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					                                             National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention


                                             MAINE – 2008 Profile
HIV/AIDS Epidemic
HIV/AIDS has claimed the lives of over 550,000 Americans. Today, about 1.1 million Americans are living with HIV, the
virus that causes AIDS, and one fifth of those infected are unaware of their infection.



             Reported AIDS Cases Among Adults and
             Adolescents by Transmission Category,                                   Reported AIDS Cases by Race/Ethnicity,
                 Cumulative through 2007, Maine                                          Cumulative through 2007, Maine
                              N = 1,156                                                               N = 1,163


                                          MSM (61.2%)                                                    White, not Hispanic (90.9%)
                                          IDU (12.3%)
                                                                                                         Black, not Hispanic (4.4%)
                                          MSM/IDU (4.1%)
                                                                                                         Hispanic (3.4%)
                                          Hemophilia (2.1%)
                                          Heterosexual Sex (9.3%)                                        Asian (0.3%)
                                          Blood Transfusion (1.0%)                                       American Indian/Alaska Native (0.8%)
                                          Unknown/Other (10.0%)                                          Unknown/Other (0.3%)




Maine reported 1,163 AIDS cases to CDC, cumulatively from the beginning of the epidemic through December 2007.
Maine ranked 42nd highest among the 50 states in cumulative reported AIDS cases.


Tuberculosis (TB)
                                                                         Although the overall rate of TB in the U.S. has declined
                                                                         substantially since 1992, the rate of decrease among
              TB Cases by Race/Ethnicity, 2007, Maine
                                 N = 19                                  foreign-born persons has been much smaller than that for
                                                                         U.S.-born persons.
                                  White (36.8%)
                                                                         In 2007, Maine reported:
                                  Black/African American (31.6%)
                                  Asian (21.1%)
                                                                         •	 The 40th highest rate of TB among states in the U.S.
                                  Hispanic/Latino (10.5%)                   (1.4 per 100,000 persons).
                                                                         •	 68.4% of TB cases occurred in foreign-born persons.



Hepatitis A, B, and C Virus (HAV, HBV, HCV)
In the U.S., incidence of acute HAV and HBV in 2006 was                  In Maine, between 1997 and 2006:
the lowest ever recorded due to the availability of safe
                                                                         •	 Reported rates of acute hepatitis A decreased by 89%.
and effective vaccines. But there is no vaccine for HCV,
and chronic HBV and HCV account for more than 50%                        •	 Reported rates of acute hepatitis B increased more by
of new cases of chronic liver disease, a leading cause of                   300%.
death. Approximately 4.5 million people are estimated to
be living with HBV and HCV infection, and of that number,
approximately 50% are unaware of their status.




                                                                     1     D E PA R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
                                                                                                          Centers for Disease Control and Prevention
Sexually Transmitted Diseases (STDs)


                     P & S Syphilis Cases, 1998-2007, Maine                                              Chlamydia and Gonorrhea Cases, 1998-2007,
                                                                                                                             Maine
             10                                                                                       2,500
             8                                                                                        2,000




                                                                                              Cases
     Cases




             6                                                                                        1,500                                                   Chlamydia
             4
                                                                                                      1,000                                                   Gonorrhea
             2
                                                                                                       500
             0
                                                                                                         0
                  1998   1999   2000   2001 2002   2003   2004   2005 2006   2007
                                                                                                              1998   2000   2002       2004    2006
                                               Year
                                                                                                                              Year




Syphilis – Primary and secondary (P&S) syphilis (the stages                             In 2007, Maine:
when syphilis is most infectious) remains a problem in the                              •	 Ranked 47th among 50 states in chlamydial infections
southern U.S. and some urban areas.                                                        (192.3 per 100,000 persons) and ranked 50th among
 •	 Maine ranked 45th among 50 states, with 0.7 cases of                                   50 states in gonorrheal infections (8.9 per 100,000
    P&S syphilis per 100,000 persons.                                                      persons).
 •	 There were no cases of congenital syphilis cases                                    •	 Reported rates of chlamydia among women (271.2
    reported from 1998 to 2007.                                                            cases per 100,000) that were 2.5 times greater than
Chlamydia and Gonorrhea – Chlamydial and gonorrheal                                        those among men (109.5 cases per 100,000).
infections in women are usually asymptomatic and often
go undiagnosed. Untreated, these infections can lead
to pelvic inflammatory disease, which can cause tubal
infertility, ectopic pregnancy, and chronic pelvic pain.


Program Initiatives Supported by CDC
HIV/AIDS – CDC utilizes a comprehensive approach                                        TB – In Maine, CDC funds the health department for TB
to HIV prevention that includes surveillance, research,                                 prevention and control activities, including surveillance,
interventions, capacity building, and evaluation. In                                    case management, and directly observed therapy. These
Maine, CDC supports the state health department and 1                                   funds also support the identification and evaluation of
community-based organization to conduct and support HIV                                 persons exposed to TB, as well as laboratory services,
prevention programs. Programs are designed to meet the                                  medical consultation for complex TB cases, and training for
cultural needs, expectations, and values of the populations                             state and local TB control staff.
they serve, and CDC involves affected communities in                                    Viral Hepatitis – In Maine, CDC supports an adult viral
the HIV prevention community planning process to ensure                                 hepatitis prevention coordinator to provide management,
that funding goes to those who need it most. Surveillance                               networking, and technical expertise for successful
efforts are also supported.                                                             integration of viral hepatitis prevention activities into
STDs – In Maine, CDC funds the state health department                                  existing public health programs.
through the Comprehensive STD Prevention System
(CSPS) grant program. CSPS supports a community-                                         CDC funding to Maine, 2008
wide, science-based, interdisciplinary approach to STD                                   HIV/AIDS                              $1,942,643
prevention that includes behavioral interventions, medical                               STDs                                  $259,731
and laboratory services, disease surveillance, outbreak
response, professional development, and STD awareness                                    TB                                    $181,183
and education campaigns.                                                                 Viral Hepatitis                       $94,926
                                                                                        For More Information
                                                                                        Maine: www.maine.gov/dhhs/index.shtml
                                                                                        CDC: http://www.cdc.gov/nchhstp

CS201675-A
                                                                                    2     D E PA R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
                                                                                                                                     Centers for Disease Control and Prevention