AIDS Through The Ages

Kevin E. Taubman, M.D., F.A.C.S.Cheryl Waldeck, MA, F.L.O.C.

Kristin Foulks, BA, MPH CandidateColin Carroll, MS-2

Ashkawn Ehsan, MS-1Trenton Kinnear, MS-1Bahar Malakouti, MS-2Andrew Robbins, MS-2

Background

• Year 2011: No time to be complacent about HIV– Nationwide: > 40,000 new cases annually

• 25% HIV+ population are > 50 years of age.• 27% increase in HIV/AIDS cases among adolescents (13-19)

in last 6 years.

– Oklahoma:• 1998-2007: 350% increase in HIV+ if > 60 years• 44% of those in OK (age 60+) with no identifiable traditional

risk factor.• Incidence in adolescents increased 25%.

Generational and Ethnic Disparities

• Outcomes are different – Adolescents:

• 39% of HIV-infected children progress to AIDS-defining illnesses within one year of HIV+ status.

• 59% undiagnosed until manifestation of AIDS-defining illness

– Older Individuals (50+):• Mortality higher and survival time shorter compared with

younger adults• 39-46% mortality within 3 years of HIV/AIDS diagnosis

Generational and Ethnic Disparities

• African Americans and HIV – Nationwide:

• Since 2007, more than 46% of documented HIV/AIDS cases.• 57% of HIV/AIDS-related deaths.• In 2009, 21,673 new cases were AA

– Versus 42,959 total new US cases

• 13-19: Represent 73% of new cases (2009)

– Oklahoma: • Account for 23% of Oklahomans with HIV/AIDS (despite

being 7.6% of total OK populous)• Oklahoma: 100% increase in last 10 years in both

adolescent and 50+ groups

The Goal

• Primary Outcome– Increased community awareness and education

through community based participatory research (CBPR)

• Secondary Outcomes– Increased access to diagnosis and treatment– Prevention

The Stakeholders – The Community

• Local• Community Service Council• HOPE (Health Outreach

Prevention Education)• Life Senior Services• Tulsa CARES• Tulsa County Health

Department• Internal Medicine Specialty

Services Clinic – OSU• Tulsa Public Schools• University of Oklahoma

School of Community Medicine

• Youth Services of Tulsa

• Regional/National• Center for Disease Control

and Prevention (CDC)• AIDS Coalition• Ryan White Foundation• Margaret Hudson Program• NAACP• AARP• Boys and Girls Clubs of

America• Youth Service America• Oklahoma State Department

of Education

Methodology

• Establish Task Force– Members

• Representatives from selected community organizations and the targeted emerging at-risk community populations

– Goal• Identify available resources (Local, Regional, National)

– Education, Care, Prevention, Funding• Through CBPR coordinate the implementation of

established/existing and/or pilot projects designed to focus on this population

Timeline and BudgetTask Timeline Budget

Submission to IRB-May be exempt

1-4 weeks Included in professional service fee

Contact stakeholders and set initial meeting/conference

6 weeks Included in professional service fee

Subsequent meetings 5 meetings over 12 months

$3000 for meetings

Grant writing and submission-CDC Act Against AIDS Leadership Initiative (AAALI)#CDC-RFA-PS10-1057

4 months $7000 for professional services

Implementation 12 months Grant Funds

Appreciation and Acknowledgements

• Dr. Gerry Clancy and Dr. Dan Duffy

• Cheryl Waldeck

• 2011 Summer Institute – University of Oklahoma, Tulsa, School of Community Medicine

• Ryan White AIDS Foundation

• Tulsa City/County Health Department