Download Highlights from the MN HIV Surveillance Report, 2015, slides only

Highlights from the MN HIV
Surveillance Report, 2015
HIV/AIDS Surveillance System
Sexually Transmitted Diseases, HIV and Tuberculosis Section, Epidemiology and Surveillance Unit
HIV/AIDS in Minnesota
New HIV Disease Diagnoses, HIV (non-AIDS) and AIDS
Cases by Year, 2005-2015
HIV Disease Diagnoses*
HIV (non-AIDS)
AIDS^
AIDS at first diagnosis
No. of New HIV/AIDS Cases
400
350
300
250
200
150
100
50
0
Year
*Includes all new cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis) diagnosed within a given calendar year.
^Includes all new cases of AIDS diagnosed within a given calendar year, including AIDS at first diagnosis. This includes refugees in the HIV+ Resettlement Program, as well as, other
refugee/immigrants diagnosed with AIDS subsequent to their arrival in the United States.
HIV/AIDS in Minnesota: Annual Review
HIV/AIDS in Minnesota
New HIV Disease Diagnoses, Deaths and Prevalent Cases
by Year, 1996-2015
All Deaths^
Living with HIV/AIDS
400
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
350
300
250
200
150
100
50
0
Year
*Includes all new cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis) diagnosed within a given calendar year.
^Deaths in Minnesota among people with HIV/AIDS, regardless of location of diagnosis and cause.
HIV/AIDS in Minnesota: Annual Review
No. of Persons Living w/ HIV/AIDS
No. of New HIV/AIDS Cases and Deaths
HIV Disease Diagnoses*
HIV Diagnoses* by County of Residence at
Diagnosis, 2015
Kittson
Roseau Lake of the Woods
Marshall
Koochiching
Pennington
Beltrami
Red Lake
Cook
Polk
St. Louis
Clearwater
Lake
Itasca
Norman Mahnomen
Cass
Hubbard
Becker
Clay
Aitkin
Wadena
Wilkin
Carlton
Crow Wing
Otter Tail
Todd
Grant
Douglas
Stevens
Pope
Pine
Morrison
Traverse
Mille LacsKanabec
Number of Diagnoses
Benton
Isanti
Stearns
Sherburne
Big Stone
Swift
Lac qui Parle
Kandiyohi
Wright
Meeker
Chippewa
Yellow Medicine
Renville
1-5
Anoka
6-50
HennepinWashington
Ramsey
McLeod Carver
Redwood
Brown
50+
Scott Dakota
Sibley
Lincoln Lyon
0
Chisago
City of Minneapolis – 93
City of St. Paul – 30
Suburban# – 131
Greater Minnesota – 37
Total number = 294*
*Missing=3
Nicollet Le Sueur Rice
Goodhue
Wabasha
PipestoneMurray Cottonwood
Blue Earth
SteeleDodge Olmsted Winona
Watonwan
Waseca
Rock
*HIV
Nobles
Jackson
Martin
or AIDS at first diagnosis
#
Faribault Freeborn
Mower
Fillmore Houston
7-county metro area, excluding the cities of Minneapolis and St. Paul
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* in Minnesota
by Gender and Residence at Diagnosis, 2015
Males n = 225
Greater MN
14%
Suburban
41%
Females n = 69
Greater MN
8%
Minneapolis
37%
St. Paul
15%
Minneapolis
15%
St. Paul
16%
Suburban
61%
Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott,
and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area.
* HIV or AIDS at first diagnosis
HIV/AIDS in Minnesota: Annual Review
Gender and Race/Ethnicity
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* by Gender and
Year of Diagnosis, 2005 - 2015
450
400
Males
Females
Number of Cases
350
300
250
200
150
100
50
0
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Year
* HIV or AIDS at first diagnosis
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* in Year 2015 and General
Population in Minnesota by Race/Ethnicity
HIV Diagnoses
(n = 294)
Population†
(n = 5,303,925)
Afr Amer
24%
White
83%
White
42%
Afr Amer
4%
Afr born
1%
Hispanic
5%
Amer Ind
1%
0%
Other
2%
Afr born
20%
Asian
4%
Hispanic
8%
* HIV or AIDS at first diagnosis
†
Other
2%
Population estimates based on 2010 U.S. Census
data.
n = Number of persons
Amer Ind = American Indian
Afr Amer = African American (Black, not African-born persons)
Afr born = African-born (Black, African-born persons)
HIV/AIDS in Minnesota: Annual Review
API
4%
HIV Diagnoses* Diagnosed in Year 2015
by Gender and Race/Ethnicity
Females (n = 68)
Males (n = 225)
Afr Amer
19%
White
49%
Afr Amer
26%
White
16%
Other
3%
Other
2%
Asian
4%
Amer Ind
0%
Afr born
Hispanic 10%
9%
Afr born
54%
Asian
3% Amer IndHispanic
0%
5%
* HIV or AIDS at first diagnosis
n = Number of persons
Afr Amer = African American (Black, not African-born persons)
Afr born = African-born (Black, African-born persons)
Amer Ind = American Indian
Other = Multi-racial persons or persons with unknown race
HIV/AIDS in Minnesota: Annual Review
Number of Cases and Rates (per 100,000
persons) of HIV Diagnoses* by
Race/Ethnicity†– Minnesota, 2015
Race/Ethnicity
White, non-Hispanic
Black, African-American
Black, African-born
Hispanic
American Indian
Asian/Pacific Islander
Other^
Total
Cases
%
Rate
120
72
59
24
0
10
6
291
41%
25%
20%
8%
0%
3%
2%
100%
2.7
36.5
76.1††
9.6
0.0
4.7
#
5.4
* HIV or AIDS at first diagnosis; 2010 U.S. Census Data used for rate calculations.
†
“African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks.
Estimate of 77,557 Source: 2010-2012 American Community Survey. Additional calculations by the State Demographic Center.
^ Other = Multi-racial persons or persons with unknown or missing race
#-Number of cases too small to calculate reliable rate
††
HIV/AIDS in Minnesota: Annual Review
Number of Cases and Rates (per 100,000
persons) of Adult and Adolescent HIV
Diagnoses** by Gender/Risk†, Minnesota,
2015
Gender/Risk
Men (Total)
MSM†
Non-MSM
Women
Total
Cases
%
Rate
(225)
156
69
68
76%
69%
31%
23%
8.5
168.1††
2.7
2.5
294
100%
5.5
**HIV or AIDS at first diagnosis over the age of 13
•
†
2010 U.S. Census Data for persons age 13 and over used for rate calculations.
“MSM” refers to both MSM and MSM/IDU.
††
Estimate of 92,788
HIV/AIDS in Minnesota: Annual Review
Number of Cases of Adult and Adolescent
HIV Diagnoses** by Gender Identity and
Risk†, Minnesota, 2015
Gender/Risk
Cases
%
(220)
152
68
68
75%
69%
31%
23%
Transgender (Total)
5
2%
Male to Female
5
100%
Female to Male
0
0%
294
100%
Men (Total)
MSM†
Non-MSM
Women
Total
**HIV or AIDS at first diagnosis over the age of 13
†
“MSM” refers to both MSM and MSM/IDU.
HIV/AIDS in Minnesota: Annual Review
Mode of Exposure
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* by Mode of Exposure
and Year, 2005 - 2015
250
MSM
IDU
MSM/IDU
Heterosexual
Unspecified
Number of Cases
200
150
100
50
0
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Year
MSM = Men who have sex with men
* HIV or AIDS at first diagnosis
IDU = Injecting drug use
Heterosexual = Heterosexual contact
Unspecified = No mode of exposure ascertained
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* Among Males by Mode
of Exposure and Year,
2005 - 2015
250
MSM
IDU
MSM/IDU
Heterosexual
Unspecified
Number of Cases
200
150
100
50
0
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Year
MSM = Men who have sex with men
* HIV or AIDS at first diagnosis
IDU = Injecting drug use
Heterosexual = Heterosexual contact
Unspecified = No mode of exposure ascertained
HIV/AIDS in Minnesota: Annual Review
2015
Number of Cases
HIV Diagnoses* Among Females by Mode
of Exposure and Year of Diagnosis,
2005
2015
90
IDU
85
80
75
70
65
60
55
50
45
40
35
30
25
20
15
10
5
0
2005
2006
2007
2008
Heterosexual
2009
2010
Unspecified
2011
2012
2013
2014
2015
Year
IDU = Injecting drug use Heterosexual = Heterosexual contact with HIV+ , bisexual, IDU, hemophiliac/blood project or organ transplant recipient, or
with partner with unknown risk
Unspecified = No mode of exposure ascertained
* HIV or AIDS at first diagnosis
HIV/AIDS in Minnesota: Annual Review
Births to HIV-Infected Women and Number
of Perinatally Acquired HIV Infections* by
Year of Birth, 2005 - 2015
80
Births
HIV Infections
70
Number of Cases
60
50
40
30
Rate of Perinatal Transmission
for years 2013-2015 = 1.6%
20
10
0
2005
2006
2007
2008
2009
2010
Year
2011
2012
2013
2014
* HIV or AIDS at first diagnosis for a child exposed to HIV during mother’s pregnancy, at birth, and/or during breastfeeding.
HIV/AIDS in Minnesota: Annual Review
2015
Age
HIV/AIDS in Minnesota: Annual Review
Age at HIV Diagnosis* by Sex at Birth,
2015
50
45
Number of cases
40
35
30
25
Male
20
Female
15
10
5
0
* HIV or AIDS at first diagnosis
Age at HIV Diagnosis in Years
HIV/AIDS in Minnesota: Annual Review
Adolescents & Young Adults
(Ages 13-24)*
* Case numbers are too small to present meaningful data separately for adolescents and young adults.
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* Among Adolescents
and Young Adults† by Gender and Year,
2005 - 2015
80
Males
Females
70
Number of Cases
60
50
40
30
20
10
0
2005
* HIV or AIDS at first diagnosis
†
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Year
Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds.
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* Among Adolescents and
Young Adults† by Gender and Race/Ethnicity,
2013 - 2015 Combined
Males (n = 144)
Females (n = 30)
Afr Amer
23%
White
42%
Hispanic
10%
Amer Ind
0%
White
20%
Asian/PI
3%
Afr Amer
35%
Other
4%
Afr born
4%
Amer Ind
1%
* HIV or AIDS at first diagnosis
†
Adolescents defined as 13-19 year-olds;
Young Adults defined as 20-24 year-olds.
Hispanic
11%
Afr born
40%
Asian/PI
3% Other
4%
n = Number of persons
Amer Ind = American Indian
Afr Amer = African American (Black, not African-born persons)
Afr born = African-born (Black, African-born persons)
Other = Multi-racial persons or persons with unknown race
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* Among Adolescents and
Young Adults† by Gender and Estimated
Exposure Group#, 2013 - 2015 Combined
Females (n = 30)
Males (n = 144)
Heterosex
91%
MSM
90%
IDU
1%0%
MSM/IDU
7%
Other0%
1%
Heterosex
1%
IDU
5%
Other
4%
n = Number of persons
MSM = Men who have sex with men
* HIV or AIDS at first diagnosis
IDU = Injecting drug use
Heterosex = Heterosexual contact
† Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds.
# Mode of Exposure proportions have been estimated using cases for 2013-2015 with known risk. For more detail see the HIV Surveillance Technical notes.
HIV/AIDS in Minnesota: Annual Review
HIV and Hepatitis B, C co-infection
HIV/AIDS in Minnesota: Annual Review
HIV and Hepatitis B and C

As of December 31, 2015* , 8,215 persons are assumed alive and
living in Minnesota with HIV/AIDS

Of these 8,215 persons, 932 (11%) are co-infected with either
Hepatitis B or C


Of the 932, 340 (36%) are living with HIV and Hep B
Of the 932, 592 (64%) are living with HIV and Hep C
* This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes
state prisoners and refugees arriving through the HIV+ Refugee Resettlement Program, as well as, HIV+ refugee/immigrants arriving through other
programs.
Data Sources: Minnesota HIV/AIDS Surveillance System and Minnesota Hepatitis Surveillance System
HIV/AIDS in Minnesota: Annual Review
Foreign-born Cases
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* among Foreign-Born
Persons† in Minnesota by Year and
Region of Birth, 2005 - 2015
Number of Cases
100
80
60
40
Region of Birth#
20
Other
Latin America/Car
0
Asia
Africa
Year
* HIV or AIDS at first diagnosis
† Excludes
persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival
in Minnesota.
# Latin
America/Car includes Mexico and all Central, South American, and Caribbean countries.
HIV/AIDS in Minnesota: Annual Review
HIV Diagnoses* Among Foreign-Born
Persons† by Gender and Year,
70
2005 – 2015
Males
60
Females
Number of Cases
50
40
30
20
10
0
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Year
•HIV or AIDS at first diagnosis
† Excludes
persons arriving in Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis
prior to arrival in Minnesota.
HIV/AIDS in Minnesota: Annual Review
Countries of Birth Among Foreign-Born
Persons† Diagnosed with HIV*,
Minnesota, 2015
•Liberia (n=26)
•Ethiopia (n=11)
•Mexico (n=9)
•Cameroon (n=7)
•Nigeria (n=4)
•Somalia (n=4)
•Viet Nam (n=3)
•Guatemala (n=2)
•El Salvador (n=2)
* HIV or AIDS at first diagnosis
•South Africa (n=2)
•Other^ (n=19)
† Excludes
persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival in
Minnesota.
^ Includes 18 additional countries.
HIV/AIDS in Minnesota: Annual Review
Late Testers
(AIDS Diagnosis within one year of initial HIV Diagnosis)
HIV/AIDS in Minnesota: Annual Review
Time of Progression to AIDS for HIV
Diagnoses in Minnesota*,
2005 - 2015†
No AIDS DX
AIDS DX > 1yr
400
Number of Cases
350
AIDS DX <= 1yr
29.5%^
29.4%^
30.0%^
31.4%^ 33.2%^
31.1%^
300
31.4%^
29.2 %^ 34.4%^
27.1%^
2011
2012
2014
26.2%^
250
200
150
100
50
0
2005
2006
2007
2008
2009
2010
2013
2015
Year
*Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV
diagnosis prior to arrival in Minnesota.
^ Percent of cases progressing to AIDS within one year of initial diagnosis with HIV
† Numbers/Percent
for cases diagnosed in 2015 only represents cases progressing to AIDS through April 6, 2016.
HIV/AIDS in Minnesota: Annual Review
Time of Progression to AIDS for HIV
Diagnoses* Among Foreign-Born
Persons, Minnesota 2005 - 2015†
No AIDS DX
100
AIDS DX > 1yr
AIDS DX <= 1yr
Number of Cases
40.7%^
75
38.4%^
46.7%^
34.6%^
41.9%^
46.6%^
38.9%^
41.4%^
42.9%^
48.3%^
47.5%^
50
25
0
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Year
*Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV
diagnosis prior to arrival in Minnesota.
^ Percent of cases progressing to AIDS within one year of initial diagnosis with HIV
† Numbers/Percent
for cases diagnosed in 2015 only represents cases progressing to AIDS through April 6, 2016.
HIV/AIDS in Minnesota: Annual Review
Conclusion





Total HIV diagnoses for 2015 similar to 2014
Male to Male sex remains the leading risk factor
for HIV
More than half of newly reported cases were
among communities of color
 More than half among black African-born
women
 More than one-fourth among African-American
men
Cases of injection drug users increased by 86%
Cases among 20-29 year olds increased by 24%
Thank You!
For more information, please contact:
Cheryl Barber, HIV/AIDS Surveillance Coordinator
[email protected]
(651) 201-5624
Pre-exposure prophylaxis
(PrEP)
Christine L. Jones, M.S.W.
STD/HIV/TB Section
What is PrEP?
Pre-exposure
prophylaxis, or PrEP, is a
way for people who do
not have HIV but who
are at substantial risk of
getting it to prevent HIV
infection by taking a pill
(Truvada) every day.
What puts a person at
substantial risk?






HIV-positive sexual partner
Recent bacterial STD
Multiple sex partners
Inconsistent or no condom use
Commercial sex work
HIV-discordant couples wanting to
conceive a child
How effective is PrEP?
Daily use can reduce risk of HIV from:

Sexual transmission by more than 90%

Injection drug use by more than 70%
Combination with additional strategies
reduces risk even further.
MDH and PrEP
Currently supports three PrEP
programs:
 MSM


High Risk Heterosexuals
HIV-discordant Couples (conception)
What’s Next?



Expansion of PrEP programs
throughout the state
Education and recruitment of PrEPfriendly providers
Education and awareness of PrEP
within high risk communities
Thank You!
For more information, please contact:
Japhet Nyakundi
651-201-4030
[email protected]
Hepatitis A, B & C in
Minnesota, 2015
Minnesota Department of Health
Hepatitis Surveillance System
Kristin Sweet, PhD, MPH
Hepatitis Unit
Viral Hepatitis Overview
Introduction


Data in this presentation are current through 2015
Definitions:
 Acute case:



Chronic case:



Infected within the last six months
Symptomatic OR negative test in six months before
diagnosis
Infected for over six months
Asymptomatic or symptomatic
Resolved cases:


No evidence of current infection
Evidence of past infection
Data limitations

The slides rely on data from HCV and HBV cases diagnosed through 2015 and
reported to the Minnesota Department of Health (MDH) Hepatitis Surveillance
System.

Some limitations of surveillance data:

Data do not include hepatitis-infected persons who have not been tested

Data do not include persons whose positive test results have not been
reported to the MDH

Persons are assumed to be alive unless the MDH has knowledge of their death.

Persons whose most recently reported state of residence was Minnesota are
assumed to be currently residing in Minnesota unless the MDH has knowledge of
their relocation.
Acute Viral Hepatitis

Acute case:
 Infected within the last six months
 Symptomatic OR negative test
within 6 months before diagnosis
Reported rate per 100,000 population of acute viral hepatitis
United States, 1998-2013
10
9
Rate per 100,000
8
7
6
5
4
3
2
1
0
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Year
HAV
HBV
HCV
Data Source: Viral Hepatitis Statistics & Surveillance at http://www.cdc.gov/hepatitis/statistics/2013surveillance/index.htm
Number of Acute* Cases per year Minnesota,
1998-2015
250
Number of cases
200
150
100
50
0
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Year
HAV
Data Source: MN Viral Hepatitis Surveillance System
HBV
HCV
*Acute cases include seroconverters for all years for HBV and HCV
Chronic Viral Hepatitis
Overview of Chronic HBV in MN

Chronic case:
 Infected for over six months


Includes cases with no evidence of recent
infection
Asymptomatic or symptomatic
Reported Number of Persons
with Chronic HBV in MN

As of December 31, 2015, 23,855*
persons are assumed alive and living
in MN with chronic HBV
*Includes persons with unknown city of residence
Note: Includes all chronic, and probable chronic cases.
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HBV in MN
by Current Residence, 2015
Total number with residence
information = 23,615
Greater Minnesota
16%
Metro
84%
(240 missing residence information)
Metro = Seven-county metro area including Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington counties.
Greater MN = All other Minnesota counties, outside the seven-county metro area.
Data Source: MN Viral Hepatitis Surveillance System
Persons with Chronic HBV in MN
by Age, 2015
700
600
Median= 45
Number of Cases
500
400
300
200
100
0
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69 71 73 75 77 79 81 83 85 87 89 91 93 95 97 99
Age
Data Source: MN Viral Hepatitis Surveillance System
Chronic HBV in MN by Gender,
2015
Transgender
0%
Unknown
1%
Female
43%
Male
56%
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with Chronic HBV
in Minnesota by Race,
2015
Unknown
19%
White
10%
Other
2%
Afr Amer
27%
Amer Ind
0%
Asian
41%
Data Source: MN Viral Hepatitis Surveillance System
Hispanic
1%
Afr Amer = African American /Black Asian=Asian or Pacific Islander
Amer Ind = American Indian
Other = Multi-racial persons or persons with other race
Persons Living with Chronic HBV in Minnesota by Race
rates (per 100,000 persons*), 2015
4500
4,196
4000
Rate per 100,000
3500
3000
2500
2,204
2000
1500
1000
500
159
54
0
Asian or Pacific
Islander
Black or African
American
American Indian or
Alaska Native
White
*Rates calculated using 2013 U.S. Census ACS data
Excludes 3,396 cases with multiple races and unknown race
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HBV in Minnesota by Ethnicity
rates (per 100,000 persons*), 2015
250
196
Rate per 100,000
200
150
100
50
0
Hispanic
*Rates calculated using 2014 U.S. Census ACS data
Excludes persons with unknown ethnicity, n=19,432
Data Source: MN Viral Hepatitis Surveillance System
Chronic HBV in MN by Place of Birth, 2015
Unknown
29%
US born
2%
Foreign born
69%
Data Source: Minnesota Viral Hepatitis Surveillance System
Overview of HCV in Minnesota
A hepatitis C case is defined as current or past
infection with hepatitis C and includes:
 Acute cases:
 Infected within the last six months
 Symptomatic
 Chronic cases:
 Infected for over six months
 Resolved cases:
 No evidence of current infection
 Evidence of past infection
Reported Number of Persons
Living with HCV in MN

As of December 31, 2015, 45,791*
persons are assumed alive and living
in MN with HCV
*Includes persons with unknown city of residence
Note: Includes all acute, chronic, probable chronic, and resolved cases.
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HCV in MN by Current
Residence, 2015
Saint Paul
7%
Total number with residence
information = 44,503
Minneapolis
22%
Greater Minnesota
40%
Suburban Metro
31%
(1,288 missing residence information)
Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul),
Scott, and Washington counties including those in Hennepin County or Ramsey County with unknown city. Greater MN = All other
Minnesota counties, outside the seven-county metro area.
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HCV in MN by Age,
2015
2500
Median= 57
Number of Cases
2000
1500
1000
500
0
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55 58 61 64 67 70 73 76 79 82 85 88 91 94 97
Age
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HCV in MN
by Gender*, 2015
Transgender
0%
Unknown
1%
Female
35%
Male
64%
*Includes anonymous methadone patients
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with Chronic HCV in
Minnesota by Race, 2015
Unknown
30%
White
44%
Other
1%
Asian
2%
Hispanic
2%
Data Source: MN Viral Hepatitis Surveillance System
Amer Ind
6%
Afr Amer
15%
Afr Amer = African American /Black Asian=Asian or Pacific Islander
Amer Ind = American Indian
Other = Multi-racial persons or persons with other race
Persons Living with HCV in Minnesota by Race
rates (per 100,000 persons*), 2015
5000
4500
4,485
Rate per 100,000
4000
3500
3000
2,279
2500
2000
1500
1000
459
447
Asian or Pacific Islander
White
500
0
American Indian or Alaska Black or African American
Native
*Rates calculated using 2014 U.S. Census ACS data
Excludes persons with multiple races or unknown race, n=30,987
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HCV in Minnesota by Ethnicity
rates (per 100,000 persons*), 2015
500
450
449
Rate per 100,000
400
350
300
250
200
150
100
50
0
Hispanic
*Rates calculated using 2014 U.S. Census ACS data
Excludes persons with unknown ethnicity, n=19,432
Data Source: MN Viral Hepatitis Surveillance System
Hepatitis C in Persons Under
30
New Reports of HCV in Minnesota by Age Group, 2015
600
Number of Cases
500
400
2000
300
2005
2010
2015
200
100
0
0-5
6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-75 76-80 81-85 86-90
Age Group
New Reports of HCV in Minnesota by Year of Birth, 2015
1000
900
800
Number of cases
700
600
2000
500
2005
2010
400
2015
300
200
100
0
1996-2005
1986-1995
1976-1985
1966-1975
1956-1965
Year of Birth
1946-1955
1936-1945
1926-1935
1916-1925
Changes Ahead:
Preparing for 2016
Big Changes in 2016

We will no longer include resolved
hepatitis C cases in our prevalence
estimates
Changes in Case definitions

The national case definition changed
for 2016
 Confirmed cases must have
detectable RNA
 Probable cases have ONLY a
positive antibody test
Changes in Case definitions: MN

Next year
 Total case counts will EXCLUDE
resolved cases
Thank You!
For more information, please contact:
Kristin Sweet, PhD, MPH
[email protected]
(651) 201-4888
MDH Tuberculosis Program
Dzung Thai, MPH, TB Epidemiologist
STD/HIV/TB Section
MDH Tuberculosis Program



2015 TB data slides available this
summer
Website: www.health.state.mn.us/tb
Phone: 651-201-5414 / 877-676-5414
(ask for the TB program)
Questions?
Thank You!
For more information, please contact:
Cheryl Barber, HIV/AIDS Surveillance Coordinator
[email protected], (651) 201-5624
Japhet Nyakundi
[email protected], 651-201-4030
Kristin Sweet, PhD, MPH, Hepatitis
[email protected], (651) 201-4888
Dzung Thai, TB
[email protected], 651-201-5414 (ask for the TB program)
www.health.state.mn.us/hiv