The document discusses evaluating the National HIV/AIDS Strategy using HIV surveillance data. It outlines the Strategy's goals of reducing new infections, increasing access to care, and reducing health disparities. It then describes how HIV surveillance data can measure progress, including data on HIV diagnoses, CD4 and viral load tests, entry to and retention in care. Preliminary national data from 2006-2009 shows HIV incidence has remained relatively stable, while AIDS diagnoses and deaths have declined as the number of people living with HIV has increased.
The document discusses expanding HIV screening in the Veterans Administration. It notes that prior to 2009, only 50-70% of veterans with known HIV risk factors were being tested. Many newly diagnosed patients had CD4 counts below 200. The VA implemented several interventions to increase testing rates including streamlining consent, using electronic medical records to identify at-risk patients, and providing regular feedback to facilities. These efforts led to a 2-3 fold increase in HIV testing rates across the VA and more patients being diagnosed earlier with higher CD4 counts.
APIC "Futures Summit" Presentation April 2006Noel Eldridge
This was a presentation that I was invited to give at a "Summit" - Special Board meeting with invited guests - of the Association for Professionals in Infection Control. I remeember Rick Shannon also speaking and being impressed by his work, and CDC being there too. I was invited to talk about incentives for improving patient safety in VA, and I also added in slides about my frustration with the data on HAIs at that time.
Prevention and Care Framework and Priorities
Epidemiology of HIV in the EMA
HIV continuum of care in the Chicago EMA – linkage to care, engaged in care and viral suppression
Reaching the NHAS goals
Presentation by Nabarun Dasgupta at the Drug Information Association (DIA) EudraVigilance Day, London, May 2012. Covers HealthMap, MedWatcher and other research at the intersection of social media, data mining and crowdsourcing in health. Applications are presented in infectious disease (outbreak) surveillance and medical product adverse event safety (drugs, vaccines, devices).
HIV Risk Behaviors and Psychosexual Factors among Young African American and ...CDC NPIN
This document summarizes findings from an evaluation of the Mpowerment Project, an intervention to reduce HIV risk among young African American and Latino men who have sex with men (MSM). The evaluation assessed process, individual outcomes, and community impact across three Mpowerment sites. Key findings include:
- Over 400 young MSM of color were recruited across the three sites, with most identifying as Hispanic, African American, or multi-racial.
- Sites implemented core Mpowerment elements like outreach, discussion groups, and peer support networks. On average, over 50 outreach events and 30 discussion/support groups were held at each site annually.
- Early outcome data show reductions in risk behaviors like
Nova Scotia Web Media Consultants Supernova Studios Presents SEO 101. Search engine optimization (SEO) is the process of improving the visibility of a website or a web page in search engines via the "natural" or un-paid ("organic" or "algorithmic") search results.
The document discusses expanding HIV screening in the Veterans Administration. It notes that prior to 2009, only 50-70% of veterans with known HIV risk factors were being tested. Many newly diagnosed patients had CD4 counts below 200. The VA implemented several interventions to increase testing rates including streamlining consent, using electronic medical records to identify at-risk patients, and providing regular feedback to facilities. These efforts led to a 2-3 fold increase in HIV testing rates across the VA and more patients being diagnosed earlier with higher CD4 counts.
APIC "Futures Summit" Presentation April 2006Noel Eldridge
This was a presentation that I was invited to give at a "Summit" - Special Board meeting with invited guests - of the Association for Professionals in Infection Control. I remeember Rick Shannon also speaking and being impressed by his work, and CDC being there too. I was invited to talk about incentives for improving patient safety in VA, and I also added in slides about my frustration with the data on HAIs at that time.
Prevention and Care Framework and Priorities
Epidemiology of HIV in the EMA
HIV continuum of care in the Chicago EMA – linkage to care, engaged in care and viral suppression
Reaching the NHAS goals
Presentation by Nabarun Dasgupta at the Drug Information Association (DIA) EudraVigilance Day, London, May 2012. Covers HealthMap, MedWatcher and other research at the intersection of social media, data mining and crowdsourcing in health. Applications are presented in infectious disease (outbreak) surveillance and medical product adverse event safety (drugs, vaccines, devices).
HIV Risk Behaviors and Psychosexual Factors among Young African American and ...CDC NPIN
This document summarizes findings from an evaluation of the Mpowerment Project, an intervention to reduce HIV risk among young African American and Latino men who have sex with men (MSM). The evaluation assessed process, individual outcomes, and community impact across three Mpowerment sites. Key findings include:
- Over 400 young MSM of color were recruited across the three sites, with most identifying as Hispanic, African American, or multi-racial.
- Sites implemented core Mpowerment elements like outreach, discussion groups, and peer support networks. On average, over 50 outreach events and 30 discussion/support groups were held at each site annually.
- Early outcome data show reductions in risk behaviors like
Nova Scotia Web Media Consultants Supernova Studios Presents SEO 101. Search engine optimization (SEO) is the process of improving the visibility of a website or a web page in search engines via the "natural" or un-paid ("organic" or "algorithmic") search results.
CDC’s Expanded HIV Testing Program: Successes, Best Practices and Lessons Lea...CDC NPIN
The CDC's Expanded HIV Testing Program aimed to increase HIV testing, particularly among African Americans. From 2007-2010, over 2.7 million tests were conducted through clinical and non-clinical settings, identifying 29,503 people living with HIV including 18,432 new diagnoses. Testing was most common among blacks, males, and in emergency rooms, jails, and substance abuse treatment centers. The program successfully increased national HIV testing and diagnoses.
The document discusses HIV epidemiology in Saskatchewan, highlighting that the province has seen a rapid increase in new HIV cases and now has the highest rates in Canada. It summarizes Saskatchewan's 2010-2013 HIV Strategy, which aims to reduce new infections and improve quality of life for those living with HIV through improved surveillance, clinical management, prevention, and harm reduction programs. The strategy goals include earlier detection of cases, decreasing new infections and sexually transmitted infections, and increasing access to testing, care, and prevention services.
Pharmacy Essentials for HIV Screening and Management.2019hivlifeinfo
Pharmacy Essentials for HIV Screening and Management
This downloadable slideset provides an in-depth review of key pharmacy strategies for expanding and supporting safe and effective HIV screening and treatment services to patients at risk of or living with HIV infection.
Jennifer Cocohoba Headshot
Jennifer Cocohoba, PharmD
Format: Microsoft PowerPoint (.ppt)
File Size: 1.93 MB
Released: January 31, 2019
The document summarizes HIV care continuum and engagement in care data for Philadelphia. Key points:
- In 2010, 82% of those diagnosed with HIV in Philadelphia were linked to care, 54% remained in care, 49% were on antiretroviral therapy (ART), and 38% had suppressed viral loads.
- Engagement in care varies by demographic group - males, blacks, Latinos, MSM, and younger age groups have lower rates of retention, ART use, and viral suppression compared to females, whites, heterosexuals, and older adults.
- 18% of those living with HIV/AIDS in the Philadelphia area had unmet needs for primary medical care in 2012, with higher
Dr. Kathleen Brady of Philadelphia's AIDS Activities Coordinating Office (AACO) gave this presentation at the January 9, 2013 Comprehensive Planning Committee meeting.
Kathleen Brady from the Philadelphia Department of Public Health presented her annual updated on the HIV Epidemic in Philadelphia at a February 2015 combined meeting of the Philadelphia Ryan White Part A Planning Council and the HIV Prevention Planning Group.
This document discusses HIV/AIDS as a global epidemic, providing statistics on infections and deaths. It introduces HATS, an HIV screening software created by Medwiser to increase access to testing through automated processes. HATS streamlines screening, treatment, reporting and can be used on various devices. New York state passed a law requiring routine HIV testing that will help identify infections earlier and improve outcomes. The document argues for increased HIV prevention funding and addresses barriers to testing in emergency rooms. It outlines how partnerships between Medwiser's HATS and other organizations can mutually benefit patients, physicians, payers and public health efforts to address HIV/AIDS.
Dr. Kathleen Brady (AACO)'s annual epidemiological update. This presentation was given to the Philadelphia EMA Ryan White Planning Council on Thursday, February 20, 2014.
This study analyzed data from 2009 on newly reported HIV cases and their sexual partners in Dallas County, Texas. Of the 530 sexual partners tested who were contacts of people newly diagnosed with HIV, 74.7% (396 people) were previously aware of their positive HIV status, while 25.3% (134 people) were newly diagnosed. Although contact investigations are still effective, the majority of contacts for people newly diagnosed were already aware of their HIV positive status. Increasing HIV testing and early diagnosis can help lower transmission rates by decreasing the number of unaware infections.
HIV/Aids Surveillance Systems: Are They Implemented Effectively? Xiaoming Zeng
The document discusses HIV/AIDS surveillance systems in the United States. It notes that over 1.1 million Americans are living with HIV, and 21% are unaware of their infection status. The Centers for Disease Control and Prevention works with various stakeholders to conduct surveillance, research, and evaluation activities related to HIV/AIDS. While surveillance systems and name reporting can provide benefits like monitoring disease trends and connecting patients to care, there are also barriers to effective data collection like underreporting, lack of provider awareness, and ethical issues regarding confidentiality. The National Electronic Disease Surveillance System is one approach that aims to address changing technology needs regarding public health surveillance.
Wesley Campbell, M.D., of U.S. Navy Medicine, presents "Neurocognitive Changes in Newly Diagnosed Patient with Low CD4: Implications for Prognosis and Employment"
The PHE data that goes against the narrativeHeikeBrunner1
The document summarizes discrepancies in COVID-19 case data reported by Public Health England (PHE). PHE's notifications of infectious diseases (NOIDs) data reported only 87 cases for one week compared to 145,129 cases from another PHE source. Three additional data sources - a symptom tracker, NHS triage calls, and lateral flow/antibody testing - show a September peak in cases that contradicts continually rising PCR positive cases. The document argues PHE should only diagnose symptomatic cases and re-evaluate PCR testing quality.
Cardiovascular Disease in HIV-Infected Patients.Predict It and Prevent It.2015Hivlife Info
In this downloadable slideset, Priscilla Y. Hsue, MD, and David A. Wohl, MD, discuss data on using traditional and newer markers and modalities to predict and prevent cardiovascular disease in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 3.21 MB
Date posted: 7/16/2015
Сердечно-сосудистые заболевания у ВИЧ-инфицированных пациентов : предсказать ...hivlifeinfo
Cardiovascular Disease in HIV-Infected Patients.Predict It and Prevent It. 2015
In this downloadable slideset, Priscilla Y. Hsue, MD, and David A. Wohl, MD, discuss data on using traditional and newer markers and modalities to predict and prevent cardiovascular disease in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 3.21 MB
Date posted: 7/16/2015
Christian B. Ramers, M.D., M.P.H., of Family Health Centers of San Diego, presents "The HCV Treatment Revolution: A View from the Community Health Center" for AIDS Clinical Rounds at UC San Diego
The UC San Diego AntiViral Research Center sponsors weekly presentations on infectious diseases research and clinical practices. A presentation on whether widespread HIV treatment can end transmission discussed recent trends showing HIV declining among adolescents and young adults in the US. The presentation reviewed research showing that early HIV treatment dramatically reduces heterosexual transmission but some transmission may still occur through anal sex among men who have sex with men on antiretroviral therapy. Future interventions could focus on optimizing HIV treatment, comparing antiretroviral regimens, and suppressing coinfections like CMV to further reduce HIV transmission.
AIDSVu offers a variety of tools to help illustrate the impact of HIV in the United States.Visit www.AIDSVu.org for more map views and downloadable resources.
PWP Recommendations: Treatment As PreventionCDC NPIN
This document discusses recommendations for using antiretroviral therapy (ART) as prevention of HIV transmission. [1] It reviews data showing ART reduces HIV transmission risk and existing US treatment guidelines. [2] The recommendations are that HIV-infected persons with ongoing risk behavior should be offered ART regardless of CD4 count to reduce transmission risk, and that ART should be initiated for those willing and able to commit to long-term therapy, guided by optimal treatment of the individual. [3] The benefits of ART for prevention must be balanced with continuing other prevention measures and prioritizing treatment of infected individuals.
This document summarizes key information about HIV in the United States:
- Over 1.1 million people are living with HIV in the US, with about 56,000 new infections each year. Rates are highest among men who have sex with men, African Americans, Latinos, and intravenous drug users.
- Effective prevention strategies include promoting abstinence, fewer partners, condom use, not sharing needles, antiretroviral treatment, male circumcision, and pre-exposure prophylaxis. Widespread testing is also an important prevention approach.
- Combining multiple prevention approaches and targeting high-risk groups can maximize the impact of HIV prevention and reduce transmission rates in the US.
The National Prevention Information Network (NPIN) is a service of the Centers for Disease Control and Prevention (CDC) that provides substance use and HIV prevention resources and information. NPIN offers access to materials on topics like alcohol, tobacco, other drugs, and HIV/AIDS in both English and Spanish. Their website contains thousands of publications, videos, and other materials to support prevention professionals and the general public.
CDC’s Expanded HIV Testing Program: Successes, Best Practices and Lessons Lea...CDC NPIN
The CDC's Expanded HIV Testing Program aimed to increase HIV testing, particularly among African Americans. From 2007-2010, over 2.7 million tests were conducted through clinical and non-clinical settings, identifying 29,503 people living with HIV including 18,432 new diagnoses. Testing was most common among blacks, males, and in emergency rooms, jails, and substance abuse treatment centers. The program successfully increased national HIV testing and diagnoses.
The document discusses HIV epidemiology in Saskatchewan, highlighting that the province has seen a rapid increase in new HIV cases and now has the highest rates in Canada. It summarizes Saskatchewan's 2010-2013 HIV Strategy, which aims to reduce new infections and improve quality of life for those living with HIV through improved surveillance, clinical management, prevention, and harm reduction programs. The strategy goals include earlier detection of cases, decreasing new infections and sexually transmitted infections, and increasing access to testing, care, and prevention services.
Pharmacy Essentials for HIV Screening and Management.2019hivlifeinfo
Pharmacy Essentials for HIV Screening and Management
This downloadable slideset provides an in-depth review of key pharmacy strategies for expanding and supporting safe and effective HIV screening and treatment services to patients at risk of or living with HIV infection.
Jennifer Cocohoba Headshot
Jennifer Cocohoba, PharmD
Format: Microsoft PowerPoint (.ppt)
File Size: 1.93 MB
Released: January 31, 2019
The document summarizes HIV care continuum and engagement in care data for Philadelphia. Key points:
- In 2010, 82% of those diagnosed with HIV in Philadelphia were linked to care, 54% remained in care, 49% were on antiretroviral therapy (ART), and 38% had suppressed viral loads.
- Engagement in care varies by demographic group - males, blacks, Latinos, MSM, and younger age groups have lower rates of retention, ART use, and viral suppression compared to females, whites, heterosexuals, and older adults.
- 18% of those living with HIV/AIDS in the Philadelphia area had unmet needs for primary medical care in 2012, with higher
Dr. Kathleen Brady of Philadelphia's AIDS Activities Coordinating Office (AACO) gave this presentation at the January 9, 2013 Comprehensive Planning Committee meeting.
Kathleen Brady from the Philadelphia Department of Public Health presented her annual updated on the HIV Epidemic in Philadelphia at a February 2015 combined meeting of the Philadelphia Ryan White Part A Planning Council and the HIV Prevention Planning Group.
This document discusses HIV/AIDS as a global epidemic, providing statistics on infections and deaths. It introduces HATS, an HIV screening software created by Medwiser to increase access to testing through automated processes. HATS streamlines screening, treatment, reporting and can be used on various devices. New York state passed a law requiring routine HIV testing that will help identify infections earlier and improve outcomes. The document argues for increased HIV prevention funding and addresses barriers to testing in emergency rooms. It outlines how partnerships between Medwiser's HATS and other organizations can mutually benefit patients, physicians, payers and public health efforts to address HIV/AIDS.
Dr. Kathleen Brady (AACO)'s annual epidemiological update. This presentation was given to the Philadelphia EMA Ryan White Planning Council on Thursday, February 20, 2014.
This study analyzed data from 2009 on newly reported HIV cases and their sexual partners in Dallas County, Texas. Of the 530 sexual partners tested who were contacts of people newly diagnosed with HIV, 74.7% (396 people) were previously aware of their positive HIV status, while 25.3% (134 people) were newly diagnosed. Although contact investigations are still effective, the majority of contacts for people newly diagnosed were already aware of their HIV positive status. Increasing HIV testing and early diagnosis can help lower transmission rates by decreasing the number of unaware infections.
HIV/Aids Surveillance Systems: Are They Implemented Effectively? Xiaoming Zeng
The document discusses HIV/AIDS surveillance systems in the United States. It notes that over 1.1 million Americans are living with HIV, and 21% are unaware of their infection status. The Centers for Disease Control and Prevention works with various stakeholders to conduct surveillance, research, and evaluation activities related to HIV/AIDS. While surveillance systems and name reporting can provide benefits like monitoring disease trends and connecting patients to care, there are also barriers to effective data collection like underreporting, lack of provider awareness, and ethical issues regarding confidentiality. The National Electronic Disease Surveillance System is one approach that aims to address changing technology needs regarding public health surveillance.
Wesley Campbell, M.D., of U.S. Navy Medicine, presents "Neurocognitive Changes in Newly Diagnosed Patient with Low CD4: Implications for Prognosis and Employment"
The PHE data that goes against the narrativeHeikeBrunner1
The document summarizes discrepancies in COVID-19 case data reported by Public Health England (PHE). PHE's notifications of infectious diseases (NOIDs) data reported only 87 cases for one week compared to 145,129 cases from another PHE source. Three additional data sources - a symptom tracker, NHS triage calls, and lateral flow/antibody testing - show a September peak in cases that contradicts continually rising PCR positive cases. The document argues PHE should only diagnose symptomatic cases and re-evaluate PCR testing quality.
Cardiovascular Disease in HIV-Infected Patients.Predict It and Prevent It.2015Hivlife Info
In this downloadable slideset, Priscilla Y. Hsue, MD, and David A. Wohl, MD, discuss data on using traditional and newer markers and modalities to predict and prevent cardiovascular disease in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 3.21 MB
Date posted: 7/16/2015
Сердечно-сосудистые заболевания у ВИЧ-инфицированных пациентов : предсказать ...hivlifeinfo
Cardiovascular Disease in HIV-Infected Patients.Predict It and Prevent It. 2015
In this downloadable slideset, Priscilla Y. Hsue, MD, and David A. Wohl, MD, discuss data on using traditional and newer markers and modalities to predict and prevent cardiovascular disease in HIV-infected patients.
Format: Microsoft PowerPoint (.ppt)
File size: 3.21 MB
Date posted: 7/16/2015
Christian B. Ramers, M.D., M.P.H., of Family Health Centers of San Diego, presents "The HCV Treatment Revolution: A View from the Community Health Center" for AIDS Clinical Rounds at UC San Diego
The UC San Diego AntiViral Research Center sponsors weekly presentations on infectious diseases research and clinical practices. A presentation on whether widespread HIV treatment can end transmission discussed recent trends showing HIV declining among adolescents and young adults in the US. The presentation reviewed research showing that early HIV treatment dramatically reduces heterosexual transmission but some transmission may still occur through anal sex among men who have sex with men on antiretroviral therapy. Future interventions could focus on optimizing HIV treatment, comparing antiretroviral regimens, and suppressing coinfections like CMV to further reduce HIV transmission.
AIDSVu offers a variety of tools to help illustrate the impact of HIV in the United States.Visit www.AIDSVu.org for more map views and downloadable resources.
PWP Recommendations: Treatment As PreventionCDC NPIN
This document discusses recommendations for using antiretroviral therapy (ART) as prevention of HIV transmission. [1] It reviews data showing ART reduces HIV transmission risk and existing US treatment guidelines. [2] The recommendations are that HIV-infected persons with ongoing risk behavior should be offered ART regardless of CD4 count to reduce transmission risk, and that ART should be initiated for those willing and able to commit to long-term therapy, guided by optimal treatment of the individual. [3] The benefits of ART for prevention must be balanced with continuing other prevention measures and prioritizing treatment of infected individuals.
This document summarizes key information about HIV in the United States:
- Over 1.1 million people are living with HIV in the US, with about 56,000 new infections each year. Rates are highest among men who have sex with men, African Americans, Latinos, and intravenous drug users.
- Effective prevention strategies include promoting abstinence, fewer partners, condom use, not sharing needles, antiretroviral treatment, male circumcision, and pre-exposure prophylaxis. Widespread testing is also an important prevention approach.
- Combining multiple prevention approaches and targeting high-risk groups can maximize the impact of HIV prevention and reduce transmission rates in the US.
Similar to Evaluating the National HIV/AIDS Strategy with Surveillance Data (20)
The National Prevention Information Network (NPIN) is a service of the Centers for Disease Control and Prevention (CDC) that provides substance use and HIV prevention resources and information. NPIN offers access to materials on topics like alcohol, tobacco, other drugs, and HIV/AIDS in both English and Spanish. Their website contains thousands of publications, videos, and other materials to support prevention professionals and the general public.
CDC's new social networking site will allow two-way communication between CDC and partners, peer knowledge sharing through conversations and resources, and collaborative workspaces. A new testing site will provide recommendations for HIV, STD, and hepatitis testing based on a user's responses and show nearby testing locations. The STD microsite was redesigned with a modern look and new navigation. A new "widget wizard" will allow partners to access and display information from CDC's testing and treatment organization database on their own websites.
In the Know II: What's New In Image & Video Sharing?CDC NPIN
Presentation from the In the Know 2: Social Media for Public Health webcast held on March 19, 2014 by CDC NPIN staff. The webcast offered public health professionals a look at the latest features, functions, and practices on popular and emerging image and video social media channels.
In the Know 2: Whats New in Social Media? CDC NPIN
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Using What You Know about Social Media: How to Conduct a Twitter ChatCDC NPIN
This is the 1st in our newest online training opportunity for public health professionals: Using What You Know about Social Media - How to Conduct a Successful Twitter Chat!
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In honor of World AIDS Day 2013 and to ensure we always remember those no longer with us, CDC NPIN is proud to host 15 sections of the Names Project AIDS Memorial Quilts. Each panel underscores commitment and effort to end this pandemic.
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NPIN's In the Know: Social Media for Public Health Webcast Series PosterCDC NPIN
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CDC NPIN In the Know: Social Media Measurement and Evaluation for Public Heal...CDC NPIN
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CDC NPIN In the Know: Google Plus & YouTube for Public HealthCDC NPIN
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CDC NPIN In the Know: Facebook & Visual Social Media for Public HealthCDC NPIN
This document provides an overview of using visual social media, especially Facebook, for public health purposes. It discusses making the case for social media use, relevant demographics and behaviors, best practices for creating and posting engaging content, tracking success, and examples of how other public health organizations are leveraging social media. Specific platforms covered include Facebook, Pinterest, Instagram, Tumblr, Vine, and their potential uses for public health messaging and promotion. Case studies highlight campaigns by organizations like Boston Public Health Commission, Philadelphia Department of Public Health, and the University of Colorado Health.
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share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Evaluating the National HIV/AIDS Strategy with Surveillance Data
1. Evaluating the National HIV/AIDS Strategy
with Surveillance Data
H. Irene Hall, PhD, FACE
Chief, HIV Incidence and Case Surveillance Branch
2011 National HIV Prevention Conference
August 15, 2011
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of HIV/AIDS Prevention
2. Outline
Outcome measures of the National HIV/AIDS
Strategy
Surveillance data collection
Preliminary data
Conclusion
3. National HIV/AIDS Strategy
Reducing New HIV Infections
Increasing Access to Care and Improving Health
Outcomes for People Living with HIV
Reducing HIV-Related Health Disparities
4. Reducing New HIV Infections
Lower the annual number of new infections by 25
percent
Reduce the HIV transmission rate, which is a
measure of annual transmissions in relation to the
number of people living with HIV, by 30 percent
Increase from 79 percent to 90 percent the
percentage of people living with HIV who know
their serostatus
5. Increasing Access to Care and
Improving Health
Increase the proportion of newly diagnosed patients
linked to clinical care within three months of their
HIV diagnosis from 65 percent to 85 percent
Increase the proportion of Ryan White HIV/AIDS
Program clients who are in continuous care (at least
2 visits for routine HIV medical care in 12 months at
least 3 months apart) from 73 percent to 80 percent
A benchmark for surveillance?
6. Reducing HIV-Related Health Disparities
Increase the proportion of HIV diagnosed gay and
bisexual men with undetectable viral load by 20
percent
Increase the proportion of HIV diagnosed Blacks
with undetectable viral load by 20 percent
Increase the proportion of HIV diagnosed Latinos
with undetectable viral load by 20 percent
7. HIV Surveillance
Measures of HIV morbidity and mortality
HIV Infection
HIV diagnosis
(1st positive
confidential test) 1st CD4 Count
1st Viral Load
Test 1st CD4
Count <200
1st Drug (IMM-AIDS)
Resistance test AIDS-OI
Death
Entry to care Retention in care and viral suppression
8. HIV Case Surveillance Information Flow
People with HIV
Sources of Reports
Local Health Dept Dissemination
HIV Local Bulletins
Hospital Practitioners Report CDC Semiannual Report
Private Practitioners HIV Web Sites
2001
Public Clinics Region X
Public Information Data Set
Laboratories Surveillance Slide Set
Active
Case Finding
State Health Dept CDC
7,738 74,353
9. National HIV Surveillance
Data Year
2008: confidential, name-
based HIV reporting in all
states
2011: all states included in
estimates of HIV diagnoses
10. National HIV Incidence Surveillance
WA
CHI
MA
NYS CT
MI
NYC
SF
CO IN NJPhil
CA VA DC
NC
LA AZ SC
Cty
MS AL
TX LA
FL
HOU
11. Areas with Laws and Regulations for
Reporting all CD4 and Viral Load Values
VT
NH
MA
RI
CT
NJ
DE
MD
DC
Laboratory reporting
(laws and regulations)
Not all values
All values, specified
All values, not
specified
Puerto Rico
Virgin Islands, U.S.
12. National HIV/AIDS Strategy
Implementation Plan
VA, CMS, HRSA, CDC, SAMHSA and NIH will jointly consider and issue
a report of strategies to encourage providers to collect and report
standardized viral load and CD4 data from infected individuals within
populations at greatest risk for HIV infection.
CDC will identify which States and localities collect CD4 and viral load data
HRSA and CDC will convene a consultation with clinical providers and
community-based organizations to develop recommendations for
gathering and reporting necessary data to calculate community viral load
CDC, in consultation with States, will provide technical assistance to
localities, particularly those with a heavy disease burden, to collect
necessary data to calculate community viral load
13. National HIV/AIDS Strategy
Implementation Plan
CDC will release a report on suggestions for border states to help
improve HIV surveillance and prevention interventions among
migrant communities
CDC will provide State health departments with greater
concentrations of AAPI or AI/AN populations with recommendations
on effective HIV surveillance activities for these small populations
HHS OS will coordinate among HHS agencies to mine existing
databases to explore associations between HIV infection and social
determinants of health
15. HIV Incidence 2006-2009,
United States
60,000
50,000
56,000
(49,100-69,200)
40,000 48,600 47,800 48,100
(42,400-54,700) (41,800-53,800) (42,200-54,000)
30,000
20,000
10,000
0
2006 2007 2008 2009
Prejean (2011) Estimated HIV Incidence in the United States, 2006–2009. PLoS ONE 6(8): e17502.
doi:10.1371/journal.pone.0017502
16. Estimated AIDS Diagnoses, Deaths, Persons Living with an AIDS
Diagnosis and Persons Living with HIV Infection (Diagnosed and
Undiagnosed) Among Adults and Adolescents – United States,
1981 - 2008
80 1,200
AIDS Diagnoses
1,100
70 Deaths
1,000
No. of Diagnoses and Deaths
Living with an AIDS Diagnosis
60 900
Living with HIV infection
800
50
(thousands)
(thousands)
Prevalence
700
40 600
500
30
400
20 300
200
10
100
0 0
1984
1988
1993
2002
1981
1982
1983
1985
1986
1987
1989
1990
1991
1992
1994
1995
1996
1997
1998
1999
2000
2001
2003
2004
2005
2006
2007
2008
Year
MMWR 2011;60:689-693.
17. Annual Transmission Rates per 100 Persons
Living with HIV, 1977–2006
Holtgrave . Updated Annual HIV Transmission Rates in the United States, 1978-2006. JAIDS 2009;50(2):236-38.
18. Estimated Number of Adults and Adolescents Living with HIV
Infection (Diagnosed and Undiagnosed) and Percent Undiagnosed
– United States, 1985 - 2008
1,200,000 No. living with undiagnosed HIV infection 100.0
No. living with diagnosed HIV infection
Percent undiagnosed
1,000,000
80.0
800,000
60.0
Number
Percent
600,000
40.0
400,000
20.0
200,000
0 0.0
2002
2003
2004
2005
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2006
2007
2008
Year
19. Linkage to Care and Continuous Care
Data from 13 areas with mandatory laboratory
reporting of HIV-related tests and reporting to
national HIV surveillance
82% of persons diagnosed in 2009 linked to care within 3
months -- NHAS 85 percent
Poster No. 083M. Mahle et al. Using HIV Surveillance-based Indicators to Monitor the National HIV/AIDS
Strategy, 13 U.S. Jurisdictions
Persons living with HIV in 2009 in continuous care – NHAS 80%
Track B Session B04 . Hall et al. Retention in Care of HIV-Infected Adults and Adolescents in 13 U.S.
Areas
20. Reducing HIV-Related Health Disparities
Data from 13 areas with mandatory laboratory reporting of HIV-
related tests and reporting to national HIV surveillance
Persons living with HIV in 2009
Viral suppression (≤400 copies/mL) among those in care, vs.
NHAS undetectable viral load
77% among MSM
65% among blacks/African Americans
74% among Hispanics/Latinos
• vs. 81% among whites
NHAS – increase by 20 percent
Poster No. 083M. Mahle et al. Using HIV Surveillance-based Indicators to Monitor the National HIV/AIDS
Strategy, 13 U.S. Jurisdictions
21. Conclusion
Of 9 outcome measures in the National HIV/AIDS
Strategy, 8 can be measured with surveillance data
However, there is a need to
Support and strengthen HIV … surveillance activities: There
is a need to support existing surveillance methods to
identify populations at greatest risk that need to be targeted
for HIV prevention services.
22. Thank you
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position o f
the Centers for Disease Control and Prevention.
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of HIV/AIDS Prevention