HIV/AIDS surveillance

The Georgia Department Of Community Health
Fact Sheet

HIV/AIDS Surveillance

HIV is the human immunodeficiency virus that damages a persons immune sysytem by destroying specific blood cells, which help fight against diseases. Acquired immune deficiency syndrome or AIDS is the late stage of HIV infection where the persons immune sysytem is severely damaged that leaves the individual susceptible to infections and tumors. HIV is spread by contact with infected bodily fliuds such as blood, semen, vaginal fluids and breast milk. Georgia law requires that diagnosed HIV/AIDS cases are reported to the Division of Public Health within 7 days.

Persons Living with HIV and AIDS in Georgia Georgia ranked ninth highest in the nation for its estimated rates of adult cases living with AIDS at the end of 2007 In 2008, the number of persons living with HIV/AIDS in Georgia was 37,311. Forty-one percent of these persons had HIV (not AIDS) and 59% had AIDS In 2008, 65% of Georgians living with HIV/AIDS resided in the Atlanta Metropolitan Statistical Area (MSA) Other geographic regions outside the Atlanta MSA with high HIV (not AIDS) and/or AIDS prevalent cases include the South Central, East Central, and South Public Health Districts
AIDS Cases by Diagnosis Year Georgia 1992-2008

Persons Living with HIV/AIDS in Atlanta MSA* vs. Non-Atlanta MSA, 2008

Bartow

Pickens Dawson
Cherokee Forsyth

Paulding Cobb

Gwinnett Barrow

Haralson Carroll

DeKalb

Walton

Douglas Fulton

Rockdale

Clayton

Newton

Fayette Henry

Coweta Heard

Jasper Spaulding Butts

Pike

Lamar Meriwether

MSA: 24,407 cases Non-MSA: 12,904 cases
*MSA counties: Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, Dekalb, Douglas, Fayette, Forsyth,Fulton, Gwinnett, Haralson, Heard, Henry, Jasper, Lamar, Meriwether, Newton, Paulding, Pickens, Pike, Rockdale, Spalding, Walton

# of Cases

2500 2000
1500 1000
500
0 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Year

HIV (not-AIDS) Cases by Diagnosis Year Georgia 2004-2008

2000

1500

1000

500

0 2004

2005

2006

2007

2008

Numbers and Rates of Persons Living with HIV/AIDS by Public Health District, Georgia 2008

Public Health District
1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton County (Morrow) 3-4 East Metro (Lawrenceville) 3-5 DeKalb 4 LaGrange 5-1 South Central (Dublin) 5-2 North Central (Macon) 6 East Central (Augusta) 7 West Central (Columbus) 8-1 South (Valdosta) 8-2 Southwest (Albany) 9-1 Coastal (Savannah/Brunswick) 9-2 Southeast (Waycross) 10 Northeast (Athens) GA residents with unknown county

HIV

#

Crude Rate**

291 216 191 913 3616 781 732 2793 495 310 789 788 562 411 489 800 363 258 494

47.1 50.6 31.4 110.5 356.3 285.3 75.4 377.5 63.2 213.8 154.1 176.5 157.8 166.7 133.2 148.3 104.0 55.9
---

AIDS

#

Crude Rate

377 265 259 1138 7039 871 893 3673 661 239 889 1079 671 450 708 1221 519 374 693

61.0 62.1 42.6 137.8 693.5 318.2 91.9 496.4 84.4 164.9 173.6 241.7 188.4 182.5 192.8 226.4 148.6 81.1
---

Total

15,292 157.9 22,019 227.3

# of Cases

Year
*Note: Persons living with HIV/AIDS are based on a current residence in Georgia regardless of state of diagnosis.

Rates are per 100,000 population & total populations obtained from 2008 Census estimates. **Crude rates measure the overall frequency which has not been adjusted for significant factors (i.e., sex, age, etc) which might have influenced the rate.

2 Peachtree Street, Atlanta, Ga 30303 w www.dch.georgia.gov

July 2010

HIV/AIDS Surveillance

Newly Diagnosed HIV/AIDS Cases in Georgia 2008
In 2008, there were 2,774 newly diagnosed HIV/AIDS cases in Georgia. Fifty-eight percent were HIV (not AIDS) cases and 42% were AIDS
Seventy-eight percent of HIV (not-AIDS) cases diagnosed in 2008 were among African Americans, who make up only 30% of Georgia's population
In 2008, persons between the ages of 30 and 49 made up the highest number of newly diagnosed HIV/AIDS cases
Of all HIV (not AIDS) cases diagnosed in 2008, 25% were among men who have sex with men (MSM). Of male HIV (not AIDS) cases diagnosed in 2008, 34% were among men who have sex with men (MSM)
In 2008, there were a substantial number of newly diagnosed HIV/AIDS cases with no reported risk or no
identified risk

% of total cases by sex

Newly Diagnosed HIV (not AIDS) Cases by TraNneswmlyisDsiaiognnoCseadteHgIVor(nyo&t ASIDeSx), CGaesoesrgbiya 2008
Transmission Category & Sex, Georgia 2008

100

80

Female

Male

60

40

20

0 M SM

IDU

M SM / IDU

HRH

NIR/ NRR

Ot her *

Newly Diagnosed AIDS Cases by TNreawnlsymDCiisaasgtneioognsoerCyda&AtIeSDgeSxoC,raGyse&eosrSgbeiyaxT2,r0aG0n8esomrigssiaion2008

80

Female

Male

60

% of total cases by sex

Newly Diagnosed HIV/AIDS Cases by Race/Ethnicity, Georgia 2008
His panic 4%
Othe r 1%

Black 78%

White 17%

NebNwyelyAwgDlGyeiraDoGgiuarnpogoun&spoeSsd&eeHdSxIe,VHxG/I,AVeG/IoADerISogDriSCagaiCa2s0ae20s0s8e0bs8y Age
Female Male 600 500 400 300 200 100
0
0 - 12 13 - 19 20 - 24 25 - 29 30 - 39 40 - 49 50 - 59 60+ A ge Gr o up ( yr s)

40
20
0
M SM

I DU

M SM / IDU

HRH

NIR/ NRR

Ot her *

KEY MSM: Men who have sex with men HRH: High-risk heterosexual IDU: Injection drug use NIR/NRR: No identified/reported risk factor Other includes hemophilia, blood transfusion, transplant, & perinatal

Surveillance and Reporting
Georgia's HIV Epidemiology Unit is responsible for collecting HIV/AIDS surveillance data and for monitoring the epidemic in Georgia
Georgia began collecting AIDS case reports in the early 1980s. HIV (not-AIDS) reporting was mandated in Georgia on December 31, 2003
By law, health care providers are required to submit a confidential HIV/AIDS case report for patients for whom they are diagnosing and/or providing HIV/ AIDS care, and laboratories are required to report positive HIV-related laboratory tests
Of HIV cases diagnosed in 2008, 87% of females and 61% of males were reported to the state without a CDC-defined HIV risk factor
Complete and timely reporting of HIV/AIDS cases by health care providers is critical for monitoring the epidemic in Georgia. It is also essential for ensuring that Georgia receives federal funding for public sector HIV care and treatment services since funding is directly linked to reporting

# of cases

*Note: Newly diagnosed HIV/AIDS cases are based on a residence of diagnosis in Georgia.

DATA SOURCE: Georgia's HIV/AIDS Reporting System (eHARS), 2009. Numbers are based on cases diagnosed and/or living with HIV/AIDS as of December 31, 2008 and entered as of August, 1 2009. Numbers have not been adjusted for reporting delays.

FOR MORE INFORMATION:
Georgia Division of Public Health HIV/AIDS Epidemiology Unit at 1-800-827-9769 Email: HIVEPI@dhr.state.ga.us http://health.state.ga.us/epi/hivaids