2014 Annual Report Epidemiology and Supplemental Projects Group Prepared July 22, 2015

Transcription

1 2014 Annual Report Epidemiology and Supplemental Projects Group Prepared July 22, 2015

2 The Texas HIV Surveillance Report is an annual report generated by: Texas Department of State Health Services TB/HIV/STD Epidemiology and Surveillance Branch, MC 1873 P.O. Box Austin, Texas (512) Important Notes on the Data: This report describes HIV infection and AIDS cases reported to the Texas Department of State Health Services Surveillance Program that were diagnosed through December 31, 2014 and reported to the system by June 30, 2015, the cut-off date for the creation of the current HIV analysis data file. Data are presented by year of diagnosis rather than year of report. HIV Infection - Counted among HIV infection case numbers are all HIV cases regardless of disease status (HIV-only or AIDS) at diagnosis. AIDS - The AIDS data in this report include all cases who were diagnosed with AIDS in the given time frame regardless of whether they were previously diagnosed as HIV-only or if they were a newly diagnosed and had already met the AIDS case definition. People Living with HIV - These data represent the cumulative number of people living with HIV in Texas who are not known to be deceased. In terms of geography, cases are listed by residence at HIV or AIDS diagnosis. In early 2015, all Texas HIV cases were matched against two national death indices and many deaths not previously recorded in the surveillance system were discovered. These were not necessarily deaths due to HIV, nor were they deaths that occurred in any one time frame. Consequently, the number of people living with HIV in Texas is slightly lower than was listed in previous reports. Texas HIV data is constantly evolving and improving, therefore the most recent report or analysis should be considered the most accurate. Cumulative HIV Diagnoses - Cumulative data represent all cases in the Texas HIV reporting system, living or deceased, by residence at HIV or AIDS diagnosis. A substantial number of cases of HIV infection and AIDS are reported without an identified risk factor, therefore multiple imputation is used to assign a risk factor for these cases using an algorithm provided by the Centers for Disease Control and Prevention. In this report, multiple imputation has been used in the tables showing estimated transmission categories for diagnoses among adults and adolescents. Population numbers used to calculate rates are provided by the US Census Bureau, Population Estimates and Projections Program and are current as of July 31, Population denominators used to calculate rates of HIV/AIDS among Men who have sex with Men (MSM) were estimated through a previously published methodology. These estimates are only available through For more details, see: Estimating the number of men who have sex with men by race/ethnicity at the county level in Texas. Campagna J, Poe J, Robbins A, Rowlinson E, J Urban Health 2015 Feb; 92 (1): Data on gender identity is not standardized in the Texas STD surveillance system. The sex of persons represented in this data may or may not reflect their current gender identity. DSHS is working to improve data collection on this highly impacted population so that data on transgender people can be included in future reports. Texas 2014 HIV Surveillance Report 2

3 TABLE OF CONTENTS Table of Contents... 3 Reference: Terms and Resources... 4 HIV Infection HIV Diagnoses by County of Residence, Graph: HIV Diagnosis and Case Rates by Year of Diagnosis, HIV Diagnoses by Sex, Race/Ethnicity and Age Group, HIV Diagnoses by Age Group, Race/Ethnicity and Sex, Graph: Texas HIV Diagnosis Rates by Race and Year of Diagnosis, Graph: Texas HIV Diagnosis Rates by Sex and Year of Diagnosis, Graph: Texas HIV Diagnosis Rates by Age Group, AIDS AIDS Diagnoses by County of Residence, Graph: AIDS Cases and Case Rates by Year of Diagnosis, AIDS Diagnoses by Sex, Race/Ethnicity and Age Group, AIDS Diagnoses by Age Group, Race/Ethnicity and Sex, Graph: Texas AIDS Case Rates by Race and Year of Diagnosis, Graph: Texas AIDS Case Rates by Sex and Year of Diagnosis, Graph: Texas AIDS Case Rates by Age Group, People Living with HIV and Cumulative Diagnoses People Living with HIV and Cumulative Diagnoses by County of Residence, People Living with HIV by Sex, Race/Ethnicity and Age Group, People Living with HIV by Age Group, Race/Ethnicity and Sex, Additional Information on Mode of Transmission, Geographic Breakdowns, and Rankings HIV Infection and AIDS Diagnoses by Transmission Category, People Living with HIV and Cumulative Diagnoses by Transmission Category, Graph: New HIV Diagnoses by Mode of Transmission in Texas, Graph: Counts and Rates of MSM HIV Diagnoses in Texas, Graph: Rate of HIV Diagnoses Among MSM in Texas, Graph: Rate of AIDS Diagnoses Among MSM in Texas, Graph: Rate of Persons Living with HIV/AIDS Among MSM in Texas, Counties with the Highest Case Numbers, Counties with the Highest Case Rates, HIV Diagnoses and AIDS Diagnoses by Public Health Region, HIV Diagnoses and AIDS Diagnoses by City of Residence, HIV Infection and AIDS Diagnoses by National Origin, Texas 2014 HIV Surveillance Report 3

4 Reference: Terms and Resources Definitions: HIV infection and AIDS are defined, for surveillance purposes, by the Centers for Disease Control and Prevention of the United States Public Health Service. The publication designating the most current definition may be found at: Reporting Rules: The rules and regulations for reporting sexually transmitted diseases have been adopted in the Texas Administrative Code, Chapter 97. The provisions for this chapter are issued under the Communicable Disease Prevention and Control Act, Health and Safety Code, Chapter 81, which provides the Board of Health with the authority to adopt rules concerning the reporting of communicable diseases; and , which provides the Texas Board of Health with the authority to adopt rules for the performance of every duty imposed by law on the Texas Board of Health, the Texas Department of State Health Services, and the Commissioner of Health. A copy of the rules can be obtained from the Texas Department of State Health Services at: The Texas HIV Surveillance Report and the Texas HIV Quarterly Report can be obtained at: Information on how to report HIV/AIDS and STD cases can be obtained by calling your local or regional health department, or by calling Texas 2014 HIV Surveillance Report 4

5 HIV Diagnoses by County of Residence, C o unty Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden , Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell Cottle Crane Crockett Crosby Culberson Dallam Dallas 1, Dawson Deaf Smith Delta Denton DeWitt Dickens Dimmit * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 5

6 HIV Diagnoses by County of Residence, C o unty Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Donley Duval Eastland Ector Edwards Ellis El Paso Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris 1, , , , , , , , , , Harrison Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 6

7 HIV Diagnoses by County of Residence, C o unty Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox Lamar Lamb Lampasas La Salle Lavaca Lee Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn M cculloch M clennan M cm ullen M adison M arion M artin M ason M atagorda M averick M edina M enard M idland M ilam M ills M itchell M ontague M ontgomery M oore M orris M otley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 7

8 HIV Diagnoses by County of Residence, C o unty Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Real Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry Throckmorton Titus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala TDCJ ** T o tal 4, , , , , , , , , , * Rates represent cases per 100,000 population. ** Texas Department of Criminal Justice. Texas 2014 HIV Surveillance Report 8

9 Texas HIV Diagnosis and Case Rates by Year of Diagnosis, ,000 Cases Rates , , , ,000 1, Cases 4,330 3,976 4,119 4,178 4,370 4,477 4,310 4,360 4,357 4,405 Case Rate HIV Diagnoses by Sex, Race/Ethnicity and Age Group, Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Sex M ale 3, , , , , , , , , , Female Total 4,330 3,976 4,119 4,178 4,370 4,477 4,310 4,360 4,357 4,405 R ace White 1, Black 1, , , , , , , , , , Hispanic 1, , , , , , , , , , Other Unknown Age Group , , Unknown T o tal 4, , , , , , , , , , * Rates represent cases per 100,000 population. Note: Transgender persons may be included in male, female, or unknown sex categories Texas 2014 HIV Surveillance Report 9 Year

10 HIV Diagnoses by Age Group, Race/Ethnicity and Sex, 2014 M ale F emale A ge Gro up White B lack H isp. Other Unk T o tal White B lack H isp. Other Unk T o tal % % % % % % % % % Unk % T o tal , ,405 P ercent 23.0% 32.9% 40.1% 1.9% 2.1% 11.5% 57.1% 26.1% 1.9% 3.3% P ercent M ale 81.3% P ercent F emale 18.7% Unk Sex T o tal P ercent Race Totals Cases per 100, Total White % Total Black 1, % Total Hispanic 1, % Total Other % Total Unknown % T o tal 4,405 * Age as of December 31, 2014 Note: Transgender persons may be included in male, female, or unknown sex categories Texas HIV Diagnosis Rates by Race and Year of Diagnosis, White Black Hispanic Other Texas 2014 HIV Surveillance Report 10 Year

11 35 Cases per 100,000 Texas HIV Diagnosis Rates by Sex and Year of Diagnosis, Male Female Year Texas HIV Diagnosis Rates by Age Group, 2014 Cases per 100, Rate Age Group Texas 2014 HIV Surveillance Report 11

12 AIDS Diagnoses by County of Residence, County Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell Cottle Crane Crockett Crosby Culberson Dallam Dallas Dawson Deaf Smith Delta Denton DeWitt Dickens Dimmit * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 12

13 AIDS Diagnoses by County of Residence, County Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Donley Duval Eastland Ector Edwards Ellis El Paso Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris Harrison Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 13

14 AIDS Diagnoses by County of Residence, County Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox Lamar Lamb Lampasas La Salle Lavaca Lee Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn M cculloch M clennan M cm ullen M adison M arion M artin M ason M atagorda M averick M edina M enard M idland M ilam M ills M itchell M ontague M ontgomery M oore M orris M otley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 14

15 AIDS Diagnoses by County of Residence, County Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Real Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry Throckmorton Titus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala TDCJ ** T o tal 2, , , , , , , , , , * Rates represent cases per 100,000 population. ** Texas Department of Criminal Justice. Texas 2014 HIV Surveillance Report 15

16 Cases Rates 3,500 Texas AIDS Cases and Case Rates by Year of Diagnosis, , , , , , Cases 2,847 2,803 2,708 2,777 2,863 2,812 2,601 2,559 2,479 2,089 Case Rate Sex Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* Cases Rate* M ale 2, , , , , , , , , , Female Total 2,847 2,803 2,708 2,777 2,863 2,812 2,601 2,559 2,479 2,089 R ace White Black 1, , , , , , , Hispanic Other Unknown Age Group Unknown T o tal 2, , , , , , , , , , * Rates represent cases per 100,000 population. AIDS Diagnoses by Sex, Race/Ethnicity and Age Group, Note: Transgender persons may be included in male, female, or unknown sex categories Texas 2014 HIV Surveillance Report

17 AIDS Diagnoses by Age Group, Race/Ethnicity and Sex, 2014 M ale F emale A ge Gro up White B lack H isp. Other Unk T o tal White B lack H isp. Other Unk T o tal % % % % % % % % % Unk % T o tal , ,089 P ercent 22.0% 33.7% 38.7% 1.4% 4.2% 13.8% 53.0% 26.2% 1.9% 5.2% P ercent M ale 76.8% P ercent F emale 23.2% Unk Sex T o tal P ercent Race Totals Texas AIDS Case Rates by Race and Year of Diagnosis, Cases per 100, Total White % Total Black % Total Hispanic % Total Other % Total Unknown % T o tal 2,089 * Age as of December 31, 2014 Note: Transgender persons may be included in male, female, or unknown sex categories White Black Hispanic Other Texas 2014 HIV Surveillance Report 17 Year

18 25 Texas AIDS Case Rates by Sex and Year of Diagnosis, Cases per 100, Male Female Year Texas AIDS Case Rates by Age Group, Cases per 100, Rate Age Group Texas 2014 HIV Surveillance Report 18

19 People Living with HIV and Cumulative Diagnoses by County of Residence Through December 31, 2014 People Living with HIV Cumulative HIV Diagnoses People Living with HIV Cumulative HIV Diagnoses County Cases Rate* Cases County Cases Rate* Cases Anderson Donley Andrews Duval Angelina Eastland Aransas Ector Archer Edwards Armstrong Ellis Atascosa El Paso 2, ,907 Austin Erath Bailey Falls Bandera Fannin Bastrop Fayette Baylor Fisher Bee Floyd Bell Foard Bexar 5, ,823 Fort Bend 1, ,206 Blanco Franklin Borden 10 1, Freestone Bosque Frio Bowie Gaines Brazoria Galveston ,464 Brazos Garza Brewster Gillespie Briscoe Glasscock Brooks Goliad Brown Gonzales Burleson Gray Burnet Grayson Caldwell Gregg Calhoun Grimes Callahan Guadalupe Cameron ,099 Hale Camp Hall Carson Hamilton Cass Hansford Castro Hardeman Chambers Hardin Cherokee Harris 22, ,540 Childress Harrison Clay Hartley Cochran Haskell Coke Hays Coleman Hemphill Collin 1, ,430 Henderson Collingsworth Hidalgo 1, ,575 Colorado Hill Comal Hockley Comanche Hood Concho Hopkins Cooke Houston Coryell Howard Cottle Hudspeth Crane Hunt Crockett Hutchinson Crosby Irion Culberson Jack Dallam Jackson Dallas 16, ,668 Jasper Dawson Jeff Davis Deaf Smith Jefferson ,567 Delta Jim Hogg Denton 1, ,230 Jim Wells DeWitt Johnson Dickens Jones Dimmit Karnes * Rates represent cases per 100,000 population. Texas 2014 HIV Surveillance Report 19

20 People Living with HIV and Cumulative Diagnoses by County of Residence Through December 31, 2014 People Living with HIV Cumulative HIV Diagnoses People Living with HIV Cumulative HIV Diagnoses County Cases Rate* Cases County Cases Rate* Cases Kaufman Real Kendall Red River Kenedy Reeves Kent Refugio Kerr Roberts Kimble Robertson King Rockwall Kinney Runnels Kleberg Rusk Knox Sabine Lamar San Augustine Lamb San Jacinto Lampasas San Patricio La Salle San Saba Lavaca Schleicher Lee Scurry Leon Shackelford Liberty Shelby Limestone Sherman Lipscomb Smith Live Oak Somervell Llano Starr Loving Stephens Lubbock Sterling Lynn Stonewall M cculloch Sutton M clennan Swisher M cm ullen Tarrant 4, ,514 M adison Taylor M arion Terrell M artin Terry M ason Throckmorton M atagorda Titus M averick Tom Green M edina Travis 4, ,396 M enard Trinity M idland Tyler M ilam Upshur M ills Upton M itchell Uvalde M ontague Val Verde M ontgomery Van Zandt M oore Victoria M orris Walker ,937 M otley Waller Nacogdoches Ward Navarro Washington Newton Webb Nolan Wharton Nueces ,111 Wheeler Ochiltree Wichita Oldham Wilbarger Orange Willacy Palo Pinto Williamson Panola Wilson Parker Winkler Parmer Wise Pecos Wood Polk Yoakum Potter Young Presidio Zapata Rains Zavala Randall TDCJ ** 3,522 4,141 Reagan T o tal 80, ,517 * Rates represent cases per 100,000 population. ** Texas Department of Criminal Justice. Texas 2014 HIV Surveillance Report 20

21 Sex Cases Rate* M ale 62, Female 17, Unknown 80,073 R ace People Living with HIV by Sex, Race/Ethnicity and Age Group Through December 31, 2014 People Living with HIV White 22, Black 29, Hispanic 24, Other Unknown 2,551 A ge Gro up** , , , , , , Unknown 0 T o tal 80, * Rates represent cases per 100,000 population. ** Age as of December 31, 2014 Note: Transgender persons may be included in male, female, or unknown sex categories People Living with HIV by Age Group, Race/Ethnicity and Sex M ale Through December 31, 2014 F emale A ge Gro up* White B lack H isp. Other Unk T o tal White B lack H isp. Other Unk T o tal % % % , , % , , % , , % , , % , , % , , % Unk % T o tal , ,073 P ercent 31.2% 31.8% 33.0% 1.1% 3.0% 15.1% 57.4% 22.5% 1.0% 4.0% P ercent M ale 78.3% P ercent F emale 21.7% Unk Sex T o tal P ercent Race Totals Total White 22, % Total Black 29, % Total Hispanic 24, % Total Other % Total Unknown 2, % T o tal 80,073 * Age as of December 31, 2014 Note: Transgender persons may be included in male, female, or unknown sex categories Texas 2014 HIV Surveillance Report 21

22 New HIV Diagnoses HIV Diagnoses and AIDS Diagnoses by Transmission Category, 2014 Adult/Adolescent Transmission Category* HIV Diagnoses AIDS Male Female Total Male Female Total Male-to-Male Sexual Contact (MMS) 3,078 N/A 3,078 1,183 N/A 1,183 Intravenous Drug Use (IDU) MMS & IDU 117 N/A N/A 77 Heterosexual Contact Other** Adult Total 3, ,386 1, ,074 Pediatric Transmission Category Total* Adult/Pediatric Total 3, ,405 1, ,088 * Transmission categories are estimated, column values may not sum to the column total. ** Adult Other includes received clotting factor, transfusion/transplant, other and unknown. Note: Transgender persons may be included in male, female, or unknown sex categories People Living with HIV and Cumulative Diagnoses by Transmission Category Through December 31, 2014 Adult/Adolescent Transmission Category* People Living with HIV Cumulative HIV Diagnoses Male Female Total Male Female Total Male-to-Male Sexual Contact (MMS) 46,842 N/A 46,842 75,858 N/A 75,858 Intravenous Drug Use (IDU) 5,318 3,510 8,828 11,120 6,349 17,469 MMS & IDU 4,410 N/A 4,410 9,374 N/A 9,374 Heterosexual Contact 5,677 13,382 19,059 8,185 16,792 24,977 Other** Adult Total 62,321 16,933 79, ,113 23, ,454 Pediatric Transmission Category Total* ,062 Adult/Pediatric Total 62,723 17,350 80, ,671 23, ,516 * Transmission categories are estimated, column values may not sum to the column total. ** Adult Other includes received clotting factor, transfusion/transplant, other and unknown. Note: Transgender persons may be included in male, female, or unknown sex categories 3,500 New HIV Diagnoses by Mode of Transmission in Texas, ,000 2,500 2,000 1,500 MSM IDU MSM & IDU Heterosexual Contact Adult Other Pediatric 1, Year Texas 2014 HIV Surveillance Report 22

23 HIV Diagnoses per 100k New HIV Diagnoses HIV Diagnoses per 100k Count and Rate of MSM HIV Diagnoses in Texas, , , , , ,500 1, New Diagnoses Count 2,288 2,461 2,718 2,809 2,825 2,966 2,992 Rate of HIV Diagnoses Rate of HIV Diagnoses among MSM in Texas, , , , , , White, not Hispanic Black, not Hispanic 1, , , , , , ,658.1 Hispanic Other Total Texas 2014 HIV Surveillance Report 23