Epidemiology of HIV Among Pediatric* Cases in Florida, through 2012 HIV/AIDS and Hepatitis Section...
-
Upload
clarissa-houston -
Category
Documents
-
view
213 -
download
1
Transcript of Epidemiology of HIV Among Pediatric* Cases in Florida, through 2012 HIV/AIDS and Hepatitis Section...
Epidemiology of HIV Among Pediatric* Cases
in Florida, through 2012 HIV/AIDS and Hepatitis SectionDivision of Disease Control and Health ProtectionData as of 06/30/2013*Infected prior to age 13
Created: 05/17/13
Revision: 10/09/13
To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.
Pediatric HIV Surveillance
Pediatric HIV cases include those persons who were infected with HIV UNDER 13 years of age.
Pediatric AIDS cases include those pediatric HIV cases that have developed AIDS, regardless of age of AIDS diagnosis.
The first pediatric AIDS case was born in 1979, diagnosed in 1982 and reported in 1983.
HIV (not AIDS) reporting began 07/1997.
Pediatric HIV SurveillanceLimitations
Limitations: Due to reporting lags, the most recent
calendar year data are considered to be provisional.
HIV/AIDS Surveillance data are always being updated as newly diagnosed pediatric cases are identified, even if years later.
Acronyms
ART = Antiretroviral TherapyAZT = Antiretroviral Zidovudine TherapyIDU = Injecting Drug UseNIR = No Identified Risk
Pediatric AIDS Cases by Age Group at Diagnosis and Year of
Diagnosis, 1990-2012, Florida
These data represent an 87% decline in pediatric AIDS cases by year of diagnosis from 1992 (N=178) to 2012 (N=24). Due to reporting lags, 2012 data by year of diagnosis are provisional. Data as of 06/30/2013.
0
20
40
60
80
100
120
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year of Diagnosis
Nu
mb
er o
f C
ases
Aged < 2 years at AIDS diagnosis
Aged >= 2 years at AIDS diagnosisN=1,526
Pediatric AIDS Cases, by Age Group and
Year of Diagnosis, 1990-2012, Florida
0
10
20
30
40
50
60
70
80
90
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year of Diagnosis
Nu
mb
er o
f C
ases
<1 yrs 1-5 yrs 6-12 yrs 13+ yrs
Age Group
Note: As time goes on, the pediatric HIV cases are more likely to NOT develop AIDS until after age 12.
N=1,526
0
20
40
60
80
100
120
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year of Diagnosis
Pe
rce
nt
of
Ca
se
s
<1 yrs 1-5 yrs 6-12 yrs 13+ yrs
Age Group
The number of perinatally infected persons aging to adolescence and adulthood before being diagnosed with AIDS is increasing gradually. This may be an indication of successful treatment and care.
Pediatric AIDS Cases, by Age Group and
Year of Diagnosis, 1990-2012, Florida
N=1,526
Cumulative Pediatric AIDS Cases,Reported 1983 through 2012,
by County, Florida
Statewide data:N=1,883Number of Cases
0
1 - 10
11 - 25
26 - 50
over 50
Note: The first pediatric AIDS case was reported in 1983.Data as of 06/30/2013
Cumulative Pediatric HIV (not AIDS) Cases,
Reported 07/1997 through 12/2012, by County, Florida
Statewide data:N=646
Note: HIV (not AIDS) reporting began 07/1997.Data as of 06/30/2013
Number of Cases
0
1 - 10
11 - 20
over 20
Cumulative Pediatric AIDS Cases Reported For Selected States,
Reported through 2011*
Reporting State # of Cases % of TotalNew York 2,457 26%Florida 1,571 17%New Jersey 816 9%California 705 7%Texas 396 4%Pennsylvania 375 4%Maryland 345 4%Illinois 287 3%Georgia 254 3%Massachusetts 234 2%Connecticut 187 2%Virginia 188 2%District of Columbia 193 2%Remaining States 1,513 16%
Total Cases 9,521 100% Source: Cumulative Data from CDC, HIV Surveillance Report, 2011, Vol. 23, Table 20
*Remainder of Area includes the remaining states
10%
75%
13%
1% White
Black
Hispanic
Other
44%21%
29% 6%
Pediatric HIV Infection Cases N=2,529
Population Estimates
N= 2,851,616
Note: Non-Hispanic blacks are disproportionately affected by HIV disease compared with those of other race/ethnicities. This same trend is seen in adult HIV infection cases but is more pronounced in those diagnosed with HIV Disease under 13 years of age. *The first pediatric AIDS case was reported in 1983.**Source: Population estimates are provided by Florida CHARTS as of 05/03/2013.
Pediatric* HIV Infection Cases and State Population**
in Children <13 years of age, by Race/Ethnicity, Reported* through 2012, Florida
Cumulative Pediatric (<13 yr.) HIV Infection Cases by Mode of Exposure
United States*(AIDS cases reported through 2011)
(N=9,521)
Florida (reported through 2012)
(N=2,529)
Other Pediatric
Risk**9%
Perinatally Acquired
91%
* Source: CDC. (2013). HIV Surveillance Report, 2011. Vol. 23, Table 2a. (2012 data not available.)**Other Pediatric Risk includes receipt of blood products or unknown risk.
Other Pediatric
Risk**5%
Perinatally Acquired
95% N=2,410N=8,658
Cumulative Pediatric HIV Infection Cases, by “Expanded” Modes of Exposure,
Reported through 2012, Florida
22%
11%
2%
34%
25%
1%
1%<1%
2%1%
1%
21%: Mom-Injection Drug User
11%: Mom-Sex w/ Injection Drug User
2%: Mom-sex w/ Male Sex with Male
35%: Mom-sex w/ person w/ HIV/AIDS
1%: Mom-Blood Recipient
<1%: Mom-sex w/ blood recipient
25%: Mom-HIV/AIDS, Risk Unknown
2%: Ped-Hemophilia*
1%: Ped-Transfus/Transplant*
1%: Ped-Confirmed Other*
1%: Ped-No Identified Risk*
*Note: 5% (exploded pieces) are NOT perinatal transmission cases
N=2,410
Prevalence of AIDS-Defining Conditions* Most Commonly Reported Among Pediatric Cases,
Reported through 2012, FloridaAIDS Defining Condition # Cases % Cases
Pneumocystis pneumonia 490 26%
Bacterial infections 432 23%
Candidiasis, esophageal 408 22%
Wasting syndrome 372 20%
Lymphoid interstitial pneumonia 301 16%
HIV encephalopathy 258 14%
Cytomegalovirus disease 145 8%
Herpes simplex 117 6%
Candidiasis, bronchi or lungs 84 4%
Cryptosporidiosis 81 4%
No Disease (Immune suppressed only)** 246 13%
Total Cases 1,883
Note: Of the 2,529 HIV/AIDS pediatric cases, 1,883 (74%) have developed AIDS. *Data are NOT mutually exclusive, many cases have more than one disease.**Immune suppressed: CD4 count <200ul or CD4 percent <14%.
Perinatal Acquired HIV Infected Cases
0
20
40
60
80
100
120
79 81 83 85 87 89 91 93 95 97 99 01 03 05 07 09 11
Year of Birth
Nu
mb
er o
f C
ases
Perinatally Acquired HIV Infected Cases,Born in Florida,
by Year of Birth, 1979-2012Birth # % change
2001 382002 21 -45%2003 20 -5%2004 13 -35%2005 14 8%2006 19 36%2007 17 -11%2008 11 -35%2009 9 -18%2010 6 -33%2011 3 -50%2012 7 133%
Note: These data represent a 94% decline in HIV-perinatally infected births from 1993 (N=109) to 2012 (N=7). These data include ALL perinatally acquired HIV Infection cases BORN in Florida.2012 data are provisional. None of the babies born since 2010 have developed AIDS.Data as of 06/30/2013
N=1,197
0102030405060708090
100
93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year of Report
Nu
mb
er o
f C
ases
BlackHispanic
White
Note: The majority of the perinatally acquired HIV Infection cases born in Florida are black. They represent greater than 70% of the cases for most years. Data for other/mixed race/ethnicity groups (N=11) for the same time period is not shown.
Perinatally Acquired HIV Infection Cases, Born in Florida, by Race/Ethnicity and
Year of Birth, 1993-2012
N=1,197
0
10
20
30
40
50
60
70
80
79 81 83 85 87 89 91 93 95 97 99 01 03 05 07 09 11
Year of Birth
Nu
mb
er
of
Ca
se
s
Heterosexual Contact Mother's Risk not Specified Injection drug use Transfusion
Note: Since 1992 a steady decline was observed for all risks, although heterosexual contact remains the primary mode of exposure among mothers infected with HIV.
Perinatally Acquired HIV Infection Cases Born in Florida, by Mother’s Mode of
Exposure and Year of Birth, 1979-2012
N=1,197
0%
27%
58%
15%
Mother's risknot specified
Heterosexualcontact
Injection druguse
Transfusion
1%15%
67%
17%
Born 1979-1993N =625
Born 1994-2012N =572
Perinatally Acquired HIV Infection CasesBorn in Florida, by Mother’s Mode of Exposure
and Year of Birth, 1979-2012
Note: Among children who were infected perinatally with HIV/AIDS, the distribution of their mothers’ exposure categories has changed over time. For both time periods, heterosexual contact was the highest risk, with 58% of the cases born between 1979-1993, increasing to 67% of cases born between 1994-2012.
N=1,197
8%
9%
81%
1%White
Black
Hispanic
Other 21%
6%29%
44%
Perinatally Acquired HIV Infection Cases
N=1,197
Population EstimatesN= 2,851,616
Perinatally Acquired HIV Infection CasesBorn in Florida, and State Population*,
by Race/Ethnicity, Born through 2012, Florida
Note: Perinatally acquired HIV infection cases among non-Hispanic blacks are disproportionately affected compared with those of other race/ethnicities. *Source: Population estimates are provided by FloridaCHARTS as of 5/17/2013.
020406080
100120140160180200
0-5 6-11 12-17
18-23
2 3 4 5 6 7 8 9 10 11 12 13
Nu
mb
er o
f C
ases
Age in Months Age in YearsOne half (50%, N=188) of the 377 perinatal HIV (not AIDS) cases born through 2012 were diagnosed less than the first 6 months of life. Over two-thirds (67%, N=253) of these perinatal HIV cases were diagnosed under the age of two. Furthermore, less than 1% (N=2) were diagnosed with a perinatal risk after the age of 12.
< 2 yrs of age
Perinatally Acquired HIV Infection Cases Born in Florida, 1979-2012,
by Age at HIV Diagnosis (N=377)
0
50
100
150
200
250
0-5 6-11
12-17
18-23
2 3 4 5 6 7 8 9 10 11 12 13* 14* 15* 16* 17* 18* 19* 20+
Nu
mb
er o
f C
ases
Age in Months
Age in Years
< 2 yrs of age
Nearly three-fifths (58%) (N=477) of the perinatal AIDS cases born through 2012 (N=820), were diagnosed with AIDS prior to the age of two. The number of AIDS cases diagnosed after age two decreases by age. * 12% (N=102) of the cumulative AIDS cases were not diagnosed with AIDS until after the age of twelve (which is up from 5% in 2003).
Perinatally Acquired AIDS CasesBorn in Florida, 1979-2012,
by Age at AIDS Diagnosis, (N=820)
AIDS-Defining Conditions for Perinatally Acquired AIDS Cases
Less than Two Years of Age,Born in Florida 1979-2012,
by Age at AIDS Diagnosis (N=477)
0
10
20
30
40
50
0 2 4 6 8 10 12 14 16 18 20 22
Age in Months
Nu
mb
er o
f C
ases
Pneumocystis pneumonia
Other AIDS defining
conditions
The peak of PCP in children with perinatally acquired AIDS is four months of age. The age at diagnosis for the other AIDS-defining conditions is much more evenly distributed during the first two years of life.
Note: These data represent a 100% decline in perinatally acquired AIDS cases from 1992 (N=95) to 2012 (N=0).2012 data are provisional. Data as of 06/30/2013.
0
20
40
60
80
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year of Birth
Nu
mb
er o
f C
ases
< 2 yrs.
>= 2 yrs.
Age Group
Perinatally Acquired AIDS CasesBorn in Florida 1990-2012,
by Age Group and Year of Birth (N=626)
Living Perinatally Acquired HIV Infection Cases, by County of Birth,
Born in Florida 1979 through 2012
N=819Number of Cases
0
1 - 10
11 - 25
26 - 50
over 50
Florida has 819 living Perinatally Acquired HIV Infection cases born 1979 through 2012, with the majority (57%) of these cases born in South Florida: Miami-Dade (N=233), Broward (N=134) and Palm Beach (N=100). Data as of 06/30/2013
0
20
40
60
80
100
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
Current Age
Nu
mb
er
of
Cases
HIV (not AIDS) AIDS
Current Age* Distribution ofLiving Perinatally Acquired HIV Infection Cases
by Disease Status, Born in Florida, 1979 through 2012 (N=819)
*Current age of living (not known dead) HIV/AIDS perinatal cases born through 2012.Data as of 06/30/2013
Region of Birth # of cases % of TotalArea 01* 2 2%Area 03* 1 1%Area 08 (Lee Only) 3 3%Area 08 (not Lee)* 0 0%Area 15* 5 6%Broward County 17 20%Duval County 9 10%Hillsborough/Pinellas Counties 5 6%Miami-Dade County 18 21%Orange County 11 13%Palm Beach County 7 8%Polk 2 2%Remainder of state 6 7%TOTAL CASES 86 100%*Area 1 = Escambia, Okaloosa, Santa Rosa & Walton Counties;
*Area 3 = Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Putnam, Suw annee, & Union Counties;
* Area 8 (not Lee) = Charlotte, Collier, DeSoto, Glades, Hendry & Sarasota Counties.
*Area 15 = St. Lucie, Indian River, Martin, and Okeechobee Counties.
Born 2005-2012
*A total of 5 perinatal cases reported in Florida were born outside of the US and NOT included in these data.
Perinatally Acquired HIV Infection Cases,by Selected Regions of Birth
Born in Florida 2005 through 2012
75%
8%9%
8% 0-5 months
6-12 months
1 year
2+ years
62%
12%
13% 13%
HIV (not AIDS) Cases (N=78) AIDS Cases (N=8)
Perinatally Acquired HIV Infection CasesBorn in Florida, 2005-2012,
by Disease Status and Age Group (N=86)
Note: Between 2005 and 2012 there were a total of 86 perinatally acquired HIV infection cases born in Florida. Of those cases 83% (n=65) were diagnosed with HIV within the first year of life. Likewise, 9% (n=8) of the perinatally infected cases born in Florida have been diagnosed and reported with AIDS. Among the eight perinatal AIDS cases, 75% (n=6) developed AIDS within the first year of life.
Time of Maternal HIV TestingAmong Perinatally Acquired HIV Infection Cases Born in Florida, 2005-2012 (N=86)
Note: One half (50%, n=42) of the 86 HIV-infected mothers who gave birth in Florida between 2005 and 2012 knew they were infected before delivery. It is important for HIV-infected pregnant women to know their HIV infection status in order to make informed decisions about antiretroviral therapy to reduce perinatal transmission of HIV to their infants. The Public Health Service recommends that all pregnant women be offered HIV counseling and voluntary HIV tests.
50%
17%
10%
22%
1%Before Pregnancy (n=42)
During Pregnancy (n=15)
At Delivery (n=9)
After Birth (n=19)
Unknown (n=1)
Women Giving Birth to Perinatally Acquired HIV Positive Babies in
Florida by Mother’s Knowledge of HIV Status at Delivery by Year of Birth, 2005-2012
0%
20%
40%
60%
80%
100%Before Delivery After Delivery
Note: The proportion of pregnant women giving birth to a child diagnosed with HIV and who knew their HIV status prior to delivery varies from year to year, ranging from 50% to 90% or higher.
Possible Missed Opportunities that Could Have Prevented Perinatal Transmission of HIV
Among HIV Positive Babies Born in Florida, 2005-2012
Total Born Florida, 2005 - 2012 86
Missed Opportunities Number PercentMom's HIV Status NOT Known Before Birth 19 22%Inadequate Prenatal Care* 60 70%No Prenatal Antiretroviral Therapy 50 58%No Antiretroviral Therapy at Delivery 37 43%Non-Caesarean Birth 34 40%No Neonatal Antiretroviral Therapy 19 22%Breast Fed 7 8%Other Contributing Factors** Number PercentMom was a substance abuser during pregnancy 26 30%Mom acquired an STD during pregnancy 30 35%*Inadequate prenatal care indicates prenatal care after the 4th month and less than 5 visits
**The same child can be in multiple categories
Perinatally Acquired HIV Infection Cases in Children Whose Mom’s HIV status was Known
Prior to Delivery Born in Florida, 2005-2012,by Receipt of Adequate Prenatal Care and
Any Prenatal Antiretroviral Therapy (ART) (N=57)
Adequate Prenatal CareBegan by 4th month with 5+ visits
Any Prenatal ARTAZT and/or antiretrovirals
Yes No
32%
68%
61%
39%
Elective CaesareanDelivery
Yes No
37%
63%
ART During LaborAZT and/or antiretrovirals
79%
21%
Perinatally Acquired HIV Infection Cases in Children Whose Mom’s HIV status was Known
Prior to Delivery Born in Florida, 2005-2012,by Receipt of Antiretroviral Therapy (ART) During Delivery and Elective Caesarean Delivery (N=57)
Maternal Drug AbuseHistory of an STDDuring Pregnancy
Yes34%
No66%
Note: A total of 9 (11%) of the mothers had BOTH abused drugs and had an STD during pregnancy.
Yes38%
No62%
Perinatally Acquired HIV Infection Cases in Children Born in Florida, 2005-2012,
by Maternal Drug Abuse and History of a Sexually Transmitted Disease (STD) (N=86)
Received any Neonatal ART Breastfed
No22%
Yes78%
Yes8%
No/Unkn92%
Perinatally Acquired HIV Infection Cases in Children Born in Florida, 2005-2012,
by Receipt of Neonatal Antiretroviral Therapy (ART) and Exposure to Breastfeeding (N=86)
29%
42%
29%
94%
6%11%
83%
6%
Perinatally Acquired HIV Infection CasesBorn in Selected South Florida Counties,
2005-2012, by Mother’s Exposure Category (N=42)
Mom-IDU Risk Mom-Sex Risk Mom-Other Risk/Unknown
Miami-Dade (N=18) Broward (N=17) Palm Beach (N=7)
Note: A total of 42 (49% of the state total) perinatally acquired HIV Infection cases born in Florida 2005-2012were born in Miami-Dade, Broward and Palm Beach counties. There is some variation in the Mother’s exposure category by county.
83%
11%6%
<1 year 1 year 2+ years
88%
0%12%
100%
0%0%
Perinatally Acquired HIV Infection CasesBorn in Selected South Florida Counties,
2005-2012, by Age at First Diagnosis (N=42)
Note: Eighty-eight percent (37 of 42) of the perinatally acquired HIV Infection cases born in South Florida were diagnosed within the first year of life. As noted earlier, an early diagnosis of perinatally acquired HIV infection allows the opportunity of early treatment, thus possibly prolonging the onset of AIDS.
Miami-Dade (N=18) Broward (N=17) Palm Beach (N=7)
88%
6%
6%
83%
17%
White Black Hispanic Other/Unknown
Note: Pediatric AIDS in Florida disproportionately affects non-Hispanic blacks. In South Florida, 81%, (34 of 42) of the pediatric HIV/AIDS cases were among blacks.
Miami-Dade (N=18) Broward (N=17) Palm Beach (N=7)
57%
14%
29%
Perinatally Acquired HIV Infection CasesBorn in Selected South Florida Counties,
2005-2012, by Race/Ethnicity (N=42)
HIV Status for Babies Bornto an HIV-Infected Mother
in Florida, 2007-2012
98.6%
1.4%
Exposed Only
HIV-Infected
# % # % # %Exposed 655 97.5% 617 98.1% 613 98.6%Infected 17 2.5% 12 1.9% 9 1.4%Total Births 672 629 622
2007 2008 2009 2012 Births
A total of 511 babies were known to be born to HIV-Infected mothers in Florida in 2012, of which 7 (1.4%) were known to be HIV-infected. (Data as of 08/29/2013)2012 data are incomplete due to reporting lags.Note: Perintal Exposure became reportable 11/20/2006, 2007 is the first complete year.
# % # % # %Exposed 570 99.0% 555 99.5% 504 98.6%Infected 6 1.0% 3 0.5% 7 1.4%Total Births 576 558 511
2010 2011 2012
STEPS TO PERINATAL SUCCESS
Get an HIV TestGet Prenatal Care If HIV+, MaintainMedication Adherence
Keep All Prenatal Appointments
Follow Up for MomAnd Baby
Ensure Baby Gets6-weeks of AZT
STEPS TO PERINATAL SUCCESS, CONTINUED
Link to Birth Control if thatIs the Client’s Choice
Ensure that BabyReceives HIV testing By 4 months
Counsel Against Breast Feeding
Perinatal Perinatal ProgramsPrograms
• Perinatal Prevention is focused on:
– Prevention Services for women of child bearing age.
– Ensuring services for HIV-infected pregnant women and their newborns
– Education and technical assistance for clinicians who treat pregnant women.
The Targeted Outreach for Pregnant Women Act (TOPWA) program.
Collaboration with state agencies and organizations to ensure that perinatal HIV issues are addressed.
Perinatal social marketing campaign on Face Book and Twitter
The Perinatal HIV Program” is located on the HIV/AIDS and Hepatitis Program internet site
A Perinatal website through USF that is widely used
Provide 6-weeks of free AZT for newborns of families with no medical coverage
The Baby RxPress Program provides a voucher that can be exchanged at Walgreens for the six-weeks of AZT that is prescribed for all HIV-exposed newborns.
Vouchers can be obtained from a local HIV perinatal nurse or the HIV/AIDS and Hepatitis Program Prevention Section.
AETC staff work to:• Educate medical professionals who provide care
for HIV-infected pregnant women and their babies.
• Assist hospitals in implementing rapid HIV testing in labor & delivery units.
• Maintain a comprehensive website with CDC guidelines, forms, and resources for clinicians.
Source: http://www.usfcenter.org/Perinatal/
8 programs (3 also have jail components).
Conducts outreach to high-risk pregnant women and actively links them with services.
Offers on-site pregnancy and HIV testing.
Assists mothers with obtaining family planning services if they choose to delay the birth of a subsequent baby.
For more information on TOPWA please see this webpage: http://www.preventhivflorida.org/Women_Children/TOPWA.htm
HIV-Infected Newborns 2007-2012HIV-Infected Newborns 2007-2012
MADISON
TAYLOR
JEFFERSON
SANTA ROSAOKALOOSA
WALTON
HOLMES
JACKSON
WASHINGTON
CALHOUNBAY
GULF
GADSDEN
LIBERTY
FRANKLIN
LEON
WAKULLA
HAMILTON
SUWANNEE
LAFAYETTE
DIXIE
COLUMBIA
GILCHRIST
LEVY
ALACHUAPUTNAM
MARION
LAKECITRUS
SUMTER
HERNANDO
BAKER
NASSAU
DUVAL
CLAYST JOHNS
FLAGLER
VOLUSIA
SEMINOLE
ORANGEBREVARD
OSCEOLA
PASCO
HILLSBOROUGHPOLK
MANATEEHARDEE
HIGHLANDS
PINELLAS
UNION
INDIAN RIVER
OKEECHOBEEST LUCIE
MARTIN
PALM BEACH
BROWARD
DADE
MONROE
COLLIER
HENDRYLEE
CHARLOTTE GLADES
DESOTOSARASOTA
ESCAMBIA
2007 Births
Updated 8/27/2013
(17)
(12) 2008 Births
2009 Births(9)
(6) 2010 Births
2011 Births(3)
2012 Births(7)
MADISON
TAYLOR
JEFFERSON
ESCAMBIA
SANTA ROSAOKALOOSA
WALTON
HOLMESJACKSON
WASHINGTON
CALHOUN
BAY
GULF
GADSDEN
LIBERTY
FRANKLIN
LEON
WAKULLA
HAMILTON
SUWANNEE
LAFAYETTE
DIXIE
CO
LU
MB
IA
GILCHRIST
LEVY
BRADFORD
ALACHUA
PUTNAM
MARION
LAKECITRUS
SUMTER
HERNANDO
BAKER
NASSAU
DUVAL
CLAY ST JOHNS
FLAGLER
VOLUSIA
SEMINOLE
ORANGEBREVARD
OSCEOLA
PASCO
HILLSBOROUGHPOLK
MANATEE
HARDEE
HIGHLANDS
PINELLAS
UNION
INDIAN RIVER
OKEECHOBEE
ST LUCIE
MARTIN
PALM BEACH
BROWARD
DADEMONROE
COLLIER
HENDRYLEE
CHARLOTTEGLADES
DESOTOSARASOTA
6
3
9
78
1
2
3
5412
2
2
1
5
29
2
4
7
2
3
100
2
3
36
1
55
3
13
9
2
2
1
14 9
1
1
2012
HIV-Exposed/Infected Babies
Updated 8/27/2013
1
2
7
1
1
2
2
1
1
1
9
13
Exposed/Not Infected: 511Infected: 7
89
87
85
87
85
88
87
83
84
85
86
87
88
89
90
2008 2009 2010 2011Year
Pe
rce
nt
HIV Discussions HIV Testing
PRAMS: Healthcare Provider Discussions About HIV Testing, and Pregnant Women Tested for
HIV in Florida, 2008-2011*
Note: Overall, Florida’s percentage of childbearing women tested perinatally for HIV is among the highest in the U.S., which has probably contributed to the continued decline in pediatric HIV/AIDS cases. However, Florida’s HIV testing for pregnant women have decreased 3.5 percentage points from 2008 to 2011. Source: Florida Pregnancy Risk Assessment Monitoring System (PRAMS). *2011 data is the most recent available. http://www.doh.state.fl.us/disease_ctrl/epi/Chronic_Disease/PRAMS/Data_Books.htm
Prenatal HIV Testing Among Women Delivering a Live Birth,
2008-2011*, Florida
65
70
75
80
85
90
95
100
2008 2009 2010 2011
Year
Per
cen
t T
este
d
= 95% C.I.
Note: Overall, Florida’s percentage of childbearing women tested perinatally for HIV is among the highest in the U.S., which has probably contributed to the continued decline in pediatric HIV/AIDS cases. However, Florida’s HIV testing for pregnant women have decreased 3.8 percentage points from 2008 to 2011. Source: Florida Pregnancy Risk Assessment Monitoring System (PRAMS). (*2011 data is most recent available.)http://www.doh.state.fl.us/disease_ctrl/epi/Chronic_Disease/PRAMS/Data_Books.htm
HIV Seroprevalence Among Childbearing Women by Survey Cycle and Mother’s
Race,1988-1995, Florida
0
5
10
15
20
1988 1989 1990 1992 1992 1993 1994 1995
Survey Cycle
Rat
e p
er 1
,000
White
Black
Total
*Number Positive/Number Tested x 1,000.Survey Cycles are October through March, except for the last cycle which was 10/95-12/95.This survey ended in 1995.
Cases of HIV Disease Among Women of Childbearing Age (Ages 15-44),
by Age of Diagnosis, and Year of Diagnosis, 2003–2012, Florida
0
100
200
300
400
500
600
700
800
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012Year of Diagnosis
Nu
mb
er o
f C
ases
15-24 25-29 30-39 40-44
Decreases in newly diagnosis HIV/AIDS cases among women ages 15-44 have been observed by all age groups.
0
200
400
600
800
1,000
1,200
1,400
1,600
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Year of Diagnosis
Nu
mb
er
of
Ca
se
sCases of HIV Disease Among
Women of Childbearing Age (Ages 15-44), by Mode of Exposure,
and Year of Diagnosis, 2003–2012, Florida
Heterosexual
IDU
Note: NIRs redistributed.
Cases of HIV Disease Among Women of Childbearing Age (Ages 15-44),
by Race/Ethnicity, and Year of Diagnosis, 2003–2012, Florida
0
200
400
600
800
1,000
1,200
1,400
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Year of Diagnosis
Nu
mb
er o
f C
ases
Black
Hispanic
White
Note: Although the majority of HIV cases among women are black, the number of black female HIV cases has decreased 63% from 2003 to 2012. Likewise, the number of HIV cases decreased by 52% among white females and 58% among Hispanic females, over this same time period. *Other races represent less than 1% of the cases and are not included. Data as of 06/30/2013
Annual Prevalence of HIV Disease Among Women of Childbearing Age (Ages 15-44),
by Race/Ethnicity, Reported 1995-2012, Florida
0
2,000
4,000
6,000
8,000
10,000
12,000
95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Year of Diagnosis
Nu
mb
er
of
Cases
White Black Hispanic
For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444
Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373
Visit Florida’s internet site for:Monthly Surveillance Reports
Slide Sets and Fact SheetsAnnual Reports and Epi Profiles
http://www.doh.state.fl.us/disease_ctrl/aids/trends/trends.html
Visit CDC’s HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets
http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm