METROPOLITAN AREA GREATER BALTIMORE HIV PLANNING COUNCIL JUNE 16, - - PowerPoint PPT Presentation

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METROPOLITAN AREA GREATER BALTIMORE HIV PLANNING COUNCIL JUNE 16, - - PowerPoint PPT Presentation

Dec 20, 2023 187 likes •761 views

HIV IN THE BALTIMORE-TOWSON METROPOLITAN AREA GREATER BALTIMORE HIV PLANNING COUNCIL JUNE 16, 2015 Colin Flynn, Chief HIV Surveillance, Epidemiology and Evaluation Maryland Department of Health and Mental Hygiene Prevention and Health

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HIV IN THE BALTIMORE-TOWSON METROPOLITAN AREA

GREATER BALTIMORE HIV PLANNING COUNCIL JUNE 16, 2015 Colin Flynn, Chief HIV Surveillance, Epidemiology and Evaluation Maryland Department of Health and Mental Hygiene Prevention and Health Promotion Administration

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Maryland Prevention and Health Promotion Administration June 16, 2015 2

MISSION AND VISION

MISSION

The mission of the Prevention and Health Promotion Administration is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations. VISION

The Prevention and Health Promotion Administration envisions a future in which all Marylanders and their families enjoy optimal health and well-being.

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Maryland Prevention and Health Promotion Administration June 16, 2015 3

 National Data  State Data  Regional Data  Moving Forward  Continuum of Care by Population Groups

Outline

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Maryland Prevention and Health Promotion Administration June 16, 2015 4

National Data

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Maryland Prevention and Health Promotion Administration June 16, 2015 5

U.S. Prevalence

 CDC estimated

1,201,100 adults/ adolescents were living with HIV at the end of 2011

 14.0% were

undiagnosed

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Maryland Prevention and Health Promotion Administration June 16, 2015 6

Living Adult/Adolescent HIV Diagnoses, Year-end 2012 Ranked by Estimated Rates

Reported Estimated Estimated Rate STATE/TERRITORY Cases Cases per 100,000

  • 1. District of Columbia

14,989 15,505 2,812.4

  • 2. New York

129,987 129,379 782.0

  • 3. Virgin Islands

600 608 688.7

  • 4. Maryland

30,293 31,067 631.1

  • 5. Puerto Rico

18,386 18,442 600.2

  • 6. Florida

99,209 98,650 599.0

  • 7. New Jersey

37,137 38,115 513.3

  • 8. Louisiana

18,535 18,430 485.8

  • 9. Georgia

38,357 39,102 481.8

  • 10. Delaware

3,029 3,010 391.0 United States 927,148 931,449 352.3

  • CDC. HIV Surveillance Report, 2013. Vol. 25. Table 20.
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Maryland Prevention and Health Promotion Administration June 16, 2015 7

Washington

Baltimore Harford

Maryland Ryan White Eligible Metropolitan Areas Baltimore

Carroll Baltimore City Howard Anne Arundel Queen Anne’s

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Maryland Prevention and Health Promotion Administration June 16, 2015 8

Living HIV Diagnoses, Year-end 2012, Ranked by Estimated Rates

Estimated Reported Rate per METROPOLITAN AREA Cases Cases 100,000

  • 1. Miami-Fort Lauderdale-West Palm Beach, FL

51,630 51,349 891.0

  • 2. New York-Newark-Jersey City, NY-NJ-PA

143,939 144,282 727.3

  • 3. Baltimore-Columbia-Towson, MD

17,992 18,288 664.1

  • 4. New Orleans-Metairie, LA

8,153 8,101 659.9

  • 5. Jackson, MS

3,354 3,307 573.7

  • 6. Washington-Arlington-Alexandria, DC-VA-MD-WV 32,649 33,595 573.0
  • 7. San Juan-Carolina-Caguas, PR

13,112 13,169 570.9

  • 8. San Francisco-Oakland-Hayward, CA

24,498 24,556 551.3

  • 9. Baton Rouge, LA

4,449 4,425 543.0

  • 10. Memphis, TN-MS-AR

7,373 7,233 539.5

  • 15. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 26,151 25,920 430.6

United States* 928,953 933,295 293.9

* 50 states, DC, and Puerto Rico, only.

  • CDC. HIV Surveillance Report, 2013. Vol. 25. Table 22.
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Maryland Prevention and Health Promotion Administration June 16, 2015 9

U.S. HIV Incidence

10,000 20,000 30,000 40,000 50,000 60,000 2007 2008 2009 2010

Estimated New HIV Infections

  • CDC. HIV Surveillance Supplemental Report.
  • Vol. 17, No. 4. 2012

Females Males Total

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Maryland Prevention and Health Promotion Administration June 16, 2015 10

Populations with Changes in HIV Incidence

 Overall national incidence

estimate is unchanged from 2008-2010

 21% decrease among

females

 12% increase among

MSM

 22% increase among 13-

24 year old MSM

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Maryland Prevention and Health Promotion Administration June 16, 2015 11

Adult/Adolescent HIV Diagnoses during 2013 Ranked by Estimated Rates

Reported Estimated Estimated Rate STATE/TERRITORY Cases Cases per 100,000

  • 1. District of Columbia

486 612 109.2

  • 2. Maryland

1,397 2,168 43.7

  • 3. Georgia

1,872 3,011 36.7

  • 4. Louisiana

1,356 1,398 36.6

  • 5. Virgin Islands

23 29 33.3

  • 6. Florida

5,188 5,364 32.1

  • 7. New Jersey

1,387 2,169 29.0

  • 8. Puerto Rico

607 761 24.9

  • 9. New York

3,580 3,800 22.8

  • 10. Texas

4,290 4,836 22.7 United States 41,854 47,957 18.0

  • CDC. HIV Surveillance Report, 2013. Vol. 25. Table 18.
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Maryland Prevention and Health Promotion Administration June 16, 2015 12

HIV Diagnoses during 2013 Ranked by Estimated Rates

Estimated Reported Rate per METROPOLITAN AREA Cases Cases 100,000

  • 1. Miami-Fort Lauderdale-West Palm Beach, FL

2,502 2,582 44.3

  • 2. New Orleans-Metairie, LA

521 538 43.4

  • 3. Baltimore-Columbia-Towson, MD

650 1,010 36.5

  • 4. Baton Rouge, LA

288 297 36.2

  • 5. Atlanta-Sandy Springs-Roswell, GA

1,214 1,919 34.7

  • 6. Washington-Arlington-Alexandria, DC-VA-MD-WV 1,482 1,995 33.5
  • 7. Memphis, TN-MS-AR

393 413 30.8

  • 8. Jackson, MS

164 170 29.5

  • 9. Jacksonville, FL

361 373 26.8

  • 10. Orlando-Kissimmee-Sanford, FL

584 604 26.6

  • 22. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 1,098 1,225 20.3

United States 42,168 48,875 15.4

* 50 states, DC, and Puerto Rico, only.

  • CDC. HIV Surveillance Report, 2013. Vol. 25. Table 22.
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Maryland Prevention and Health Promotion Administration June 16, 2015 13

State Data

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Maryland Prevention and Health Promotion Administration June 16, 2015 14

Maryland Adult/Adolescent Living HIV Cases

5,000 10,000 15,000 20,000 25,000 30,000 35,000 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Number of Cases

Year

Living HIV Cases with AIDS Living HIV Cases without AIDS

Using data as reported through 12/31/2014

+14% Undiagnosed?

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Maryland Prevention and Health Promotion Administration June 16, 2015 15

Maryland Adult/Adolescent HIV Statistics

Reported Diagnoses (during 2013) No. per 100,000 HIV 1,394 28.1 AIDS 945 19.0 Deaths Among AIDS Cases No. (during 2013) 388 Living Cases (on 12/31/2013) No. per 100,000 1 in X HIV without AIDS 13,595 273.9 HIV with AIDS 16,660 335.6 Total HIV 30,255 609.5 164

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 16

Maryland Adult/Adolescent Living HIV Cases by MSA, 12/31/13

Baltimore- Towson MSA 57% Washington MSA 35% Corrections 4% Other 4%

N = 30,255

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 17

Regional Data

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Maryland Prevention and Health Promotion Administration June 16, 2015 18

Baltimore-Columbia-Towson MSA Adult/ Adolescent HIV/AIDS Trends

200 400 600 800 1,000 1,200 1,400 1,600 1,800 2,000 Number of Events Year of Diagnosis or Death

Reported HIV Diagnoses Reported AIDS Diagnoses Reported AIDS Deaths

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 19

Baltimore-Columbia-Towson MSA Living Adult/Adolescent HIV Cases

2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Number of Cases

Year

Living HIV Cases with AIDS Living HIV Cases without AIDS

Using data as reported through 12/31/2014

+14% Undiagnosed?

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Maryland Prevention and Health Promotion Administration June 16, 2015 20

HIV Statistics Adult/Adolescent Cases Baltimore-Columbia-Towson MSA

HIV Diagnoses during 2013 Living HIV Cases on 12/31/2013 Baltimore-Columbia- Towson MSA 645 17,170 Anne Arundel 54 1,091 Baltimore City 385 12,434 Baltimore County 138 2,587 Carroll 2 115 Harford 32 397 Howard 32 497 Queen Anne’s 2 49

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 21

Baltimore-Columbia-Towson MSA Living Adult/ Adolescent HIV Cases by Jurisdiction, 12/31/13

Anne Arundel 6% Baltimore City 73% Baltimore County 15% Carroll 1% Harford 2% Howard 3% Queen Anne's <1%

N = 17,170

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 22

Living Adult/Adolescent HIV Case Rates per 100,000 Population by Jurisdiction, Baltimore-Columbia- Towson MSA, 12/31/13

Maryland Baltimore- Columbia- Towson MSA Anne Arundel Baltimore City Baltimore County Carroll Harford Howard Queen Anne's Rate 611 744 235 2,377 372 81 190 197 120

500 1,000 1,500 2,000 2,500

Population on 7/1/13. Cases on 12/31/13 as reported through 12/31/14

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Maryland Prevention and Health Promotion Administration June 16, 2015 23

Population and Living HIV Cases by Age, Baltimore- Columbia-Towson MSA

25.2 1.1 14.3 9.9 12.7 14.4 14.2 27.5 14.5 33.1 19.0 14.0

0% 20% 40% 60% 80% 100% Population Living HIV Cases

60+ 50-59 40-49 30-39 20-29 <20 Population on 7/1/12, Cases on 12/31/13 as reported through 12/31/14

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Maryland Prevention and Health Promotion Administration June 16, 2015 24

Adult/Adolescent HIV Diagnosis Trends by Age at Diagnosis, Baltimore-Columbia-Towson MSA

10 20 30 40 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Percent Year of HIV Diagnosis 13-19 20-29 30-39 40-49 50-59 60+

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 25

Adult/Adolescent Population and Living HIV Cases by Sex at Birth Baltimore-Columbia-Towson MSA

47.6 64.3 52.4 35.7

0% 20% 40% 60% 80% 100% Population Living HIV Cases

Female Male

Population on 7/1/12, Cases on 12/31/13 as reported through 12/31/14

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Maryland Prevention and Health Promotion Administration June 16, 2015 26

Maryland Adult/Adolescent Living HIV Cases by Gender, 12/31/13

Male, 19,523, 65% Female to Male, 17, 0.06% Female, 10,605, 35% Male to Female, 110, 0.4%

Total N = 30,255 Confirmed Transgender = 127

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 27

Adult/Adolescent HIV Diagnosis Trends by Sex at Birth, Baltimore-Columbia-Towson MSA

20 40 60 80 100 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Percent Year of HIV Diagnosis Male Female

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 28

Adult/Adolescent Population and Living HIV Cases by Race/ Ethnicity, Baltimore-Columbia- Towson MSA

60.7 15.5 4.4 3.0 28.1 77.2 4.9 0.4 1.9 3.9

0% 20% 40% 60% 80% 100% Population Living HIV Cases

Other NH-Asian NH-Black Hispanic NH-White Population on 7/1/12, Cases on 12/31/13 as reported through 12/31/14

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Maryland Prevention and Health Promotion Administration June 16, 2015 29

Adult/Adolescent HIV Diagnosis Trends by Race/ Ethnicity, Baltimore-Columbia-Towson MSA

20 40 60 80 100 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Percent Year of HIV Diagnosis Hispanic NH-Asian NH-Black NH-White NH-Other

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 30

Exposure Categories MSM: Men who have Sex with Men IDU: Injection Drug Use MSM/IDU: Men who have Sex with Men AND Inject Drugs HetSex: Heterosexual Contact with a Person that has or is at Risk for HIV Infection

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Maryland Prevention and Health Promotion Administration June 16, 2015 31

Living Adult/Adolescent HIV Cases 12/31/13 by Exposure Category, Baltimore-Columbia- Towson MSA

MSM 31% MSM/IDU 4% IDU 33% HetSex 31% Other <1%

N (with Risk) = 13,749 (81% of Total) Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 32

Living Adult/Adolescent HIV Cases 12/31/13 by Exposure Category and Sex at Birth Baltimore-Columbia-Towson MSA

1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 Male Female Cases MSM MSM/IDU IDU HetSex Other

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 33

Reported Adult/Adolescent HIV Diagnoses, Exposure Category Trends, Baltimore-Columbia-Towson MSA

10 20 30 40 50 60 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Percent Year of HIV Diagnosis MSM IDU HetSex MSM/IDU Other

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 34

Behavioral Surveillance MSM Overview

Wave 1 June 2004 – Apr 2005 Wave 2 Aug – Nov 2008 Wave 3 Aug – Dec 2011 Data collection method Venue – based Venue – based Venue – based Total recruited* 645 448 403 HIV prevalence 37.7% 37.5% 42.4% Unrecognized infection 58.4% 78.4% 67.3%

*MSM during past year with completed survey and HIV test

Wave 4 recruitment ended in December

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Maryland Prevention and Health Promotion Administration June 16, 2015 35

Behavioral Surveillance HET Overview

Wave 1 July – Oct 2007 Wave 2 Sept – Dec 2010 Wave 3 Sept – Dec 2013 Data collection method Venue – based Respondent Driven Respondent Driven Total recruited* 332 338 428 HIV prevalence 3.9% 6.3% 6.6% Unrecognized infection 83.3% 62.5% 35.3%

*Heterosexual during past year with completed survey and HIV test

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Maryland Prevention and Health Promotion Administration June 16, 2015 36

Behavioral Surveillance IDU Overview

Wave 1 Aug 2006 – Jan 2007 Wave 2 Sept – Dec 2009 Wave 3 Aug – Dec 2012 Data collection method Respondent Driven Respondent Driven Respondent Driven Total recruited* 539 507 620 HIV prevalence 11.9% 16.2% 23.2% Unrecognized infection 50% 48% 27.8%

*IDU during past year with completed survey and HIV test

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Maryland Prevention and Health Promotion Administration June 16, 2015 37

Baltimore-Columbia-Towson MSA Adult/Adolescent 2012 HIV Diagnoses (N=645)

 Linkage to Care: 80% had a CD4 or VL test

within 3 months of HIV diagnosis

 CD4 at Diagnosis: 82% had a CD4 test within 12

months of HIV diagnosis, and the median value was 340 cells/microliter

 Late HIV Diagnosis: 30% had an AIDS diagnosis

within 12 months of their HIV diagnosis

Details by subpopulations available in Epidemiological Profile. Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 38

Baltimore-Columbia-Towson MSA Adult/Adolescent 2012 AIDS Diagnoses (N=472)

 Progression: The average time from HIV

diagnosis to AIDS diagnosis was 4.5 years

 Late HIV Diagnosis: 43% were diagnosed with

AIDS within 12 months of their HIV diagnosis

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 39

Baltimore-Columbia-Towson MSA HRSA Unmet Need Estimate

 Calculated using CY 2013 data as reported

through 12/31/2014

 17,170 living adult/adolescent HIV/AIDS cases  6,528 (38.0%) with no CD4 test result during 2013

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Maryland Prevention and Health Promotion Administration June 16, 2015 40

Moving Forward

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Maryland Prevention and Health Promotion Administration June 16, 2015 41

NHAS 2010

 Reducing new HIV

infections

 Increasing access to

care and improving health outcomes for people living with HIV

 Reducing HIV-related

disparities and health inequities

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Maryland Prevention and Health Promotion Administration June 16, 2015 42

Continuum of Care

19,965 17,170 13,650 11,099 8,600 6,137

2000 4000 6000 8000 10000 12000 14000 16000 18000

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/adolescent engaged in selected stages of the continuum

  • f care, Baltimore-Columbia-Towson MSA, 2013

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 43

Continuum of Care Calculation

 HIV infected – apply national estimate of undiagnosed to

reported living cases

 HIV diagnosed – reported living cases  Linked to HIV care – apply percent of new diagnoses with

CD4/VL within 3 months from most recent year to reported living cases

 Retained in HIV care – reported living cases with a CD4

test during prior year

 On ART – interpolated between retained in HIV care and

suppressed VL

 Suppressed VL – most recent VL during prior year for

reported living cases that was undetectable or <400 copies/ml

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Maryland Prevention and Health Promotion Administration June 16, 2015 44

Continuum of Care

5000 10000 15000 20000 25000 30000

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care

Zero New Infect

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Maryland Prevention and Health Promotion Administration June 16, 2015 45

Continuum of Care

82 60 39 31 22 100 84 61 47 39 30 86 68 56 43 31 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL

20 40 60 80 100

Engagement in HIV Care Percentage

Estimated percentage of HIV infected adults/adolescents engaged in selected stages of the continuum of care, Baltimore-Columbia-Towson MSA, 2011, 2012, and 2013

2011 2012 2013

Using data as reported through 12/31/2012, 12/31/2013, and 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 46

Continuum of Care by Population Groups

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Maryland Prevention and Health Promotion Administration June 16, 2015 47

Continuum of Care

100 85 68 51 40 30 100 88 71 59 46 33 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL

20 40 60 80 100

Engagement in HIV Care Percentage

Estimated percentage of HIV infected adults/adolescents engaged in selected stages of the continuum of care, by sex at birth, Baltimore-Columbia-Towson MSA, 2013

Males Females

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 48

Continuum of Care

85 72 52 41 32 100 85 67 53 41 30 88 73 48 40 32 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL

20 40 60 80 100

Engagement in HIV Care Percentage

Estimated number and percentage of HIV infected adults engaged in selected stages of the continuum of care, by race/ethnicity, Baltimore-Columbia-Towson MSA, 2013

Hispanic NH-Black NH-White

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 49

Continuum of Care

84 72 53 42 32 100 93 52 60 46 32 84 69 56 41 27 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL

20 40 60 80 100

Engagement in HIV Care Percentage

Estimated number and percentage of HIV infected adults engaged in selected stages of the continuum of care, by exposure category, Baltimore-Columbia-Towson MSA, 2013

MSM IDU HetSex

Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 50

Continuum of Care

1,269 1,091 868 641 520 400

200 400 600 800 1000 1200

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Anne Arundel County, Maryland 2013 Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 51

Continuum of Care

14,455 12,431 9,559 7,788 6,050 4,317

2000 4000 6000 8000 10000 12000 14000

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Baltimore City, Maryland 2013 Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 52

Continuum of Care

3,007 2,586 2,211 1,598 1,300 1,003

500 1000 1500 2000 2500 3000

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Baltimore County, Maryland 2013 Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 53

Continuum of Care

134 115 58 50 40 37

20 40 60 80 100 120

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Carroll County, Maryland 2013 Using data as reported through 12/31/2014

Note: LTC based on 2013

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Maryland Prevention and Health Promotion Administration June 16, 2015 54

Continuum of Care

460 396 309 235 200 158

50 100 150 200 250 300 350 400 450

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Harford County, Maryland 2013 Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 55

Continuum of Care

578 497 435 293 240 195

100 200 300 400 500

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Howard County, Maryland 2013 Using data as reported through 12/31/2014

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Maryland Prevention and Health Promotion Administration June 16, 2015 56

Continuum of Care

57 49 49 32 30 29

10 20 30 40 50

20 40 60 80 100 HIV Infected HIV Diagnosed Linked to HIV Care Retained in HIV Care On ART Suppressed VL Percentage Engagement in HIV Care

Estimated number and percentage of HIV infected adults/ adolescents engaged in selected stages of the continuum of care, Queen Anne’s County, Maryland 2013 Using data as reported through 2014

Note: LTC based on 2013

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Prevention and Health Promotion Administration

http://phpa.dhmh.maryland.gov/oideor/chse