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Miami-Dade CountyHIV/AIDS

Epidemiological Data

October 25, 2011

Data provided by the Florida Department of HealthHIV/AIDS Surveillance Program

Prepared by Behavioral Science Research

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2010 Miami-Dade Population by Race/Ethnicity

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Miami-Dade County Population by Gender

2010

1,197,709 1,279,949

Male 48% Female 52%

Total Population 2,477,658

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2010 Miami-Dade County Population by Gender

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HIV COUNSELING AND TESTING DATA

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HIV Counseling and Testing Data

Tends to represent more recent infections

Includes ALL reported HIV cases regardless of current AIDS status

TEST MIAMI and TAKE CONTROL – 2 local testing initiatives

Anonymous tests are not included

Data represent a minimum estimate of HIV/AIDS incidence

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Counseling and Testing

Total tests 2009 = 60,957 Total tests 2010 = 63,737

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2009 4,415 29,698 25,191 1,653

2010 4,314 31,452 26,690 1,281

White Black Hispanic Other

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Counseling and TestingTotal positives 2009 = 1,421 Total positives 2010 = 1,230

0

100

200

300

400

500

600

700

800

2009 117 760 521 23

2010 92 714 402 22

White Black Hispanic Other

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2010 Total Testing by Race/Ethnicity N = %

White, 4,314 = 7%

Other, 1,281 = 2%

Hispanic, 26,690 = 42%

Black, 31,452 = 49%

White

Black

Hispanic

Other

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2010 Total Seropositives by Race/Ethnicity N = %

White, 92 = 7%

Black 714 = 58%

Other, 22 = 2%

Hispanic, 402 = 33%

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Counseling and Testing by Gender 2009 - 2010

Gender No. Tests No. Positive % Positive

2009

Male 30,187 1,005 3.3%

Female 30,415 403 1.3%

Unknown 355 13 3.7%

Totals 60,957 1,421 2.3%

Gender No. Tests No. Positive % Positive

2010

Male 31,440 881 2.8%

Female 31,970 342 1.1%

Unknown 327 7 2.1%

Totals 63,737 1,230 1.9%

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By Year of Report, Miami-Dade, 2005 -2010

Year Rate

05 48.8

06 45.9

07 32.2

08 44.3

09 35.8

10 29.4

864

728

1,091

795

1,1351,181

0

200

400

600

800

1,000

1,200

1,400

2005 2006 2007 2008 2009 2010

Year of Report

Nu

mb

er

of

Cases

Year Rate

04 54

05 48.8

06 45.9

07 32.2

08 44.3

09 34.9

10 29.4

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AIDS CASES TREND 2005 - 2010

864

728

1,091

795

1,1351,181

0

200

400

600

800

1,000

1,200

1,400

2005 2006 2007 2008 2009 2010

Year of Report

Nu

mb

er

of

Cases

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2010 Percent of County Population Compared to Percent of New AIDS Cases by Race/Ethnicity

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2009 Percent of County Population Compared to Percent of New AIDS Cases

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2010 New AIDS Cases Compared to County by Gender

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Percent of Adult AIDS Cases by Sex and Year of ReportPartnership 11a, 2001-2010

0

20

40

60

80

01 02 03 04 05 06 07 08 09 10

Year of Report

Per

cen

t o

f C

ases

Females

Males

M:F Ratio*

2001 2.0:1

2010 2.4:1

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2009 and 2010 New AIDS Cases by Age Groups

AIDS Cases by Age Groups 2009

AIDS Cases by Age Groups 2010

Ages 0 - 12 13 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60+

Total 0% 1% 12% 24% 32% 22% 9%

Ages 0 - 12 13 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60+

Total 0% 1% 12% 21% 33% 23% 10%

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HIV Cases & Case Rates per 100,000 Population*By Year of Report, Miami-Dade, 2005 - 2010

Year Rate

05 55.2

06 47.5

07 58.5

08 64.0

09 49.6

10 50.1

1,3371,174

1,4441,585

1,166 1,242

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2005 2006 2007 2008 2009 2010

Year Rate

05 55.2

06 47.5

07 58.5

08 64.0

09 47.1

10 50.1

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HIV Case Trend 2005 - 2010

1,174

1,4441,585

1,166 1,242

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2006 2007 2008 2009 2010

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2010 Percent of County Population Compared to Percent of New HIV Cases

2.0%

45%

63.0%

19.0%16.0%

1%

43%

11%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

White Black Hispanic Other

County

HIV

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2009 Percent of County Population Compared to Percent of New HIV Cases

2.0%

16% 19%

63%

43%

12%

44%

<1%0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

White Black Hispanic Other

County

HIV

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HIV New Infections 2005 and 2010

14%

45%41%

1% 1%

43%45%

11%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

White Black Hispanic Other

2005

2010

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2010 New HIV Cases Compared to County by Gender

48%52%

24.0%

76.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

County HIV

Male

Female

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Percent of Adult HIV Cases by Gender and Year of Report 2001-2010 Miami-Dade

0

20

40

60

80

01 02 03 04 05 06 07 08 09 10

Year of Report

Per

cen

t o

f C

ases

M:F Ratio2001 2.0:12010 3.2:1

Males ↓

Females ↓

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Percent of Adult Male HIV Casesby Race/Ethnicity and Year of Report

2001-2010

White, non- Hispanic ↓

↑ Black, non-Hispanic

Hispanic ↓

0

10

20

30

40

50

60

01 02 03 04 05 06 07 08 09 10Year of Report

Per

cen

t o

f C

ases

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Percent of Adult Female HIV Casesby Race/Ethnicity and Year of Report

2001-2010

Black ↓

White ↓

Hispanic ↓

0

30

60

90

01 02 03 04 05 06 07 08 09 10

Year of Report

Perc

en

t o

f C

ases

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New HIV Cases by Age Groups

Ages 0 - 12 13 - 19 20 - 24 25-29 30 - 39 40 - 49 50 - 59 60+2008 9 61 145 190 365 467 265 83

2008 HIV Cases by Age Groups

2009 HIV Cases by Age Groups

2010 HIV Cases by Age Groups

Ages 0 - 12 13 - 19 20 - 24 25-29 30 - 39 40 - 49 50 - 59 60+2009 2 48 136 152 317 327 173 74

Ages 0 - 12 13 - 19 20 - 24 25 - 29 30 - 39 40 - 49 50 - 59 60+

Total 4 55 155 133 301 337 185 72

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2010 Newly Reported AIDS/HIV Comparisons Miami-Dade

HIV and AIDS

DO

NOT

DISCRIMINATE

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2010 New AIDS and HIV by Gender 2010

Adult AIDS Casesby Sex, 2010 (N = 728)M = 511 F = 217

Adult HIV Casesby Sex, 2010 (N=1,242)M = 943 F = 299

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2010 Newly Reported AIDS By Risk (Male)

62.3%

28.4%

4.7%

4.5%

MSM

IDU

MSM/IDU

Hetero

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2010 Newly Reported HIV By Risk (Male)

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2010 Newly Reported AIDS By Risk (Female)

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2010 Newly Reported HIV By Risk (Female)

1%

97%

2%

IDU

Hetero

Other

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Reported AIDS Case Rates per 100,000 Population by Race/Ethnicity 2010

18

83

13

0 20 40 60 80 100

White

Black

Hispanic

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Reported HIV Case Rates per 100,000 Population by Race/Ethnicity 2010

34

123

36

0 20 40 60 80 100 120 140

White

Black

Hispanic

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MIAMI-DADE 2010

PREVALENCE

PEOPLE LIVING WITH HIV

AND AIDS

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2010 HIV/AIDS Prevalence Compared to County Population

48%

2%

63%

19%16%

2%

38%

12%

1%

40%

45%

14%

0%

10%

20%

30%

40%

50%

60%

70%

White Black Hispanic Other

County

AIDS

HIV

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Miami-Dade County Prevalence (PLWHA) 2010

*Does not include DOC

DATA PROVIDED BY THE FLORIDA DEPARTMENT OF HEALTH, BUREAU OF HIV/AIDS

Data through 12/31/10 reported as of 05/2011

AIDS INCIDENCE, AIDS PREVALENCE AND HIV (NON-AIDS) PREVALENCE – MIAMI-DADE EMA AIDS Prevalence through

12/31/10 as of 05/2011 HIV (non-AIDS) Prevalence

through 12/31/10 as of 05/2011 Total AIDS and HIV (non-AIDS) Prevalence through 12/31/10 as of

05/2011 Demographic Characteristics

and Exposure Categories Note: RISKS

REDISTRIBUTED

Number of AIDS cases alive and reported in eHARS1 for Miami-Dade (excluding DOC2 cases)

through 12/31/10 data as of 05/2011

Number of HIV (non-AIDS) cases alive and reported in eHARS for

Miami-Dade (excluding DOC cases) through 12/31/10

data as of 05/2011

Number of HIV (non-AIDS) and AIDS cases alive and reported in eHARS for Miami-Dade (excluding DOC cases) through 12/31/10 data as of 05/2011

RACE/ETHNICITY Number % of Total Number % of Total Number % of Total White, not Hispanic 1,591 12% 1,562 14% 3,153 13% Black, not Hispanic 6,394 48% 5,209 45% 11,603 47% Hispanic 5,075 38% 4,630 40% 9,705 39% Asian/Pacific Islander 22 <1% 19 <1% 41 <1% American Indian/Alaskan Native

1 <1% 3 <1% 4 <1%

Not Specified/Other 181 1% 95 1% 276 1% Total 13,264 100% 11,518 100% 24,782 100% GENDER Number % of Total Number % of Total Number % of Total Male 9,404 71% 8,114 70% 17,518 71% Female 3,860 29% 3,404 30% 7,264 29% Total 13,264 100% 11,518 100% 24,782 100% AGE AT DIAGNOSIS (INCIDENCE)/ CURRENT AGE (PREVALENCE)

Number % of Total Number % of Total Number % of Total

0-12 years 17 <1% 58 <1% 75 <1% 13-19 years 119 <1% 157 1% 276 1% 20-29 years 497 4% 1,308 11% 1,805 7% 30-39 years 1,699 13% 2,629 23% 4,328 18% 40 – 49 years 4,705 35% 3,941 34% 8,646 35% 50-59 years 4,314 33% 2,389 21% 6,703 27% 60+ years 1,913 14% 1,036 9% 2,949 12% Total 13,264 100% 11,150 100% 24,782 100%

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2010 HIV/AIDS Prevalence Compared to County by Gender

48%

71%

52%

70%

30%29%

0%

10%

20%

30%

40%

50%

60%

70%

80%

County AIDS HIV

Male

Female

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2010 Prevalence by Age Groups AIDS and HIV

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

HIV

AIDS

HIV 0.5% 1.4% 4.0% 7.3% 22.8% 16.7% 17.5% 20.7% 9.0%

AIDS 0.1% 0.9% 1.4% 2.3% 12.8% 14.4% 21.0% 32.5% 14.4%

0 - 12 13 - 19 20 - 24 25 - 29 30 - 39 40 - 44 45 - 49 50 - 59 60+

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2010 Prevalence by Risk Category (Males)

67.1%6.5%

3.8%

21.6%1.0%

MSM

IDU

MSM/IDU

Hetero

Other

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2010 Prevalence Male Risk Categories AIDS

1.0%

64%8.5%

4.7%

22%MSM

IDU

MSM/IDU

Hetero

Other

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2010 Prevalence Male Risk Categories HIV

70%4%

<1%

3%

22%MSM

IDU

MSM/IDU

Hetero

Other

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2010 Living Adult Male HIV/AIDS Cases (PLWHAs) By Race/Ethnicity and Mode of Exposure

89%

4%3%4%

White, non-HispanicN=(2,792)

40%

11%

4%

43% 2%

MSM IDU MSM/IDU Hetero Other**

Black, non-HispanicN=(6,372)

80%

4% 4%

0%12%

HispanicN=(8,093)

Heterosexual

MSM

IDU

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2010 Prevalence Risk Category (Females)

11.7%

85.4%

2.9%

IDU

Hetero

Other

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Resident HIV/AIDS Deathsby Year, Partnership 11a, 1994-2009

444516 480 466

411 424 442 407 443397 352

282

545

886

11821200

0

200

400

600

800

1000

1200

1400

94 95 96 97 98 99* 00 01 02 03 04 05 06 07 08 09

Year

Nu

mb

er

of

De

ath

s

Race/EthnicityNo. rate

White Male 13 6.5White Female 5 2.5Black Male 109 49.3Black Female 76 30.8Hispanic Male 59 7.8Hispanic Female 17 2.1Other*** 3 6.6TOTAL 282 11.4

2009

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2009 - 2010 New AIDS Cases

2009 2010

New Cases 864 728Case Rate 34.9 29.4

Ethnicity 2009 2010

White 9% 79%Black 50% 53%Hispanic 38% 38% Other 2% 2%

GenderMale 70% 70% Female 30% 30%

Age 20 – 29 12% 12% 30 to 59 78% 77%

Major Exposure Categories:MSM 62% 61% Hetero (Females) 88% 88%

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2009 - 2010 New HIV (Regardless of AIDS) Cases

2009 2010 New Cases 1,166 1,242 Case Rate 47.1 50.1 Ethnicity 2009 2009

White 12% 11% Black 43% 45% Hispanic 44% 43% Other <1% <1%

GenderMale 75.1% 76%Female 24.9% 24%

Age20 – 29 24% 23%30 - 49 52% 51%

Major Exposure Categories:MSM 72.0% 72.0%Hetero (Females) 97.8% 97.8%

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Some Useful Links

CDC HIV/AIDS Surveillance Reports (State and Metro Data): http://www.cdc.gov/hiv/stats/hasrlink.htm

MMWR (Special Articles on Diseases, IncludingHIV/AIDS): http://www.cdc.gov/mmwr/

U.S. Census Data (Available by State, County):http://www.census.gov

Florida Dept. of Health, Bureau of HIV/AIDS Website (Slide Sets, Fact Sheets, Monthly Surveillance Report, Counseling & Testing Data, etc.: http://www.doh.state.fl.us/disease_ctrl/aids/index.html