Section 1 Slides, Part 2

Section 1 Slides, Part 2 - US Trends Incidence Trends 1.2...

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9/5/11 1 US Trends 1.2 million, adult prevalence rate 0.6% Incidence is 50,000/year Has been largely stable incidence Why aren’t these numbers declining? Incidence Trends 50,000/year 2006 – 2007 – 2008 – 2009 – People of color disproportionately affected MSM, avg. 12/06 e AIDS Epidemic Update December 2006 Percentage of persons surviving through June 2005, by years after acquired immunodeficiency syndrome (AIDS) diagnosis cohorts during 1981–2003 and by year of diagnosis — United States Source: CDC. Twenty-Five Years of HIV/AIDS — United States, 1981–2006. MMWR 2006. 2001 2003 1996 2000 1993 1995 1981 1992 0 25 50 75 100 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Years after AIDS diagnosis % Figure 12 Median Age at Death due to HIV Disease United States, 1987- 2007 1RWH± )RU FRPSDULVRQ ZLWK GDWD IRU ²³³³ DQG ODWHU \HDUV´ GDWD IRU ²³µ¶ì²³³µ ZHUH PRGLILHG WR DFFRXQW !"# !"#$' Transmission Virus or Viral-infected Cells 2009 - MSM - Heterosexual - IDU - MSM/IDU
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9/5/11 2 Transmission Adolescents/Young Adults 13-29 highest incidence 13-24 MSM Female Epidemic Number climbed rapidly from mid-1980s to mid-1990s Percentage stabilized since 2000 Significant ethnic bias @AAB ² CA D/#/(' #%2 E FGDG!(H(%2(%/ 1>(#' !"#$% . /3 .#"2+ /3 *%.+".+ "# *%"2&/.%.7 8( *%.,("9+* *"#" 1":+ ; .%&2 -%.>?3"'#/- %&3/-="#%/&@ ; " 4%.,"&%'.AB"#%&/. '"& ; ; 4+#+-/.+C)"( '/"'# 0%#1 " ,+-./& >&/0& #/ 1":[email protected] /- #/ ; ' 5&'()*+. ; Female Epidemic incidence (4-year avg) HIV Dx (2009) total HIV Dx (2008) AIDS Dx (2009) deaths (2007) 5(0#4('678 9#.(:;/<%"."/86=>>? ± =>>@ ² A> B/#/(' #%2 C DEBE!(F(%2(%/ 1G(#' !"#$% . /3 .#"2+ /3 *%.+".+ "# *%"2&/.%.7 8( *%.,("9+* *"#" 1":+ ; .#"#%.#%'"( 9 "*<).#+* #/ "''/) 3/- -+,/-#%&2 *+("9.= ; " 4%.,"&%'[email protected]"#%&/. '"& ; Female race disparities Epidemic African-American Females – incidence – HIV Dx – AIDS Dx – Deaths
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9/5/11 3 Female race disparities Epidemic Hispanic/Latina Females - Incidence – HIV Dx – AIDS Dx – Deaths Ostracism of Children Ray Brothers Ryan White Quashawn Donovan Eliana Martinez !"#$%
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Section 1 Slides, Part 2 - US Trends Incidence Trends 1.2...

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