiology at PA Department of Health (DOH) – HIV/AIDS Surveillance Section Surveillance data has many uses - monitor epidemics, trends, etc. Reality Check – THERE IS NO DATA SET WITHOUT LIMITATION! Limitations of surveillance data include: lag in reporting, accuracy of report, etc. Do we not use the data because of limitations? PA DOH uses active and passive system for the surveillance data

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4. 4 Updates to Reporting System Since 2005 PA NEDSS (Pennsylvania’s National Electronic Disease and Surveillance System) used for HIV/AIDS reports Pretty much the same providers mandated to report Advantage is in timing

5. 5 Sources of Surveillance Data in Presentation HIV Surveillance Summary Report (PA Department of Health) December 2010 Southwest county breakdown obtained by request -HIV/AIDS cases diagnosed through December 31, 2010 -Case reports through March 31, 2011 Allegheny County Health Department STD/HIV Program 2010 Annual STD Summary, March 2011

6. 6 2010 AIDS Incidence

7. 2010 HIV/AIDS Incidence Rates County2010 AIDS2010 HIVTotal2010IncidenceRank Incidence HIV/AIDSPopulation per 100,000 Allegheny55981531,223,34812.511 Armstrong00068,9410.0010 Beaver3710170,5395.862 Butler224183,8622.189 Cambria336143,6794.185 Fayette303136,6062.207 Greene11238,6865.173 Indiana00088,8800.0010 Somerset22477,7425.154 Washington246207,8202.896 Westmoreland538365,1692.198 All Counties761201962,705,2727.25XXX 7

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10. SW Living HIV/AIDS Cases on 12-31-2010 CountyAIDSHIVTotalPercent (non-AIDS)of Total Allegheny12771066234374.3% Armstrong155200.6% Beaver67351023.2% Butler2835632.0% Cambria79451243.9% Fayette4430742.3% Greene1713301.0% Indiana1816341.1% Somerset5636922.9% Washington62481103.5% Westmoreland103581615.1% All Counties176613873153100.0% 10

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12. 12 SW Living HIV/AIDS Cases on 12-31-2010: Gender

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14. 14 SW Living HIV/AIDS Cases on 12-31-2010: Race/Ethnicity

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17. 17 SW Living HIV/AIDS Cases on 12-31-2010: Age Groups

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19. 19 SW Living HIV/AIDS Cases on 12-31-2010: Mode of Transmission

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21. 21 Summary For 2010, SW had 196 new cases of HIV/AIDS reported; 76 AIDS and 120 HIV (non-AIDS) 82% of new HIV (non-AIDS) cases reported in Allegheny County Incidence per 100,000 better shows the burden of the disease in each county and is better for comparison Burden of new HIV/AIDS cases in SW rank 1-5 (Allegheny, Cambria, Beaver, Greene, Somerset)

22. 22 Summary There are 3153 living HIV/AIDS cases in the SW at the end of December 2010; 1766 AIDS-diagnosed and 1387 non-AIDS Allegheny County has three-fourths (74%) of living HIV/AIDS cases; followed by Westmoreland, Cambria, Washington, and Beaver Females make up one-fifth (19.3%) of living HIV/AIDS cases White (non-Hispanic) make up about one-half (51.5%) and Black (non-Hispanic), two-fifth (39.1%) of living HIV/AIDS cases

23. 23 Summary Minorities are over-represented among persons living with HIV/AIDS (PLWHA) compared with the numbers and percentages in the general population Age group 30-39 is in the majority (35.8%) among PLWHAs in the region, followed by age group 40-49, and age group 20-29 (21.2%) Men who have sex with men make up about one-half (53.9%) of PLWHAs in the region, followed by persons with heterosexual mode of transmission (21%)

24. 24 THANK YOU Comments, Questions Prepared by Doyin Desalu, MS, MPH, DrPH ACSWP Executive Director