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HIGHLIGHTS AND TRENDS

VIEWS: 9 PAGES: 18

									         Georgia HIV/AIDS
        Surveillance Summary



            Data Through
          December 31, 2009



         HIV Epidemiology Unit
    Georgia Division of Public Health
Georgia Department of Community Health
                         HIV/AIDS Surveillance Summary, Georgia, 2009




                                         Acknowledgements



Georgia Department of Community Health.
David A. Cook, Commissioner


Division of Public Health
Brenda Fitzgerald, MD, Director & State Health Officer


Epidemiology Branch
Anil T. Mangla, MS., PhD., MPH., FRIPH, Acting Director


HIV Epidemiology Section
Jianglan White, MD, MPH, Director
Deepali Rane, MBBS, MPH, Epidemiologist
Terry Easton, PhD, Ethnographer
Grace Wariua, MPH




   Visit http://www.health.state.ga.us/epi/hivaids/ for more information about HIV/AIDS in Georgia.


                              2009 Georgia HIV/AIDS Surveillance Summary | 1
                                               INTRODUCTION TO TABLES

Georgia statutes and regulations require physicians and laboratories to report all cases of HIV (Human
Immunodeficiency Virus) infection and AIDS (Acquired Immunodeficiency Syndrome) to the Georgia Department
of Community Health, Division of Public Health (PH)1. The information is used to monitor the HIV/AIDS
epidemic in Georgia and to help guide program planning and evaluation. The data presented in the accompanying
tables are based on confidential case reports collected through the PH HIV/AIDS Reporting System. Cases are
counted if they meet the Centers for Disease Control and Prevention (CDC) surveillance case definitions for HIV
and/or AIDS.2

This report includes surveillance data through December 31, 2009 by diagnostic category for persons living with
HIV (not AIDS) and AIDS, newly diagnosed cases, and cumulative cases. The data are displayed by date of
diagnosis and are not adjusted for age, sex, reporting delays or incomplete reporting. Persons residing in
correctional facilities are included in this report and may inflate rates in certain geographic regions where there are
large concentrations of HIV-positive inmates. Tables depicting “Persons Living with HIV (not AIDS) and AIDS”
comprise persons with a current address in Georgia regardless of where the persons were diagnosed. Persons
represented in the “Newly Diagnosed” and “Cumulative” tables were diagnosed in Georgia. Because of the
difference in residency criteria and the influx of cases to Georgia, the number of persons living with HIV (not
AIDS) may sometimes be higher than cumulative HIV (not AIDS) cases.

Unlike name-based AIDS reporting which began in the early 1980s, name-based HIV (not AIDS) reporting began
on December 31, 2003. Since the HIV (not AIDS) surveillance system is still rather young, and there are known
delays with case reporting, numbers will continue to increase as additional case reports are received. Concentrated
case reporting efforts by PH staff in 2009 likely contributed to the rise in reported cases and consequently led to a
more accurate representation of the epidemic in Georgia than previously described; however, this should not
necessarily be interpreted as an indication of increased HIV transmission. Additionally, not everyone is aware of
his or her infection, so this report underestimates the true number of persons infected with HIV/AIDS in Georgia.

Note on HIV Transmission Categories: The transmission categories presented in this report follow the standards
created by the CDC and have been used for many years. According to the CDC, “Transmission category is the term
for the classification of cases that summarizes a person‟s possible HIV risk factors; the summary classification
results from selecting, from the presumed hierarchical order of probability, the one risk factor most likely to have
been responsible for transmission. For surveillance purposes, cases of HIV/AIDS, HIV infection (not AIDS), and
AIDS cases are counted only once in the hierarchy of transmission categories. Persons with more than one reported
risk factor for HIV infection are classified in the transmission category listed first in the hierarchy. The exception
is men who report sexual contact with other men and injection drug use; this group makes up a separate
transmission category. Persons whose transmission category is classified as high-risk heterosexual contact are
persons who report specific heterosexual contact with a person known to have, or be at high risk for, HIV infection
(e.g., an injection drug user). Cases in persons with no reported exposure to HIV through any of the routes listed in
the hierarchy of transmission categories are classified as either „no risk factor reported or identified‟3. These cases
are categorized as NIR (no identified risk) or NRR (no reported risk).




1
  Department of Community Health, Rules and Regulation 290-5-48.11 (2003); Official Code of Georgia Annotated (OCGA) § 31-22-9.2
(2011).
2
  Centers for Disease Control and Prevention. Revised Surveillance Case Definitions for HIV Infection Among Adults, Adolescents, and
Children Aged <18 Months and for HIV Infection and AIDS Among Children Aged 18 Months to <13 Years – United States, 2008. MMWR
December 5, 2008/57(RR-10):1-8.
3
  Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2007. Vol.19. Atlanta: U.S. Department of Health and Human
Services, Centers for Disease Control and Prevention; 2009: 59.

                                       2009 Georgia HIV/AIDS Surveillance Summary | 2
                                            TABLE HIGHLIGHTS
Tables 1 to 3. Persons Newly Diagnosed with HIV Infection (not AIDS)
and AIDS, Georgia, 2009

Persons Newly Diagnosed with HIV Infection (not AIDS) 1, Georgia, 2009

   There were 1,366 persons newly diagnosed with HIV (not AIDS) in Georgia in 2009.
   The majority (74%) of persons newly diagnosed with HIV (not AIDS) were male. Females accounted
    for a higher percentage of new HIV (not AIDS) diagnoses (26%) than new (AIDS) diagnoses (23%).
   Persons newly diagnosed with HIV (not AIDS) in 2009 were most frequently in the 30-39 age
    category at the time of diagnosis. New HIV (not AIDS) cases showed a younger age distribution than
    new AIDS cases.
   The majority of new HIV (not AIDS) and AIDS diagnoses among all ethnicities/races in Georgia were
    Blacks. In 2009:
        o Blacks accounted for 74% of new HIV (not AIDS) diagnoses and 30% of Georgia‟s
            population2;
        o Whites accounted for 21% of new HIV (not AIDS) diagnoses and 57% of Georgia‟s
            population2, and;
        o Hispanics/Latinos of all races accounted for 5% of new HIV (not AIDS) diagnoses and 8% of
            Georgia‟s population2.
   Among males newly diagnosed with HIV (not AIDS) in 2009, 49% of cases were due to male-to-male
    sexual contact. The second most common transmission category (46%) was missing risk information
    or did not meet a CDC-defined transmission category.
   Among females newly diagnosed with HIV (not AIDS) in 2009, 81% of cases were missing risk
    information or did not meet a CDC-defined transmission category. The second most common
    transmission category (16%) was high-risk heterosexual contact3.
   By Public Health District, the highest rate of new HIV (not AIDS) diagnoses in 2009 occurred among
    residents of the DeKalb Health District (33.5 per 100,000 population). Several other health districts
    had new HIV diagnosis rates higher than the overall state rate of 14.1 cases per 100,000 population.
    In descending order, they are: Clayton (27.9), Fulton (25.1), South (18.9), Southwest (18.5) West
    Central (16.6), and North Central (15.5).




1
  “Persons Newly Diagnosed with HIV Infection (not AIDS)” refers to reported cases that meet the CDC surveillance case definition for HIV
(not AIDS) and were diagnosed in Georgia in 2009. Numbers are based on data entered through June 30, 2010, and are not adjusted for
reporting delays.
2
  Georgia 2009 population estimates obtained from PH‟s Online Analytical Statistical Information System (OASIS). Rates are per 100,000
population.
3
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females
only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV.

                                         2009 Georgia HIV/AIDS Surveillance Summary | 3
Persons Newly Diagnosed with AIDS1, Georgia, 2009

   There were 884 persons newly diagnosed with AIDS in Georgia in 2009.
   In 2009, the majority (77%) of persons newly diagnosed with AIDS in Georgia were male.
   Persons newly diagnosed with AIDS in 2009 were most frequently in the 30-39 years of age category
    at the time of diagnosis. New AIDS cases showed an older age distribution than new HIV (not AIDS)
    cases.
   The majority of persons newly diagnosed with AIDS among all ethnicities/races in Georgia were Blacks.
    In 2009:
         o Blacks accounted for 75% of new AIDS diagnoses and 30% of Georgia‟s population2;
         o Whites accounted for 16% of new AIDS diagnoses and 57% of Georgia‟s population2; and
         o Hispanics/Latinos of all races accounted for 8% of new AIDS diagnoses and 8% of Georgia‟s
             population2.
   Among males, 47% of new AIDS cases were reported in the transmission category male-to-male
    sexual contact. The second most commonly reported transmission category (44%) was missing risk
    information or did not meet one of the CDC-defined transmission categories
   Among females, the majority of new AIDS cases (77%) was missing risk information or did not meet
    one of the CDC-defined transmission categories. The second most commonly reported transmission
    category (18%) was high-risk heterosexual contact3.
   By Public Health District, the highest rate of new AIDS diagnoses occurred among residents of
    Clayton Health District (30.1 per 100,000 populations). Several other health districts had new AIDS
    diagnosis rates higher than the overall state rate of 9.1 cases per 100,000 population. In descending
    order, they were: DeKalb (29.8) and Fulton (20.3).




1
  “Persons Newly Diagnosed with AIDS” refers to reported cases that meet the CDC surveillance case definition for AIDS and were
diagnosed in Georgia in 2009. Numbers are based on data entered through June 30, 2010, and are not adjusted for reporting delays.
2
  Georgia 2009 population estimates obtained from PH‟s Online Analytical Statistical Information System (OASIS). Rates are per 100,000
population.
3
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females
only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV.

                                         2009 Georgia HIV/AIDS Surveillance Summary | 4
Tables 4 to 6. Persons Living with HIV (not AIDS) and AIDS, 2009,
Georgia

Persons Living with HIV (not AIDS) 1, 2009, Georgia

   There were 17,368 persons living with HIV (not AIDS) in Georgia as of December 31, 2009.
   The majority (71%) of persons living with HIV (not AIDS) were male.
   Among persons living with HIV (not AIDS) in Georgia in 2009, the most frequent age category was
    40-49 years.
   Blacks accounted for the largest percentage of persons living with HIV (not AIDS) among all
    ethnicities/races in Georgia. In 2009:
        o Blacks accounted for 71% of persons living with HIV (not AIDS) and 30% of Georgia‟s
            population2;
        o Whites accounted for 23% of persons living with HIV (not AIDS) and 57% of Georgia‟s
            population2; and
        o Hispanics/Latinos of all races accounted for 4% of persons living with HIV (not AIDS) and
            8% of Georgia‟s population2.
   Among males living with HIV (not AIDS), male-to-male sexual contact was the most commonly
    reported transmission category (51%). The second most common transmission category (37%) was
    missing risk information or did not meet one of the CDC-defined transmission categories.
   Among females living with HIV (not AIDS), 68% were missing risk information or did not meet one
    of the CDC-defined transmission categories. The second most common transmission category (22%)
    was high-risk heterosexual contact3.
   The DeKalb Health District had the highest HIV (not AIDS) prevalence rate in 2009 (435.9 cases per
    100,000). In 2009, the health districts with HIV (not AIDS) prevalence rates above the overall state
    prevalence rate of 176.7 cases per 100,000 population were (in descending order): Fulton (407.5),
    Clayton (307.1), South Central (230), East Central (187.1), and South (182.1).




1
  “Persons Living with HIV (not-AIDS)” refers to persons living with HIV (not-AIDS) as of December 31, 2009, who were currently residing
in Georgia regardless of their state of residence at the time of HIV (not-AIDS) diagnosis. Numbers are based on data entered through June
30, 2009, and are not adjusted for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
2
  Georgia 2009 population estimates obtained from PH‟s Online Analytical Statistical Information System (OASIS). Rates are per 100,000
population.
3
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females
only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV.

                                         2009 Georgia HIV/AIDS Surveillance Summary | 5
Persons Living with AIDS1, 2009, Georgia

   There were 22,960 persons living with AIDS in Georgia as of December 31, 2009
   Among persons living with AIDS in Georgia, the majority (77%) were male
   Among persons living with AIDS in Georgia in 2009, the most frequent age category was 40-49
    years.
   Blacks accounted for the largest percentage of persons living with AIDS among all ethnicities/races in
    Georgia. In 2009:
        o Blacks accounted for 69% of persons living with AIDS and comprised 30% of Georgia‟s
            population2.
        o Whites accounted for 25% of persons living with AIDS and comprised 57% of Georgia‟s
            population2.
        o Hispanics/Latinos of all races accounted for 5% of persons living with AIDS and comprised
            8% of Georgia‟s population2.
   Among males living with AIDS, male-to-male sexual contact was the most commonly reported
    transmission category (55%). The second most common transmission category (23%) was missing
    risk information or did not meet one of the CDC-defined transmission categories.
   Among females living with AIDS, 47% were missing risk information or did not meet one of the
    CDC-defined transmission categories. The second most common transmission category (37%) was
    high-risk heterosexual contact3.
   The Fulton Health District had the highest AIDS prevalence rate in Georgia in 2009 (710.1 cases per
    100,000 population). In 2009, the health districts above the overall state prevalence rate of 233.7 cases
    per 100,000 population were (in descending order): DeKalb (533), Clayton (341.9), East Central
    (241.4), Coastal (224.9) and Southwest (201.2).




1
  “Persons Living with AIDS” refers to persons living with AIDS as of December 31, 2009, who were currently residing in Georgia
regardless of their state of residence at the time of AIDS diagnosis. Numbers are based on data entered through June 30, 2010, and are not
adjusted for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
2
  Georgia 2009 population estimates obtained from PH‟s Online Analytical Statistical Information System (OASIS). Rates are per 100,000
population.
3
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females
only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV.

                                         2009 Georgia HIV/AIDS Surveillance Summary | 6
Tables 7 to 9. Cumulative HIV Infection (not AIDS) and AIDS Cases,
2009, Georgia

Cumulative HIV Infection (not AIDS) Cases1, 2009, Georgia

    There were 15,485 cumulative HIV (not AIDS) cases diagnosed in Georgia as of December 31, 2009.
    The majority (70%) of cumulative HIV (not AIDS) cases were male.
    Among cumulative HIV (not AIDS) cases, the most frequent age category was 30-39 years.
    Blacks accounted for the largest percentage of cumulative HIV cases (not AIDS) among all
     ethnicities/races in Georgia. As of 2009:
         o Blacks accounted for 72% of cumulative HIV (not AIDS) cases and comprised 30% of
             Georgia‟s population2;
         o Whites accounted for 22% were of cumulative HIV (not AIDS) cases and comprised 57% of
             Georgia‟s population2;
         o Hispanics/Latinos of all races accounted for 4% of all HIV (not AIDS) cases and comprised
             8% of Georgia‟s population2.
    Among males, 48% of cumulative HIV (not AIDS) cases were male-to-male sexual contact. The
     second most commonly reported transmission category (40%) was missing risk information or did not
     meet one of the CDC-defined transmission categories.
    Among females, 70% of cumulative HIV (not AIDS) cases were missing risk information or did not
     meet one of the CDC-defined transmission categories. The second most commonly reported
     transmission category (21%) was high-risk heterosexual contact3.
    The Fulton and DeKalb Health Districts had the two highest cumulative numbers of persons
     diagnosed with HIV (not AIDS) in Georgia (3,974 & 2,712 respectively).




1
  “Cumulative HIV Infection (not AIDS) Cases” refers to the total number of persons with HIV diagnosed in Georgia as of December 31,
2009, regardless of their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for
reporting delays.
2
  Georgia 2009 population estimates obtained from PH‟s Online Analytical Statistical Information System (OASIS). Rates are per 100,000
population.
3
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females
only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV.

                                          2009 Georgia HIV/AIDS Surveillance Summary | 7
Cumulative AIDS Cases, 2009 Georgia

    There were 35,299 cumulative AIDS cases1 diagnosed in Georgia as of December 31, 2009.
    The majority (79%) of cumulative AIDS cases were male.
    Among cumulative AIDS cases, the most frequent age category was 30-39 years.
    Blacks accounted for the largest percentage of cumulative AIDS cases among all ethnicities/races in
     Georgia. As of 2009:
         o Blacks accounted for 66% of cumulative AIDS cases and comprised 30% of Georgia‟s
            population2;
         o Whites accounted for 27% of cumulative AIDS cases and comprised 57% of Georgia‟s
            population2;
         o Hispanics/Latinos of all races accounted for 3% of cumulative AIDS cases and comprised 8%
            of Georgia‟s population2.
    Among males, male-to-male sexual contact was the most commonly reported transmission category
     (55%) among cumulative AIDS cases. The second most common transmission category (18%) was
     missing risk information or did not meet one of the CDC-defined transmission categories.
    Among females, missing risk information or did not meet one of the CDC-defined transmission
     categories was the most commonly reported transmission category (41%) among cumulative AIDS
     cases. The second most common transmission category (38%) was high-risk heterosexual contact3.
    The Fulton and DeKalb Health Districts had the two highest cumulative numbers of persons
     diagnosed with AIDS in Georgia (13,971 & 5,532 respectively).




1
  “Cumulative AIDS Cases” refers to the total number of persons diagnosed in Georgia with AIDS as of December 31, 2009, regardless of
their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for reporting delays.
2
  Georgia 2009 population estimates obtained from PH‟s Online Analytical Statistical Information System (OASIS). Rates are per 100,000
population.
3
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females
only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV.

                                          2009 Georgia HIV/AIDS Surveillance Summary | 8
Table 1: Newly Diagnosed HIV (not AIDS) and AIDS by Gender, Age and Race/Ethnicity, Georgia, 2009
                                                                1                2
                                                 HIV (not AIDS)            AIDS                    Total
                                                                  3
Gender                                          Count     Percent     Count     Percent      Count     Percent
Male                                            1007         74        684          77       1691        75
Female                                           359         26        200          23        559        25

                                                                                   3
Age at Diagnosis (yr)                                       Count        Percent        Count        Percent       Count       Percent
<13                                                          <5             <1            1            <1          2 to 5        <1
13-19                                                         64             5           26             3           90            4
20 -24                                                       260            19           100           11           360          16
25 -29                                                       234            17           119           30           353          16
30 -39                                                       328            24           260           29           588          26
40 -49                                                       308            23           228           26           536          24
50 -59                                                       133            10           116           13           249          11
60 +                                                          35             1           34             2           69            2

                                                                                   3
Race/Ethnicity                                              Count        Percent        Count        Percent       Count       Percent
White, Non-Hispanic                                          282            21           141           16           423          19
Black, Non-Hispanic                                         1009            74           665           75          1674          75
Hispanic/Latino, Any Race                                     62             5           67             8           129           6
American Indian/Alaskan Native, Non-Hispanic                 <5             <1           <5            <1          2 to 8        <1
Asian/ Hawaiian/Pacific Islander, Non-Hispanic               <5             <1           <5            <1          2 to 8        <1
Multiracial/Unknown/Others, Non-Hispanic                       6            <1            8            <1           14           <1

Total                                                       1359                          884                       2243
1
 ‘Persons newly diagnosed with HIV infection (not AIDS)’ refers to reported cases that meet the CDC surveillance case definition fro HIV
(not AIDS) and were diagnosed in Georgia in 2009. Numbers are based on data reported through June 30, 2010, and are not adjusted for
reporting delays.
2
 ‘Persons newly diagnosed with AIDS’ refers to reported cases that meet the CDC surveillance case definition for AIDS and were
diagnosed in Georgia in 2009. Numbers are based on data reported through June 30, 2010, and are not adjusted for reporting delays.
3
    Total Percentages may not add up to 100% due to rounding.




                                        2009 Georgia HIV/AIDS Surveillance Summary | 9
Table 2: Newly Diagnosed HIV (not AIDS) and AIDS by Gender Transmission Category, Georgia, 2009
                                                          1               2
                                           HIV (not AIDS)             AIDS                    Total
Males                                     Count      Percent    Count      Percent     Count       Percent
MSM                                        494         49        319         47         813          48
IDU                                         10          1         14          2          24           1
MSM and IDU                                 15          1         20          3          35           2
     3
HRH                                         26          3         28          4          54           3
Perinatal                                   0           0        <5          <1          <5          <1
          4
NIR/NRR                                    462         46        302         44         764          45
Subtotal                                  1007                   684                   1690

Females                                             Count         Percent        Count         Percent         Count         Percent
IDU                                                   9              2              9             4              18             3
HRH                                                  59             16             36            18              95            17
      5
Other                                                 0              0              0             0              0              0
Perinatal                                            <5             <1              0             0             <5             <1
NIR/NRR                                              289            81            155            77             444            79
Subtotal                                             359                          200                           559

Total                                                1366                          884                          2250
1
 ‘Persons Newly Diagnosed with HIV infection (not AIDS)’ refers to reported cases that meet the CDC surveillance case definition for
HIV (not AIDS) and were diagnosed in Georgia in 2009. Numbers are based on data reported through June 30, 2010, and are not
adjusted for reporting delays.
2
 ‘Persons Newly Diagnosed with AIDS’ refers to reported cases that meet the CDC surveillance case definition for AIDS and were
diagnosed in Georgia in 2009. Numbers are based on data reported through June 30, 2010, and are not adjusted for reporting delays.
3
 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to
females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or
documented HIV.
4
No Identified Risk or No Reported Risk
5
Other includes hemophilia, blood transfusion, transplant and pediatric.




                                      2009 Georgia HIV/AIDS Surveillance Summary | 10
Table 3: Newly Diagnosed HIV (not AIDS) and AIDS by Public Health District of Residence at Diagnosis, Georgia,
2009
                                                                     1              2
                                                     HIV (not AIDS)             AIDS                Total
               Public Health District               Count      Rate       Count       Rate     Count      Rate
1-1   Northwest (Rome)                                17         2.7         10        1.6      27         4.3
1-2   North Georgia (Dalton)                          15         3.5         14        3.2      29         6.7
2     North (Gainesville)                             9          1.5         12        1.9      21         3.4
3-1   Cobb-Douglas                                    76         9.0         55        6.5      131       15.5
3-2   Fulton                                         259        25.1        210       20.3      469       45.4
3-3   Clayton (Jonesboro)                             77        27.9         83       30.1      160       58.0
3-4   East Metro (Lawrenceville)                      58         5.8         36        3.6      94         9.5
3-5   DeKalb                                         250        33.5        223       29.8      473       63.3
4     La Grange                                       72         9.1         43        5.4      115       14.5
5-1   South Central (Dublin)                          19        13.1          6        4.1      25        17.3
5-2   North Central (Macon)                           80        15.5         17        3.3      97        18.8
6     East Central (Augusta)                          58        12.9         35        7.8      93        20.7
7     West Central (Columbus)                         60        16.6         23        6.4      83        23.0
8-1   South (Valdosta)                                47        18.9         16        6.4      63        25.3
8-2   Southwest (Albany)                              68        18.5         23        6.2      91        24.7
9-1   Coastal (Savannah)                              60        10.8         33        6.0      93        16.8
9-2   Southeast (Waycross)                            22         6.2         19        5.4      41        11.6
10    Northeast (Athens)                              22         4.7         19        4.0      41         8.7
GA Cases with Unknown Health District                 97                      7                 104
Total                                                1366       14.1        884        9.1     2250       23.2

Note: case count includes incarcerated persons and may inflate rates in certain geographic regions where there are large concentrations
of HIV-positive inmates.
1
 ‘Persons Newly Diagnosed with HIV infection (not AIDS)’ refers to reported cases that meet the CDC surveillance case definition for HIV
(not AIDS) and were diagnosed in Georgia in 2009. Numbers are based on data reported through June 30, 2010, and are not adjusted for
reporting delays.
2
 ‘Persons Newly Diagnosed with AIDS’ refers to reported cases that meet the CDC surveillance case definition for AIDS and were
diagnosed in Georgia in 2009. Numbers are based on data reported through June 30, 2010, and are not adjusted for reporting delays.
3
 Georgia 2009 population estimates obtained from GDPH’s Online Analytical Statistical Information System (OASIS). Rates are per
100,000 population.




                                      2009 Georgia HIV/AIDS Surveillance Summary | 11
Table 4: Persons Living with HIV (not AIDS) and AIDS by Gender, Age and Race/Ethnicity, Georgia, 2009
                                                                  1                2
                                                   HIV (not AIDS)              AIDS                 Total
                                                                    3
Gender                                            Count     Percent     Count      Percent    Count     Percent
Male                                             12,291        71       17,628       77      29,919       74
Female                                            5,077        29        5,332       23      10,409       26

                                            4                                         3
Age as of December 31, 2009 (years)                           Count        Percent        Count      Percent       Count       Percent
<13                                                            167            1            35          <1            202          1
13-19                                                          352            2            138          1            490          1
20 -24                                                        1,352           8            409          2           1,761         4
25 -29                                                        1,949           11           959          4           2,908         7
30 -39                                                        4,554           26          4,549        20           9,103        23
40 -49                                                        5,557           32          9,426        41          14,983        37
50 -59                                                        2,648           15          5,554        24           8,202        20
60 +                                                           786            1           1,890         8           2,676         7

                                                                                      3
Race/Ethnicity                                                Count        Percent        Count      Percent       Count       Percent
White, Non-Hispanic                                            4,016          23           5,630       25           9,646        24
Black, Non-Hispanic                                           12,277          71          15,807       69          28,084        70
Hispanic/Latino, Any Race                                       731            4           1,074        5           1,805         4
American Indian/Alaskan Native, Non-Hispanic                     28           <1            27         <1            55          <1
Asian/ Hawaiian/Pacific Islander, Non-Hispanic                   71           <1            68         <1            139         <1
Multiracial/Unknown/Others, Non-Hispanic                        245           <1            354         2            599          1

Total                                                         17,368                      22,960                   40,328
1
 ‘Persons living with HIV (not AIDS)’ refers to persons who, as of December 31, 2009, were living with HIV (not AIDS) and residing in
Georgia, regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Numbers are based on data entered through June
30, 2010, and are not adjusted for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
2
 ‘Persons living with AIDS’ refers to persons who, as of December 31, 2009, were living with AIDS and residing in Georgia, regardless of
their state of residence at the time of AIDS diagnosis. Numbers are based on data entered through June 30, 2010, and are not adjusted for
reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
3
    Total Percentages may not add up to 100% due to rounding.
4
    Excludes persons with incomplete birth date information: HIV (n=3), AIDS (n=0).




                                         2009 Georgia HIV/AIDS Surveillance Summary | 12
Table 5: Persons Living with HIV (not AIDS) and AIDS by Gender Transmission Category, Georgia, 2009
                                                             1               2
                                             HIV (not AIDS)              AIDS                   Total
                                                               3
Males                                       Count      Percent    Count       Percent   Count        Percent
MSM                                         6,301         51       9,631        55      15,932         53
IDU                                          440           4       1,529         9       1,969          7
MSM and IDU                                  451           4       1,138         6       1,589          5
     4
HRH                                          463           4       1,201         7       1,664          6
Perinatal                                     86           1        64           0        150           1
NIR/NRR                                     4,545         37       3,986        23       8,531         29
Subtotal                                   12,291                 17,628                29,919

                                                                            3
Females                                             Count         Percent         Count         Percent        Count         Percent
IDU                                                  363              7            746            14            1,109          11
HRH                                                 1,132            22           1,962           37            3,094          30
Perinatal                                            108              2             75             1             183            2
      5
Other                                                 15              0             31             1              46            0
NIR/NRR                                             3,459            68           2,518           47            5,977          57
Subtotal                                            5,077                         5,332                        10,409

Total                                               17,368                        22,960                       40,328
1
 ‘Persons living with HIV (not AIDS)’ refers to persons who, as of December 31, 2009, were living with HIV (not AIDS) and residing in
Georgia, regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Numbers are based on data entered through
June 30, 2010, and are not adjusted for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
2
 ‘Persons living with AIDS’ refers to persons who, as of December 31, 2009, were living with AIDS and residing in Georgia, regardless
of their state of residence at the time of AIDS diagnosis. Numbers are based on data entered through June 30, 2010, and are not
adjusted for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
3
    Total Percentages may not add up to 100% due to rounding.
4
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to
females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or
documented HIV.
5
Other includes hemophilia, blood transfusion, transplant and pediatric.




                                      2009 Georgia HIV/AIDS Surveillance Summary | 13
Table 6: Persons Living with HIV (not AIDS) and AIDS by Current Public Health District of Residence, Georgia, 2009
                                                                      1               2
                                                       HIV (not AIDS)           AIDS                   Total
               Public Health District                 Count      Rate     Count         Rate    Count        Rate
1-1   Northwest (Rome)                                  308       49.3      379         60.6      687        109.9
1-2   North Georgia (Dalton)                            241       55.7      295         68.2      536        123.9
2     North (Gainesville)                               218       35.2      275         44.5      493         79.7
3-1   Cobb-Douglas                                     1,030     122.0     1,288       152.5     2,318       274.5
3-2   Fulton                                           4,213     407.5     7,341       710.1    11,554     1117.7
3-3   Clayton (Jonesboro)                               847      307.1      943        341.9     1,790       649.1
3-4   East Metro (Lawrenceville)                        884       89.1     1,041       104.9     1,925       193.9
3-5   DeKalb                                           3,257     435.9     3,983       533.0     7,240       968.9
4     La Grange                                         609       76.6      709         89.2     1,318       165.8
5-1   South Central (Dublin)                            333      230.0      243        167.8      576        397.8
5-2   North Central (Macon)                             909      176.3      872        169.2     1,781       345.5
6     East Central (Augusta)                            840      187.1     1,084       241.4     1,924       428.5
7     West Central (Columbus)                           635      176.2      682        189.3     1,317       365.5
8-1   South (Valdosta)                                  454      182.1      450        180.5      904        362.6
8-2   Southwest (Albany)                                628      170.5      741        201.2     1,369       371.8
9-1   Coastal (Savannah)                                873      157.6     1,246       224.9     2,119       382.5
9-2   Southeast (Waycross)                              386      109.5      525        148.9      911        258.3
10    Northeast (Athens)                                280       59.6      402         85.5      682        145.1
GA Cases with Unknown Health District                   423                 461                   884
Total                                                 17,368     176.7    22,960       233.6    40,328       410.3

Note: Case count includes incarcerated persons and may inflate rates in certain geographic regions where there are large concentrations of
HIV-positive inmates.
1
 ‘Persons Living with HIV (not AIDS)’ refers to persons living with HIV (not AIDS) as of December 31, 2009, who were currently residing in
Georgia regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Numbers are based on data entered through June
30, 2010, and are not adjusted for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
2
 ‘Persons Living with AIDS’ refers to persons living with AIDS as of December 31, 2009, who were currently residing in Georgia regardless
of their state of residence at the time of AIDS diagnosis. Numbers are based on data entered through June 30, 2010, and are not adjusted
for reporting delays. Persons are assumed to be alive unless otherwise documented or reported.
3
 Georgia 2009 population estimates obtained from GDPH’s Online Analytical Statistical Information System (OASIS). Rates are per
100,000 population.




                                       2009 Georgia HIV/AIDS Surveillance Summary | 14
Table 7: Cumulative Cases of HIV (not AIDS) and AIDS by Gender, Age and Race/Ethnicity, Georgia, 2009
                                                                  1               2
                                                   HIV (not AIDS)             AIDS                 Total
                                                                    3
Gender                                           Count      Percent    Count      Percent    Count     Percent
Male                                             10,896        70      28,060       79       38,956      77
Female                                            4,589        30       7,239       21       11,828      23

                                            4                                        3
Age as of December 31, 2009 (years)                           Count        Percent        Count         Percent     Count        Percent
<13                                                            221            1             250            1          471           1
13-19                                                          692            4             685            2         1,377          3
20 -24                                                        2,183           14           2,757           8         4,940         10
25 -29                                                        2,390           15           5,733          16         8,123         16
30 -39                                                        4,842           31          14,293          40        19,135         38
40 -49                                                        3,542           23           8,022          23        11,564         23
50 -59                                                        1,261           8            2,660           8         3,921          8
60 +                                                           342            2             899            3         1,241          2

                                                                                     3
Race/Ethnicity                                                Count        Percent        Count         Percent     Count        Percent
White, Non-Hispanic                                            3,440          22          10,308          29        13,748         27
Black, Non-Hispanic                                           11,141          72          23,371          66        34,512         68
Hispanic/Latino, Any Race                                       613            4           1,154           3         1,767          3
American Indian/Alaskan Native, Non-Hispanic                     19           <1            24            <1          43           <1
Asian/ Hawaiian/Pacific Islander, Non-Hispanic                   56           <1            74            <1          130          <1
Multiracial/Unknown/Others, Non-Hispanic                        216           <1            368            2          584           1

Total                                                         15,485                      35,299                    50,784
1
 ‘Cumulative HIV (not AIDS) cases’ refers to the total number persons with HIV diagnosis in Georgia as of December 31, 2009,
regardless of their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for
reporting delays.
2
 ‘Cumulative AIDS cases’ refers to the total number of persons diagnosed in Georgia with AIDS as of December 31, 2009, regardless of
their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for reporting
delays.
3
    Total Percentages may not add up to 100% due to rounding.
4
    Age at diagnosis excludes persons with incomplete birth date information: HIV (n=12), AIDS (n=0).




                                         2009 Georgia HIV/AIDS Surveillance Summary | 15
Table 8: Cumulative Cases of HIV (not AIDS) and AIDS by Gender Transmission Category, Georgia, 2009
                                                             1              2
                                             HIV (not AIDS)             AIDS                   Total
                                                               3
Males                                     Count        Percent   Count       Percent    Count       Percent
MSM                                        5,223          48     15,478        55       20,701        53
IDU                                         414            4      3,473        12        3,887        10
MSM and IDU                                 397            4      1,771         6        2,168         6
     4
HRH                                         428            4      1,900         7        2,328         6
Perinatal                                    62            1       115          0         177          0
      5
Other                                         8            0       210          1         218          1
NIR/NRR                                    4,364          40      5,113        18        9,477        24
Subtotal                                  10,896                 28,060                 38,956

                                                                            3
Females                                             Count         Percent         Count         Percent        Count         Percent
IDU                                                  328              7           1,345           19            1,673          14
     4
HRH                                                  964             21           2,763           38            3,727          32
Perinatal                                             83              2            118             2             201            2
      5
Other                                                 16              0             71             1              87            1
NIR/NRR                                             3,198            70           2,942           41            6,140          52
Subtotal                                            4,589                         7,239                        11,828

Total                                               15,485                        35,299                       50,784
1
 ‘Cumulative HIV (not AIDS) cases’ refers to the total number persons with HIV diagnosis in Georgia as of December 31, 2009,
regardless of their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for
reporting delays.
2
 ‘Cumulative AIDS cases’ refers to the total number of persons diagnosed in Georgia with AIDS as of December 31, 2009 regardless of
their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for reporting
delays.
3
    Total Percentages may not add up to 100% due to rounding.
4
  Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to
females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or
documented HIV.
5
Other includes hemophilia, blood transfusion, transplant and pediatric.




                                      2009 Georgia HIV/AIDS Surveillance Summary | 16
Table 9: Cumulative Cases of HIV (not AIDS) and AIDS by Public Health District of Residence at Diagnosis,
Georgia, 2009
                                                                           1              2
                                                            HIV (not AIDS)           AIDS              Total
                     Public Health District                      Count               Count            Count
1-1    Northwest (Rome)                                           275                 491               756
1-2    North Georgia (Dalton)                                     188                 324               512
2      North (Gainesville)                                        166                 349               515
3-1    Cobb-Douglas                                               852                1,584             2,436
3-2    Fulton                                                    3,974               13,971           17,945
3-3    Clayton (Jonesboro)                                        675                1,022             1,697
3-4    East Metro (Lawrenceville)                                 657                1,170             1,827
3-5    DeKalb                                                    2,712               5,532             8,244
4      La Grange                                                  540                 901              1,441
5-1    South Central (Dublin)                                     293                 307               600
5-2    North Central (Macon)                                      909                1,377             2,286
6      East Central (Augusta)                                     792                1,748             2,540
7      West Central (Columbus)                                    608                1,151             1,759
8-1    South (Valdosta)                                           435                 575              1,010
8-2    Southwest (Albany)                                         574                1,243             1,817
9-1    Coastal (Savannah)                                         858                1,971             2,829
9-2    Southeast (Waycross)                                       352                 752              1,104
10     Northeast (Athens)                                         246                 565               811
GA Cases with Unknown Health District                             379                 276               655
Total                                                           15,485               35,299           50,784

Note: Case count includes incarcerated persons and may inflate rates in certain geographic regions where there are large concentrations of
HIV-positive inmates.
1
 ‘Cumulative HIV (not AIDS) cases’ refers to the total number persons with HIV diagnosis in Georgia as of December 31, 2009,
regardless of their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for
reporting delays.
2
 ‘Cumulative AIDS cases’ refers to the total number of persons diagnosed in Georgia with AIDS as of December 31, 2009, regardless of
their current residence or vital status. Numbers are based on data entered through June 30, 2010, and are not adjusted for reporting
delays.




                                       2009 Georgia HIV/AIDS Surveillance Summary | 17

								
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