This document discusses HIV epidemiology in Africans and African Americans in Washington D.C. It notes that the HIV rate in D.C. increased 9% with 3.2% of residents infected, and that blacks are disproportionately affected at 70%. It also describes common co-infections like hepatitis C, B, syphilis and tuberculosis that are more prevalent in African immigrants and African Americans compared to other groups. Finally, it outlines social factors fueling the HIV rates such as drug use, homelessness, stigma, family disruptions, incarceration, unemployment and sexual networks.