AIDS perspectives

TARRANT COUNTY AIDS perspectives Office of Epidemiology Tarrant County Public Health Department October - December 2002 HIV/AIDS Cases Reported During the Fourth Quarter of 2002 During the fourth quarter of this year, a total of 158 cases were investigated and added to the Tarrant County HIV/AIDS Surveillance Registry. Of this total, there were 42 confirmed AIDS cases, 102 HIV seropositive cases, 14 perinatal HIV exposures cases, and an additional 71 cases from residences outside of Tarrant County. This brings the cumulative Tarrant County total since 1982 to 3,475 AIDS cases. One thousand six local seropositive cases have been confirmed since the January 1999 initiation of HIV-name reporting in Texas. There were 15 death updates reported during the fourth quarter. The number of known Tarrant County HIV/AIDS-associated deaths during the cumulative surveillance period (January 1982 through December 2002) was 1,860. This represents a case fatality rate of 42 percent. The corresponding statistics for Texas through December 2002 revealed a total of 75,315 HIV/AIDS cases (33,352 deaths) for a case fatality rate of 44 percent. Through December 2001, the United States and territories reported a total of 816,149 AIDS cases (467,910 deaths) for a case fatality rate of 57 percent. 120 number of cases 100 80 60 40 20 0 AIDS 1999 HIV+ AIDS 2000 HIV+ AIDS 2001 HIV+ AIDS 2002 HIV+ 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Quarterly Reporting of Tarrant County HIV/AIDS Cases From 1999 through Fourth Quarter 2002 know they January 1982 STDs so that 2002 are at risk for – December uninfected partners might avoid becoming infected and infected partners might avoid transmitting infection. The partners 1982-1998 1999 2000 2001 2002 Cumulative CITY OF AIDS HIV+ AIDS HIV+ AIDS Texas Department of Health are offered HIV+ AIDS deadindividualized dead HIV+ AIDS dead HIV+ AIDS dead RESIDENCE dead dead evaluation, risk living living counseling, living reduction testing, living living living living living living living living (Revised 10/99) 187 314 32 26 3 75 38 5 22 6 45 189 302 329 Arlington treatment, and other prevention37services. Notification 29 be done by the client, can 1 2 13 0 1 0 1 0 1 2 1 0 0 0 0 3 4 14 Azle or 4 confidentially by a 1 health department professional 0(usually a 48 Disease 33 42 2 0 11 4 3 1 0 7 6 23 43 Bedford 2 9 1 0 0 0 0 0 0 0 0 0 0 2 2 9 Burleson Intervention Specialist/DIS). 1 42 61 9 4 1 8 9 3 7 5 0 12 8 0 36 68 65 Euless 695 1178 123 73 21 197 16 173 90 10 1058 Fort Worth HIV/STD7 Partner1 cation important?110 21 the 121 90 STDs. Too often, people 614 engage 1246 14 0 1 0 1 1 0 0 1 0 3 14 Grand Prairie Partner 0 notification 4breaks cycle of who 13 in 13 25 4 1 0 5 0 0 1 0 1 5 0 0 15 14 26 Grapevine Notification: 1 high-risk sexual and0 needle-sharing activities are 4 11 10 0 0 5 1 2 2 0 1 14 11 Haltom City unaware of 0 deny their risk for or 12 19 30 1 1 0 7 3 0 3 0 1 2 1 1 13 24 32 Hurst THE HEALTH 1 STDs. 0Many 2of those who are0 infected are asymptomatic. 0Studies have shown 4 7 1 0 0 0 0 2 0 5 5 7 Keller 8 8 0 0 2 3 2 1 1 0 0 2 1 6 11 12 Mansfield that a client-centered HIV/STD counseling approach can1 result in behavior 16 9 4 2 0 8 0 0 1 1 3 0 15 22 9 Richland Hills PROVIDER’S 28 changes, thereby decreasing the2 likelihood 0of transmission to others. One study 21 41 4 0 14 4 2 3 2 0 5 3 0 50 34 43 Other cities found, of 132 people notify they had2001 named as 2002 been 1982-1998 1999 2000 Cumulative COUNTYWIDE Case Fatality Ratio (%) AIDS Dead living 1060 1761 CFR =62.42 HIV+ living 207 AIDS dead living 117 27 CFR =7.69 HIV+ living 337 AIDS dead living 174 35 CFR =6.41 HIV+ living 184 AIDS dead living 125 24 CFR =7.20 HIV+ living 258 AIDS dead living 143 13 CFR =3.14 HIV+ living 986 AIDS living 1619 CFR =41.66 dead 1860 Tarrant County Reported HIV/AIDS (STDs). The City of of partner notification is to let partners transmitted disease Cases* by purpose Residence & Mortality Status Partner notification is the process of contacting persons who have had sex or * Total case population reflects active HIV-name reporting in Texas as of Jan. 1, 1999. Note to Readers: In a continuing effort to become more effective and innovative in ways that we serve our community, the layout of the AIDS Perspective is being redesigned. This abbreviated version of the AIDS Perspective is an interim edition designed to help us traverse the transition. We are hoping to come up with a layout that is reader-friendly, as well as one that enables us to get the quarterly publications out to you in a prompt, regular and more cost-effective manner. Please bear with us while we are attempting to serve you better. Office of Epidemiology - Tarrant County Public Health Department - October - December 2002 TARRANT COUNTY HUMAN IMMUNODEFICIENCY VIRAL INFECTION & ACQUIRED IMMUNODEFICIENCY SYNDROME SURVEILLANCE REPORT Cumulative Cases Reported By Year - January 1982 through December 2002 Age < 13 13-19 20-29 30-39 40-49 >50 Total HIV+ Jan-Dec 2002§ 4(02%) 9(03%) 68(26%) 93(36%) 66(25%) 21(08%) 261(100%) AIDS Jan-Dec 2002 0(00%) 2(01%) 20(13%) 65(43%) 51(33%) 15(10%) 153(100%) Cumulative AIDS Cases 1982-2002 25(00.7%) 16(00.5%) 722(20.8%) 1613(46.4%) 813(23.4%) 286(08.2%) 3475(100.0%) Patient Characteristic* Pediatric Homosexual Homsex + IDU IDU Hemophilia Transfusion Heterosexual Undeterm/othr Total HIV+ AIDS Jan-Dec Jan-Dec 2002§ 2002 0(00%) 4(02%) 33(21%) 90(34%) 4(02%) 10(04%) 64(42%) 53(20%) 0(00%) 1(01%) 1(01%) 0(00%) 7(05%) 21(08%) 44(29%) 82(31%) 261(100%) 153(100%) Cumulative AIDS Cases 1982-2002 25(00.7%) 1695(48.8%) 341(09.8%) 858(24.7%) 29(00.8%) 45(01.3%) 165(04.8%) 317(09.1%) 3475(100.0%) Race White Black Hispanic Other Total HIV+ Jan-Dec 2002§ 105(40%) 105(40%) 36(14%) 15(06%) 261(100%) AIDS Jan-Dec 2002 62(41%) 55(36%) 35(23%) 1(00%) 153(100%) Cumulative AIDS Cases 1982-2002 2036(58.6%) 1060(30.5%) 356(10.2%) 23(00.7%) 3475(100.0%) Gender Male Female Total HIV+ Jan-Dec 2002§ 193(74%) 68(26%) AIDS Jan-Dec 2002 109(71%) 44(29%) Cumulative AIDS Cases 1982-2002 2949(84.9%) 526(15.1%) 3475(100.0%) 261(100%) 153(100%) City Ft Worth Arlington H-E-B Other Total HIV+ Jan-Dec 2002§ 175(67%) 45(17%) 21(08%) 20(08%) 261(100%) AIDS Jan-Dec 2002 98(64%) 30(20%) 16(10%) 9(06%) 153(100%) Cumulative AIDS Cases 1982-2002 2291(65.9%) 628(18.1%) 277(08.0%) 279(08.0%) 3475(100.0%) AIDS Percent Mortality¶ 1840 / 3475 = 53.0% * Patient characteristics are ordered hierarchically; cases with multiple characteristics are tabulated only in the group listed first. § Active HIV-name reporting in Texas began Jan.1, 1999. ¶ Percent mortality is calculated based on cases which meet CDC definition for AIDS cases diagnosis. ~ page 2 ~ Office of Epidemiology - Tarrant County Public Health Department - October - December 2002 Acquired Immunodeficiency Syndrome (AIDS) United States, Texas, & Tarrant County – Surveillance Report January 1982 – December 2002 Table 1. Cumulative AIDS cases, prevalence per 1,000 population, and case fatality rates in the United States, Texas, and major Tarrant County cities 1. Residence Tarrant County Fort Worth Arlington Hurst-Euless-Bedford Other Tarrant Co. cities Texas United States Number of Cases 3475 2291 628 277 279 60,034 816,149 Prevalence 2 4 2 2 1 3 3 Case fatality rates (%) 53 55 53 51 55 55 58 Table 2. Cumulative AIDS cases, prevalence per 1,000 population by race/ethnicity in the United States, Texas, and Tarrant County United States 2. Race/Ethnicity White, non-Hispanic Black, non-Hispanic Hispanic Asian/Pacific Is. Am. Indian/Alaskan Other/Unknown Total Cases Prevalence Cases Texas Prevalence Tarrant County Cases Prevalence 343,889 313,180 149,752 6,157 2,537 634 816,149 2 9 4 1 1 0 3 30,427 17,502 11,794 205 83 23 60,034 3 7 2 0 1 0 3 2036 1060 356 16 4 3 3475 2 6 1 0 1 0 2 Table 3. Cumulative AIDS cases, prevalence per 1,000 population by gender in the United States, Texas, and Tarrant County United States 3. Gender Male Female Total Cases Prevalence Cases Texas Prevalence Tarrant County Cases Prevalence 670,688 145,461 816,149 5 1 3 52,589 7,445 60,034 5 1 3 2949 526 3475 4 1 2 Table 4. Cumulative AIDS cases, prevalence per 1,000 population by age in the United States, Texas, and Tarrant County United States 4. Age Groups 0 – 12 13 – 19 20 – 29 30 – 39 40 – 49 >49 Total Cases Prevalence Cases Texas Prevalence Tarrant County Cases Prevalence 9074 4428 133,725 362,021 216,387 90,514 816,149 0 0 3 8 5 1 3 393 412 12,354 27,776 13,759 5340 60,034 0 0 4 9 5 1 3 25 16 722 1613 813 286 3475 0 0 3 7 4 1 2 References: 1 Centers for Disease Control & Prevention, HIV/AIDS Surveillance Report, year-end edition Vol.13, No.2 2 Texas Department of Health, HARS data through December 2002 3 2000 U.S. Bureau of the Census Population ~ page 3 ~ Tarrant County Public Health Department Division of Epidemiology and Health Information HIV/AIDS Surveillance 1800 University Drive Fort Worth, TX 76107 (817) 871-7279 Lou K. Brewer, RN, MPH Director, Tarrant County Public Health Dept. (TCPHD) Alecia A. Hathaway, MD, MPH Medical Director & Health Authority, TCPHD Carol Lee Hamilton, JD, MPA Associate Director for Prevention and Public Health Practice, TCPHD Bobby R. Jones, DVM, MPH Manager, Epidemiology and Health Information, TCPHD To report HIV/AIDS infections or request electronic transmission of this and future newsletters, contact the Tarrant County Public Health Department’s AIDS Surveillance Personnel, Maria Jimenez or Reta Mendoza at (817) 871-7379. This publication may also be accessed on the Internet at Office of Epidemiology Tarrant County Public Health Department 1800 University Drive Fort Worth, TX 76107 Address Correction Requested