ProgressionOfHIV Infection CasesDiagnosed in Florida Through 2011Florida Department of HealthHIV/AIDS & Hepatitis Program Annual data as of 07/31/2012Created: 07/31/12Revision: 11/06/12

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.

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)

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.

Progression of HIV Infection Cases Diagnosed in Florida, through 20111970s*Through 2011Excludes Department of Corrections *5 cases were diagnosed in the 1970s

Each dot = 1 caseExcludes Department of Corrections (N=0)N=5Progression of HIV Infection Cases Diagnosed in Florida, through 1970sEach dot = 1 caseExcludes Department of Corrections (N=0)N=5

N= 3,246Each dot = 3 casesA cumulative total of 2,732 (16%) are presumed alive.Excludes Department of Corrections (N=110)Progression of HIV Infection Cases Diagnosed in Florida, through 1985N= 3,246Each dot = 3 casesA cumulative total of 2,732 (16%) are presumed alive.Excludes Department of Corrections (N=110)N= 3,246Each dot = 3 casesA cumulative total of 2,732 (16%) are presumed alive.Excludes Department of Corrections (N=110)

N= 28,026Each dot = 3 casesA cumulative total of 23,638 (16%) are presumed alive.Excludes Department of Corrections (N=752)Progression of HIV Infection Cases Diagnosed in Florida, through 1990N= 28,026Progression of HIV Infection Cases Diagnosed in Florida, through 1990Each dot = 3 casesA cumulative total of 23,638 (16%) are presumed alive.Excludes Department of Corrections (N=752)N= 28,026Progression of HIV Infection Cases Diagnosed in Florida, through 1990N= 28,026Progression of HIV Infection Cases Diagnosed in Florida, through 1990

N= 61,370Each dot = 3 casesA cumulative total of 47,589 (22%) are presumed alive.Excludes Department of Corrections (N=2,177)Progression of HIV Infection Cases Diagnosed in Florida, through 1995N= 61,370Progression of HIV Infection Cases Diagnosed in Florida, through 1995Each dot = 3 casesA cumulative total of 47,589 (22%) are presumed alive.Excludes Department of Corrections (N=2,177)N= 61,370Progression of HIV Infection Cases Diagnosed in Florida, through 1995

N= 101,756Each dot = 3 casesA cumulative total of 62,621 (38%) are presumed alive.Excludes Department of Corrections (N=3,944)Progression of HIV Infection Cases Diagnosed in Florida, through 2000N= 101,756Progression of HIV Infection Cases Diagnosed in Florida, through 2000Each dot = 3 casesA cumulative total of 62,621 (38%) are presumed alive.Excludes Department of Corrections (N=3,944)N= 101,756Progression of HIV Infection Cases Diagnosed in Florida, through 2000

Each dot = 3 casesA cumulative total of 70,363 (49%) are presumed alive.Excludes Department of Corrections (N=5,547)Progression of HIV Infection Cases Diagnosed in Florida, through 2005Progression of HIV Infection Cases Diagnosed in Florida, through 2005N= 137,260Progression of HIV Infection Cases Diagnosed in Florida, through 2005

N= 170,863 Each dot = 3 casesA cumulative total of 73,404 (57%) are presumed alive.Excludes Department of Corrections (N=6,758)Progression of HIV Infection Cases Diagnosed in Florida, through 2011

AIDS Case Progression.pptProgressionOfHIV Infection Casesin Florida Diagnosed through 2011AIDS Case Progression.ppt***HIV 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.AIDS Case Progression.ppt***Surveillance 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)AIDS Case Progression.ppt***HIV 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.AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 2011

AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 1970s

N=5Each dot = 1 caseExcludes Department of Corrections (N=0)

AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 1985

N=Each dot = 3 casesA cumulative total of 2,732 (16%) are presumed alive.Excludes Department of Corrections (N=110)AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 1990

N=Each dot = 3 casesA cumulative total of 23,638 (16%) are presumed alive.Excludes Department of Corrections (N=752)AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 1995

N=Each dot = 3 casesA cumulative total of 47,589 (22%) are presumed alive.Excludes Department of Corrections (N=2,177)AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 2000

N=Each dot = 3 casesA cumulative total of 62,621 (38%) are presumed alive. Excludes Department of Corrections (N=3,944)AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 2005

N=Each dot = 3 casesA cumulative total of 70,363 (49%) are presumed alive.Excludes Department of Corrections (N=5,547)AIDS Case Progression.pptProgression of HIV Infection Cases Diagnosed in Florida, through 2011

N=Each dot = 3 casesA cumulative total of 73,404 (57%) are presumed alive.Excludes Department of Corrections (N=6,758)AIDS Case Progression.pptFor Florida HIV/AIDS Surveillance Data Contact: (850) 245-4444

Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Julia Fitz, MPH Ext. 2373

Visit Floridas internet site for:Monthly Surveillance ReportsSlide Sets and Fact SheetsAnnual Reports and Epi Profiles http://www.doh.state.fl.us/Infection_ctrl/aids/trends/trends.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