HIV/AIDS EPIDEMIOLOGY IN MARYLAND
WHITE HOUSE FORUM
NATIONAL HIV/AIDS STRATEGY
IMPLEMENTATION MEETING
APRIL 29, 2013
Colin Flynn, Chief
HIV Surveillance, Epidemiology and Evaluation
Maryland Department of Health and Mental Hygiene
Prevention and Health Promotion Administration
MISSION AND VISION
MISSION
 The mission of the Prevention and Health Promotion Administration
is to protect, promote and improve the health and well-being of all
Marylanders and their families through provision of public health
leadership and through community-based public health efforts in
partnership with local health departments, providers, community
based organizations, and public and private sector agencies, giving
special attention to at-risk and vulnerable populations.
VISION
 The Prevention and Health Promotion Administration envisions a
future in which all Marylanders and their families enjoy optimal health
and well-being.
Maryland Prevention and
Health Promotion Administration
April 29, 2013
2
Estimated Adults Living with
Diagnosed HIV, year-end 2010,
Ranked by Rates
STATE/TERRITORY
1. District of Columbia
2. New York
3. Virgin Islands
4. Maryland
5. Florida
6. Puerto Rico
7. New Jersey
8. Louisiana
9. Georgia
10. Delaware
United States
Cases
14,359
132,523
589
30,558
94,897
18,129
35,860
16,892
33,920
2,968
888,638
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 21.
Rate per 100,000
2,704.3
810.0
667.1
632.9
592.7
584.3
488.2
451.7
428.8
394.1
342.2
Maryland Prevention and
Health Promotion Administration
April 29, 2013
3
Estimated HIV Diagnoses
during 2011, Ranked by Rates
STATE/TERRITORY
1. District of Columbia
2. Virgin Islands
3. Maryland
4. Louisiana
5. Florida
6. Georgia
7. New York
8. Puerto Rico
9. Mississippi
10. Texas
United States
Cases
962
35
1,783
1,381
5,408
2,522
4,960
888
617
5,065
50,199
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 19.
Rate per 100,000
155.6
33.0
30.6
30.2
28.4
25.7
25.5
24.0
20.7
19.7
15.9
Maryland Prevention and
Health Promotion Administration
April 29, 2013
4
Maryland Ryan White Eligible
Metropolitan Areas
Baltimore-Towson
Washington
Harford
Carroll
Baltimore
Frederick
Baltimore City
Howard
Anne Arundel
Montgomery
Queen Anne’s
Prince George’s
Calvert
Charles
Maryland Prevention and
Health Promotion Administration
April 29, 2013
5
Estimated Persons Living with
Diagnosed HIV, year-end 2010,
Ranked by Rates
METROPOLITAN AREA
Cases Rate per 100,000
1. Miami, FL
49,045
879.3
2. New York, NY-NJ-PA
143,393
757.9
3. Baltimore-Towson, MD
18,318
674.8
4. New Orleans-Metairie-Kenner, LA
7,380
620.2
5. Jackson, MS
3,018
558.8
6. San Francisco, CA
23,829
548.6
7. Memphis, TN-MS-AR
7,191
545.6
8. Washington, DC-VA-MD-WV
30,797
549.0
9. San Juan-Caguas-Guaynabo, PR 13,026
525.9
10. Baton Rouge, LA
4,009
498.3
United States
891,157
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 23.
284.7
Maryland Prevention and
Health Promotion Administration
April 29, 2013
6
Estimated HIV Diagnoses
during 2011, Ranked by Rates
METROPOLITAN AREA
Cases Rate per 100,000
1. Miami, FL
2,606
46.0
2. New Orleans-Metairie-Kenner, LA
513
43.0
3. Baton Rouge, LA
336
41.6
4. Jackson, MS
200
36.7
5. Washington, DC-VA-MD-WV
1,969
34.5
6. Baltimore-Towson, MD
922
33.8
7. Memphis, TN-MS-AR
433
32.6
8. Atlanta-Sandy Springs-Marietta, GA 1,626
30.3
9. New York, NY-NJ-PA
5,344
28.1
10. Jacksonville, FL
382
28.1
United States
CDC. HIV Surveillance Report, 2011. Vol. 23. Table 23.
50,161
15.9
Maryland Prevention and
Health Promotion Administration
April 29, 2013
7
Maryland Living Adult/
Adolescent HIV Cases by
Region, 12/31/11
N = 27,710
Suburban
Washington
30%
Suburban
Baltimore
15%
Corrections
5%
Western
2%
Baltimore City
44%
Using data as reported through 12/31/2012
Eastern
2%
Southern
2%
Maryland Prevention and
Health Promotion Administration
April 29, 2013
8
Maryland Living
Adult/Adolescent HIV Cases
by Demographics, 12/31/11
Sex at Birth
Race/Ethnicity
NHBlack
77%
Female
36%
NHWhite
15%
NHOther
4%
Male
64%
Using data as reported through 12/31/2012
Hispanic
4%
Maryland Prevention and
Health Promotion Administration
April 29, 2013
9
Living HIV Cases on 12/31/11
Maryland
Cases per 100,000 population by Race/Ethnicity
and Sex at Birth
1,800
1,600
1,400
1,200
1,000
800
600
400
200
0
1,668
943
364
NH-Black
Male
NH-Black
Female
Hispanic
Male
208
138
NH-White
Male
Hispanic
Female
Using data as reported through 12/31/2012
62
NH-White
Female
Maryland Prevention and
Health Promotion Administration
April 29, 2013
10
Living Adult/Adolescent HIV
Cases 12/31/11 by Exposure
Category and Sex at Birth
Maryland
Cases
14,000
12,000
MSM
MSM/IDU
IDU
HetSex
Other
10,000
8,000
6,000
4,000
2,000
0
Male
Using data as reported through 12/31/2012
Female
Maryland Prevention and
Health Promotion Administration
April 29, 2013
11
Maryland Reported Adult/
Adolescent HIV Diagnosis
Trends by Exposure Category
Percent
60
50
40
30
20
10
0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Year of HIV Diagnosis
MSM
IDU
MSM/IDU
Using data as reported through 12/31/2012
HetSex
Other
Maryland Prevention and
Health Promotion Administration
April 29, 2013
12
2011 Non-Hispanic Black HIV
Diagnoses, Maryland
Using data as reported through 12/31/2012
Maryland Prevention and
Health Promotion Administration
April 29, 2013
13
Continuum of Care
Estimated number and percentage of HIV infected adults/
adolescents engaged in selected stages of the continuum of care,
Maryland 2011
100
33,793
30000
27,710
80
Percentage
25000
19,314
60
20000
15000
11,950
40
9,600
7,322
10000
20
5000
0
0
HIV Infected
HIV
Linked to HIV Retained in
Diagnosed
Care
HIV Care
Engagement in HIV Care
Using data as reported through 12/31/2012
On ART
Suppressed
VL
Maryland Prevention and
Health Promotion Administration
April 29, 2013
14
Maryland
Prevention and
Health Promotion
Administration
http://phpa.dhmh.maryland.gov