Erika L. Chapman, MPH, CPH, CHES HIV Surveillance, Service - - PowerPoint PPT Presentation

Erika L. Chapman, MPH, CPH, CHES HIV Surveillance, Service Integration & Harm Reduction Division of HIV, STD, Viral Hepatitis Indiana State Department of Health

 As of 2014 there were:

• 5,376 cases of HIV
• 6,171 cases of AIDS
• 11,547 total cases of HIV/AIDS

 In 2013 there were a total of 5,289 cases of

HCV

 In 2015

• 5,726 cases of HIV
• 5, 972 cases of AIDS
• 11,698 total cases of HIV/AIDS

 In 2014, there were 5,289 cases of HCV

• To date:
• 195 cases of HIV
• 92% coinfected with HCV
• Primarily associated with IDU
• Of note ~ There were 2 cases that identified

IDU as a primary risk factor in 2014 and 176 in 2015.

 2009– Ban lifted on the use of federal funds

for SEP.

 2010 – CDC, HHS, SAMHSA, issued a letter

stating they were in the process of developing technical guidelines for SEPs.

 Early 2011 – ISDH formed committee to

assess the feasibility of SEP in Indiana.

• July 2011 – SEP Feasibility Committee determined

that SEPs were not possible based on current state law.

• December 2011 – Congress reinstated the ban on the

use of federal funds for SEPs.

• March 26, 2015 - Governor declares a public

health emergency.

• March 30, 2015 – Community Outreach Center

(COC) is established.

• April 4, 2015 - Scott County Health Department

Needle Exchange opens.

The following processes must be completed in accordance with Indiana Code;

– The local health officer or executive officer must declare a public

health emergency in accordance with the law.

– The legislative body of the county or municipality must conduct a

public hearing, take official action to request permission to operate a SEP from the State Health Commissioner, and provide a plan for the implementation and evaluation of the SEP.

– The State Health Commissioner then has a 10 day period to request

additional information or grant or deny the request. ***Please note that this slide represents an overview of the process

• utlined in SEA 461. The full legal language can be located at

http://iga.in.gov/legislative/2015/bills/senate/461#document- d1a62251

• County Profiles – ISDH Website -

http://www.in.gov/isdh/files/2015_County_Pr

• files.pdf
• SEP Program Guidance – ISDH Website -

http://www.in.gov/isdh/files/ISDH_SEP_Guid ance_for_LHDs_-_FINAL_-_6-5-2015.pdf

• Contact Erika Chapman, HIV Surveillance,

Service Integration, and Harm Reduction – 317-234-3122 or echapman@isdh.in.gov