Presentation on theme: "HIV/STD Syndemic An Overview of South Los Angeles"— Presentation transcript:
1 HIV/STD Syndemic An Overview of South Los Angeles Los Angeles County Department of Public HealthDivision of HIV and STD ProgramsResearch and Evaluation
2 4,060 sq mi 155,959 sq mi 9,848,011 36,961,664 Los Angeles County CaliforniaEstimated living HIV/AIDS Cases59,500134,401*Reported HIV/AIDS Cases43,900111,100Los Angeles CountyCalifornia4,060 sq mi155,959 sq miLos Angeles CountyCalifornia9,848,01136,961,664(Optional slide): This slide shows Los Angeles County in comparison with the State of California. We are 2.6% of the state’s land area, 26.6% of the population, and 46.1% of the estimated living HIV/AIDS cases as of January 1, 2011.Data Source: Los Angeles County Department of Public Health, HIV Surveillance, 2012 California State Department of Public Health, State Surveillance Data, 2012*134,401 calculated assuming 21% of HIV positive Californians are unaware of their status.Data Source: U.S. Census , 2010
3 Estimated HIV/AIDS Cases PopulationEstimated HIV/AIDS Cases9,848,01159,500Los Angeles County is the most populous in the United States with 9.8 million residents. The County is diverse in both it’s people and geography. There is no one majority racial/ethnic group and the County’s geography consists of urban, suburban, and rural areas divided by several mountain ranges.Data Source: U.S. Department of Commerce, 2010; Los Angeles County Department of Public Health, HIV Surveillance, 2011
4 Los Angeles County Chicago Houston New York City San Francisco Philadelphia(Optional slide): With over 4,000 square miles, Los Angeles County is larger than San Francisco (City and County), The District of Columbia, Philadelphia, Houston, Chicago, and all 5 boroughs of New York City combined.District of ColumbiaData Source: U.S. Census Bureau, Topologically Integrated Geographic Encoding and Referencing system, Maps Drawn at 1:750,000 scale.
5 2012 Estimated Number of Persons Living with HIV and AIDS in LAC 12,8001,2001,60043,900Estimate~ 59,500 livingwith HIV (including AIDS) in LACSource: LAC Division of HIV and STD Programs, reported as of 12/31/2011.(1) Estimate that 21.5% of HIV+ in LA County are unaware of their infection; modified from CDC estimate.(2) Of 4,853 notifications pending investigation, estimate half of 2,400 whohave detectable VL or confirmatory test to be unduplicated cases.(3) Out of the 3,200 cases reported as code, half are thought to represent unduplicated cases.5
6 Percent Persons Diagnosed with HIV by Gender and Year, LAC,87%MalePercentFemale12%Transgender 1%Year* Data provisional due to reporting delay.Source: HIV/AIDS Surveillance Summary, data as of December 2011.26
7 Persons Living with HIV/AIDS in LAC per 100,000 population Persons Living with HIV/AIDS in LAC per 100,000 population* by Race/Ethnicity*Sometimes called “Prevalence Rate”; it is really a proportion.Source: HIV/AIDS Surveillance Summary, data as of December 2011.
8 RATES OF HIV DIAGNOSES AMONG MEN BY RACE/ETHNICITY*, LAC, 2006-2011 Source: HIV/AIDS Surveillance Summary, data as of December 2011.
9 RATES OF HIV DIAGNOSES AMONG WOMEN BY RACE/ETHNICITY*, LAC, 2006-2011 Source: HIV/AIDS Surveillance Summary, data as of December 2011.
11 Central Cluster, 2009 HIV and Syphilis Burden HIV Demographic SummaryAfrican-American27.8%Men81.5%Women18.5%Latino44.4%90.7%9.3%White23.8%97.4%2.6%This is an optional map slide. This map was developed from the HIV Epidemiology Program’s Semi Annual Surveillance Report and shows AIDS cases identified in CY2007 by Health District.Disease Burden Summaryn%HIV86146.3%Syphilis + HIV64258.5%Syphilis no HIV71244.6%Gonorrhea3,33042.1%
12 South Cluster, 2009 HIV and Syphilis Burden HIV Demographic Summary%African-American24.5%Men83.3%Women16.7%Latino44.2%83.0%17.0%White26.7%91.8%8.2%This is an optional map slide. This map was developed from the HIV Epidemiology Program’s Semi Annual Surveillance Report and shows AIDS cases identified in CY2007 by Health District.Disease Burden Summaryn%HIV31818.4%Syphilis + HIV949.0%Syphilis no HIV22213.9%Gonorrhea1,61320.4%
13 Source: HIRS, Calendar Year 2007 Data Source: eHARS as of September 30, 2011
14 Source: HIRS, Calendar Year 2007 Data Source: eHARS as of September 30, 2011
15 New Syphilis Cases by Resident Zip Code, 2009 Source: HIRS, Calendar Year 2007Data Source: STD Surveillance, 2011
16 New Syphilis Cases by Resident Zip Code, SPA 6, 2009 Source: HIRS, Calendar Year 2007Data Source: STD Surveillance, 2011
17 Source: HIRS, Calendar Year 2007 Data Source: eHARS, ADAP, Medicare, and MediCal and Casewatch, Jul09-Jun10
18 Target Population, Overall vs SPA 6, CY 2010 CharacteristicOverallSPA 6N (%)n (%)Number of HIV Tests40,9383,837New Positives14351.1%541.4%Men27,50967.2%2,24758.6%Gay men12,21829.8%62027.6%Non- gay identified men who have sex with men28172.0%512.3%Women12,98131.7%1,54040.1%Women who have sex partners of unknown HIV status12,76331.2%1,51598.4%Transgender Individuals448501.3%People who Share Needles/Works3,6829.0%2366.2%Data Source: HIV Testing System (HTS) as of1 New Positives refers to individuals who self-reported never having a prior positive HIV test result.2 Includes males who did not self-identify as homosexual or bisexual and reported having sex with men.
19 Race/Ethnicity, Overall vs SPA 6, CY 2010 Data Source: HIV Information Resources System (HIRS) as of 12/31/11
20 Age, Overall vs SPA 6, CY2010n = 3,837Data Source: HIV Information Resources System (HIRS) as of 12/31/11
21 Getis-Ord Gi* calculated at 6,000 foot threshold using the fixed distance band spatial conceptualizationSource: American Community Survey, 5-year estimates, U.S. Census
22 Thank You! Division of HIV and STD Programs 600 South Commonwealth Avenue, 10th FloorLos Angeles, CaliforniaPhone: (213)