Northern Health Region, Virginia

HIV/AIDS and STD TrendsData through 2006

Northern Health Region•Alexandria

•Arlington

•Fairfax

•Fairfax County

•Falls Church

•Loudoun

•Manassas

•Manassas Park

•Prince William County

Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2005 unless otherwise indicated.

HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.

UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.

LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.

Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.

Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.

AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons

HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported

HIV/AIDS Northern Region saw a 24% increase in reported

HIV/AIDS In the Northern Region, Fairfax County showed the most

notable increase (43%) In 2006, 30% of reported cases of HIV/AIDS in the

Northern region were White, 50% Black and 17% were Hispanic and 3% reported another race

Majority of the reported cases of HIV/AIDS were male (70%)

*Includes those that may have progressed to AIDS

VirginiaHIV*/AIDS Cases by Region (N=34,585**)

**Data through 2006

Northwest6.3%

Southwest8.3%

Central24.4%

Northern27.3%

Eastern33.7%

*Includes those that may have progressed to AIDS

Northern Region of Virginia (N=5,289)Cases of HIV/AIDS* (1996-2006)

222 213241

252236

253

291

232

199

269

326

273

230

233

145

226

159

249

319

247

190

284

0

50

100

150

200

250

300

350

400

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ases_

Cases of HIV (n=2583)

Cases of AIDS (n=2706)

*Includes those that may have progressed to AIDS

People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not

AIDS)/AIDS in Northern Virginia at the end of 2006 ≈ 5263

29% of Virginia’s living total Most of cases are 32 years old 75% male 49% black

Number of People Living with HIV(not AIDS) or AIDS,

in Virginia, by Region, at the end of 2006 (N=18,119)

4379

58515263

1217 1409

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

5500

6000

6500

Rep

ort

ed L

ivin

g

Region

CentralEasternNorthernNorthwestSouthwest

Percentage of People Living with HIV (not AIDS), by Region (N=10,088*)

Northwest5.8%

Southwest7.6%

Central25.8%

Northern26.0%

Eastern34.8%

*Data through 2006

Percentage of People Living with AIDS, by Region, (N=8,031*)

Northwest7.9%

Southwest8.0%

Central22.1%

Northern32.8%

Eastern29.2%

*Data through 2006

Individuals Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia by Locality at the end of 2006 (N=5,263)

18795

11

572

42

1150

1857

1185

163

0

500

1000

1500

2000FAIR

FAX C

O.

ALE

XAN

DRIA

ARLI

NG

TO

N C

O.

PRIN

CE

WIL

LIAM

CO

.

LOU

DO

UN

CO

.

MAN

ASSAS

FAIR

FAX

FALL

S C

HU

RCH

MAN

ASSAS

PARK

Locality

Rep

orte

d L

ivin

g_

Individuals Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia, by Race, at the end of 2006 (N=5,263)

2 107

2553

591

8 19

1983

0

500

1000

1500

2000

2500

3000

Report

ed L

ivin

g

Race

American Indian/AlaskanNativeAsian/Pacific Islander

Black

Hispanic

Multiple

Unknown

White

Individuals Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia, by Risk at the end of 2006 (N=5,263)

26

943

593

2377

172 24233 46

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2200

2400

2600

Report

ed L

ivin

g

Risk Factor

HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)

MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion

*831 cases unidentified risk or undetermined risk

Females Living with HIV(not AIDS)/AIDS in the Northern Region of Virginia by Risk at the end of 2006 (N=1328*)

1

219

89

16

624

230

100

200

300

400

500

600

700

Hemophilia HeterosexualContact

Injecting DrugUse (IDU)

MultipleHeterosexual

Contacts

Pediatric Transfusion

Risk Factor

Rep

orte

d L

ivin

g_ Females (n=1328)

*356 cases unidentified risk or undetermined risk

Males Living with HIV(not AIDS)/AIDS in the Northern Region by Risk at the end of 2006 (N=3935*)

25

374

2377

17217 23

319

153

0

500

1000

1500

2000

2500

Hemophilia HeterosexualContact

Injecting DrugUse (IDU)

Men Having Sexwith Men(MSM)

MSM & IDU MultipleHeterosexual

Contacts

Pediatric Transfusion

Risk Factor

Rep

orte

d L

ivin

g_ Males (n=3935)

*475 cases unidentified risk or undetermined risk

Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%)

in reported syphilis The Northern region saw a 13% increase in

reported syphilis In the Northern Region, Fairfax County showed the most

notable increase (20%) In 2006, 55% of reported cases of Syphilis in the

Northern region were White, 31% Black,11% Hispanic and 3% reported another race.

In 2006, the majority of the reported cases of syphilis in the Northern region were male (96%)

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

VirginiaTotal Early Syphilis* Cases by Region, 2006 (N=351)

Northwest5.1%

Southwest6.0%

Central17.1%

Northern26.8%

Eastern45.0%

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Northern Health Region Cases of Total Early Syphilis* (1998-2006)

39

2935

50

58

68

83

94

27

0

10

20

30

40

50

60

70

80

90

100

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Northern Health Region, by locality in 2006 (N=94)

36

2119

42 2

0 0 0

10

0

5

10

15

20

25

30

35

40FAIR

FAX C

O.

ARLI

NG

TO

N

ALE

XAN

DRIA

PRIN

CE

WIL

LIAM

LOU

DO

UN

MAN

ASSAS

MAN

ASSAS

PARK

FAIR

FAX C

ITY

FALL

S C

HU

RCH

FRED

ERIC

K

Locality

Rep

orte

d C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Northern Health Region, by Race, in 2006 (N=94)

2

29

10

1 0

52

0

10

20

30

40

50

60

Report

ed Case

s

Race

Asian/ Pacific Islander

Black

Hispanic

Other

Unknown

White

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Northern Health Region, by age in 2006 (N=94)

2

15 16

10

24

14

7 6

0

2

4

6

8

10

12

14

16

18

20

22

24

26

28

30

13 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50+

Age

Rep

orte

d C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Gonorrhea Trends Between 2005-2006, statewide decrease (23%) in

reported gonorrhea. 34% decrease in reported Hispanic cases.

The Northern region saw a 33% decrease in reported gonorrhea

In the Northern Region, Alexandria showed the most notable decrease (34%)

In 2006, 21% of reported cases of gonorrhea in the Northern region were White, 61% Black, 7% were Hispanic, 6% were unknown and 5% reported another race

The majority of the reported cases of gonorrhea were male (55%)

VirginiaGonorrhea Cases by Region, 2006 (N=6,474)

Northwest6.5%

Southwest15.1%

Central29.7%

Northern6.9%

Eastern41.8%

Northern Health RegionCases of Gonorrhea (1998-2006)

745 735697 674

589

667 664

444

810

0

100

200

300

400

500

600

700

800

900

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s

Individuals Reported with Gonorrhea in the Northern Health Region, by locality in 2006 (N=444)

129

112

90

70

26

6 6 3 2 00

10

20

30

40

50

60

70

80

90

100

110

120

130

140

150PRIN

CE

WIL

LIAM

FAIR

FAX C

O.

ARLI

NG

TO

N

ALE

XAN

DRIA

LOU

DO

UN

FAIR

FAX C

ITY

MAN

ASSAS

MAN

ASSAS

PARK

FALL

S C

HU

RCH

FRED

ERIC

K

Locality

Rep

orte

d C

ases

Individuals Reported with Gonorrhea in the Northern Health Region, by Race, in 2006 (N=444)

1 10

269

3211

28

93

0

50

100

150

200

250

300

Report

ed C

ase

s

Race

American Indian/Alaskan Native

Asian/Pacific Islander

Black

Hispanic

Other

Unknown

White

3

95

140

95

4130

2114

50

25

50

75

100

125

150

175

2000-

12

13-1

9

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50+

Age

Rep

orte

d C

ases

Individuals Reported with Gonorrhea in the Northern Health Region, by Age, in 2006 (N=444)

Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported

Chlamydia and 26% increase in reported Hispanic Cases Northern Region saw a 2% increase in reported

Chlamydia In the Northern Region, Loudoun showed the most

notable increase (36%) In 2006 in the Northern Region, 23% of reported cases

of Chlamydia were white, 30% black, 21% were Hispanic, and 18% were unknown

Majority of the reported cases of Chlamydia were female (72%)

VirginiaChlamydia Cases by Region, 2006 (N=24,081)

Northwest11.5%

Southwest11.9%

Central22.5%

Northern13.4%Eastern

40.6%

Northern RegionCases of Chlamydia (1998-2006)

18912069

2350 2348 2394

2652

3174 3226

1722

0

500

1000

1500

2000

2500

3000

3500

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s

Individuals Reported with Chlamydia in the Northern Health Region, by locality in 2006 (N=3,226)

1221

747

412341 333

9527 26 24 0

0

100

200

300

400

500

600

700

800

900

1000

1100

1200

1300

FAIR

FAX C

O.

PRIN

CE

WIL

LIAM

ARLI

NG

TO

N

ALE

XAN

DRIA

LOU

DO

UN

MAN

ASSAS

FALL

S C

HU

RCH

FAIR

FAX C

ITY

MAN

ASSAS

PARK

FRED

ERIC

K

Locality

Rep

orte

d C

ases

Individuals Reported with Chlamydia in the Northern Health Region, by Race, in 2006 (N=3,226)

3

137

965

664

131

570

756

0100200300400500600700800900

1000

Report

ed C

ase

s

Race

American Indian/ AlaskanNativeAsian/ Pacific Islander

Black

Hispanic

Other

Unknown

White

Individuals Reported with Chlamydia in the Northern Region, by age in 2006 (N=3,226)

3

859

1198

611

305

113 8425 28

0

100

200

300

400

500

600

700

800

900

1000

1100

1200

1300

1400

15000-1

2

13-1

9

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50+

Age

Rep

orte

d C

ases

Prepared by:

*Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007

Carrie Dolan, MPHEpidemiologistcarrie.dolan@vdh.virginia.gov

Lindsey Matthews, MPH (updated)

Division of Disease PreventionJuly 2007