Wisconsin HIV/AIDS Surveillance Annual Review Addendum: City of Milwaukee Slide Set City of...
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Transcript of Wisconsin HIV/AIDS Surveillance Annual Review Addendum: City of Milwaukee Slide Set City of...
Wisconsin HIV/AIDS Surveillance Annual Review Addendum: City of Milwaukee Slide Set
City of Milwaukee: New diagnoses, prevalent cases, syphilis diagnoses, and HIV testing through December 31, 2014
April, 2015P-00484A
Wisconsin Department of Health Services
Wisconsin Department of Health Services
New Diagnoses
Wisconsin Department of Health Services
Number and statewide proportion of new HIV diagnoses, city of Milwaukee, 2005-2014
Centers for Disease Control and Prevention. HIV Surveillance Report, 2013; vol.25. http://www.cdc.gov/hiv/library/reports/surveillance/. Published February 2015. Accessed 3/20/2015.
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
20
40
60
80
100
120
140
160
0%
10%
20%
30%
40%
50%
60%
101 111 118 119132 135
115102 111 119
40%44% 43%
50%46%
54%
47% 46%43%
53%
Number of New DiagnosesPercent of Statewide Diagnoses
Year of Diagnosis
Num
ber o
f Dia
gnos
es
Prop
ortio
n of
Sta
tew
ide
Dia
gnos
es
HIV diagnosis rates in Milwaukee compared to other geographical areas
Wisconsin Department of Health Services
HIV diagnosis rate by Metropolitan Statistical Area, 2013
Centers for Disease Control and Prevention. HIV Surveillance Report, 2013; vol.25. http://www.cdc.gov/hiv/library/reports/surveillance/. Published February 2015. Accessed 3/20/2015.
0
5
10
15
20
25
30
35
40
45
50Miami; 44.3
Washington DC; 33.5
Chicago; 19.8MSAs >500,000;
18.3
Indianapolis; 13.6
Detroit; 12.7Milwaukee; 8.7
Minneapolis; 8Madison; 5.4
Metropolitan Statistical Area
Rate
per
100
,000
Pop
ulati
on
HIV diagnosis rates in Milwaukee compared to county, state, and U.S.
Wisconsin Department of Health Services
City of Milwaukee HIV rate compared to other Wisconsin geographies (2014), and the United States (2013)
Sex and Age
Wisconsin Department of Health Services
Number of new HIV diagnoses by sex and age, city of Milwaukee, 2005-2014
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
10
20
30
40
50
60
70
Year of Diagnosis
Num
ber o
f Dia
gnos
es
Males 13-29 Years
Males 30+ Years
Females 30+ Years
Females 13-29 Years
Transgender Identity
Wisconsin Department of Health Services
• 24 transgender individuals diagnosed in city of Milwaukee since beginning of epidemic– Likely an underestimate due to
limited historical data collection on self-reported gender identity
– All from a racial/ethnic minority group
– Most (n=19) under age 30 at time of diagnosis
Race/ethnicity and sex
Wisconsin Department of Health Services
HIV diagnosis rate by sex and race/ethnicity, city of Milwaukee, 2010-2014
Male Female0.0
10.0
20.0
30.0
40.0
50.0
60.0 57.0
11.0
26.3
6.4
17.6
5.3
15.6
2.3
12.9
3.6
12.3
24.2
Black Hispanic Multi-Racial White Asian American Indian/Alaska Native
Rate
per
100
,000
Pop
ulati
on
Risk exposure
Wisconsin Department of Health Services
HIV diagnoses by estimated risk exposure group*, city of Milwaukee, 2005-2014
2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
20
40
60
80
100
120
MSM (incl. MSM/PWID) PWID
High Risk Heterosexual
Year of Diagnosis
Estim
ated
Num
ber o
f Dia
gnos
es
*Data have been statistically adjusted to account for those with unknown risk
Risk exposure and sex
Wisconsin Department of Health Services
Proportion of HIV diagnoses by sex and estimated risk exposure group*, city of Milwaukee, 2014
Female Male Total0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
31%
4%8%
69%
5%13%
90%
78%
MSM (incl. MSM/PWID) PWID High-Risk Heterosexual
Estim
ated
Per
cent
of N
ew D
iagn
oses
W
ithi
n Ea
ch C
ateg
ory
*Data have been statistically adjusted to account for those with unknown risk.
Risk exposure and age
Wisconsin Department of Health Services
Median age at HIV diagnosis by reported risk exposure, and among MSM by race/ethnicity, city of Milwaukee, 2014
Total (n=119)
High-Risk Heterosexual (n=8)
PWID (n=5)
MSM (n=73)
Black (n=48)
Hispanic (n=10)
White (n=14)
0 10 20 30 40 50 60
28
48.5
52
26
23.5
26
39.5
Median Age at Diagnosis (Years)
MSM*
*Includes MSM/PWID
Risk exposure, sex, race/ethnicity, age
Wisconsin Department of Health Services
Number of HIV diagnoses by selected sex, race/ethnicity, age and risk group*, City of Milwaukee, 2012-2014
Young Black MSM
Older Black MSM
Older White MSM
Older Black FemalesHigh-Risk Heterosexual
Older Hispanic MSM
Young Hispanic MSM
Young White MSM
Young Black Females High-Risk Heterosexual
0 20 40 60 80 100 120
107
43
36
21
21
16
10
9
Estimated Number of Diagnoses
* Data have been statistically adjusted to account for those with unknown risk
New diagnoses: zip codes
Wisconsin Department of Health Services
HIV diagnoses by zip code of residence*, city of Milwaukee, 2012-2014
53207
5322453223
53209
53221
5321853225
53215
53216
53208
53212
53204
5322253206
53219
53210
53202
53211
53214
53233
53220
53205
5322853227
5322653203
53213
53295
53213
53217
53154
53213
53022
53235
53051
* Dots are placed randomly within zip codes and do not reflect the actual case residence.
1 dot = 1 HIV diagnosis
New diagnoses among young Black MSM: zip codes
Wisconsin Department of Health Services
Relative number of new HIV diagnoses among young (ages 13-29) Black MSM by zip code of residence, city of Milwaukee, 2012-2014
Late testers
Wisconsin Department of Health Services
Percentage of new HIV diagnoses with concurrent AIDS diagnosis or progressing to AIDS within one year, city of Milwaukee, 2011-2014
2011 2012 2013 20140%
5%
10%
15%
20%
25%
30%
35%
19%25% 24%
21%
11%
7% 6%
Progression to AIDS within 1 year (excluding concurrent diagnoses)*
Concurrent diagnosis of HIV and AIDS
Year of Diagnosis
Perc
ent o
f Dia
gnos
es
* Those diagnosed with HIV infection during 2014 have not had one full year to evaluate progression to AIDS and therefore this category is excluded for 2014.
Prevalent cases: zip codes
Wisconsin Department of Health Services
Prevalent cases of HIV infection by last known zip code of residence, city of Milwaukee, as of December 31, 2014
Prevalent Cases1 - 4748 - 105106 - 164>165
53219
532205322853227
5322653203
53213
53295
53213
53217
53154
53213
53235
53207
5322453223
53221
53225
53222
53211
53214
53233
53205
53218
53216
53210
53202
53209
53215
53208
53212
53204
53206
HIV testing
Wisconsin Department of Health Services
New positivity rate at publically-funded counseling and testing sites in the city of Milwaukee for various populations, 2009-2014
All populations
Females
Non-MSM Males
White MSM
Hispanic MSM
Black MSM
0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 3.5%
0.7%
0.2%
0.2%
1.1%
1.5%
3.2%
New Positivity Rate
Syphilis and HIV diagnoses
Wisconsin Department of Health Services
Syphilis diagnoses in Milwaukee County from 2004-2013, and syphilis or syphilis-HIV diagnoses in Milwaukee County among males ages 13-29 from 2012-2014
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 20140
20
40
60
80
100
120
140
160
0
5
10
15
20
25
30
35
40
45
50
3125 26
16
18 13
Syphilis-HIV Co-InfectionMales 13-29 Years
Syphilis OnlyMales 13-29 Years
Total Syphilis for Milwaukee County
Year of Syphilis Diagnosis
Tota
l Num
ber o
f Dia
gnos
es
Num
ber o
f Dia
gnos
es, M
ales
Age
s 13
-29
Year
s
Centers for Disease Control and Prevention. Syphilis & MSM (Men Who Have Sex With Men) – CDC Fact Sheet. http://www.cdc.gov/std/syphilis/stdfact-msm-syphilis.htm. Accessed 4/9/2015.Wisconsin Department of Health Services. Sexually Transmitted Disease in Wisconsin 2013: Milwaukee County. https://www.dhs.wisconsin.gov/publications/p0/p00415-2013-milwaukee.pdf. Accessed 4/9/2015.
Full reports
• For additional information and methodology, visit our website: https://www.dhs.wisconsin.gov/aids-hiv/data.htm– Statewide report: https://
www.dhs.wisconsin.gov/publications/p0/p00484.pdf
– City of Milwaukee report: https://www.dhs.wisconsin.gov/publications/p0/p00484a.pdf