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


                                              IOWA – 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, Iowa
               Cumulative through 2007, Iowa                                                             N = 1,185
                            N = 1802


                                          MSM (56.6%)                                                        White, not Hispanic (79.0%)
                                          IDU (10.9%)                                                        Black, not Hispanic (13.6%)
                                          MSM/IDU (8.1%)                                                     Hispanic (6.3%)
                                          Hemophilia (2.5%)                                                  Asian (0.6%)
                                          Heterosexual Sex (12.3%)                                           American Indian/Alaska Native (0.3%)
                                          Blood Transfusion (2.1%)                                           Unknown/Other (0.1%)
                                          Unknown/Other (7.5%)                                               Native Hawaiian/Pacific Islander (0.1%)




Iowa reported 1,185 AIDS cases to CDC, cumulatively from the beginning of the epidemic through December 2007.
Iowa ranked 39th 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/Ethnicity, 2007, Iowa                          substantially since 1992, the rate of decrease among
                              N = 43                                        foreign-born persons has been much smaller than that for
                                                                            U.S.-born persons.
                               White (34.9%)                                In 2007, Iowa reported:
                               Black/African American (11.6%)
                               Hispanic/Latino (20.9%)                      •	 The 41st highest rate of TB among states in the U.S.
                               Asian (30.2%)                                   (1.4 per 100,000 persons).
                               Native Hawaiian/Pacific Islander (2.3%)
                                                                            •	 53.5% 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 Iowa, between 1997 and 2006:
the lowest ever recorded due to the availability of safe
and effective vaccines. But there is no vaccine for HCV,                    •	 Reported rates of acute hepatitis A decreased by 98%.
and chronic HBV and HCV account for more than 50%                           •	 Reported rates of acute hepatitis B decreased by 53%.
of new cases of chronic liver disease, a leading cause of
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, Iowa                                       Chlamydia and Gonorrhea Cases, 1998-2007, Iowa
                                                                                                 10,000
             25
                                                                                                 8,000
             20
                                                                                                 6,000                                                    Chlamydia
             15




                                                                                         Cases
     Cases




             10                                                                                  4,000                                                    Gonorrhea
              5
                                                                                                 2,000
              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, Iowa:
when syphilis is most infectious) remains a problem in the
                                                                                       •	 Ranked 37th among 50 states in chlamydial infections
southern U.S. and some urban areas.
                                                                                          (289.8 per 100,000 persons) and ranked 35th among
 •	 Iowa ranked 43rd among 50 states, with 0.7 cases of                                   50 states in gonorrheal infections (64.7 per 100,000
    P&S syphilis per 100,000 persons.                                                     persons).
 •	 Between 1998 and 2007, Iowa reported 1 case of                                     •	 Reported rates of chlamydia among women (418.1
    congenital syphilis, in 2007.                                                         cases per 100,000) that were 2.6 times greater than
Chlamydia and Gonorrhea – Chlamydial and gonorrheal                                       those among men (158.4 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                                       persons exposed to TB, as well as laboratory services,
to HIV prevention that includes surveillance, research,                                medical consultation for complex TB cases, and training for
interventions, capacity building, and evaluation. In Iowa,                             state and local TB control staff.
CDC supports the state health department to conduct and                                Viral Hepatitis – In Iowa, CDC supports an adult viral
support HIV prevention programs. Programs are designed                                 hepatitis prevention coordinator to provide management,
to meet the cultural needs, expectations, and values of                                networking, and technical expertise for successful
the populations they serve, and CDC involves affected                                  integration of viral hepatitis prevention activities into
communities in the HIV prevention community planning                                   existing public health programs.
process to ensure that funding goes to those who need it
most. Surveillance efforts are also supported.                                         CDC funding to Iowa, 2008
STDs – In Iowa, CDC funds the state health department                                  HIV/AIDS                            $1,896,344
through the Comprehensive STD Prevention System (CSPS)                                 STDs                                $771,626
grant program. CSPS supports community-wide, science-
based, interdisciplinary approach to STD prevention that                               TB                                  $391,826
includes behavioral interventions, medical and laboratory                              Viral Hepatitis                     $90,142
services, disease surveillance, outbreak response,                                     For More Information
professional development, and STD awareness and
education campaigns.                                                                   Iowa: www.idph.state.ia.us/default.asp

TB – In Iowa, CDC funds the health department for TB                                   CDC: www.cdc.gov/nchhstp
prevention and control activities, including surveillance,
case management, and directly observed therapy. These
funds also support the identification and evaluation of

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                                                                                   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