3/27/2017 Central Carolina Health Network Kent Gammon-President/CEO 1 More than 1.2 million people in the US are living with HIV, and 1 in 8 (156K) of them don't know it. From 2005 to 2014, the annual number of new HIV diagnoses declined 19%. Gay and bisexual men, particularly young African American gay and bisexual men, are most affected. The rates of HIV and AIDS diagnoses are higher in the South. The South generally is behind other regions in some key HIV prevention and care indicators. New AIDS diagnoses: In 2015, the South accounted for 52% (9,601) of the 18,303 new AIDS diagnoses in the United States 2 1 3/27/2017 Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. Data are based on address of residence as of December 31, 2014 (i.e., most recent known address). 4 2 3/27/2017 Note. Data are based on address of residence as of December 31, 2014 (i.e., most recent known address). Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. Data for the year 2015 are preliminary and based on 6 months reporting delay. 3 3/27/2017 Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. Data for the year 2015 are preliminary and based on 6 months reporting delay. Data have been statistically adjusted to account for missing transmission category. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified. c Because column totals for numbers were calculated independently of the values for the subpopulations, the values in each column may not sum to the column total. Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. Data for the year 2015 are preliminary and based on 6 months reporting delay. Data have been statistically adjusted to account for missing transmission category. “Other” transmission category not displayed as it comprises less than 1% of cases. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. 4 3/27/2017 Note. Data include persons with a diagnosis of HIV infection regardless of stage of disease at diagnosis. Data for the year 2015 are preliminary and based on 6 months reporting delay. Note. Data for the year 2015 are preliminary and based on 6 months reporting delay. 5 3/27/2017 Note. Data for the year 2015 are preliminary and based on 6 months reporting delay. Rates are per 100,000 population. a Includes Asian/Pacific Islander legacy cases. b Hispanics/Latinos can be of any race. Note. Data for the year 2015 are preliminary and based on 6 months reporting delay. Data have been statistically adjusted to account for missing transmission category. a Heterosexual contact with a person known to have, or to be at high risk for, HIV infection. b Includes hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified. 6 3/27/2017 Overview Released December 2016 14 7 3/27/2017 8 3/27/2017 * Hispanics/Latinos can be of any race. 9 3/27/2017 10 3/27/2017 2015 Key Points from 2015 North Carolina HIV/STD Surveillance Report: ◦ As of December 31, 2015, the number of people diagnosed with HIV in North Carolina and alive was 29,935. ◦ As of December 31, 2015, the number of people diagnosed with HIV in any state who resided in North Carolina was 33,388. ◦ In 2015, 1,345 new diagnoses of HIV were reported, at a rate of 13.4 per 100,000 population. 22 11 3/27/2017 Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit 12 3/27/2017 2015 Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit 13 3/27/2017 Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit 14 3/27/2017 Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit **US Census Bureau North Carolina 2015 population estimate *Non‐Hispanic/Latino (includes multiple race and unknown/unspecified). Data Source: enhanced HIV/AIDS Reporting System (eHARS) HIV/STD Surveillance Unit (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). 15 3/27/2017 *Unknown risk redistributed Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit *Unknown risk redistributed Data Source: enhanced HIV/AIDS Reporting System (eHARS) (data as of June 27, 2016). For more information on syphilis in North Carolina, including county rates, see the 2015 North Carolina HIV/STD Surveillance Report (Annual Report). HIV/STD Surveillance Unit 16 3/27/2017 REGION 4 Graham Henderson Cherokee Clay HIV CARE REGIONS REGION 1 REGION 6 REGION 2 REGION 7 REGION 3 REGION 8 REGION 4 REGION 9 REGION 5 REGION 10 33 ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Access Dental Care Alamance Cares* Alamance Co. Health Dept. Alcohol and Drug Services Asheboro Housing Authority Caswell Family Medical Center Central Carolina Health Network Cone Health System Cone Health Foundation Duke Partners in Caring Family Service of the Piedmont City of Greensboro Greensboro Housing Authority Guilford Com. Care Network Guilford Co. Health Dept.* High Point Community Clinic HomeCare Providers* ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Montgomery Co. Health Dept. NIA Community Action Center* NC A&T Sebastian Health Clinic Open Door Clinic, Burlington Piedmont Health Services and Sickle Cell Agency* Piedmont Health Services Randolph Co. Health Dept. Randolph Hospital Reg. Center for Inf. Diseases Reidsville Housing Authority Rockingham Co. Health Dept. Stanly Comm. Christian Ministry Stanly Co. Health Dept. Triad Adult & Pediatric Medicine Triad Health Project* UNC-CH Inf. Disease Clinic Wake Forest Baptist Health NOTE: Funded partners in red Prevention funding with * 34 17 3/27/2017 Persons Living with HIV/AIDS (PLWHA) County of Diagnosis Alamance, Caswell, Guilford, Montgomery, Randolph, Rockingham and Stanly Counties 3500 3000 2500 2717 2795 2921 3139 3127 1069 1147 2595 20.50% increase 2010-2015 2000 1500 1011 1000 500 959 931 889 29.02% increase 2010-2015 0 2010 2011 2012 2013 AIDS 2014 2015 HIV 35 COUNTY HIV (NONAIDS) HIV % AIDS AIDS % TOTAL HIV/ AIDS TOTAL % % AIDS to Total Alamance 235 11.46% 171 12.88% 406 12.02% 42.12% Caswell 39 1.90% 21 1.58% 60 1.78% 35.00% Guilford 1,499 73.13% 893 67.25% 2,392 70.81% 37.33% 21 1.02% 29 2.18% 50 1.48% 58.00% Randolph 100 4.88% 95 7.15% 195 5.77% 48.72% Rockingham 104 5.07% 69 5.20% 173 5.12% 39.88% 52 2.54% 50 3.76% 102 3.02% 49.02% 2,050 100.00% 1,328 100.00% 3,378 100.00% 39.31% 33,388 100.00% 37.19% Montgomery Stanly Region 4 Total NC TOTAL 20,971 N/A 12,417 N/A 36 18 3/27/2017 69.9 Male 68.9 Above 40 years of Age 65.5 Black/African American 55.7 MSM Exposure 37 Caswell County 19 3/27/2017 2011 2012 2013 2014 2015 Cases Rate per 100,000 population Cases Rate per 100,000 population Cases Rate per 100,000 population Cases Rate per 100,000 population Cases Rate per 100,000 population HIV 1 4.2 2 8.6 2 8.6 0 0 3 13.1 AIDS 1 4.2 0 0 1 4.3 0 0 1 4.4 Area HIV Newly Diagnosed 3 year average AIDS Newly Diagnosed 3 year average State Rank Avg. per 100,000 State Rank Avg. per 100,000 Caswell 56 7.2 71 2.9 State of NC N/A 13.4 N/A 7.7 39 Year Number Tested Number Positive % Positive Number Newly Positive % New Positive 2015 Caswell 346 1 .30 1 .30 2015 State of NC 207,267 2,021 1.00 956 .50 2014 Caswell 375 0 .00 0 .00 2014 State of NC 209,715 973 .50 491 .20 40 20 3/27/2017 Central Carolina Health Network Mission 41 Prevention and education Find those with HIV Get them into care Get them virally suppressed THANK YOU! 42 21
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