Cuyahoga County Epidemiology Profile Ending the HIV Epidemic (EtHE) - - PowerPoint PPT Presentation

Cuyahoga County Epidemiology Profile Ending the HIV Epidemic (EtHE) Plan

Vino Panakkal vpanakkal@ccbh.net

Goal of the EtHE Plan for Cuyahoga County

• The goal of the EtHE plan is to reduce new HIV

infections by 90 percent in the next 10 years by implementing strategies related to the four pillars

• f the EtHE initiative: Diagnose, Treat, Prevent,

and Respond. For Cuyahoga County: 2018 -> 151 new infections 2025 -> 38 projected new infections (75% reduction) 2030 -> 15 projected new infections (90% reduction)

Source: Ohio Department of Health, HIV Surveillance Program. Data reported through June 30, 2019.

2014 2015 2016 2017 2018 Females 25 25 40 22 17 Males 187 183 152 126 134 212 208 192 148 151 50 100 150 200 250 # Dx of HIV Infection

Reported New Diagnoses of HIV Infection by Sex at Birth, Cuyahoga County, 2014-2018

79% 21% <1%<1%<1% 4% 9% 8% 9% 8% 12%15% 26% 9% <1%<1% 57% 12% 27% 4% 1% 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 Males Females <13 13-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-64 65+ American Indian/Alaskan Native Asian/Pacific Islander Black/African-American Hispanic/Latinx White Multi-Race Unknown Sex at Birth Age Group Race/Ethnicity Persons Living with Diagnosed HIV Infection

Persons Living with Diagnosed HIV Infection, Cuyahoga County, 2018

Source: Ohio Department of Health, HIV Surveillance Program. Data reported through June 30, 2019.

Baseline, n=151 75% Reduction, n=38 90% Reduction,n= 15 20 40 60 80 100 120 140 160 2018 2025 2030 # Dx of HIV Infection

Baseline and Projected Reported New Diagnoses of HIV Infection, Cuyahoga County

Coinfection Data

• 8% (n=12) of the new HIV infections in

2018 were also diagnosed with Chlamydia, 8% (n=12) with Gonorrhea, and 12 percent (n=18) with Syphilis.

• There were 13 cases who were found to

be diagnosed with both HIV and Hepatitis B from 2015 to 2018.

• There were 35 cases who were found to

be diagnosed with both HIV and Hepatitis C from 2014 to 2018.

HIV Testing Data

• Data from January through September of

2019, indicates that the HIV Prevention program in Cuyahoga County has conducted far fewer HIV tests this year (n=2,193) than in 2018 (n=10,179).

• This difference is largely due to the

implementation of a risk assessment tool designed to increase priority-based testing among populations at highest risk for HIV

HIV Testing Data

Social Determinants of Health Data

Cuyahoga County (CC) Residents CC Part A CC Part B Did not have a high school degree 11% Not Collected Not Collected Unemployed 7.50% Not Collected 36% Income below Federal Poverty Level 18% 63% 45% Uninsured 7% 10.60% 13.30% Homeless/Unstably Housed Not Available 3% 7%

Ryan White Program Data

Part A: funds medical and support services to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs). EMAs and TGAs are counties/cities that are the most severely affected by the HIV/AIDS epidemic. Part B: administers funds for states and territories to improve the quality, availability, and organization of HIV health care and support services. Part C: administers funds for local community-based

• rganizations to provide comprehensive primary health care

and support services in an outpatient setting for people living with HIV through Early Intervention Services program grants. Part D: administers funds for local, community-based

• rganizations to provide outpatient, ambulatory,

family-centered primary and specialty medical care for women, infants, children and youth living with HIV.

Ohio Drug Assistance Program (OHDAP)

Linkage to Care Data (Pg. 51)

HIV Care Continuum

PrEP Data

Syringe Exchange Data

Ryan White Part A Cleveland TGA