Wisconsin

Document Sample
Wisconsin Powered By Docstoc
					                                       National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention


                                       WISCONSIN – 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                                   Reported AIDS Cases by Race/Ethnicity,
             Adolescents by Transmission Category,                                   Cumulative through 2007, Wisconsin
               Cumulative through 2007, Wisconsin                                                 N = 4,749
                              N = 4,716

                                        MSM (57.3%)                                                   White, not Hispanic (57.0%)
                                                                                                      Black, not Hispanic (31.9%)
                                        IDU (14.8%)
                                                                                                      Hispanic (9.3%)
                                        MSM/IDU (6.4%)
                                                                                                      Asian (0.6%)
                                        Hemophilia (1.7%)
                                                                                                      American Indian/Alaska Native (0.9%)
                                        Heterosexual Sex (11.7%)
                                                                                                      Unknown/Other (0.4%)
                                        Blood Transfusion (1.1%)
                                                                                                      Native Hawaiian/Pacific Islander (<0.1%)
                                        Unknown/Other (6.9%)




Wisconsin reported 4,749 AIDS cases to CDC, cumulatively from the beginning of the epidemic through December
2007. Wisconsin ranked 31st highest among the 50 states in cumulative reported AIDS cases.


Tuberculosis (TB)
                                                                       Although the overall rate of TB in the U.S. has declined
           TB Cases by Race/Etnicity, 2007,                            substantially since 1992, the rate of decrease among
                       Wisconsin                                       foreign-born persons has been much smaller than that for
                         N=70                                          U.S.-born persons.

                             White (28.6%)
                                                                       In 2007, Wisconsin reported:
                             Black/African American (14.3%)
                             Hispanic/Latino (28.6%)                   •	 The 44th highest rate of TB among states in the U.S.
                             Asian (28.6%)                                (1.2 per 100,000 persons).
                                                                       •	 54.3% 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 Wisconsin, between 1997 and 2006:
the lowest ever recorded due to the availability of safe                •	 Reported rates of acute hepatitis A decreased by 78%.
and effective vaccines. But there is no vaccine for HCV,
                                                                        •	 Reported rates of acute hepatitis B decreased by 95%.
and chronic HBV and HCV account for more than 50%
of new cases of chronic liver disease, a leading cause of              Wisconsin began reporting cases of chronic Hepatitis C
death. Approximately 4.5 million people are estimated to               infection to the CDC in 2002.
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, Wisconsin                                    Chlamydia and Gonorrhea Cases, 1998-2007,
                                                                                                                    Wisconsin
               200                                                                              24,000
                                                                                                20,000
               150
                                                                                                16,000
                                                                                                                                                       Chlamydia




                                                                                        Cases
       Cases




               100                                                                              12,000
                                                                                                                                                       Gonorrhea
                50                                                                               8,000

                                                                                                 4,000
                 0
                     1998 1999 2000   2001 2002 2003   2004   2005 2006   2007                      0
                                                                                                         1998   2000   2002      2004    2006
                                             Year
                                                                                                                         Year




Syphilis – Primary and secondary (P&S) syphilis (the stages                          In 2007, Wisconsin:
when syphilis is most infectious) remains a problem in the                           •	 Ranked 23rd among 50 states in chlamydial infections
southern U.S. and some urban areas.                                                     (351.9 per 100,000 persons) and ranked 18th among
 •	 Wisconsin ranked 33rd among 50 states, with 1.2                                     50 states in gonorrheal infections (121.5 per 100,000
    cases of P&S syphilis per 100,000 persons.                                          persons).
 •	 The number of congenital syphilis cases decreased                                •	 Reported rates of chlamydia among women (516.5
    from 6 in 1998 to 1 in 2007.                                                        cases per 100,000) that were 2.8 times greater than
Chlamydia and Gonorrhea – Chlamydial and gonorrheal                                     those among men (184.4 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 Wisconsin, CDC funds the health department for
to HIV prevention that includes surveillance, research,                              TB prevention and control activities, including surveillance,
interventions, capacity building, and evaluation. In                                 case management, and directly observed therapy. These
Wisconsin, CDC supports the state health department to                               funds also support the identification and evaluation of
conduct and support HIV prevention programs. Programs                                persons exposed to TB, as well as laboratory services,
are designed to meet the cultural needs, expectations, and                           medical consultation for complex TB cases, and training for
values of the populations they serve, and CDC involves                               state and local TB control staff.
affected communities in the HIV prevention community                                 Viral Hepatitis – In Wisconsin, CDC supports an adult
planning process to ensure that funding goes to those who                            hepatitis prevention coordinator to provide management,
need it most. Research, surveillance and other prevention                            networking, and technical expertise for successful
efforts are also supported.                                                          integration of viral hepatitis prevention activities into
STDs – In Wisconsin, CDC funds the state health                                      existing public health programs.
department through the Comprehensive STD Prevention
System (CSPS) grant program. CSPS supports a                                          CDC funding to Wisconsin, 2008
community-wide, science-based, interdisciplinary approach                             HIV/AIDS                         $3,767,630
to STD prevention that includes behavioral interventions,                             STDs                             $1,401,519
medical and laboratory services, disease surveillance,
outbreak response, professional development, and STD                                  TB                               $407,986
awareness and education campaigns. As part of its CSPS                                Viral Hepatitis                  $105,783
grant, the Wisconsin department of health receives funding
                                                                                     For More Information
specifically for syphilis elimination.
                                                                                     Wisconsin: http://dhfs.wisconsin.gov
                                                                                     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