Northern Health Region, Virginia HIV/AIDS and STD Trends Data through 2006.
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Transcript of Northern Health Region, Virginia HIV/AIDS and STD Trends Data through 2006.
Northern Health Region, Virginia
HIV/AIDS and STD TrendsData through 2006
Northern Health Region•Alexandria
•Arlington
•Fairfax
•Fairfax County
•Falls Church
•Loudoun
•Manassas
•Manassas Park
•Prince William County
Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.
HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.
UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.
LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.
Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.
Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.
AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons
HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported
HIV/AIDS Northern Region saw a 24% increase in reported
HIV/AIDS In the Northern Region, Fairfax County showed the most
notable increase (43%) In 2006, 30% of reported cases of HIV/AIDS in the
Northern region were White, 50% Black and 17% were Hispanic and 3% reported another race
Majority of the reported cases of HIV/AIDS were male (70%)
*Includes those that may have progressed to AIDS
VirginiaHIV*/AIDS Cases by Region (N=34,585**)
**Data through 2006
Northwest6.3%
Southwest8.3%
Central24.4%
Northern27.3%
Eastern33.7%
*Includes those that may have progressed to AIDS
Northern Region of Virginia (N=5,289)Cases of HIV/AIDS* (1996-2006)
222 213241
252236
253
291
232
199
269
326
273
230
233
145
226
159
249
319
247
190
284
0
50
100
150
200
250
300
350
400
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ases_
Cases of HIV (n=2583)
Cases of AIDS (n=2706)
*Includes those that may have progressed to AIDS
People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not
AIDS)/AIDS in Northern Virginia at the end of 2006 ≈ 5263
29% of Virginia’s living total Most of cases are 32 years old 75% male 49% black
Number of People Living with HIV(not AIDS) or AIDS,
in Virginia, by Region, at the end of 2006 (N=18,119)
4379
58515263
1217 1409
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
5500
6000
6500
Rep
ort
ed L
ivin
g
Region
CentralEasternNorthernNorthwestSouthwest
Percentage of People Living with HIV (not AIDS), by Region (N=10,088*)
Northwest5.8%
Southwest7.6%
Central25.8%
Northern26.0%
Eastern34.8%
*Data through 2006
Percentage of People Living with AIDS, by Region, (N=8,031*)
Northwest7.9%
Southwest8.0%
Central22.1%
Northern32.8%
Eastern29.2%
*Data through 2006
Individuals Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia by Locality at the end of 2006 (N=5,263)
18795
11
572
42
1150
1857
1185
163
0
500
1000
1500
2000FAIR
FAX C
O.
ALE
XAN
DRIA
ARLI
NG
TO
N C
O.
PRIN
CE
WIL
LIAM
CO
.
LOU
DO
UN
CO
.
MAN
ASSAS
FAIR
FAX
FALL
S C
HU
RCH
MAN
ASSAS
PARK
Locality
Rep
orte
d L
ivin
g_
Individuals Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia, by Race, at the end of 2006 (N=5,263)
2 107
2553
591
8 19
1983
0
500
1000
1500
2000
2500
3000
Report
ed L
ivin
g
Race
American Indian/AlaskanNativeAsian/Pacific Islander
Black
Hispanic
Multiple
Unknown
White
Individuals Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia, by Risk at the end of 2006 (N=5,263)
26
943
593
2377
172 24233 46
0
200
400
600
800
1000
1200
1400
1600
1800
2000
2200
2400
2600
Report
ed L
ivin
g
Risk Factor
HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)
MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion
*831 cases unidentified risk or undetermined risk
Females Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia by Risk at the end of 2006 (N=1328*)
1
219
89
16
624
230
100
200
300
400
500
600
700
Hemophilia HeterosexualContact
Injecting DrugUse (IDU)
MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Rep
orte
d L
ivin
g_ Females (n=1328)
*356 cases unidentified risk or undetermined risk
Males Living with HIV(not AIDS)/AIDS in the Northern Region by Risk at the end of 2006 (N=3935*)
25
374
2377
17217 23
319
153
0
500
1000
1500
2000
2500
Hemophilia HeterosexualContact
Injecting DrugUse (IDU)
Men Having Sexwith Men(MSM)
MSM & IDU MultipleHeterosexual
Contacts
Pediatric Transfusion
Risk Factor
Rep
orte
d L
ivin
g_ Males (n=3935)
*475 cases unidentified risk or undetermined risk
Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%)
in reported syphilis The Northern region saw a 13% increase in
reported syphilis In the Northern Region, Fairfax County showed the most
notable increase (20%) In 2006, 55% of reported cases of Syphilis in the
Northern region were White, 31% Black,11% Hispanic and 3% reported another race.
In 2006, the majority of the reported cases of syphilis in the Northern region were male (96%)
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
VirginiaTotal Early Syphilis* Cases by Region, 2006 (N=351)
Northwest5.1%
Southwest6.0%
Central17.1%
Northern26.8%
Eastern45.0%
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Northern Health Region Cases of Total Early Syphilis* (1998-2006)
39
2935
50
58
68
83
94
27
0
10
20
30
40
50
60
70
80
90
100
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Northern Health Region, by locality in 2006 (N=94)
36
2119
42 2
0 0 0
10
0
5
10
15
20
25
30
35
40FAIR
FAX C
O.
ARLI
NG
TO
N
ALE
XAN
DRIA
PRIN
CE
WIL
LIAM
LOU
DO
UN
MAN
ASSAS
MAN
ASSAS
PARK
FAIR
FAX C
ITY
FALL
S C
HU
RCH
FRED
ERIC
K
Locality
Rep
orte
d C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Northern Health Region, by Race, in 2006 (N=94)
2
29
10
1 0
52
0
10
20
30
40
50
60
Report
ed Case
s
Race
Asian/ Pacific Islander
Black
Hispanic
Other
Unknown
White
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Individuals Reported with Total Early Syphilis* in the Northern Health Region, by age in 2006 (N=94)
2
15 16
10
24
14
7 6
0
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
13 -
19
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis
Gonorrhea Trends Between 2005-2006, statewide decrease (23%) in
reported gonorrhea. 34% decrease in reported Hispanic cases.
The Northern region saw a 33% decrease in reported gonorrhea
In the Northern Region, Alexandria showed the most notable decrease (34%)
In 2006, 21% of reported cases of gonorrhea in the Northern region were White, 61% Black, 7% were Hispanic, 6% were unknown and 5% reported another race
The majority of the reported cases of gonorrhea were male (55%)
VirginiaGonorrhea Cases by Region, 2006 (N=6,474)
Northwest6.5%
Southwest15.1%
Central29.7%
Northern6.9%
Eastern41.8%
Northern Health RegionCases of Gonorrhea (1998-2006)
745 735697 674
589
667 664
444
810
0
100
200
300
400
500
600
700
800
900
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s
Individuals Reported with Gonorrhea in the Northern Health Region, by locality in 2006 (N=444)
129
112
90
70
26
6 6 3 2 00
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150PRIN
CE
WIL
LIAM
FAIR
FAX C
O.
ARLI
NG
TO
N
ALE
XAN
DRIA
LOU
DO
UN
FAIR
FAX C
ITY
MAN
ASSAS
MAN
ASSAS
PARK
FALL
S C
HU
RCH
FRED
ERIC
K
Locality
Rep
orte
d C
ases
Individuals Reported with Gonorrhea in the Northern Health Region, by Race, in 2006 (N=444)
1 10
269
3211
28
93
0
50
100
150
200
250
300
Report
ed C
ase
s
Race
American Indian/Alaskan Native
Asian/Pacific Islander
Black
Hispanic
Other
Unknown
White
3
95
140
95
4130
2114
50
25
50
75
100
125
150
175
2000-
12
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
Individuals Reported with Gonorrhea in the Northern Health Region, by Age, in 2006 (N=444)
Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported
Chlamydia and 26% increase in reported Hispanic Cases Northern Region saw a 2% increase in reported
Chlamydia In the Northern Region, Loudoun showed the most
notable increase (36%) In 2006 in the Northern Region, 23% of reported cases
of Chlamydia were white, 30% black, 21% were Hispanic, and 18% were unknown
Majority of the reported cases of Chlamydia were female (72%)
VirginiaChlamydia Cases by Region, 2006 (N=24,081)
Northwest11.5%
Southwest11.9%
Central22.5%
Northern13.4%Eastern
40.6%
Northern RegionCases of Chlamydia (1998-2006)
18912069
2350 2348 2394
2652
3174 3226
1722
0
500
1000
1500
2000
2500
3000
3500
1998 1999 2000 2001 2002 2003 2004 2005 2006
Year of Report
Report
ed C
ase
s
Individuals Reported with Chlamydia in the Northern Health Region, by locality in 2006 (N=3,226)
1221
747
412341 333
9527 26 24 0
0
100
200
300
400
500
600
700
800
900
1000
1100
1200
1300
FAIR
FAX C
O.
PRIN
CE
WIL
LIAM
ARLI
NG
TO
N
ALE
XAN
DRIA
LOU
DO
UN
MAN
ASSAS
FALL
S C
HU
RCH
FAIR
FAX C
ITY
MAN
ASSAS
PARK
FRED
ERIC
K
Locality
Rep
orte
d C
ases
Individuals Reported with Chlamydia in the Northern Health Region, by Race, in 2006 (N=3,226)
3
137
965
664
131
570
756
0100200300400500600700800900
1000
Report
ed C
ase
s
Race
American Indian/ AlaskanNativeAsian/ Pacific Islander
Black
Hispanic
Other
Unknown
White
Individuals Reported with Chlamydia in the Northern Region, by age in 2006 (N=3,226)
3
859
1198
611
305
113 8425 28
0
100
200
300
400
500
600
700
800
900
1000
1100
1200
1300
1400
15000-1
2
13-1
9
20 -
24
25 -
29
30 -
34
35 -
39
40 -
44
45 -
49
50+
Age
Rep
orte
d C
ases
Prepared by:
*Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007
Carrie Dolan, [email protected]
Lindsey Matthews, MPH (updated)
Division of Disease PreventionJuly 2007