1. Healthy Chicago &
The National HIV/AIDS Strategy
July 10, 2012
Bechara Choucair, MD
Commissioner
Chicago Department of Public Health
@choucair on

2. HEALTHY CHICAGO
CHICAGO DEPARTMENT OF PUBLIC HEALTH
TRANSFORMING THE
Chicago Department of Public Health
HEALTH OF OUR CITY
CHICAGO ANSWERS THE CALL
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

3. HEALTHY CHICAGO
Chicago Department of Public Health
IT MATTERS
Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

4. IT MATTERS
A healthy city is a city that:
 Offers healthier food options
 Provides places to be physically active
 Responds to public health threats
 Creates healthy and safe environments
 Ensures access to care for all residents
 Eliminates health disparities for all communities

5. A COMPREHENSIVE
PUBLIC HEALTH AGENDA
A blueprint for action to create:
 Healthy City
 Healthy Neighborhoods
 Healthy Homes
 Healthy People

6. HEALTHY CHICAGO
Chicago Department of Public Health
Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

7. HEALTHY CHICAGO
Chicago Department of Public Health
IT’S NOT JUST ABOUT
INDIVIDUAL BEHAVIOR
Chicago Department of Public Health
IT’S ABOUT HOW WE
BEHAVE AS A CITY
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

8. IT DEMANDS THAT WE MAKE CHANGES
In programs
In health education
In policies

9. IT’S ABOUT CHANGING SYSTEMS
It’s about creating accountability
It’s about communicating what’s expected of all of us
It’s about measuring outcomes and success

10. HEALTHY CHICAGO
Chicago Department of Public Health
Chicago Department of Public Health
HEALTHY CHICAGO STRATEGIES BY INTERVENTION TYPE
(n=193)
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

11. HEALTHY CHICAGO
Chicago Department of Public Health
MOVING TOWARD A HEALTHY CHICAGO
Chicago Department of Public Health
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

12. HEALTHY CHICAGO
Chicago Department of Public Health
Chicago Department of Public Health
HIV PREVENTION
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

13. People Living and Diagnosed with HIV and AIDS,
Chicago, 1992-2010

14. People Living with HIV* by Select Characteristic,
Chicago, 2010
*N = 21,348
CDPH – STI/HIV Surveillance, Epidemiology and Research Section – 07/2012

15. HIV Infection Diagnoses* by Select Characteristic,
Chicago, 2010
CDPH – STI/HIV Surveillance, Epidemiology and Research Section – 07/2012

16. Chicago’s Current HIV Continuum of Care, 2010
Test Link & Treat Prevent
CDPH – STI/HIV Surveillance, Epidemiology and Research Section – 07/2012

17. For every 100 people living estimated to be
living with HIV in Chicago in 2010…..
CDPH – STI/HIV Surveillance, Epidemiology and Research Section – 07/2012

18. Healthy Chicago Strategies to Reach
National HIV/AIDS Strategy (NHAS) Goals (1)
 Reduce new HIV infections
 Support HIV testing for over 58,000 high-risk individuals
annually
 Work with partners to distribute 10 million condoms annually
 Implement on-line services to facilitate the identification of
partners of newly diagnosed HIV cases
 Work with hospitals, medical schools and physician residency
programs to encourage integration of opt-out testing in
protocols and curricula
 Support partner agencies in the distribution of over three
million syringes, in conjunction with prevention education
information, to injection drug users

19. Healthy Chicago Strategies to
Reach NHAS Goals (2)
 Increase access to care and improve health
outcomes for people living with HIV
 Lead efforts and develop partnerships/collaborations to expand
linkage to care for HIV-positive individuals currently not in care
 Link 80% of individuals who were previously HIV-positive and
newly diagnosed with syphilis to care within 90 days of
diagnosis
 Promote integration of hepatitis, tuberculosis, and STI testing
for HIV infected persons
 Implement the Get Real, Get Care campaign to promote linkage
to care for persons newly diagnosed with HIV

20. Healthy Chicago Strategies to
Reach the NHAS Goals (3)
 Reducing HIV-related health disparities
 Pilot combination prevention strategies in communities with
the highest incidence and prevalence of HIV
 Implement the Greater Than campaign to deliver prevention
messages in the African American community

21. Healthy Chicago HIV Prevention
Accomplishments
 Comprehensive prevention funding of $2.9M
 Advanced HIV prevention training to over 1,100
providers annually
 Enhanced policy and planning
 Initiated the Chicago community condom project
 Integration of HIV community planning groups
 Enhanced partner services and linkage to care activities

22. HEALTHY CHICAGO
Chicago Department of Public Health
Chicago Department of Public Health
HIV PREVENTION STRATEGIES
IMPLEMENTATION STATUS
Rahm Emanuel Bechara Choucair, MD
Mayor Commissioner

23. STATUS OF HIV STRATEGIES (n=23)