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HIV/AIDS Prevention Committee
Public Meeting
November 21, 2013
Welcome and Purpose of Meeting

James W. Gross, MPH
Health Commissioner
Public Health – Dayton & Montgomery County
1
Introductions and Logistics
LeBarron Springer
Community Member
Co-Chair of HIV/AIDS Prevention Committee
HIV and AIDS Infection Surveillance,
Ohio and Region 7

Sara Paton, Ph.D.
Epidemiologist
Public Health—Dayton & Montgomery County
November 21, 2013
Outline

New diagnoses of HIV/AIDS (incidence)

Living with a diagnosis of HIV/AIDS (prevalence)

Deaths among persons reported with a diagnosis of
HIV/AIDS

STD summary
APC Public Meeting
4
New Diagnoses of HIV/AIDS
APC Public Meeting
5
New Diagnoses of HIV/AIDS 2012
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton &
Montgomery County. Data reported through June 30, 2013
6
Reported diagnoses of HIV infection by year of
diagnosis and cumulative diagnoses
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013.
Asterisk (*) indicates rate not calculated for case count < 5 due to unstable rates. Dash (-) indicates no cases were
reported for the given category.
7
Diagnoses of HIV infection, by race/ethnicity and
transmission category, Ohio 2012
HIV/AIDS Diagnosis
Transmission Category
White, not Hispanic
Black, African
American
Hispanic/ Latino
Asian/Pacific
Islander
Unknown
No.
%
No.
%
No.
%
No.
%
No.
%
Male-to-male sexual contact
276
67%
242
62%
35
69%
1
20%
28
65%
Injection drug use (IDU)
8
2%
6
2%
3
3%
-
-
1
2%
Male-to-male sexual contact and IDU
15
4%
7
2%
1
2%
-
-
2
5%
Heterosexual contact
8
2%
18
5%
1
2%
-
-
1
2%
Other/unknown
105
25%
117
30%
11
22%
4
80%
11
26%
Injection drug use
5
8%
2
2%
1
20%
-
-
-
-
Heterosexual contact
21
36%
26
22%
1
20%
-
-
2
29%
Other/unknown
33
56%
91
76%
3
60%
2
100%
5
71%
Perinatal
-
-
1
13%
-
-
-
-
-
-
Other/unknown
-
-
7
88%
-
-
-
-
-
-
Total
471
Male adult or adolescent
Female adult or adolescent
Child (<13 yrs at diagnosis)
517
56
7
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County.
Data reported through June 30, 2013; Dash (-) indicates no cases
50
8
Time to an AIDS diagnosis after
a diagnosis of HIV infection, 2012
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013
9
% of Reported Diagnoses of HIV Infection by
Selected Characteristics, Ohio
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013
10
Number of New HIV and AIDS Cases by
Transmission Category, 2012
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013
11
Summary of New HIV/AIDS Diagnoses

The HIV rate for 2011 in Montgomery County
increased 7.1% compared to 2010 (15 vs. 14 per
100,000). Butler County had a 16% increase,
Warren had a 28% increase and Ohio had a 8.3%
increase in HIV rate.

Males have a much higher percentage of cumulative
HIV/AIDS cases
(80-85% for the state and Region 7).

New cases of HIV in females have decreased 25%
from 2006 to 2012 while males have increased 8%.
APC Public Meeting
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Summary of New HIV/AIDS Diagnoses

Black, non-Hispanics accounted for 43% of new
HIV/AIDS diagnoses in 2012, but only represent
approximately 14% of the population in Ohio.

In Montgomery County, 2012, 60% of HIV cases
converted to AIDS in less than 1 year.
APC Public Meeting
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Summary of New HIV/AIDS Diagnoses

Among males in Ohio, 67% of 2012 diagnoses of
HIV infection were transmitted through male-to-male
sexual contact.

Among females in Ohio, 36% of 2012 diagnoses of
HIV infection were transmitted through heterosexual
contact and 56% were unknown.
APC Public Meeting
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Living with a Diagnosis of
HIV/AIDS
APC Public Meeting
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Reported Persons Living with a Diagnosis of
HIV/AIDS Infection 2011
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013
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Reported Persons Living with a Diagnosis of HIV
Infection from 2006 - 2011
Ohio 2006 = 13,174
Ohio 2011 = 17,807
*35% increase
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013.
17
Reported Persons Living with a Diagnosis of HIV
Infection by Selected Characteristics, Ohio
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County. Data reported
through June 30, 2013
18
Persons Living with a Diagnosis of HIV Infection as of
June 30, 2013, by Transmission Category.
HIV/AIDS Diagnosis
Transmission Category
Ohio
Montgomery
Butler
No.
%
Darke
No.
%
20
77%
Miami
No.
%
No.
%
No.
%
Male-to-male sexual contact
9,114
65%
648
72%
Injection drug use (IDU)
657
5%
24
3%
9
4%
-
-
-
-
Male-to-male sexual contact and
IDU
607
4%
32
4%
6
3%
1
4%
1
Heterosexual contact
1,057
8%
54
6%
14
6%
1
4%
3
Other/unknown
2,561
18%
142 16%
51 24%
4
Injection drug use
400
11%
29 12%
Heterosexual contact
2,132
59%
149
Other/unknown
1,082
30%
69
Perinatal
161
82%
11
79%
2 100%
-
-
-
Other/unknown
36
18%
3
21%
-
-
-
-
Total
17,807
Preble
Warren
No.
%
No.
%
5
56%
49
69%
-
-
2
3%
2%
-
-
1
1%
6%
1
11%
3
4%
15%
5 11%
3
33%
16
23%
7%
1 33%
2 11%
1
33%
1
4%
60%
30 56%
2 67%
14 78%
2
67%
11
48%
28%
20 37%
-
2 11%
-
-
11
48%
-
-
-
3
100%
-
-
-
-
-
Male adult or adolescent
137 63%
38 81%
Female adult or adolescent
4
-
Child (<13 yrs at diagnosis)
1,164
273
-
29
65
12
Ohio Department of Health HIV/AIDS Surveillance Program, Public Health – Dayton & Montgomery County.
Data reported through June 30, 2013; Dash (-) indicates no cases
97
19
Summary of Persons Living with an
HIV/AIDS Diagnosis

In 2011, 1,161 people in Montgomery County were
living with HIV/AIDS. This is a 35% increase from
2006. All counties in Region 7 and the state showed
an increase from 2006 to 2011.

The proportion of persons living with AIDS (not HIV)
in Montgomery County 2011 was 52%, up from 51%
in 2010. This proportion varies among counties
(Warren has 58% living with AIDS).
APC Public Meeting
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Summary of Persons Living with an
HIV/AIDS Diagnosis

In Ohio 2011, those 45-49 years of age have the
largest number and proportion of persons living with
an HIV infection (19%) compared to other age
groups. This is followed by 40-44 year olds (16%)
and then 50-54 and 55-59 year olds (15% each).
APC Public Meeting
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Summary of Persons Living with an
HIV/AIDS Diagnosis

For 2011, an estimated 48% of all reported persons
living with HIV have male-to-male sexual contact as
their mode of transmission, 18% have heterosexual
contact and 3% have Intravenous Drug User as their
mode of transmission.

Over the past 6 years there has been little change in
demographics for persons living with HIV.
APC Public Meeting
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Deaths Among Persons with a
Diagnosis of HIV/AIDS
APC Public Meeting
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Reported Deaths Among Persons with a
Diagnosis of HIV Infection
Notes: Deaths among persons with a diagnosis of HIV infection represent deaths attributed to any cause among persons
reported with a diagnosis of HIV/AIDS.
County reflects county of residence at time of earliest diagnosis.
Source: Ohio Department of Health HIV/AIDS Surveillance Program. Data reported through Dec 31, 2012.
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Sexually Transmitted Diseases
APC Public Meeting
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Chlamydia rates*, 2007-2012
*Rates are shown per 100,000 persons and were calculated using census estimates for that year except for 2011 which utilize 2010.
Ohio Department of Health, STD Surveillance. Data reported through 05/05/13.
26
Gonorrhea rates*, 2007-2012
*Rates are shown per 100,000 persons and were calculated using census estimates for that year except for 2011 which utilize 2010.
Ohio Department of Health, STD Surveillance. Data reported through 05/05/13.
27
Syphilis rates*, 2007-2012
*Rates are shown per 100,000 persons and were calculated using census estimates for that year except for 2011 which utilize 2010.
Ohio Department of Health, STD Surveillance. Data reported through 05/05/13.
28
Hepatitis C cases*, 2008-2012
*Rates are shown per 100,000 persons and were calculated using census estimates for that year except for 2011 which utilize 2010.
Ohio Disease Reporting System, Ohio Department of Heatlth
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Summary of STDS

Overall Chlamydia rates over the past 6 years have
decreased. However, 2012 data shows an increase
of Chlamydia in all counties of our region.

Gonorrhea rates have decreased 29% in
Montgomery County since 2007. Ohio and Butler
have also shown decreases. The other counties
have remained relatively stable except for Miami,
which has had a 159% increase in Gonorrhea rates
from 2006-2011.

Syphilis rates are increasing in the region and state.
Montgomery has increased 200% since 2007.
APC Public Meeting
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Summary of STDS

Syphilis rates are increasing in the region and
state from 2007-2012.
 Montgomery – 200%
 Butler – 988%
 Darke – 0%
 Miami – -200%
 Preble – 240%
 Warren – 660%
APC Public Meeting
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Summary of STDS

Individuals who are infected with STDs are at least
two to five times more likely than uninfected
individuals to acquire HIV infection if they are
exposed to the virus through sexual contact.

In addition, if an HIV-infected individual is also
infected with another STD, that person is more likely
to transmit HIV through sexual contact than other
HIV-infected persons.

STD treatment reduces an individual's ability to
transmit HIV.
APC Public Meeting
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Questions?
[email protected]
APC Public Meeting
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MSM Statewide Initiative

Kristen Neumann-Martiensen
HIV Prevention Specialist for MSM
34
Personal Experience

Adrian Neil Jr.
Outreach Specialist
Greater Columbus Mpowerment Center
35
Evidenced Based Initiatives

Mark Pawelczak
ODH Human Services Program Consultant
HIV/STD Prevention Program
36
Group Facilitation

Joyce Close BSN, RN
Bureau Supervisor Communicable Disease
Public Health – Dayton & Montgomery County
37
Evaluations

Andrea Young BS
Supervisor HIV/AIDS Programs
Public Health – Dayton & Montgomery County
38