Georgia HIV/AIDS Surveillance Summary Data Through December 31, 2007 HIV Epidemiology Unit Georgia Division of Public Health Georgia Department of Community Health HIV/AIDS Surveillance Summary, Georgia, 2007 Acknowledgements Georgia Department of Community Health Rhonda M. Medows, MD, Commissioner Division of Public Health Epidemiology Branch Susan Lance, PhD, DVM, Director HIV Epidemiology Section Jennifer Taussig, MPH, Director Richard Dunville, MPH, Epidemiologist Visit http://www.health.state.ga.us/epi/hivaids/ for more information about HIV/AIDS in Georgia. 2007 Georgia HIV/AIDS Surveillance Summary | 1 INTRODUCTION TO TABLES Georgia statutes and regulations require physicians and laboratories to report all cases of HIV (Human Immunodeficiency Virus) infection and AIDS (Acquired Immunodeficiency Syndrome) to the Georgia Department of Community Health, Division of Public Health (PH)1. The information is used to monitor the HIV/AIDS epidemic in Georgia and to help guide program planning and evaluation. The data presented in the accompanying tables are based on confidential case reports collected through the PH HIV/AIDS Reporting System. Cases are counted if they meet the Centers for Disease Control and Prevention (CDC) surveillance case definitions for HIV and/or AIDS.2 This report includes surveillance data through December 31, 2007 by diagnostic category for persons living with HIV (not AIDS) and AIDS, newly diagnosed cases, and cumulative cases. The data are displayed by date of diagnosis and are not adjusted for age, sex, reporting delays or incomplete reporting. Persons residing in correctional facilities are included in this report and may inflate rates in certain geographic regions where there are large concentrations of HIV-positive inmates. Tables depicting "Persons Living with HIV (not AIDS) and AIDS" comprise persons with a current address in Georgia regardless of where the persons were diagnosed. Persons represented in the "Newly Diagnosed" and "Cumulative" tables were diagnosed in Georgia. Because of the difference in residency criteria and the influx of cases to Georgia, the number of persons living with HIV (not AIDS) may sometimes be higher than cumulative HIV (not AIDS) cases. Unlike name-based AIDS reporting which began in the early 1980s, name-based HIV (not AIDS) reporting began on December 31, 2003. Since the HIV (not AIDS) surveillance system is still rather young, and there are known delays with case reporting, numbers will continue to increase as additional case reports are received. Concentrated case reporting efforts by PH staff in 2008 likely contributed to the rise in reported cases and consequently led to a more accurate representation of the epidemic in Georgia than previously described; however, this should not necessarily be interpreted as an indication of increased HIV transmission. Additionally, not everyone is aware of his or her infection, so this report underestimates the true number of persons infected with HIV/AIDS in Georgia. Note on HIV Transmission Categories: The transmission categories presented in this report follow the standards created by the CDC and have been used for many years. According to CDC, "Transmission category is the term for the classification of cases that summarizes a person's possible HIV risk factors; the summary classification results from selecting, from the presumed hierarchical order of probability, the 1 [sic] risk factor most likely to have been responsible for transmission. For surveillance purposes, cases of HIV/AIDS, HIV infection (not AIDS), and AIDS cases are counted only once in the hierarchy of transmission categories. Persons with more than 1 [sic] reported risk factor for HIV infection are classified in the transmission category listed first in the hierarchy. The exception is men who report sexual contact with other men and injection drug use; this group makes up a separate transmission category...Persons whose transmission category is classified as high-risk heterosexual contact are persons who report specific heterosexual contact with a person known to have, or be at high risk for, HIV infection (e.g., an injection drug user). Cases in persons with no reported exposure to HIV through any of the routes listed in the hierarchy of transmission categories are classified as either `no risk factor reported or identified.'"3 These cases are categorized as NIR (no identified risk) or NRR (no risk reported). 1 Department of Community Health, Rules and Regulation 290-5-48.11 (2003); Official Code of Georgia Annotated (OCGA) 24-9-40.1 (1988); OCGA 24-9-47 (1988); and OCGA 31-22-9.2 (1988). 2 Centers for Disease Control and Prevention. Revised Surveillance Case Definitions for HIV Infection Among Adults, Adolescents, and Children Aged <18 Months and for HIV Infection and AIDS Among Children Aged 18 Months to <13 Years United States, 2008. MMWR 2008;57(No. RR-10):1-11. 3 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2007. Vol.19. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2009: 59. 2007 Georgia HIV/AIDS Surveillance Summary | 2 TABLE HIGHLIGHTS Tables 1-3. Persons Newly Diagnosed with HIV Infection (not AIDS) and AIDS, Georgia, 2007 Persons Newly Diagnosed with HIV Infection (not AIDS) 1, Georgia, 2007 There were 1,691 persons newly diagnosed with HIV (not AIDS) in Georgia in 2007 The majority (70%) of persons newly diagnosed with HIV (not AIDS) were male. Females accounted for a higher percentage of new HIV (not AIDS) diagnoses (30%) than new AIDS diagnoses (26%) Persons newly diagnosed with HIV (not AIDS) in 2007 were most frequently in the 20-24 age category at the time of diagnosis. New HIV (not AIDS) cases showed a younger age distribution than new AIDS cases The highest percentage of new HIV (not AIDS) diagnoses occurred among Blacks. In 2007: o Blacks accounted for 77% of new HIV (not AIDS) diagnoses and 30% of Georgia's population2; o Whites accounted for 16% of new HIV (not AIDS) diagnoses and 66% of Georgia's population2; and o Hispanics/Latinos of all races accounted for 5% of new HIV (not AIDS) diagnoses and 8% of Georgia's population2. Among males newly diagnosed with HIV (not AIDS) in 2007, 54% of cases were missing risk information or did not meet a CDC-defined transmission category. The second most common transmission category (40%) was male-to-male sexual contact Among females newly diagnosed with HIV (not AIDS) in 2007, 85% of cases were missing risk information or did not meet a CDC-defined transmission category. The second most common transmission category (10%) was high-risk heterosexual contact3 By Public Health District, the highest rate of new HIV (not AIDS) diagnoses in 2007 occurred among residents of the Clayton Health District (45.6 per 100,000 population). Several other health districts had new HIV diagnosis rates higher than the overall state rate of 18.8 cases per 100,000 population. In descending order, they were: DeKalb (44.8), Fulton (42.7), and South (21.9) 1 "Persons Newly Diagnosed with HIV Infection (not AIDS)" refers to reported cases that meet the CDC surveillance case definition for HIV (not AIDS) and were diagnosed in Georgia in 2007. 2 Georgia 2007 population estimates obtained from PH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 2007 Georgia HIV/AIDS Surveillance Summary | 3 Persons Newly Diagnosed with AIDS1, Georgia, 2007 There were 1,040 persons newly diagnosed with AIDS in Georgia in 2007 In 2007, the majority (74%) of persons newly diagnosed with AIDS in Georgia were male Persons newly diagnosed with AIDS in 2007 were most frequently in the 40-44 years of age category at the time of diagnosis. New AIDS cases showed an older age distribution than new HIV (not AIDS) cases The majority of persons newly diagnosed with AIDS in Georgia were Black. In 2007: o Blacks accounted for 77% of new AIDS diagnoses and 30% of Georgia's population2; o Whites accounted for 15% of new AIDS diagnoses and 66% of Georgia's population2; and o Hispanics/Latinos of all races accounted for 7% of new AIDS diagnoses and 8% of Georgia's population2. Among males, 46% of new AIDS cases were missing risk information or did not meet one of the CDC-defined transmission categories. The second most commonly reported transmission category (44%) was male-to-male sexual contact Among females, the majority of new AIDS cases (80%) was missing risk information or did not meet one of the CDC-defined transmission categories. The second most commonly reported transmission category (15%) was high-risk heterosexual contact3 By Public Health District, the highest rate of new AIDS diagnoses occurred among residents of DeKalb Health District (32.7 per 100,000 population). Several other health districts had new AIDS diagnosis rates higher than the overall state rate of 11.7 cases per 100,000 population. In descending order, they were: Clayton (26.1), Fulton (25.0), Coastal (12.5) 1 "Persons Newly Diagnosed with AIDS" refers to reported cases that meet the CDC surveillance case definition for AIDS and were diagnosed in Georgia in 2007. 2 Georgia 2007 population estimates obtained from PH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 2007 Georgia HIV/AIDS Surveillance Summary | 4 Tables 4-6. Persons Living with HIV Infection (not AIDS) and AIDS, 2007, Georgia Persons Living with HIV Infection (not AIDS) 1, 2007, Georgia There were 13,212 persons living with HIV (not AIDS) in Georgia as of December 31, 2007 The majority (68%) of persons living with HIV (not AIDS) were male Among persons living with HIV (not AIDS) in Georgia in 2007, the most frequent age category was 40-44 years. Persons living with HIV (not AIDS) showed a younger age distribution than persons living with AIDS Blacks accounted for the largest percentage of persons living with HIV (not AIDS) in Georgia. In 2007: o Blacks accounted for 73% of persons living with HIV (not AIDS) and 30% of Georgia's population2; o Whites accounted for 21% of persons living with HIV (not AIDS) and 66% of Georgia's population2; and o Hispanics/Latinos of all races accounted for 4% of persons living with HIV (not AIDS) and 8% of Georgia's population2. Among males living with HIV (not AIDS), male-to-male sexual contact was the most commonly reported transmission category (44%) Among females living with HIV (not AIDS), 67% were missing risk information or did not meet one of the CDC-defined transmission categories. The second most common transmission category (22%) was high-risk heterosexual contact3 The DeKalb Health District had the highest HIV (not AIDS) prevalence rates in 2007 (308.8 cases per 100,000). In 2007, the health districts with HIV (not AIDS) prevalence rates above the state prevalence of 133.2 cases per 100,000 population were (in descending order): Fulton (308.3), Clayton (225.2), South Central (199.9), East Central (167.3), South (156.7), West Central (142.1), and North Central (140.8) 1 "Persons Living with HIV (not AIDS)" refers to reported cases of persons living with HIV (not AIDS) who are known to be currently residing in Georgia regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 2 Georgia 2007 population estimates obtained from PH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 2007 Georgia HIV/AIDS Surveillance Summary | 5 Persons Living with AIDS1, 2007, Georgia There were 20,507 persons living with AIDS in Georgia as of December 31, 2007 Among persons living with AIDS in Georgia, the majority (76%) were male Among persons living with AIDS in Georgia in 2007, the most frequent age category was 40-44 years. Persons living with AIDS showed an older age distribution than persons living with HIV (not AIDS) Blacks accounted for the largest percentage of persons living with AIDS in Georgia in 2007. In 2007: o Blacks accounted for 70% of persons living with AIDS and comprised 30% of Georgia's population2. o Whites accounted for 25% of persons living with AIDS and comprised 66% of Georgia's population2. o Hispanics/Latinos of all races accounted for 4% of persons living with AIDS and comprised 8% of Georgia's population2. Among males living with AIDS, male-to-male sexual contact was the most commonly reported transmission category (52%). Among females living with AIDS, 46% were missing risk information or did not meet one of the CDC-defined transmission categories. The second most common transmission category (38%) was high-risk heterosexual contact3. The Fulton Health District had the highest AIDS prevalence rate in Georgia in 2007 (677.2 cases per 100,000 population). In 2007, the health districts above the state prevalence of 207.7 cases per 100,000 population were (in descending order): DeKalb (438.6), Clayton (274.8), and East Central (237.2), and Coastal (209.1). 1 "Persons Living with AIDS" refers to reported cases of persons living with AIDS who are known to be currently residing in Georgia regardless of their state of residence at the time AIDS diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 2 Georgia 2007 population estimates obtained from PH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 2007 Georgia HIV/AIDS Surveillance Summary | 6 Tables 7-9. Cumulative HIV Infection (not AIDS) and AIDS Cases, 2007, Georgia Cumulative HIV Infection (not AIDS) Cases1, 2007, Georgia There were 12,208 cumulative HIV (not AIDS) cases reported to PH as of December 31, 2007. The majority (68%) of cumulative HIV (not AIDS) cases were male. Among cumulative HIV (not AIDS) cases, the most frequent age category was 35-39 years. Blacks accounted for the largest percentage of cumulative HIV cases (not AIDS) in Georgia. As of 2007: o Blacks accounted for 74% of cumulative HIV (not AIDS) cases and comprised 30% of Georgia's population2; o Whites accounted for 21% were of cumulative HIV (not AIDS) cases and comprised 66% of Georgia's population2; o Hispanics/Latinos of all races accounted for 4% of all HIV (not AIDS) cases and comprised 8% of Georgia's population2. Among males, 44% of cumulative HIV (not AIDS) cases were missing risk information or did not meet one of the CDC-defined transmission categories. The second most commonly reported transmission category (41%) was male-to-male sexual contact. Among females, 68% of cumulative HIV (not AIDS) cases were missing risk information or did not meet one of the CDC-defined transmission categories. The second most commonly reported transmission category (21%) was high-risk heterosexual contact3. The Fulton Health District had the highest cumulative number (3,227) of persons diagnosed with HIV (not AIDS) in Georgia. 1 "Cumulative HIV Infection (not AIDS) Cases" refers to the total number of persons diagnosed in Georgia with HIV regardless of their current residence or vital status. 2 Georgia 2007 population estimates obtained from PH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 2007 Georgia HIV/AIDS Surveillance Summary | 7 Cumulative AIDS Cases Diagnosed in Georgia, 2007, Georgia There were 32,791 cumulative AIDS cases1 reported to PH. The majority (80%) of cumulative AIDS cases were male. Among cumulative AIDS cases in Georgia as of 2007, the most frequent age category was 30-34 years. Blacks accounted for the largest percentage of cumulative AIDS cases in Georgia. As of 2007: o Blacks accounted for 66% of cumulative AIDS cases and comprised 30% of Georgia's population2; o Whites accounted for 30% of cumulative AIDS cases and comprised 66% of Georgia's population2; o Hispanics/Latinos of all races accounted for 3% of cumulative AIDS cases and comprised 8% of Georgia's population2. Among males, male-to-male sexual contact was the most commonly reported transmission category (54%) among cumulative AIDS cases. Among females, 49% of cumulative AIDS cases were missing risk information or did not meet one of the CDC-defined transmission categories. The second most common transmission category (33%) was high-risk heterosexual contact3. The Fulton Health District had the highest cumulative number (13,378) of persons diagnosed with AIDS in Georgia. 1 "Cumulative AIDS Cases" refers to the total number of persons diagnosed in Georgia with AIDS regardless of their current residence or vital status. 2 Georgia 2007 population estimates obtained from PH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 2007 Georgia HIV/AIDS Surveillance Summary | 8 Table 1. Newly Diagnosed HIV Infection (not AIDS) and AIDS Cases by Gender, Age, and Race/Ethnicity, Georgia, 2007 HIV (not AIDS)1 Cases % AIDS2 Cases % Gender Male Female 1185 506 70% 30% 765 74% 275 26% Age at diagnosis <13 yrs 13-19 yrs 20-24 yrs 25-29 yrs 30-34 yrs 35-39 yrs 40-44 yrs 45-49 yrs 50-54 yrs 55-59 yrs 60+ yrs 11 1% 81 5% 303 18% 273 16% 196 12% 232 14% 215 13% 175 10% 120 7% 46 3% 39 2% 1 <1% 16 2% 61 6% 112 11% 113 11% 172 17% 206 20% 179 17% 85 8% 46 4% 49 5% Race/Ethnicity Hispanic, All Races Amer. Ind. / AK Native Asian Black Native Hawaiian / PI White Other / Multirace Unknown 79 5 9 1310 0 275 13 0 5% <1% 1% 77% 0% 16% 1% 0% 69 7% 2 <1% 0 0% 797 77% 0 0% 160 15% 12 1% 0 0% TOTAL 1691 100% 1040 100% Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Percentages may not add up to 100% due to rounding. 1 Persons newly diagnosed with HIV Infection (not AIDS) refers to reported cases that meet the CDC surveillance case definition for HIV (not AIDS) and were diagnosed in Georgia in 2007. 2 Persons newly diagnosed with AIDS refers to reported cases that meet the CDC surveillance case definition for AIDS and were diagnosed in Georgia in 2007. 2007 Georgia HIV/AIDS Surveillance Summary | 9 Table 2. Newly Diagnosed HIV Infection (not AIDS) and AIDS Cases by Gender and Transmission Category, Georgia, 2007 HIV (not AIDS)1 AIDS2 Cases % Cases % Males Male-to-male sexual contact (MSM) 472 Injection drug use (IDU) 16 MSM and IDU 19 High-risk heterosexual contact3 34 Other4 1 Perinatal transmission 2 NIR/NRR5 641 40% 1% 2% 3% <1% <1% 54% 336 44% 16 2% 15 2% 45 6% 0 0% 0 0% 353 46% Females Injection drug use High-risk heterosexual contact3 Other4 Perinatal transmission NIR/NRR5 21 4% 50 10% 2 <1% 5 1% 428 85% 12 4% 41 15% 0 0% 1 <1% 221 80% TOTAL 1691 1040 Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Percentages may not add up to 100% due to rounding. 1 Persons newly diagnosed with HIV Infection (not AIDS) refers to reported cases that meet the CDC surveillance case definition for HIV (not AIDS) and were diagnosed in Georgia in 2007. 2 Persons newly diagnosed with AIDS refers to reported cases that meet the CDC surveillance case definition for AIDS and were diagnosed in Georgia in 2007. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 4 Other includes hemophilia, blood transfusion, transplant, and pediatric. 5 No Identified Risk or No Risk Reported. 2007 Georgia HIV/AIDS Surveillance Summary | 10 Table 3. Newly Diagnosed HIV Infection (not AIDS) and AIDS Cases by Public Health District of Residence at Diagnosis, Georgia, 2007 HIV (not AIDS)1 AIDS2 Total Public Health District Cases Rate3 Cases Rate3 Cases Rate3 1-1 Northwest (Rome) 35 5.8 1-2 North Georgia (Dalton) 31 7.4 2 North (Gainesville) 18 3.0 3-1 Cobb-Douglas 94 11.5 3-2 Fulton 424 42.7 3-3 Clayton (Morrow) 124 45.6 3-4 East Metro (Lawrenceville) 57 6.0 3-5 DeKalb 330 44.8 4 LaGrange 59 7.7 5-1 South Central (Dublin) 13 9.0 5-2 North Central (Macon) 86 17.0 6 East Central (Augusta) 69 15.6 7 West Central (Columbus) 65 18.5 8-1 South (Valdosta) 53 21.9 8-2 Southwest (Albany) 50 13.7 9-1 Coastal (Savannah/Brunswick) 90 16.8 9-2 Southeast (Waycross) 35 10.1 10 Northeast (Athens) 26 5.8 26 4.3 16 3.8 12 2.0 54 6.6 248 25.0 71 26.1 49 5.1 241 32.7 35 4.6 13 9.0 33 6.5 49 11.1 33 9.4 27 11.2 24 6.6 67 12.5 15 4.3 20 4.4 61 10.0 47 11.2 30 5.1 148 18.1 672 67.7 195 71.6 106 11.1 571 77.5 94 12.2 26 18.0 119 23.5 118 26.7 98 27.9 80 33.1 74 20.3 157 29.3 50 14.5 46 10.2 TOTAL 1659 18.8 1033 11.7 2692 30.5 Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Analyses exclude persons with unknown residence at diagnosis: HIV (n=32), AIDS (and n=7). Note: Case counts include incarcerated persons who may artificially inflate the numbers and rates. 1 Persons newly diagnosed with HIV Infection (not AIDS) refers to reported cases that meet the CDC surveillance case definition for HIV (not AIDS) and were diagnosed in Georgia in 2007. 2 Persons newly diagnosed with AIDS refers to reported cases that meet the CDC surveillance case definition for AIDS and were diagnosed in Georgia in 2007. 3 Georgia 2007 population estimates obtained from GDPH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000 population 2007 Georgia HIV/AIDS Surveillance Summary | 11 Table 4. Persons Living with HIV Infection (not AIDS) and AIDS by Gender, Age, and Race/Ethnicity, Georgia, 2007 HIV (not AIDS)1 AIDS2 Cases % Cases % Total Cases % Gender Male Female 9,039 4,173 68% 32% 15,659 4,848 76% 24% 24,698 9,021 73% 27% Age at end of year3 <13 yrs 13-19 yrs 20-24 yrs 25-29 yrs 30-34 yrs 35-39 yrs 40-44 yrs 45-49 yrs 50-54 yrs 55-59 yrs 60+ yrs 177 207 896 1,483 1,564 2,046 2,316 2,047 1,234 682 558 1% 2% 7% 11% 12% 15% 18% 15% 9% 5% 4% 52 120 255 808 1,444 2,730 4,449 4,248 3,012 1,792 1,594 0% 1% 1% 4% 7% 13% 22% 21% 15% 9% 8% 229 327 1,151 2,291 3,008 4,776 6,765 6,295 4,246 2,474 2,152 1% 1% 3% 7% 9% 14% 20% 19% 13% 7% 6% Race/Ethnicity Hispanic, All Races Amer. Ind. / AK Native Asian Black Native Hawaiian / PI White Other / Multirace Unknown 518 21 51 9,688 3 2,836 95 0 4% <1% <1% 73% <1% 21% 1% 0% 873 24 40 14,338 5 5,113 111 3 4% <1% <1% 70% <1% 25% 1% <1% 1,391 45 91 24,026 8 7,949 206 3 4% <1% <1% 71% <1% 24% 1% <1% TOTAL 13,212 100% 20,507 100% 33,719 100% Note: Numbers are based on data reported through December 2008 and are not adjusted for reporting delays. Percentages may not add up 100% due to rounding. 1 Persons living with HIV (not AIDS) refers to reported cases of persons living with HIV (not AIDS) who are known to be currently residing in Georgia regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 2 Persons living with AIDS refers to reported cases of persons living with AIDS who are known to be currently residing in Georgia regardless of their state of residence at the time AIDS diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 3 Age calculated as of December 31, 2007. Excludes persons with incomplete birthdate information: HIV (n=2), AIDS (n=3). 2007 Georgia HIV/AIDS Surveillance Summary | 12 Table 5. Persons Living with HIV Infection (not AIDS) and AIDS by Gender and Transmission Category, Georgia, 2007 HIV (not AIDS)1 AIDS2 Cases % Cases % Total Cases % Males Male-to-male sexual contact (MSM) Injection drug use (IDU) MSM and IDU High-risk heterosexual contact3 Perinatal Transmission Other4 NIR/NRR5 3,963 449 304 442 72 46 3,763 44% 5% 3% 5% 1% 1% 42% 8,107 1,552 873 1,173 62 93 3,799 52% 10% 6% 7% <1% 1% 24% 12,070 2,001 1,177 1,615 134 139 7,562 49% 8% 5% 7% 1% 1% 31% Females Injection drug use High-risk heterosexual contact3 Perinatal Transmission Other4 NIR/NRR5 302 917 100 54 2,800 7% 22% 2% 1% 67% 685 1,822 71 40 2,230 14% 38% 1% 1% 46% 987 2,739 171 94 5,030 11% 30% 1% 1% 56% TOTAL 13,212 20,507 33,719 Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Percentages may not add up to 100% due to rounding. 1 Persons living with HIV (not AIDS) refers to reported cases of persons living with HIV (not AIDS) who are known to be currently residing in Georgia regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 2 Persons living with AIDS refers to reported cases of persons living with AIDS who are known to be currently residing in Georgia regardless of their state of residence at the time AIDS diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 4 Other includes hemophilia, blood transfusion, transplant, and pediatric. 5 No Identified Risk or No Risk Reported. 2007 Georgia HIV/AIDS Surveillance Summary | 13 Table 6. Persons Living with HIV Infection (not AIDS) and AIDS by Current Public Health District of Residence, Georgia, 2007 HIV (not AIDS)1 AIDS2 Total Public Health District Cases Rate3 Cases Rate3 Cases Rate3 1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton (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) 252 169 164 780 3,059 613 634 2,276 434 288 714 740 500 379 440 703 349 218 41.4 40.3 27.8 95.5 308.3 225.2 66.4 308.8 56.4 199.9 140.8 167.3 142.1 156.7 120.5 131.1 101.1 48.3 348 228 229 1,042 6,719 748 816 3,233 605 233 869 1,049 644 418 686 1,121 493 341 57.2 54.3 38.8 127.6 677.2 274.8 85.5 438.6 78.7 161.7 171.4 237.2 183.0 172.9 187.9 209.1 142.9 75.6 600 397 393 1,822 9,778 1,361 1,450 5,509 1,039 521 1,583 1,789 1,144 797 1,126 1,824 842 559 98.6 94.6 66.5 223.2 985.5 500.0 151.9 747.4 135.1 361.7 312.2 404.5 325.1 329.6 308.5 340.2 244.0 123.9 TOTAL 12,712 133.2 19,822 207.7 32,534 340.9 Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Analyses exclude persons whose current county of residence in Georgia is unknown: HIV (n=500), AIDS (n=685). Note: Case counts include incarcerated persons who may artificially inflate the numbers and rates. 1 Persons living with HIV (not AIDS) refers to reported cases of persons living with HIV (not AIDS) who are known to be currently residing in Georgia regardless of their state of residence at the time of HIV (not AIDS) diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 2 Persons living with AIDS refers to reported cases of persons living with AIDS who are known to be currently residing in Georgia regardless of their state of residence at the time AIDS diagnosis. Persons are assumed to be alive unless otherwise documented or reported. 3 Georgia 2007 population estimates obtained from GDPH's Online Analytical Statistical Information System (OASIS). Rates are per 100,000. 2007 Georgia HIV/AIDS Surveillance Summary | 14 Table 7. Cumulative Cases of HIV Infection (not AIDS) and AIDS by Gender, Age, and Race/Ethnicity, Georgia, 2007 HIV (not AIDS)1 AIDS2 Cases % Cases % Total Cases % Gender Male Female 8,333 3,875 68% 32% 26,155 6,636 80% 20% 34,488 10,511 77% 23% Age at diagnosis <13 yrs 13-19 yrs 20-24 yrs 25-29 yrs 30-34 yrs 35-39 yrs 40-44 yrs 45-49 yrs 50-54 yrs 55-59 yrs 60+ yrs 220 532 1,653 1,895 1,984 2,001 1,678 1,080 614 307 244 2% 4% 14% 16% 16% 16% 14% 9% 5% 3% 2% 239 273 1,536 4,559 7,070 6,979 5,387 3,199 1,773 886 890 <1% <1% 5% 14% 22% 21% 16% 10% 5% 3% 3% 459 805 3,189 6,454 9,054 8,980 7,065 4,279 2,387 1,193 1,134 1% 2% 7% 14% 20% 20% 16% 10% 5% 3% 3% Race/Ethnicity Hispanic, All Races Amer. Ind. / AK Native Asian Black Native Hawaiian / PI White Other / Multirace Unknown 437 14 42 9,057 2 2,566 90 0 4% <1% <1% 74% <1% 21% 1% 0% 958 25 38 21,762 4 9,855 143 5 3% <1% <1% 66% <1% 30% <1% <1% 1,395 39 80 30,819 6 12,421 233 5 3% <1% <1% 68% <1% 28% 1% <1% TOTAL 12,208 100% 32,791 100% 44,999 100% Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Percentages may not add up to 100% due to rounding. 1 Cumulative HIV Infection (not AIDS) cases refers to the total number of persons diagnosed in Georgia with HIV regardless of their current residence or vital status. 2 Cumulative AIDS cases refers to the total number of persons diagnosed in Georgia with AIDS regardless of their current residence or vital status. 2007 Georgia HIV/AIDS Surveillance Summary | 15 Table 8. Cumulative Cases of HIV Infection (not AIDS) and AIDS by Gender and Transmission Category, Georgia, 2007 HIV (not AIDS)1 AIDS2 Cases % Cases % Total Cases % Males Male-to-male sexual contact (MSM) Injection drug use (IDU) MSM and IDU High-risk heterosexual contact3 Perinatal transmission Other4 NIR/NRR5 3,427 435 276 425 62 44 3,664 41% 5% 3% 5% 1% 1% 44% 14,222 3,462 1,548 1,848 114 217 4,744 54% 13% 6% 7% <1% 1% 18% 17,649 3,897 1,824 2,273 176 261 8,408 51% 11% 5% 7% 1% 1% 24% Females Injection drug use High-risk heterosexual contact3 Perinatal transmission Other4 NIR/NRR5 286 828 84 52 2,625 7% 21% 2% 1% 68% 1,279 2,630 121 76 2,530 19% 40% 2% 1% 38% 1,565 3,458 205 128 5,155 15% 33% 2% 1% 49% TOTAL 12,208 32,791 44,999 Note: Numbers are based on data entered through December 2008 and are not adjusted for reporting delays. Percentages may not add up to 100% due to rounding. 1 Cumulative HIV Infection (not AIDS) cases refers to the total number of persons diagnosed in Georgia with HIV regardless of their current residence or vital status. 2 Cumulative AIDS Cases refers to the total number of persons diagnosed in Georgia with AIDS regardless of their current residence or vital status 3 Defined as sexual contact with someone of the opposite sex with known risk such as injection drug use, bisexual male (applies to females only), person with hemophilia/coagulation disorder, transfusion recipient with HIV documentation, person with AIDS or documented HIV. 4 Other includes hemophilia, blood transfusion, transplant, and pediatric. 5 No Identified Risk or No Risk Reported. 2007 Georgia HIV/AIDS Surveillance Summary | 16 Table 9. Cumulative Cases of HIV Infection (not AIDS) and AIDS by Public Health District of Residence at Diagnosis, Georgia, 2007 HIV (not AIDS)1 AIDS2 Total Public Health District Cases3 Cases3 Cases 1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton (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) 230 125 131 696 3,227 482 533 1,901 426 235 708 690 499 367 426 706 306 210 452 279 314 1,432 13,378 829 1,067 4,845 905 282 1,329 1,662 1,113 531 1,200 1,838 693 506 682 404 445 2,128 16,605 1,311 1,600 6,746 1,331 517 2,037 2,352 1,612 898 1,626 2,544 999 716 TOTAL 11,898 32,655 44,553 Note: Numbers are based on data reported through December 2008 and are not adjusted for reporting delays. Analyses exclude persons with unknown residence at diagnosis: HIV (n=310), AIDS (n=136). Note: Case counts include incarcerated persons who may artificially inflate the numbers. 1 "Cumulative HIV cases" refers to the total number of persons who were residing in Georgia at the time of diagnosis with HIV, regardless of their current residence or vital status. 2 "Cumulative AIDS cases" refers to the total number of persons who were residing in Georgia at the time of diagnosis with AIDS, regardless of their current residence or vital status. Last Updated December 2009 2007 Georgia HIV/AIDS Surveillance Summary | 17