HIVAIDS Surveillance Summary Report Update

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					     HIV/AIDS Surveillance
    Summary Report Update




West Virginia HIV/AIDS/STD Program
       2007 Year-End Report
      West Virginia HIV/AIDS/STD Program
     Caroline Williams, M.D.               Director, HIV/AIDS/STD Program
     Susan Hall, M.A.                      Assistant Director, HIV/AIDS/STD Program
     (304) 558-2950              OR        (800) 642-8244


                              HIV/AIDS Surveillance Staff

     Mark Shahbandy                                 HARS Administrator
     Kaluwa Schoen, R.N.                            HIV/AIDS Surveillance
     Vacant                                         HIV/AIDS Surveillance



                              HIV/AIDS Prevention Staff

     HIV/AIDS Educators:
     Nils Haynes                                    Minorities, Substance Abuse
     Chuck Anziulewicz                              Media Relations, MSM
     Chuck Hall                                     Training Coordinator, Correctional Facilities
     Jodie Layden, M.S.                             Women at Risk

     Beverly Harmon                                 HIV/AIDS Program Secretary



                              STD Prevention/Surveillance Staff

     Kenneth Gould                                  DIS Supervisor
     Dianna Ryan, M.A.                              Disease Intervention Specialists(DIS)
     John Armstrong                                 Disease Intervention Specialists(DIS)
     John Gundling, M.P .H.                         Disease Intervention Specialists(DIS)
     Chuck McConnell                                Disease Intervention Specialists(DIS)
     Allan Zipf, M.S.                               Disease Intervention Specialists(DIS)
     Matt Eakle                                     Disease Intervention Specialists(DIS)
     Vicki Hogan, M.P .H.                           HIV/AIDS/STD Program Epidemiologist
     Barbara Thacker                                STD Program Secretary




Note: A map of DIS’s assigned counties with their phone numbers is on page 18 of this document.
                      HIV/AIDS Surveillance Summary
                       Report Update, Year-End 2007

Please forward any comments or questions regarding this report to:

       Loretta Haddy, PhD, M.A., M.S.
       Director
       Division of Surveillance and Disease Control
       350 Capitol Street, Room 125
       Charleston, West Virginia 25301-3715
       (304) 558-5358 (800) 423-1271 E-mail: lorettahaddy@wvdhhr.org

       Caroline Williams, M.D.
       Director
       West Virginia HIV/AIDS/STD Program
       350 Capitol Street, Room 125
       Charleston, West Virginia 25301-3715
       (304) 558-5358 (800) 423-1271 E-mail: cwillimas@wvdhhr.org

Website: http://www.wvdhhr.org/idep/aids.htm


This document prepared by:
       Mark Shahbandy, HARS Adminstrator



Important Note:
      All data in this document are provisional and may vary in time due to new
cases that are received and/or lost to other states.

  NOTICE TO HEALTH CARE PROVIDERS, LABORATORIES, AND OTHERS
  RESPONSIBLE FOR DISEASE REPORTING:

  West Virginia Code §16-3C-8, §16-3-1et seq., 64CSR64, and 64CSR7 require that all
  positive HIV test results and all cases of AIDS as defined by the CDC must be reported to
  the West Virginia Bureau for Public Health. For information on the CDC AIDS case defi-
  nition, to obtain case report forms, or to report a case, contact:

  West Virginia HIV/AIDS/STD Program
  350 Capitol Street, Room 125
  Charleston, West Virginia 25301-3715
  Telephone (304) 558-2950 or 1-800-642-8244
                                                          HIV/AIDS in West Virginia


                                                            West Virginia AIDS Cases
                                                        by Year of Report, 4/1984 - 12/2007
                           140

                                                                                    121
                           120                                                                  113
                                                                                          110
                                                                          98
                           100
                                                                               89                                    87
                                                                                                      85
                                                                                                                          77 77 78
            No. of Cases




                           80                                                                                                                  72
                                                                69                                                                   70
                                                                                                           58                             61
                           60                           53 52
                                                                     44                                         47

                           40
                                              25
                                                   20
                           20            10
                                 6   6

                            0
                                 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07
                                                                               Year of Report


                                               West Virginia AIDS Cases and Deaths
                                                by Year of Report, 4/1984 - 12/2007
                                                                                      Alive                              Deceased
                  Year of Report                   Total Cases                  #                     %                #          %
                            1984-90                       172                    5                     3              167         97
                             1991                          69                    5                     7               64         93
                             1992                          44                    4                     9               40         91
                             1993                          98                   16                    16               82         84
                             1994                          89                   25                    28               64         72
                             1995                         121                   45                    37               76         63
                             1996                         110                   50                    45               60         55
                             1997                         113                   67                    59               46         41
                             1998                          85                   45                    53               40         47
                             1999                          58                   41                    71               17         29
                             2000                          47                   23                    49               24         51
                             2001                          87                   61                    70               26 ^       30
                             2002                          77                   52                    68               25         32
                             2003                          77                   64                    83               13         17
                             2004                          79                   66                    84               13         16
                             2005                          69                   65                    94                4          6
                             2006                          61                   49                    80               12         20
                             2007                          72                   65                    90                7         10
                             Total                       1528                  748                    49              780                 51
  ^ A note about high number of mortalities: Surveillance staff examined West Virginia death records from 1980-2000
  for completeness of HIV/AIDS surveillance. Review of the primary cause of death from the 365,725 records pro-
  vided by the Vital Registration Office yielded 47 previously unknown potential cases of HIV infection. Of these 47 cases,
  12 had AIDS related causes of death..


Page 4                                                                    HIV/AIDS Surveillance Summary Report Update Year-End 2007
                                                               HIV/AIDS in West Virginia

                                                     West Virginia HIV Infection Cases
                                                     by Year of Report, 1/1989 - 12/2007
                           70
                                                                                                          62
                           60                                                                                                 55
                                                                                                                         52
                                                                                                               48
                           50                                             45                         46
                                                                                          43
            No. of Cases




                                                                39              40
                           40                   36         36                                                       36
                                                                     34                         34
                                                     32
                           30         27                                             26
                                           23
                                 20
                           20

                           10

                           0
                                 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07

                                                                      Year of Report


                           West Virginia HIV Infection Cases and Deaths
                                by Year of Report, 1/1989 - 12/2007
                                                      Alive          Deceased
                 Year Reported Total Cases
                                                   #        %        #      %
                           1989-1990                      47               42              89              5             11
                             1991                         23               17              74              6             26
                             1992                         36               34              94              2              6
                             1993                         32               30              94              2              6
                             1994                         36               30              83              6             17
                             1995                         39               32              82              7             18
                             1996                         34               32              94              2              6
                             1997                         45               40              89              5             11
                             1998                         40               38              95              2              5
                             1999                         26               26             100              0              0
                             2000                         43               40              93              3              7
                             2001                         34               34             100              0              0
                             2002                         46               45              98              1              2
                             2003                         62               61              98              1              2
                             2004                         48               47              98              1              2
                             2005                         36               36             100              0              0
                             2006                         52               52             100              0              0
                             2007                         55               54              98              1              2
                                Total                     734             690              94             44             6


HIV/AIDS Surveillance Summary Report Update Year-End 2007                                                                          Page 5
                                      HIV/AIDS in West Virginia

                             West Virginia AIDS and HIV Infection Cases
                           by Age Group, Gender, Race and Risk Behavior
                               Cumulative through December 31, 2007
                Characteristic                      AIDS                  HIV                  Total
         Age Group~                             #          %         #          %          #           %
         Under 5                                   9          1            4        1        13          1
         5-12                                      3         <1            0        0         3         <1
         13-19                                    16          1           44        6        60          3
         20-29                                   242         16          262       36       504         22
         30-39                                   637         42          250       34       887         39
         40-49                                   445         29          122       17       567         25
         50 and Over                             176         12           52        7       228         10
         Total                                  1528        100          734      100      2262        100
         Gender
         Male                                   1268         83          515       70      1783         79
         Female                                  260         17          219       30       479         21
         Total                                  1528        100          734      100      2262        100
         Race
         White                                  1200         79          446       61      1646         73
         Black                                   308         20          267       36       575         25
         Other/Unknown                            20          1           21        3        41          2
         Total                                  1528        100          734      100      2262        100
         Risk Behavior
                      Adult
         MSM                                     825         54        318         44      1143            51
         IDU                                     231         15        133         18       364            16
         MSM/IDU                                  78          5         16           2        94            4
         Coagulation Disorder                     41          3          4           1        45            2
         Heterosexual Contact with               186         12        128         18       314            14
           Known Risk
         Heterosexual Contact with                33          2         29           4        62            3
           Unknown Risk
         Transfusion/Transplant                   32          2          4           1        36         2
         No Identified Risk/Other**               89          6         98         13       187          8
         Subtotal                               1515       100         730        100      2245        100
                    Pediatric
         Coagulation Disorder                      1          8          0           0          1        6
         Mother HIV Positive                      12         92          4        100         16        94
         Subtotal                                 13       100           4        100         17       100
           Total Adults & Pediatrics            1528       100         734        100      2262        100
            MSM = Men having Sex With Men; IDU = Injecting Drug User
         * AIDS data includes April 1984 through December 31, 2007;
           HIV data includes January 1989 through December 31, 2007.
         ** Other risk behavior includes cases reported with no risk identified due to death or
           person moving away. These cases are closed due to inability to follow-up.
         ~ Age group intervals depicted in the table above may not be uniform due to:
            a) Small number of cases in the under 13 age groups.
            b) Cases twelve years of age and under are pediatric cases.
            c) 13-19 being the adolescent age group.
         Note: Percent in columns may not add up to 100% due to rounding.



Page 6                                              HIV/AIDS Surveillance Summary Report Update Year-End 2007
                                            HIV/AIDS in West Virginia

                            West Virginia People Living with AIDS/HIV Cases
                            by Age Group, Gender, Race and Risk Behavior
                                Cumulative through December 31, 2007
                  Characteristic                       AIDS                HIV                Total
         Age Group~                               #           %       #          %       #            %
         Under 5                                        6       1           4       1      10           1
         5-12                                           1      <1           0       0       1          <1
         13-19                                         11       1          44       6      55           4
         20-29                                        107      14         253      37     360          25
         30-39                                        293      39         229      33     522          36
         40-49                                        248      33         112      16     360          25
         50 and Over                                   82      11          48       7     130           9
         Total                                        748     100         690     100    1438         100
         Gender
         Male                                         599      80         478      69    1077          75
         Female                                       149      20         212      31     361          25
         Total                                        748     100         690     100    1438         100
         Race
         White                                        566      76         418      61     984          68
         Black                                        171      23         252      37     423          29
         Oher/Unknown                                  11       1          20       3      31           2
         Total                                        748     100         690     100    1438         100
         Risk Behavior
                         Adult
         MSM                                          405        55       302       44       707          50
         IDU                                          114        15       120       17       234          16
         MSM/IDU                                       31          4       12        2        43           3
         Coagulation Disorder                           9          1        3        0        12           1
         Heterosexual Contact with                    112        15       126       18       238          17
           Known Risk
         Heterosexual Contact with                     28          4       29        4        57           4
           Unknown Risk
         Transfusion/Transplant                         3          0        4        1      7           0
         No Identified Risk/Other**                    38          5       90       13    128           9
         Subtotal                                     740      100        686     100    1426         100
                       Pediatric
         Coagulation Disorder                           0          0        0        0      0           0
         Mother HIV Positive                            8      100          4     100      12         100
         Subtotal                                       8      100          4     100      12         100
              Total Adults & Pediatrics               748      100        690     100    1438         100
           MSM = Men having Sex With Men; IDU = Injecting Drug User
         * AIDS data includes April 1984 through J December 31, 2007;
           HIV data includes January 1989 through December 31, 2007.
         ** Other risk behavior includes cases reported with no risk
            identified that have been closed to follow-up.
          ~ Age group intervals depicted in the table above may not be uniform due to:
              a) Small number of cases in the under 13 age groups.
              b) Cases twelve years of age and under are pediatric cases.
              c) 13-19 being the adolescent age group.
         Note: Percent in columns may not add up to 100% due to rounding.



HIV/AIDS Surveillance Summary Report Update Year-End 2007                                                 Page 7
                                           HIV/AIDS in West Virginia

           West Virginia AIDS and HIV Infection Cases by Age Group and Gender
                                 Cumulative through December 31, 2007
                          Males                          Females                                        Total
 Age Group^        AIDS              HIV             AIDS              HIV          AIDS               HIV            Cumulative
                  #      %       #         %         #   %         #         %      #        %     #         %         #       %
 Under 5            4      0       3        1       5         2      1        0      9        1      4         1        13          1
   5-12             2     <1       0       <1       1         0      0        0      3       <1      0        <1         3         <1
  13-19            11      1      19        4       5         2     25       11     16        1     44         6        60          3
  20-29           192     15     182       35      50        19     80       37    242       16    262        36       504         22
  30-39           518     41     174       34     119        46     76       35    637       42    250        34       887         39
  40-49           389     31      95       18      56        22     27       12    445       29    122        17       567         25
   50+            152     12      42        8      24         9     10        5    176       12     52         7       228         10
     Total      1268 100         515    100      260     100      219    100 1528 100             734       100       2262     100


              West Virginia AIDS and HIV Infection Cases by Race and Gender
                                 Cumulative through December 31, 2007
                                     Males                        Females                                   Total
    Race/ethnicity
                             AIDS              HIV          AIDS             HIV         AIDS               HIV        Cumulative
        Adult             #       %        #      %      #        %      #        %    #         %      #        %    #           %
 White, not Hispanic     1041      82      351     69    152       60     92       42 1193        79   443        61 1636          73
 Black, Not Hispanic      206      16      149     29     97       38    117       54 303         20   266        36  569          25
 Others/Unknown            15       1       12      2      4        2      9        4   19         1    21         3   40           2
 Adult Subtotal          1262     100      512    100    253      100    218      100 1515       100   730       100 2245         100
      Pediatric              #   %         #       %     #       %       #       %       #   %          #       %          #      %
 White, not Hispanic          3   50           2   67        3   43          1 100        6   46            3   75          9      53
 Black, Not Hispanic          2   33           1   33        3   43          0     0      5   38            1   25          6      35
 Others/Unknown               1   17           0     0       1   14          0     0      2   15            0     0         2      12
 Pediatric Subtotal           6 100            3 100         7 100           1 100       13 100             4 100          17     100
         Total               1268              515           260             219         1528               734            2262




Note: Adult or pediatric classification is based on age at time of AIDS diagnosis if patient met the AIDS case
      definition; otherwise classification is based on age at first HIV report.
      Percent in columns may not add up to 100% due to rounding.
      AIDS data includes April 1984 through December 31, 2007;
      HIV data includes January 1989 through December 31, 2007.
     ^Age group intervals depicted in the table above may not be uniform due to:
      a) Small number of cases in the under 13 age groups.
      b) Cases twelve years of age and under are pediatric cases.
      c) 13-19 being the adolescent age group.
      Percent in columns may not add up to 100% due to rounding.



Page 8                                                    HIV/AIDS Surveillance Summary Report Update Year-End 2007
                                                         HIV/AIDS in West Virginia

          West Virginia AIDS and HIV Infection Cases by Risk Behavior and Gender
                           Cumulative through December, 31 2007
                                      Males                             Females                                             Total
        Risk Behavior
                                  AIDS      HIV                      AIDS      HIV                         AIDS             HIV          Cumulative
             Adult               #    %   #    %                    #   %    #    %                       #    %          #    %          #    %
    MSM                          825          65     318       62     0           0    0         0        825      54    318      44     1143               51
    IDU                          157          12      59       12    74          29   74        34        231      15    133      18      364               16
    MSM/IDU                       78           6      16        3     0           0    0         0         78       5     16       2       94                4
    Coagulation Disorder          40           3       4        1     1           0    0         0         41       3      4       1       45                2
    Heterosexual Contact          51           4      33        6   135          53   95        44        186      12    128      18      314               14
    Transfusion/Transplant        21           2       4        1    11           4    0         0         32       2      4       1       36                2
    NIR/Other                     90           7      78       15    32          13   49        22        122       8    127      17      249               11
    Adult Subtotal              1262 100 512 100 253 100 218 100 1515 100 730 100 2245                                                                    100
           Pediatric             #           %       #        %     #        %        #         %         #        %      #       %          #            %
    Coagulation Disorder             1       17          0      0       0      0          0       0         1       8         0     0             1          6
    Mother with/at HIV Risk          5       83          3    100       7    100          1     100        12      92         4   100            16         94
    Transfusion/Transplant           0        0          0      0       0      0          0       0         0       0         0     0             0          0
    NIR/Other                        0        0          0      0       0      0          0       0         0       0         0     0             0          0
    Pediatric Subtotal             6 100                 3 100          7 100             1 100           13 100              4 100          17 100
             Total                1268                   515            260               219             1528                734            2262

                  West Virginia AIDS Cases by Risk Behavior, Gender, and Race
                             Cumulative through December 31, 2007
          Risk Behavior                      White                          Black                Other/Unknown                          Total
           Adult Male                    #               %           #                %               #            %              #                   %
      MSM                                 743                 71          73               36              9             60         825                    65
      IDU                                  76                  7          78               38              3             20         157                    12
      MSM/IDU                              66                  6          12                6              0              0          78                     6
      Coagulation Disorder                 38                  4           1                0              1              7          40                     3
      Heterosexual Contact                 33                  3          17                8              1              7          51                     4
      Transfusion/Transplant               20                  2           1                0              0              0          21                     2
      NIR/Other                            66                  6          23               11              1              7          90                     7
      Male Subtotal                      1042                100         205              100             15            100        1262                   100
           Adult Female                  #               %           #                %               #            %              #                   %
      IDU                                     40              26            34             35                 0           0            74                  29
      Coagulation Disorder                     1               1             0              0                 0           0             1                   0
      Heterosexual Contact                    86              57            45             47                 4          80           135                  53
      Transfusion/Transplant                   8               5             3              3                 0           0            11                   4
      NIR/Other                               17              11            14             15                 1          20            32                  13
      Female Subtotal                        152             100            96            100                 5         100           253                 100
      Adult Total                             1194                          301                               20                        1515
             Pediatric                   #               %           #                %               #            %              #                   %
      Coagulation Disorder                       1            17             0              0                 0           0              1                  8
      Mother with/at HIV Risk                    5            83             7            100                 0           0             12                 92
      Transfusion/Transplant                     0             0             0              0                 0           0              0                  0
      NIR/Other                                  0             0             0              0                 0           0              0                  0
      Pediatric Subtotal                         6           100             7            100                 0           0             13                100
               Total                          1200                          308                               20                        1528
       Note: Percent in columns may not add up to 100% due to rounding.
             AIDS data includes April 1984 through December 31, 2007;
             HIV data includes January 1989 through December 31, 2007.
             Percent in columns may not add up to 100% due to rounding.

HIV/AIDS Surveillance Summary Report Update Year-End 2007                                                                                         Page 9
                                      HIV/AIDS in West Virginia



            West Virginia AIDS Cases                                 West Virginia HIV Infection Cases
          by Age Group^, 4/1984-12/2007                               by Age Group^, 1/1989-12/2007
                                                                                  17%
              29%                                                                                  7%
                                   12%
                                         1%                                                          1%

                                         1%                                                              6%



                                         16%
                                                                    34%




                                                                                                   35%
                  41%


   <13    13-19     20-29     30-39      40-49         50 +   <13     13-19     20-29      30-39         40-49   50 +



                             West Virginia People Living with HIV/AIDS
                                  by Age Group^, 4/1984-12/2007

                                                 25%

                                                                          9%

                                                                                 1%

                                                                                     4%




                                                                               25%
                                   36%




                            <13       13-19        20-29         30-39        40-49       50 +


           ^Age group intervals depicted in the pie charts may not be uniform due to:
            a) Small number of cases in the under 13 age groups.
            b) Cases twelve years of age and under are pediatric cases.
            c) 13-19 being the adolescent age group.




Page 10                                                HIV/AIDS Surveillance Summary Report Update Year-End 2007
                                          HIV/AIDS in West Virginia




               West Virginia AIDS Cases                       West Virginia HIV Infection Cases
               by Gender, 4/1984-12/2007                        by Gender, 1/1989-12/2007
                                    Female
                                                                                   Female
                                     17%
                                                                                    30%




                  Male                                                 Male
                  83%                                                  70%



                                West Virginia People Living with HIV/AIDS
                                       by Gender, 4/1984-12/2007

                                                             Female
                                                              25%




                                                Male
                                                75%




                   AIDS data includes April 1984 through December 31, 2007;
                   HIV data includes January 1989 through December 31, 2007.




HIV/AIDS Surveillance Summary Report Update Year-End 2007                                   Page 11
                                     HIV/AIDS in West Virginia




          West Virginia AIDS Cases                           West Virginia HIV Infection Cases
          by Race, 4/1984-12/2007                                by Race, 1/1989-12/2007
                                                                        Black
                             Black                                      36%
                             20%
                                                                                          Other/Unk.
                                     Other/Unk.                                              3%
                                        1%




                                                                                 White
              White                                                              61%
              79%



                           West Virginia People Living with HIV/AIDS
                                    by Race, 4/1984-12/2007


                                                   Black
                                                   29%


                                                                     Other/Unknown
                                                                           2%




                                                  White
                                                  69%




            AIDS data includes April 1984 through December 31, 2007;
            HIV data includes January 1989 through December 31, 2007.




Page 12                                           HIV/AIDS Surveillance Summary Report Update Year-End 2007
                                             HIV/AIDS in West Virginia


                West Virginia AIDS Cases                             West Virginia HIV Infection Cases
             by Risk Behavior, 4/1984-12/2007                        by Risk Behavior, 1/1989-12/2007
                         3%         12%                                           17%
                    5%                                                                     1%
                                                                       1%                   <1%
                                           2%
                                            1%                        3%
           15%                                                                                    16%
                                                8%


                                                                 21%




                                                                                          41%
                              54%
      MSM                           IDU                        MSM                        IDU
      MSM/IDU                       Coagulation Disorder       MSM/IDU                    Coagulation Disorder
      Heterosexual Contact          Transfusion/Transplant     Heterosexual Contact       Transfusion/Transplant
      Mother w/HIV                  No/Other Risk              Mother w/HIV               No/Other Risk



                                West Virginia People Living with HIV/AIDS
                                   by Risk Behavior, 4/1984-12/2007

                                                         17%
                                            1%
                                                                     0%
                                           3%                         1%

                                                                            13%


                                     16%




                                                               49%

                                MSM                             IDU
                                MSM/IDU                         Coagulation Disorder
                                Heterosexual Contact            Transfusion/Transplant
                                Mother w/HIV                    No/Other Risk

               AIDS data includes April 1984 through December 31, 2007;
               HIV data includes January 1989 through December 31, 2007.



HIV/AIDS Surveillance Summary Report Update Year-End 2007                                           Page 13
                                          HIV/AIDS in West Virginia
                                                       West Virginia
                                       HIV/AIDS in With AIDS (PLWA) Comparison
                           West Virginia People Living
            by Public Health District, Age Group, Gender, Race, and Risk Behavior, 4/1984-12/2007
                         Dist 1    Dist 2   Dist 3   Dist 4    Dist 5   Dist 6   Dist 7   Dist 8    Total
       Characteristic
                         #    %    #    %   #    %   #    %    #    %   #    %   #    %   #    %   #    %
         Age Group
       Under 5            3   3   0   0   1   1        1   2    0   0    0   0   1   1   0   0       6      1
        5-12              0   0   0   0   0   0        0   0    0   0    0   0   1   1   0   0       1      0
       13-19              1   1   2   2   4   2        0   0    1   3    0   0   1   1   2   2      11      1
       20-29             14  15  13  13  20  11        8  17    9  23    6   9  23  18  14  13     107     14
       30-39             32  35  37  37  75  43       15  33   17  44   29  45  46  37  42  39     293     39
       40-49             32  35  35  35  58  33       16  35   10  26   19  29  39  31  39  36     248     33
         50+              9  10  13  13  16   9        6  13    2   5   11  17  14  11  11  10      82     11
       Total             91 100 100 100 174 100       46 100   39 100   65 100 125 100 108 100     748    100
           Gender
       Male              62  68  79  79 147  84       35  76   35  90   53  82 103  82  85  79     599     80
       Female            29  32  21  21  27  16       11  24    4  10   12  18  22  18  23  21     149     20
       Total             91 100 100 100 174 100       46 100   39 100   65 100 125 100 108 100     748    100
            Race
       White             47  52  87  87 142  82       33  72   35  90   57  88  95  76  70  65     566     76
       Black             43  47  12  12  30  17       13  28    3   8    8  12  28  22  34  31     171     23
       Other/Unknown      1   1   1   1   2   1        0   0    1   3    0   0   2   2   4   4      11      1
       Total             91 100 100 100 174 100       46 100   39 100   65 100 125 100 108 100     748    100
       Risk Behavior
       MSM               36  40  58  58 114  66       24  52   27  69   43  66  57  46  46  43     405     54
       IDU               24  26  13  13  14   8        6  13    3   8    5   8  25  20  24  22     114     15
       MSM/IDU            4   4   4   4   6   3        2   4    1   3    3   5   8   6   3   3      31      4
       Coag. Disorder     2   2   1   1   0   0        1   2    4  10    0   0   1   1   0   0       9      1
       Hetero. Contact   11  12  19  19  21  12        9  20    2   5   12  18  19  15  19  18     112     15
       Transfusion        0   0   1   1   2   1        0   0    0   0    0   0   0   0   0   0       3      0
       NIR*/Other        11  12   4   4  15   9        3   7    2   5    2   3  13  10  16  15      66      9
       Pediatric          3   3   0   0   2   1        1   2    0   0    0   0   2   2   0   0       8      1
        Total            91 100 100 100 174 100       46 100   39 100   65 100 125 100 108 100     748    100

                          West Virginia People Living With HIV (PLWH) Comparison
            by Public Health District, Age Group, Gender, Race, and Risk Behavior, 1/1989-12/2007
                         Dist 1    Dist 2   Dist 3   Dist 4    Dist 5   Dist 6   Dist 7   Dist 8    Total
       Characteristic
                         #    %    #    %   #    %   #    %    #    %   #    %   #    %   #    %   #    %
         Age Group
       Under 5             1   1    0   0   1   1      0   0    0   0    0   0   1   1   1   1       4      1
        5-12               0   0    0   0   0   0      0   0    0   0    0   0   0   0   0   0       0      0
       13-19               6   4    3   3  20  14      2   7    2   5    1   3   3   3   7   7      44      6
       20-29              46  34   40  43  54  38     11  37   18  45   13  36  43  37  29  29     254     37
       30-39              51  38   35  38  38  27     10  33   11  28   16  44  38  33  30  30     229     33
       40-49              23  17   10  11  21  15      5  17    6  15    5  14  15  13  26  26     111     16
         50+               7   5    4   4   8   6      2   7    3   8    1   3  15  13   8   8      48      7
       Total             134 100   92 100 142 100     30 100   40 100   36 100 115 100 101 100     690    100
           Gender
       Male               51  38   72  78 109  77     21  70   31  78   24  67  92  80  78  77     478     69
       Female             83  62   20  22  33  23      9  30    9  23   12  33  23  20  23  23     212     31
       Total             134 100   92 100 142 100     30 100   40 100   36 100 115 100 101 100     690    100
            Race
       White              45  34   75  82  90  63     18  60   36  90   30  83  72  63  52  51     418     61
       Black              86  64   17  18  47  33     12  40    3   8    5  14  38  33  44  44     252     37
       Other/Unknown       3   2    0   0   5   4      0   0    1   3    1   3   5   4   5   5      20      3
       Total             134 100   92 100 142 100     30 100   40 100   36 100 115 100 101 100     690    100
       Risk Behavior
      MSM                 30  22   51  55  75  53     13  43   23  58    13  36  51  44   46  46 302     44
      IDU                 50  37    7   8  11   8     11  37    1    3    2   6  18  16   20  20 120     17
      MSM/IDU              1   1    1   1   1   1      0   0    1    3    2   6   2   2    4   4    12    2
      Coag. Disorder       1   1    1   1   0   0      0   0    0    0    1   3   0   0    0   0     3    0
      Hetero. Contact     31  23   21  23  19  13      2   7    8  20    11  31  21  18   13  13 126     18
      Transfusion          0   0    0   0   1   1      0   0    1    3    0   0   2   2    0   0     4    1
      NIR*/Other          20  15   11  12  34  24      4  13    6  15     7  19  20  17   17  17 119     17
      Pediatric            1   1    0   0   1   1      0   0    0    0    0   0   1   1    1   1     4    1
Page 14Total             134 100   92 100 142 100                        36 100 115 100 Update 690 100
                                                     HIV/AIDS Surveillance Summary Report101 100 Year-End 2007
                                                      30 100   40 100

   HIV/AIDS Surveillance Summary Report Update Year-End 2007                                             Page 14
                                          HIV/AIDS in West Virginia


                                                        AIDS Prevalence (PLWA*) by District
                                                          West Virginia, 4/1984 - 12/2007




                                                                AIDS Prevalence for West Virginia: 748
                                                              * PLWA= People Living with AIDS

                                                            HIV Prevalence (PLWH*) by District
                                                             West Virginia, 1/1989 - 12/2007




                                                                HIV Prevalence for West Virginia: 690
                                                               * PLWH= People Living with HIV


HIV/AIDS Surveillance Summary Report Update Year-End 2007                                       Page 15
          HIV/AIDS in West Virginia


                        Distribution of AIDS Cases by District
                           West Virginia, 4/1984 - 12/2007




                            Total AIDS Cases for West Virginia: 1528




                          Distribution of HIV Infection Cases
                                      by District
                           West Virginia, 1/1989 - 12/2007




                        Total HIV Infection Cases for West Virginia: 734




Page 16            HIV/AIDS Surveillance Summary Report Update Year-End 2007
                                          HIV/AIDS in West Virginia


                                                            Distribution of AIDS Cases by County
                                                              West Virginia, 4/1984 - 12/2007*




                                                                      Total Reported Cases: 1528
                                                                  *   AIDS data includes April 1984 through December 31, 2007.




                                                       Distribution of HIV Infection Cases by County
                                                               West Virginia, 1/1989 - 12/2007*




                                                                  Total Reported Cases: 734
                                                                 * HIV data includes January 1989 through December 31, 2007.



HIV/AIDS Surveillance Summary Report Update Year-End 2007                                                      Page 17
                                          HIV/AIDS in West Virginia




          Kenneth Gould, DIS Supervisor
                 1-304-558-2950




Page 18                                            HIV/AIDS Surveillance Summary Report Update Year-End 2007
  HIV/AIDS Surveillance Summary Report Update
                 Year-End 2007

Division of Surveillance and Disease Control(DSDC)
         http://www.wvdhhr.org/idep/aids.htm