1. HIV Testing and Diagnosis of Emergency Department Patients New Jersey, 2005-2008 Charlotte Sadashige, MSS * ; Sindy Paul, MD, MPH * ; Eugene Martin, PhD ** * New Jersey Department of Health and Senior Services ** Robert Wood Johnson Medical School

2. Availability of Publicly-funded HIV Testing at EDs by County 2 9 14 4 1 3 5 6 7 11 10 12 13 16 15 19 18 17 21 20 0.0 - 199.9 200.0 - 399.9 400.0 - 599.9 600.0 + Statewide HIV/AIDS Prevalence 410 per 100,000

3. HIV/AIDS Seroprevalence by CTS Site Type – New Jersey, 2005 - 2008 Source: NJDHSS, DHSTS

4. Insurance Status of ED and All HIV/AIDS Diagnoses -- New Jersey, 2005 - 2008 ED DiagnosesAll Diagnoses Source: New Jersey HIV/AIDS Registry as of December 2010

5. Percentage of Late ED Diagnoses – New Jersey, 2005 - 2008 By Race/EthnicityBy Transmission

6. Conclusions HIV/AIDS prevalence among persons screened at CTS EDs was the highest by site type among all publicly- funded HIV counseling and testing sites. A higher percentage of patients diagnosed at EDs had no health insurance compared with all persons diagnosed with HIV/AIDS in New Jersey during the same time period. Disparities based on race/ethnicity and transmission category exist among persons diagnosed with HIV/AIDS late in their disease progression at EDs. HIV screening in EDs integrates HIV services into medical care, and may provide an efficient gateway to HIV prevention and care particularly for persons with limited access to health care and persons with a lower perception of HIV risk. Patients receive their preliminary HIV test result before leaving the ED.