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 system 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 system is severely damaged which leaves the individual susceptible to infections and tumors. HIV is spread by contact with infected bodily fluids such as blood, semen, vaginal fluids and breast milk. Georgia law (O.C.G.A 31-22-9.2) requires that diagnosed HIV/AIDS cases are reported to the Division of Public Health within seven days.

Persons Living with HIV/AIDS in Georgia1
Georgia ranked sixth highest in the nation for its cumulative reported AIDS cases through December 20092
In 2009, the number of persons living with HIV/AIDS in Georgia was 40,328. 43% of these persons had HIV (not AIDS) and 57% had AIDS
In 2009, 67% 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 rates include the East Central and West Central Public Health Districts

Persons Living with HIV/AIDS in Atlanta MSA vs. Non-Atlanta MSA, 2009

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: 26,986 cases Non-MSA: 13,342 cases

Numbers and Rates of Persons Living with HIV/AIDS by Public Health District, Georgia 2009

Atlanta 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

Public Health Districts

HIV (Not AIDS)

AIDS

Number

Crude Rate3

Number

Crude Rate3

1.1Northwest (Rome) 1-2 North Georgia (Dalton)

308 49.3 379 60.6 241 55.7 295 68.2

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

218 1030 4213 847 884 3257 609

35.2 122 407.5 307.1 89.1 435.9 76.6

275 1288 7341 943 1041 3983 709

44.5 152.5 710.1 341.9 104.9 533 89.2

5-1 South Central (Dublin) 5-2 North Central (Macon) 6 East Central (Augusta)

333

230

243 167.8

909 176.3 872 169.2

840 187.1 1084 241.4

7 West Central (Columbus) 8-1 South (Valdosta) 8-2 Southwest (Albany) 9-1 Coastal (Savannah/Brunswick)

635 176.2 682 189.3 454 182.1 450 180.5 628 170.5 741 201.2 873 157.6 1246 224.9

9-2 Southeast (Waycross) 10 Northeast (Athens) Cases with unknown district

386 109.5 525 148.9

280 59.6 402 85.5

423

461

Total

17,368 176.7 22,960 233.6

1 Persons living with HIV/AIDS are based on current residence in Georgia regardless of state of diagnosis. 2 CDC, HIV/AIDS Surveillance Report, 2009 (Table 20), http://cdc.gov/hiv/surveillance/resources/ reports/2009report/ 3 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. Rates are per 100,000 population & population data is obtained from 2009 Census Estimates, Georgia Department of Community Health,Division of Public Health, Office of Health Indicators for Planning.

# of Cases

# of Cases 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Newly

Diagnosed AIDS AIDS Cases by Diagnosis Year Georgia 1993-2009

Cases

Georgia 1993-2009

2500

2000

1500

1000

500

0

Year
Newly Diagnosed HIV (Not AIDS) Cases Georgia 2005-2009
2000

1500

1000

500

0 2005

2006

2007 Year

2008

2009

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

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

April 2011

HIV/AIDS Surveillance

Newly Diagnosed HIV/AIDS Cases in Georgia 2009
In 2009, there were 2,250 newly diagnosed HIV/ AIDS cases in Georgia. 61% were HIV(Not AIDS) cases and 39% were AIDS cases
74% of HIV(Not AIDS) cases diagnosed in 2009 were among African Americans, who make up only 30% of Georgia's population
In 2009, the highest number of newly diagnosed HIV/AIDS cases were persons between the ages of 30 and 49
49.1% of HIV(Not AIDS) and 46.6% of AIDS cases diagnosed in 2009, were among men who have sex with men(MSM)
In 2009, 79% of newly diagnosed HIV/AIDS cases among females and 45% among males were
identified with no reported risk or no identified risk

Newly Diagnosed HIV/AIDS Cases by Race/Ethnicity, Georgia 2009
Other, 1%

Hispanic, 6%

White, 19%

% of Total Cases by Sex

Newly Diagnosed HIV (Not AIDS) Cases by Transmission Category & Sex, Georgia 2009
100

80 Female Male
60

40

20

0 MSM

IDU

MSM & IDU

HRH

NIR/NRR

Other

Newly Diagnosed AIDS Cases by Transmission Category & Sex, Georgia 2009
80

60

Female Male

40

20

% of Total Cases by Sex

0 MSM

IDU

MSM & IDU

HRH

NIR/NRR

Other

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

Black, 74%

Newly Diagnosed HIV/AIDS Cases by Age Group & Sex, Georgia 2009
600

500

Female Male

400

# of Cases

300

200

100

0

0-12

13-19 20-24 25-29 30-39 40-49 50-59

60+

Age Group (Years)

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

DATA SOURCE:
Numbers are based on cases diagnosed and/or living with HIV/AIDS as of December 31, 2009 and entered as of June 30, 2010. Numbers have not been adjusted for reporting delays. Numbers are taken from Georgia's enhanced HIV/AIDS Reporting System (eHARS), 2011.

Surveillance and Reporting Georgia's HIV Epidemiology Section 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 Complete and timely reporting of HIV/AIDS cases and laboratory records by health care providers and laboratory technicians is critical for monitoring the epidemic in Georgia. It is also essential for ensuring that Georgia receives federal funding for public sector HIV prevention, care and treatment services since funding allocation is directly linked to reporting
FOR MORE INFORMATION:
Georgia Division of Public Health HIV/AIDS Epidemiology Section at 1-800-827-9769 Email: HIVEPI@dhr.state.ga.us http://health.state.ga.us/epi/hivaids