22
Viral load distribution 2012 among persons living with HIV and persons newly diagnosed Georgia, 2011
Viral load distribution 2012 among persons living with HIV and persons newly
diagnosed Georgia, 2011
Adults and adolescents living with HIV, Georgia, 2012
Living with HIV0
20
40
60
80
100 100
5438 39
Diagnosed Engaged Retained Viral suppression
Perc
ent
N=46,495
Adults and adolescents >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 46,495Engaged in care >= 1 CD4 or VL in 2012Retained in care >= 2 CD4 or VL at least 3 months apart in 2012Viral suppression (VS) = VL<200 copies/ml Estimated undiagnosed based on CDC projections for proportion undiagnosed nationally
Viral suppression
• Individuals with an undetectable viral load (VL) or VL<200 copies/ml on the last measurement in 2012 are considered virally suppressed
• Individuals with a VL >200 or who have had no VL measured in 2012 are considered to be not virally suppressed
• What proportion of those not virally suppressed have a documented VL >200 versus no VL measured in 2012?
Viral load (VL) among adults and adolescents living with HIV, Georgia,
2012
Persons living with...0
20
40
60
80
100
39
12
49
VL MissingVL>200VL <200Pe
rcen
t
N= 46,495
Adults and adolescents >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 46,495 VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012
Viral load (VL) among adults and adolescents living with HIV, by sex,
Georgia, 2012
Male Female Sex not reported0
20
40
60
80
100
38 38 30
12 145
50 4866
VL MissingVL>200VL<200Pe
rcen
t
N= 34,510 N= 11,715 N= 270
Adults and adolescents >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 46,495VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012
Viral load (VL) among adults and adolescents living with HIV, by race/ethnicity, Georgia, 2012
Black Hispanic White Other*/Unknown
020406080
100
36 37 45 43
14 9 7 11
50 53 48 46
VL<200 VL>200 VL Missing
Perc
ent
N= 4,681N= 9,382N=2,282N=30,150
Adults and adolescents >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 46,495VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012*American Indian/Alaska Native, Asian and Native Hawaiian/Pacific Islander groups together constitute <2% of males living with HIV in Georgia and are grouped with those of mixed or unknown race/ethnicity
Viral load (VL) among adult and adolescents living with HIV, by transmission category*, Georgia, 2012
MSM IDU MSM/IDU HET Other/Unk.0
20406080
100
40 34 36 38 39
12 11 11 14 11
48 55 53 48 51
VL<200 VL>200 VL Missing
Perc
ent
N= 24,935
N= 5,036 N= 2,022 N= 10,848
N= 3,653
Adults and adolescents >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 46,495VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012*MSM = Male to male sexual contact IDU = Injection drug useMSM/IDU = Male to male sexual contact and injection drug useHET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infectionOther = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified
Viral load (VL) among adult and adolescent males living with HIV, by transmission category*, Georgia, 2012
MSM IDU MSM/IDU HET Other/Unk.0
20406080
100
40 31 36 37 42
129 11 12 11
48 60 53 51 47
VL<200 VL>200
Perc
ent
N= 24,935 N= 2,483 N= 2,022 N= 2,428
N=2,541
Adult and adolescent males >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 34,510VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012*MSM = Male to male sexual contact IDU = Injection drug useMSM/IDU = Male to male sexual contact and injection drug useHET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infectionOther = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified
Viral load (VL) among adult and adolescent females living with HIV, by transmission category*, Georgia, 2012
IDU HET Unknown0
20
40
60
80
100
37 39 31
14 1412
49 47 56
VL<200 VL>200 VL Missing
Perc
ent
N= 2,452 N= 8,412 N= 842
N=
Adult and adolescent males >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 11,715VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012* IDU = Injection drug useHET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infectionOther = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified
Viral load (VL) among adults and adolescents living with HIV, by current age (years) Georgia,
2012
13-24 25-34 35-44 45-54 55+0
20
40
60
80
100
30 31 39 42 40
23 17 13 11 7
48 52 48 47 53
VL<200 VL>200 VL Missing
Perc
ent
N= 1,814 N= 7,789 N= 11,665 N= 15,915 N= 9,312
Adults and adolescents >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 46,495VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012
Viral load (VL) among Black MSM* living with HIV, Georgia, 2012, by current age (years)
13-24 25-34 35-44 45-54 55+0
20406080
100
25 30 38 40 3923 18 15 12 7
52 52 47 48 54
VL<200 VL>200 VL MissingN= 940 N= 3,968 N= 4,146 N= 4,718 N=
1,186
Adult and adolescent males >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia = 15,657VL<200 copies/ml = virally suppressedVL >200 copies/ml = not virally suppressedVL Missing = no apparent viral load measured in 2012Multiple imputation is used to estimate number of persons in each transmission category. *MSM = Male to male sexual contact
Viral load (VL) among White MSM* living with HIV, Georgia, 2012, by current age (years)
13-24 25-34 35-44 45-54 55+0
20406080
100
36 40 47 49 49
20 10 9 6 4
44 50 44 45 47
VL<200 VL>200 VL MissingN= 64 N= 517 N= 1,500 N= 3,107 N=
1,739
Adult and adolescent males >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia =6,928VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012Multiple imputation is used to estimate number of persons in each transmission category. *MSM = Male to male sexual contact
Viral load (VL) among Hispanic/Latino MSM* living with HIV, Georgia, 2012, by current age
(years)
13-24 25-34 35-44 45-54 55+0
20406080
100
45 35 35 41 41
1011 8 9 8
45 54 57 50 51
VL<200 VL>200 VL MissingN= 64 N= 517 N= 1,500 N= 3,107 N=
1,388
Adult and adolescent males >= age 13, diagnosed by 09/30/2011, living 12/31/2012, Georgia =1,388VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012Multiple imputation is used to estimate number of persons in each transmission category. *MSM = Male to male sexual contact
Viral load (VL) on last VL measured in 2012 among adults and adolescents,
diagnosed 2011, Georgia
Viral load (VL)* among adults and adolescents, diagnosed 2011, Georgia,
Diagnosed 20110
20
40
60
80
100
45
36
19
VL MissingVL>200VL <200Pe
rcen
t
N= 2885Persons >= age 13, diagnosed 2011, alive 15 months after diagnosis, Georgia *Most recent viral load measured in 2012VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012
Viral load (VL)* among adults and adolescents, diagnosed 2011, Georgia,
by sex
Female Male Sex Unknown0
20406080
100
44 48 31
36 36 63
20 15 6
VL<200 VL>200 VL missing
Perc
ent
N= 655 N= 2,214 N= 16
Persons >= age 13, diagnosed 2011, alive 15 months after diagnosis, Georgia *Most recent viral load measured in 2012VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012
Viral load (VL)* among adults and adolescents, diagnosed 2011, Georgia, by
race/ethnicity
Black Hispanic White Other/Unknown
020406080
100
3856 54 54
4028 32 32
22 17 15 15
VL<200 VL>200 VL Missing
Perc
ent
N= 854N= 271N= 144N= 1,616
Persons >= age 13, diagnosed 2011, alive 15 months after diagnosis, Georgia *Most recent viral load measured in 2012VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012American Indian/Alaska Native, Asian and Native Hawaiian/Pacific Islander groups together constitute <2% of males living with HIV in Georgia and are grouped with those of mixed or unknown race/ethnicity
Viral load (VL)* among adult and adolescent males, diagnosed 2011, Georgia, by
transmission category
MSM IDU MSM/IDU HET Other/Unknown0
20406080
100
39 40 39 48 58
38 41 42 40 2823 21 19 13 14
VL<200 VL>200 VL Missing
Perc
ent
N= 1,386 N= 68 N= 36 N= 101 N= 623
Males >= age 13, diagnosed 2011, alive 15 months after diagnosis, Georgia *Most recent viral load measured in 2012VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012*MSM = Male to male sexual contact IDU = Injection drug useMSM/IDU = Male to male sexual contact and injection drug useHET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infectionOther = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified
Viral load (VL)* among adult and adolescent females, diagnosed 2011, Georgia, by
transmission category
IDU HET Other/Unknown0
20406080
100
54 50 42
35 36 38
11 14 20
VL<200 VL>200 VL Missing
Perc
ent
N= 81 N= 411 N= 163
Females>= age 13, diagnosed 2011, alive 15 months after diagnosis, Georgia *Most recent viral load measured in 2012VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012IDU = Injection drug useHET = Heterosexual contact with a person known to have, or to be at high risk for, HIV infectionOther = hemophilia, blood transfusion, perinatal exposure, and risk factor not reported or not identified
Viral load (VL)* among adults and adolescents, diagnosed 2011, Georgia, by
age at diagnosis (years)
13-24 25-34 35-44 45-54 55+0
20406080
100
34 43 50 54 52
41 36 35 32 3125 21 15 14 18
VL<200 VL>200 VL Missing
Perc
ent
N= 655 N=786 N=649 N=537 N=258
Persons >= age 13, diagnosed 2011, living 15 months after diagnosis, Georgia *Most recent viral load measured in 2012VL<200 copies/ml = viral suppressionVL >200 copies/ml = no viral suppressionVL Missing = no apparent viral load measured in 2012
Limitations• Incomplete reporting • Missing data for race/ethnicity, sex, and current
address • Lack of transmission category information• Multiple imputation use to redistribute risk when
missing• Missing laboratory reports may lead to
underestimation of viral suppression• This analysis cannot identify causes of poor viral
suppression
FOR MORE INFORMATION CONTACT:
Georgia Department of Public HealthHIV/AIDS Epidemiology Programhttp://health/state.ga.us/epi/hivaids
