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HIV/STD & Blood borne Infections Surveillance Section Division of Communicable Disease Bureau of Epidemiology REVISED AS OF JANUARY 25, 2008 July 1, 2007 TABLE 1: Characteristics of BERRIEN CO. Residents Living with HIV or AIDS as of July 1, 2007 Estimate of HIV Prevalence1 BERRIEN CO. TOTAL 300 Reported Living with AIDS2 Number Percent 117 100% Reported Living with HIV not AIDS2 Number Percent 96 100% SEX Male Female BEHAVIOR Male-Male sex Injecting Drug Use Male-Male Sex/IDU Blood Products Heterosexual3 180 120 68 49 58% 42% 57 39 59% 41% 70 20 10 10 110 30 7 <5 0 41 26% 6% * 0% 35% 17 8 <5 <5 37 18% 8% * * 39% HRH 80 30 26% 28 29% PH-Female 30 11 9% 9 9% 10 80 <5 34 * 29% <5 26 * 27% PH-Male 50 20 17% 14 15% Unknown 40 14 12% 12 13% 10 10 30 50 120 60 10 10 Not Applicable <5 <5 14 19 44 26 7 <5 0 * * 12% 16% 38% 22% 6% * 0% <5 6 9 14 43 17 <5 <5 0 * 6% 9% 15% 45% 18% * * 0% 80 200 10 10 10 Not Applicable 38 73 6 0 0 0 32% 62% 5% 0% 0% 0% 22 70 <5 0 0 <5 23% 73% * 0% 0% * Perinatal Undetermined4 AGE AT HIV DIAGNOSIS 0 -12 years 13 -19 years 20 -24 years 25 -29 years 30 -39 years 40 -49 years 50 -59 years 60 years and over Unspecified RACE / ETHNICITY White, Non-Hisp. Black, Non-Hisp. Hispanic Asian American Indian Unspecified/Other/Multi-race 1. This estimate includes all persons living in BERRIEN CO. at diagnosis of HIV or AIDS, including those not reported or not yet diagnosed. All estimates are rounded to the nearest ten, and the minimum estimate given is 10. The formula used to gain these estimates was updated October 2003, January 2004 and January 2007 so that numbers are only rounded at the end of the estimate calculation and so that cases with no identified risk are no longer part of the equation. This may result in minor variations when compared to past estimates. 2. Includes reports that contain patient name or are otherwise unduplicated. <5 and '*' = 1, 2, 3, or 4 cases. 3. Heterosexual risk is made up of two sub-categories, (1) HRH [High Risk Heterosexual]: Males and females whose sexual partners are known to be HIV-infected or at high risk for HIV. The partners meet one of the following criteria: a history of sexual contact with bi-sexual males (for females), IDU, hemophiliacs, HIV+ transfusion recipients or other HIV+ persons of unknown risk and (2) PH [Presumed Heterosexual]-female: Females whose only reported risk is heterosexual contact, and their male partners' risk and HIV status are unknown. 4. Undetermined risk is made up of two sub-categories, (1) PH [Presumed Heterosexual]-Male: Males whose only reported risk is heterosexual contact, and their female partners' risk and HIV status are unknown and (2) Unknown: Males and Females with no identified risk. HIV/STD & Blood borne Infections Surveillance Section Division of Communicable Disease Bureau of Epidemiology July 1, 2007 Table 2: Berrien County Residents Living with HIV Infection by City, as of 7/1/2007 City Berrien Co. Baroda Benton Harbor Berrien Springs Bridgman Buchanan Coloma Galien New Buffalo Niles Sawyer Sodus St. Joseph Stevensville Three Oaks Watervliet Unknown Estimate of HIV Prevalence2 300 10 120 40 10 30 10 10 10 40 10 10 20 10 10 10 Not applicable HIV or AIDS 1 Number 213 <5 83 29 <5 18 <5 <5 <5 31 <5 6 13 8 6 7 <5 Percent 100% * 39% 14% * 8% * * * 15% * 3% 6% 4% 3% 3% * 1. Reports that contain patient name or are otherwise unduplicated. 2. This estimate includes all persons living with HIV or AIDS, including those not reported or not yet diagnosed. All estimates are rounded to the nearest ten, and the minimum estimate given is 10. The formula used to gain these estimates was updated October 2003, January 2004 and January 2007 so that the numbers are only rounded at the at the end of the estimate calculation and so that cases with no identified risk are no longer part of the equation. This may result in minor variations when compared to past estimates. HIV/STD & Blood borne Infections Surveillance Section Division of Communicable Disease Bureau of Epidemiology Year 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 TOTAL Table 3: Berrien County HIV/AIDS Prevalence through July 1, 2007 HIV/AIDS HIV AIDS HIV/AIDS Deaths/Year Incidence Incidence Prevalence 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 2 2 5 4 5 1 8 2 12 7 12 7 17 3 9 4 23 3 26 9 46 5 13 12 54 2 19 11 71 10 13 13 74 9 18 13 83 11 13 11 85 7 17 13 95 5 14 8 104 7 15 10 112 5 11 5 118 6 22 14 134 2 23 18 155 6 16 13 165 4 20 13 181 5 13 10 189 3 12 9 198 4 14 13 208 1 6 2 213 108 321 215 July 1, 2007 AIDS Prevalence 0 0 0 0 1 3 4 4 5 11 18 27 30 36 37 43 47 51 51 61 77 84 94 99 105 115 117 ***Reported HIV/AIDS prevalence (all persons currently living with an HIV or AIDS diagnosis) is 213 persons through July 1, 2007*** ***Reported AIDS prevalence (all persons currently living with an AIDS diagnosis & note this is a subset of the HIV/AIDS prevalence listed above) is 117 persons through July 1, 2007*** Year 20 0 20 0 20 0 20 0 20 0 20 0 20 0 20 0 19 9 19 9 19 9 19 9 19 9 19 9 19 9 19 9 19 9 19 9 19 8 19 8 19 8 19 8 19 8 19 8 7 6 5 4 3 2 1 0 9 8 7 6 5 4 3 2 1 0 9 8 7 6 5 4 Persons living with HIV/AIDS Prevalence of Berrien County residents living with HIV/AIDS and AIDS 250 200 150 100 HIV/AIDS Prevalence AIDS Prevalence 50 0 HIV/STD & Blood borne Infections Surveillance Section Division of Communicable Disease Bureau of Epidemiology July 1, 2007 Information based on the July 1, 2007 Michigan Quarterly HIV/AIDS Analysis Residence at Estimate of Reported Persons Persons Persons ever time of HIV Prevalence living with living with diagnosed diagnosis Prevalence Rate AIDS HIV not AIDS with AIDS Berrien County 300 132 117 96 215 Michigan Total 17,000 129 6,805 6,177 15,313 Note: This estimate includes all persons living with HIV or AIDS, including those not yet diagnosed. Rates are calculated per 100,000 population in 2000. Data includes reports of HIV infection and AIDS that contain patient name or are otherwise unduplicated. HIV/STD & Blood borne Infections Surveillance Section July 1, 2007 Division of Communicable Disease Bureau of Epidemiology REVISED AS OF JANUARY 25, 2008 TABLE 4: Characteristics of BERRIEN CO. Residents Living with HIV or AIDS as of July 1, 2007 Estimate of HIV Prevalence1 BERRIEN CO. TOTAL 300 Reported Living with HIV/AIDS2 Number Percent 100% 213 SEX Male Female BEHAVIOR Male-Male sex Injecting Drug Use Male-Male Sex/IDU Blood Products Heterosexual3 180 120 125 88 59% 41% 70 20 10 10 110 47 15 8 <5 78 22% 7% 4% * 37% HRH 80 58 27% PH-Female 30 20 9% 10 80 <5 60 * 28% PH-Male 50 34 16% Unknown 40 26 12% 10 10 30 50 120 60 10 10 Not Applicable <5 10 23 33 87 43 10 <5 0 * 5% 11% 15% 41% 20% 5% * 0% 80 200 10 10 10 Not Applicable 60 143 7 0 0 <5 28% 67% 3% 0% 0% * Perinatal Undetermined4 AGE AT HIV DIAGNOSIS 0 -12 years 13 -19 years 20 -24 years 25 -29 years 30 -39 years 40 -49 years 50 -59 years 60 years and over Unspecified RACE / ETHNICITY White, Non-Hisp. Black, Non-Hisp. Hispanic Asian American Indian Unspecified/Other/Multi-race 1. This estimate includes all persons living in BERRIEN CO. at diagnosis of HIV or AIDS, including those not reported or not yet diagnosed. All estimates are rounded to the nearest ten, and the minimum estimate given is 10. The formula used to gain these estimates was updated October 2003, January 2004 and January 2007 so that numbers are only rounded at the end of the estimate calculation and so that cases with no identified risk are no longer part of the equation. This may result in minor variations when compared to past estimates. 2. Includes reports that contain patient name or are otherwise unduplicated. <5 and '*' = 1, 2, 3, or 4 cases. 3. Heterosexual risk is made up of two sub-categories, (1) HRH [High Risk Heterosexual]: Males and females whose sexual partners are known to be HIV-infected or at high risk for HIV. The partners meet one of the following criteria: a history of sexual contact with bi-sexual males (for females), IDU, hemophiliacs, HIV+ transfusion recipients or other HIV+ persons of unknown risk and (2) PH [Presumed Heterosexual]-female: Females whose only reported risk is heterosexual contact, and their male partners' risk and HIV status are unknown. 4. Undetermined risk is made up of two sub-categories, (1) PH [Presumed Heterosexual]-Male: Males whose only reported risk is heterosexual contact, and their female partners' risk and HIV status are unknown and (2) Unknown: Males and Females with no identified risk. HIV/STD & Blood borne Surveillance Section Division of Communicable Disease Bureau of Epidemiology REVISED AS OF JANUARY 25, 2008 July 1, 2007 TABLE 5: Berrien Co. Residents Reported Living with HIV or AIDS: Sex by Race by Behavior MALES: White 33 67% <5 * 6 12% <5 * <5 * 0 0% <5 * Black 13 19% 8 12% <5 * <5 * 11 16% <5 * 34 49% <5 <5 * * 28 6 41% 9% Male Subtotal 49 39% 69 55% FEMALES: White <5 * 0 0% 9 82% Male-Male Sex Injecting Drug Use Male-Male Sex/IDU Blood Recipient 1 Heterosexual Perinatal 2 Undetermined PH-Male Unknown Injecting Drug Use Blood Recipient 1 Heterosexual HRH Black <5 * 0 0% 53 72% Other or Unknown <5 * <5 * <5 * 0 0% 0 0% 0 0% <5 * <5 <5 TOTAL 47 38% 11 9% 8 6% <5 * 14 11% <5 * 42 34% * * 34 8 27% 6% 7 6% Other or Unknown <5 * 0 0% <5 * 125 100% TOTAL <5 * 0 0% 64 73% 8 73% 35 47% <5 * 44 50% <5 * 18 24% <5 * 20 23% Perinatal Undetermined2 0 <5 0% * <5 17 * 23% 0 0 0% 0% <5 18 * 20% Female Subtotal 11 13% 74 84% 88 100% Total White 33 55% <5 * 6 10% <5 * 12 20% Black 13 9% 10 7% <5 * <5 * 64 45% <5 * Other or Unknown <5 * <5 * <5 * 0 0% <5 * HRH 11 18% 46 32% <5 * 58 27% PH-Female <5 * 18 13% <5 * 20 9% 0 5 0% 8% <5 51 * 36% 0 <5 0% * <5 60 * 28% <5 <5 * * 28 23 20% 16% <5 <5 * * 34 26 16% 12% 60 28% 143 67% 10 5% 213 100% PH-Female Male-Male Sex Injecting Drug Use Male-Male Sex/IDU Blood Recipient 1 Heterosexual Perinatal Undetermined2 PH-Male Unknown GRAND TOTAL TOTAL 47 22% 15 7% 8 4% <5 * 78 37% 1. Heterosexual risk is made up of two sub-categories, (1) HRH [High Risk Heterosexual]: Males and females whose sexual partners are known to be HIV-infected or at high risk for HIV. The partners meet one of the following criteria: a history of sexual contact with bi-sexual males (for females), IDU, hemophiliacs, HIV+ transfusion recipients or other HIV+ persons of unknown risk and (2) PH [Presumed Heterosexual]-female: Females whose only reported risk is heterosexual contact, and their male partners' risk and HIV status are unknown. **In the male subset, all cases in the heterosexual category are HRH because the PH-Female category is not applicable to males. 2. Undetermined risk is made up of two sub-categories, (1) PH [Presumed Heterosexual]-Male: Males whose only reported risk is heterosexual contact, and their female partners' risk and HIV status are unknown and (2) Unknown: Males and Females with no identified risk. **In the female subset, all cases in the undetermined category of unknown risk because the PH-Male category is not applicable to females. NOTE: Includes reports that contain patient name or are otherwise unduplicated. <5 and '*' = 1, 2, 3, or 4 cases.