An overview of the HIV data for Birmingham from West Midlands Public Health England team as part of the HIV Commission visit to Birmingham in February 2020.

1. Epidemiology of HIV in
Birmingham, 2018
Nicola Dennis (Nicola.Dennis@phe.gov.uk) with thanks to Rehman
Teagle (FES team, PHE)

2. 2 HIV in Birmingham and Solihull, 2014

3. PHE’s role around HIV
3 HIV in Birmingham and Solihull, 2014

4. Epidemiology of HIV in
Birmingham, 2018

5. 5 HIV in Birmingham, 2018
New HIV
diagnoses

6. 6 HIV in Birmingham, 2018
New HIV diagnoses in Birmingham
• In 2018, 125 Birmingham residents were diagnosed with
HIV
• This is an increase of 16 cases since 2017
• Since 1981, 3,570 Birmingham residents have been
diagnosed with HIV
• Heterosexual sex was the largest exposure category
in Birmingham in 2018
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

7. 7 HIV in Birmingham, 2018
New HIV diagnosis rate per 100,000 population by upper tier local authority of
residence, ages 15 years and over, West Midlands, 2018
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

8. 8 HIV in Birmingham, 2018
New HIV diagnosis rate per 100,000 population, all ages, Birmingham and
West Midlands, 1981-2018
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

9. 9 HIV in Birmingham, 2018
New HIV diagnosis rate per 100,000 population by probable exposure
category, Birmingham, 1981-2018
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

10. 10 HIV in Birmingham, 2018
Number of new HIV diagnoses by ethnic group, Birmingham, 1998-2018
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

11. 11 HIV in Birmingham, 2018
Number of new HIV diagnoses by age group and gender, Birmingham, 1981-
2018
• 10% of all cases diagnosed from 1981 to 2018 were aged 50 years or
over at diagnosis
• 15% of cases diagnosed in 2018 were aged 50 years or over at
diagnosis
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).
1981-2018 2018 only

12. 12 HIV in Birmingham, 2018
HIV testing and
late HIV
diagnoses

13. 13 HIV in Birmingham, 2018
Coverage of HIV testing in specialist sexual health services, Birmingham,
West Midlands and England, 2009-2018
Source: Public Health England, GUMCAD STI Surveillance System.

14. 14 HIV in Birmingham, 2018
Percentage of new HIV diagnoses that were diagnosed at a late stage of
infection, ages 15+, Birmingham, West Midlands and England, 2009-11 to
2016-18
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

15. 15 HIV in Birmingham, 2018
Percentage of new HIV diagnoses that were diagnosed at a late stage of
infection by upper tier local authority of residence, ages 15+, West Midlands,
2016-18
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

16. 16 HIV in Birmingham, 2018
Late diagnosis of HIV by exposure, ethnicity and age,
ages 15+, Birmingham, 2016-18
Source: Public Health England, HIV and AIDS New Diagnosis and Deaths Database (HANDD).

17. 17 HIV in Birmingham, 2018
People living with
diagnosed HIV

18. 18 HIV in Birmingham, 2018
People living with diagnosed HIV in Birmingham,
2018
• In 2018, 2,236 Birmingham residents were living with
diagnosed HIV and accessing HIV care
• National estimates indicate that 7% of people living with
HIV in the UK are undiagnosed*
* Estimate based on 2018 data.
Source: Public Health England, HIV and AIDS Reporting System (HARS).

19. 19 HIV in Birmingham, 2018
Number of people living with diagnosed HIV by probable exposure category,
Birmingham, 2018
Source: Public Health England, HIV and AIDS Reporting System (HARS).

20. 20 HIV in Birmingham, 2018
People living with diagnosed HIV per 1,000 population by ethnic group, ages
15-59 years, Birmingham, 2018
Source: Public Health England, HIV and AIDS Reporting System (HARS).

21. 21 HIV in Birmingham, 2018
Proportion of people living with diagnosed HIV by age group, Birmingham,
2009 and 2018
Source: Public Health England, HIV and AIDS Reporting System (HARS).

22. 22 HIV in Birmingham, 2018
People living with diagnosed HIV per 1,000 population aged 15-59 years by
local authority of residence, West Midlands, 2018
Source: Public Health England, HIV and AIDS Reporting System (HARS).

23. 23 HIV in Birmingham, 2018
People living with diagnosed HIV per 1,000 population aged 15-59 years,
Birmingham and 15 nearest statistical neighbours, 2018
Source: Public Health England, HIV and AIDS Reporting System (HARS).

24. 24 HIV in Birmingham, 2018
Further information:
• West Midlands HIV Spotlight Report:
https://www.gov.uk/government/publications/hiv-west-midlands-annual-
data-spotlight
• HIV in the UK annual report:
https://www.gov.uk/government/publications/hiv-in-the-united-kingdom
• HIV data tables:
https://www.gov.uk/government/statistics/hiv-annual-data-tables
• Sexual and reproductive health profiles:
https://fingertips.phe.org.uk/profile/sexualhealth
• Summary Profile of Local Authority Sexual Health (SPLASH) report for
Birmingham:
https://fingertips.phe.org.uk/static-
reports/sexualhealth/e08000025.html?area-name=birmingham

25. 25 HIV in Birmingham, 2018
Questions