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Progression ofHIV Infection CasesDiagnosed in Florida Through 2014Florida Department of HealthHIV/AIDS SectionDivision of Disease Control and Health Protection Annual data as of 03/31/2015Created: 12/04/14Revision: 09/21/15To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. ProgressionofHIV Infection Casesin Florida Diagnosed through 2014

Florida Department of HealthHIV/AIDS SectionDivision of Disease Control and Health Protection Annual data as of 03/31/2015

HIV Infection Case DataAIDS Cases became reportable in Florida in 1981.

HIV (not AIDS) became reportable in Florida on July 1, 1997.

HIV Infection reporting represents newly reported HIV cases, regardless of AIDS status at time of report.

Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases.

222HIV and AIDS Case Data

AIDS Cases became reportable in Florida in 1981.

HIV (not AIDS) became reportable in Florida on July 1, 1997.

HIV Infection reporting represents newly reported HIV cases, regardless of AIDS status at time of report.

AIDS cases and HIV infection cases by year of report are NOT mutually exclusive and CANNOT be added together.

Frozen databases of year-end data are generated at the end of each calendar year. These are the same data used for Florida CHARTS and all grant-related data where annual data are included.

HIV prevalence data are generated later in the year, usually in May, when most of the expected death data are complete.most of the expected death data are complete.Surveillance Case Definition for HIV in FloridaLaboratory CriteriaPositive result on a screening test for HIV antibody, followed by a positive result on a confirmatory test for HIV antibody (e.g., Western blot, IFA, multispot, etc).ORPositive result or report of a detectable quantity of any of the following HIV virologic (non-antibody) tests:HIV nucleic acid (DNA or RNA) detection test (e.g., polymerase chain reaction [PCR]) Has a CD4 of less than 14 percent total lymphocytesHIV p24 antigen test, (excluding neutralization assay)HIV isolation (viral culture)333Surveillance Case Definition for HIV in Florida

Laboratory CriteriaPositive result on a screening test for HIV antibody, followed by a positive result on a confirmatory test for HIV antibody (e.g., Western blot or IFA)ORPositive result or report of a detectable quantity of any of the following HIV virologic (non-antibody) tests:HIV nucleic acid (DNA or RNA) detection test (e.g., polymerase chain reaction [PCR])Has a CD4 of less than 14 percent total lymphocytesHIV p24 antigen test, excluding neutralization assay)HIV isolation (viral culture)HIV Infection Reporting in FloridaHIV Case Reporting in Florida is based on a positive antibody or antigen test for HIV:HIV (not AIDS) cases became reportable in Florida on 07/1997, but only via confirmatory Western Blot (antibody) HIV tests. Reporting was NOT retroactive. Previously positive tests required re-testing with a confirmatory test before they could become reportable.

Viral load (antigen) HIV tests became reportable in Florida on 11/20/2006.

As of 2009, all states now have confidential name-based HIV infection reporting.444HIV Infection Case Reporting in Florida

HIV Case Reporting in Florida is based on a positive antibody or antigen test for HIV:HIV (not AIDS) cases became reportable in Florida on 07/1997, but only via confirmatory Western Blot (antibody) HIV tests. Reporting was NOT retroactive. Previously positive tests required re-testing with a confirmatory test before they could become reportable.

Viral load (antigen) HIV tests became reportable in Florida on 11/20/2006.

As of 2009, all states now have confidential name-based HIV infection reporting.Progression of HIV Infection CasesDiagnosed in Florida, through 20141970s*Through 2014Maps exclude Department of Corrections *12 cases were diagnosed in the 1970s

Progression of HIV Infection CasesDiagnosed in Florida, through 2014

Progression of HIV Infection Cases*Diagnosed in Florida, through 1970sEach dot = 1 caseA total of 1 (8%) is presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=0).N=12* Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection Cases*Diagnosed in Florida, through 1970s

N=12Each dot = 1 case A total of 1 (8%) is presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=0).

* Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS. ** Presumed alive are cases diagnosed in Florida regardless of current residence.

Progression of HIV Infection Cases*Diagnosed in Florida, through 1985N= 3,255Each dot = 3 casesA cumulative total of 474 (15%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=110).* Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection Cases*Diagnosed in Florida, through 1985

N= 3,255Each dot = 3 cases A cumulative total of 474 (15%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=110). * Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS. ** Presumed alive are cases diagnosed in Florida regardless of current residence.

Each dot = 3 casesA cumulative total of 4,074 (15%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=752).N= 28,042Progression of HIV Infection Cases*Diagnosed in Florida, through 1990* Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection Cases*Diagnosed in Florida, through 1990

N= 28,042Each dot = 3 casesA cumulative total of 4,074 (15%) are presumed alive**, as of 3/31/2015. Map excludes Department of Corrections (N=752). * Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS.** Presumed alive are cases diagnosed in Florida regardless of current residence.

Each dot = 3 cases A cumulative total of 12,865 (21%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=2,171). N= 61,395Progression of HIV Infection Cases*Diagnosed in Florida, through 1995* Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection CasesDiagnosed in Florida, through 1995

N= 61,395Each dot = 3 casesA cumulative total of 12,865 (21%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=2,171). * Due to Florida reporting laws, HIV cases diagnosed prior to July 1997 were simultaneously diagnosed as HIV and AIDS.

Each dot = 3 cases A cumulative total of 36,732 (36%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=3,930).N= 101,767Progression of HIV Infection Cases*Diagnosed in Florida, through 2000* HIV diagnosis regardless of AIDS status. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection Cases*Diagnosed in Florida, through 2000

N= 101,767Each dot = 3 cases A cumulative total of 36,732 (36%) are presumed alive**, as of 3/31/2015.Excludes Department of Corrections (N=3,930) * HIV diagnosis regardless of AIDS status. ** Presumed alive are cases diagnosed in Florida regardless of current residence.

Each dot = 3 casesA cumulative total of 63,096 (46%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=5,514).N= 137,109Progression of HIV Infection Cases*Diagnosed in Florida, through 2005* HIV diagnosis regardless of AIDS status. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection CasesDiagnosed in Florida, through 2005

N= 137,109Each dot = 3 casesA cumulative total of 63,096 (46%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=5,514). * HIV diagnosis regardless of AIDS status.** Presumed alive are cases diagnosed in Florida regardless of current residence.

N= 165,444 Each dot = 3 cases A cumulative total of 87,784 (53%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=6,531).Progression of HIV Infection Cases*Diagnosed in Florida, through 2010* HIV diagnosis regardless of AIDS status. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection CasesDiagnosed in Florida, through 2010

N=165,444Each dot = 3 cases A cumulative total of 87,784 (53%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=6,531). * HIV diagnosis regardless of AIDS status.** Presumed alive are cases diagnosed in Florida regardless of current residence.

N= 185,610 Each dot = 3 cases A cumulative total of 107,051 (58%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=6,955).Progression of HIV Infection Cases* Diagnosed in Florida, through 2014* HIV diagnosis regardless of AIDS status. ** Presumed alive are cases diagnosed in Florida regardless of current residence.Progression of HIV Infection CasesDiagnosed in Florida, through 2014

N=185,610Each dot = 3 cases A cumulative total of 107,051 (58%) are presumed alive**, as of 3/31/2015.Map excludes Department of Corrections (N=6,955). * HIV diagnosis regardless of AIDS status. ** Presumed alive are cases diagnosed in Florida regardless of current residence.

For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444

Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373

Visit Floridas internet site for:Monthly Surveillance ReportsSlide Sets and Fact SheetsAnnual Reports and Epi Profileshttp://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html

Visit CDCs HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm

For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444

Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373

Visit Floridas internet site for:Monthly Surveillance ReportsSlide Sets and Fact SheetsAnnual Reports and Epi Profileshttp://www.floridahealth.gov/diseases-and-conditions/aids/surveillance/index.html

Visit CDCs HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm

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