HIV surveillance summary, Georgia, 2018

HIV Surveillance Summary
Georgia, 2018
HIV/AIDS Epidemiology Section Epidemiology Program Division of Health Protection Georgia Department of Public Health

2018 Georgia HIV Surveillance Summary

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The HIV Surveillance Summary, Georgia 2018 is published by the Georgia Department of Public Health (DPH), HIV/AIDS Epidemiology Section (HAES), 2 Peachtree Street NW, Atlanta, Georgia 30303. Data are presented from known diagnoses and laboratory reports entered into the Georgia Enhanced HIV/AIDS Reporting System (eHARS). All data are provisional.
The HIV Surveillance Summary, Georgia 2018 is not copyrighted and may be used and reproduced without permission. Citation of the source is, however, appreciated.
SUGGESTED CITATION: Georgia Department of Public Health, HIV/AIDS Epidemiology Section HIV Surveillance Summary, Georgia 2018, https://dph.georgia.gov/data-fact-sheet-summaries, Published February 2020, [Accessed: date]
ACKNOWLEDGEMENTS: Publication of this report was made possible with the contributions of the Georgia DPH HAES Core HIV Surveillance staff, HIV Case Report Forms submitted by Georgia health care facility staff, HIV infection related laboratory test results transmitted by laboratory facilities in Georgia, data matches with other DPH programs, and the ongoing efforts of multiple individuals from public and private sector organizations dedicated to improving surveillance, prevention, testing, and care of persons living with HIV infection.
Georgia HIV Core Surveillance Team contributors: Lauren Barrineau-Vejjajiva, Grey Clevenger, Thelma Fannin, Latosha Johnson, Rodriques Lambert, Mildred McGainey, Latoya Moss, Kim Norris, Rama Namballa, Doris Pearson, A. Eugene Pennisi, Akilah Spratling, Sylve Rawls, Emory Searcy, Wendy Wen, and Gerriana Willams.
This report was prepared by the following staff from the Georgia Department of Public Health: Grey Clevenger, MPH, Pascale Wortley, MD, MPH; Cherie Drenzek, DVM, MS.

2018 Georgia HIV Surveillance Summary

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Table of Contents
INTRODUCTION ....................................................................................................................................................................... 5 TECHNICAL NOTES .................................................................................................................................................................. 6
Definitions ........................................................................................................................................................................... 7 References .......................................................................................................................................................................... 8 TABLES..................................................................................................................................................................................... 9 HIV Diagnoses and persons living with HIV, Georgia, 2018 .............................................................................................. 10
Table 1. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses, Georgia, 2018 ................................................ 10 Table 2. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses among males, Georgia, 2018.......................... 11 Table 3. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses among females, Georgia, 2018 ...................... 12 Table 4. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses among transgender persons, Georgia, 2018.. 13 Table 5. Persons Living with HIV (PLWH), and PLWH ever Stage 3 (AIDS), Georgia, as of 12/31/2018 ....................... 14 Table 6. Persons living with HIV (PLWH), and PLWH ever stage 3 (AIDS), males, Georgia, as of 12/31/2018 ............. 15 Table 7. Persons Living with HIV (PLWH), and PLWH ever Stage 3 (AIDS), females, Georgia, as of 12/31/2018......... 16 Table 8. Persons Living with HIV (PLWH), and PLWH ever Stage 3 (AIDS), transgender persons, Georgia, as of 12/31/2018 ................................................................................................................................................................... 17 HIV Diagnoses and Persons Living with HIV by Public Health District .............................................................................. 18 Table 9. HIV Diagnoses and Persons Living with HIV, District 1-1 (Rome), Georgia, 2018 ........................................... 18 Table 10. HIV Diagnoses and Persons Living with HIV, District 1-2 (Dalton), Georgia, 2018........................................ 19 Table 11. HIV Diagnoses and Persons Living with HIV, District 2 (Gainesville), Georgia, 2018 .................................... 20 Table 12 HIV Diagnoses and Persons Living with HIV, District 3-1 (Cobb-Douglas), Georgia, 2018 ............................. 21 Table 13. HIV Diagnoses and Persons Living with HIV, District 3-2 (Fulton), Georgia, 2018 ........................................ 22 Table 14. HIV Diagnoses and Persons Living with HIV, District 3-3 (Clayton), Georgia, 2018 ...................................... 23 Table 15. HIV Diagnoses and Persons Living with HIV, District 3-4 (East Metro), Georgia, 2018................................. 24 Table 16. HIV Diagnoses and Persons Living with HIV, District 3-5 (DeKalb), Georgia, 2018 ....................................... 25 Table 17. HIV Diagnoses and Persons Living with HIV, District 4 (LaGrange), Georgia, 2018....................................... 26 Table 18. HIV Diagnoses and Persons Living with HIV, District 5-1 (Dublin), Georgia, 2018 ........................................ 27 Table 19. HIV Diagnoses and Persons Living with HIV, District 5-2 (Macon), Georgia, 2018 ....................................... 28 Table 20. HIV Diagnoses and Persons Living with HIV, District 6 (Augusta), Georgia, 2018......................................... 29 Table 21. HIV Diagnoses and Persons Living with HIV, District 7 Columbus), Georgia, 2018 ....................................... 30 Table 22. HIV Diagnoses and Persons Living with HIV, District 8-1 (Valdosta), Georgia, 2018..................................... 31 Table 23. HIV Diagnoses and Persons Living with HIV, District 8-2 (Albany), Georgia, 2018........................................ 32

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Table 24. HIV Diagnoses and Persons Living with HIV, District 9-1 (Savannah), Georgia, 2018 ................................... 33 Table 25. HIV Diagnoses and Persons Living with HIV, District 9-2 (Waycross), Georgia, 2018 ................................... 34 Table 26. HIV Diagnoses and Persons Living with HIV, District 10 (Athens), Georgia, 2018 ........................................ 35 HIV Diagnoses and Persons Living with HIV, Atlanta MSA.............................................................................................. 366 Table 27. HIV Diagnoses and Persons Living with HIV, Atlanta Metropolitan Statistical Area1, Georgia, 2018 ........... 36 Late Diagnoses by Public Health District and Atlanta MSA .............................................................................................. 37 Table 28. Late diagnoses by Public Health District and for Atlanta Metropolitan Statistical Area, Georgia, 2018 ...... 37 Public Health District and County Rates ........................................................................................................................... 38 Table 29. HIV diagnoses and persons living with HIV (PLWH): Public Health District and County number and rates per 100,000 population, Georgia 2018 ......................................................................................................................... 38 Distribution of General Population by Race/Ethnicity...................................................................................................... 42 Table 30. Distribution of the general population by race/ethnicity, Georgia 2018...................................................... 42 HIV/AIDS RESOURCES: .......................................................................................................................................................... 43

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INTRODUCTION
HIV infection remains an important public health problem in the state of Georgia. As of the end of 2018, there were 60,346 persons living with HIV in Georgia, and 2,600 persons were diagnosed in 2018. The number of persons living with HIV continues to increase, because of effective therapies now available. Based on the Centers for Disease Control and Prevention's 2018 HIV Surveillance Report, Georgia was ranked the fifth highest in the nation for both the total number of new diagnoses of HIV infection among adults and adolescents and for the number of persons living with HIV infection, after Florida, California, Texas, and New York1. Georgia ranked 1st in the rate of HIV diagnosis among adults and adolescents, and 4th in the rate of persons living with HIV.
Monitoring the HIV/AIDS epidemic and understanding the burden of HIV infection in Georgia are essential for meeting the goals stated in the 2020 National HIV/AIDS Strategy to: 1) reduce HIV infections; 2) increase access to care and optimize health outcomes for persons living with HIV; 3) reduce HIV-related health disparities, and; 4) achieve a more coordinated national response to the HIV epidemic.

Information on the Georgia HIV care continuum can be found in a separate report at the following web page: https://dph.georgia.gov/hiv-care-continuum.

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TECHNICAL NOTES
Georgia statutes and regulations (O.C.G.A. 3112-2(b)) require healthcare providers (such as nurses, nurse practitioners, doctors, physician assistants) licensed in the state of Georgia to report all cases of HIV infection and/or Stage 3 (AIDS) to the Georgia DPH within seven days of diagnosis2. Laboratories licensed in the state of Georgia are required to report all HIV-related laboratory test results within 7 days. The information is used to monitor the HIV/AIDS epidemic in Georgia and guide program planning and evaluation. The data presented in the accompanying tables are based on confidential case reports collected through the Georgia DPH enhanced HIV/AIDS Reporting System (eHARS).
AIDS reporting began in the early 1980s, and HIV reporting began in Georgia on December 31, 2003. Electronic transmission of laboratory test results began in 2011. Receipt of CD4 counts and viral load tests make it possible to estimate the HIV Care Continuum for persons with a diagnosis of HIV infection in the state of Georgia (reports are available at: https://dph.georgia.gov/hiv-carecontinuum).
This report includes surveillance data reported through December 31, 2019 for cases diagnosed through December 31, 2018. This report is limited to cases diagnosed through December 2018 to take into account delays in reporting, and to allow for obtaining follow up information on reported cases.
2018 Georgia HIV Surveillance Summary

HIV diagnoses include persons with a diagnosis of HIV infection, regardless of the stage of disease at diagnosis, who were residents of Georgia at the time of diagnosis. Persons living with HIV are those with a residence in the state of Georgia, based on current information available in the Georgia HIV/AIDS surveillance system, regardless of where they resided at the time of diagnosis. Persons residing in correctional facilities are included in this report and may inflate rates in certain geographic regions where there are large numbers of HIV-positive inmates.
Information on transmission category is missing for one quarter of cases. Multiple imputation, a statistical approach, is used to replace each missing transmission category with a set of plausible values that represent the uncertainty about the true, but missing, value3. The methods were applied to adult and adolescent, but not pediatric cases. Multiple imputation is considered by the Centers for Disease Control and Prevention to be the best method for redistribution of missing data in large databases. Transmission category is shown with missing data, and after multiple imputation. Cases missing race/ethnicity are not assigned a risk through multiple imputation.
Persons for whom the current identity box "transgender" was checked on the case report form are classified as transgender. Because providers often do not complete all case report form fields, the numbers reported here are most likely an underestimate. Additionally, because the current identity fields were
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added to the case report form in 2007, prevalent counts of HIV among transgender persons may be incomplete. The number of persons categorized as transgender has increased compared to 2017 as a result of an improvement in our ability to pull that information from all available documents in the surveillance data system.
For data presented at the Public Health District or MSA level, all cells with values between 1 and 4 observations are censored in accordance with the Georgia Department of Public Health HIV Surveillance Security and Confidentiality Guidelines.
Definitions
HIV DIAGNOSES are cases diagnosed between January 1 and December 31, 2018, with an address at the time of HIV diagnosis was in Georgia, and who were reported to the Georgia Department of Public Health by December 31 2018, regardless of stage at diagnosis. This group includes persons whose initial diagnosis is Stage 3 (AIDS).
LATE DIAGNOSES are the subset of HIV diagnoses who are found to be Stage 3 (AIDS) within 12 months of HIV diagnosis date. Such persons are termed late diagnoses because their advanced stage at diagnosis indicates that they were most likely infected for many years before diagnosis. STAGE 3 (AIDS) DIAGNOSES include two groups: 1) persons newly diagnosed with HIV in 2018, found to
meet the definition for Stage 3 (AIDS) at diagnosis, and with an address at or near the time of Stage 3 diagnosis
2018 Georgia HIV Surveillance Summary

in Georgia; and, 2) persons found to meet the Stage 3 definition in 2018 with an address at or near the time of Stage 3 diagnosis in Georgia, regardless of the date of their initial HIV diagnosis.
PERSONS LIVING WITH HIV INFECTION are persons diagnosed by December 31, 2018, who are not known to be deceased, and for whom the most recent address available is in Georgia.
PERSONS LIVING WITH HIV, EVER STAGE 3 are persons diagnosed by December 31, 2018, who are not known to be deceased, for whom the most recent address available is in Georgia, and who met the case definition for Stage 3 (AIDS) at some point.
TRANSMISSION CATEGORIES presented in this report follow the standards created by the Centers for Disease Control and Prevention (CDC) and have been used for many years. According to the 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 the one most likely risk factor to have been responsible for HIV transmission from the presumed hierarchical order of probability. For surveillance purposes, HIV and AIDS cases are counted only once in the hierarchy of transmission categories. Persons with more than one reported risk factor for HIV infection are classified in the transmission category according to the behavior that is most likely to have resulted in transmission. The exception is men who report sexual contact with other men and injection drug use; this group makes up a
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separate transmission category. Persons whose transmission category is classified as heterosexual contact are persons who report heterosexual contact specifically with a person known to have or be at high risk for HIV infection (e.g., an injection drug user/IDU). The term high risk is not included in the transmission category label for heterosexual contact in the tables because heterosexual contact itself is the risk factor most likely to have been responsible for transmission. However, the Table 3 footnote regarding this category clarifies how the data are defined: "heterosexual contact with a person known to have, or to be at high risk for, HIV infection".
CURRENT RESIDENCE Current address is determined using the date of the most recently-entered residential address as of 12/31/2018 into the Georgia eHARS. The number of persons living with HIV is based on current address.
VITAL STATUS: Persons are assumed to be alive unless otherwise documented or reported. The Georgia DPH performs an annual match of the eHARS database with the Georgia Vital Records death data, the National Death Index and the Social Security Death Index to ascertain vital status.
RATES: Denominators for population rates are based on the 2018 estimates of the Georgia resident population

retrieved from the Georgia Department of Public Health, Office of Health Indicators for Planning (OHIP). Rates are per 100,000 population. Rates are not presented for case numbers less than 12 because these rates have relative standard errors greater than 30% and are considered unreliable.
PERCENTAGES: Total percentages may not add up to 100% due to rounding.
COUNTS: Counts in the gender, race/ethnicity, and age categories may not add up to the overall totals due to a small number of cases with missing information (<2 percent).
References
1. Centers for Disease Control and Prevention. HIV Surveillance Report, 2018; vol.29. https://www.cdc.gov/hiv/pdf/library/reports/surveillance/ cdc-hiv-surveillance-report-2017-vol-29.pdf 2. Department of Public Health, Rules and regulations 290-48.11 (2003); Official Code of Georgia Annotated (O.C.G.A.) 31-22-9.2 (2011) 3. Harrison KM, Kajese T, Hall HI, Song R. Risk factor redistribution of the national HIV/AIDS surveillance data: an alternative approach. Public Health Rep 2008;123:61827.

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TABLES

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HIV Diagnoses and persons living with HIV, Georgia, 2018
Table 1. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses, Georgia, 2018

HIV Diagnoses (all stages)

Total

N %*

2,600

100

Gender Identity
Cisgender Male

1995

77.0

Cisgender Female

543

21.0

Transgender Persons

51

2.0

Race/Ethnicity
Black/Non Hispanic

1,809

69.6

White/Non Hispanic

422

16.2

Hispanic/Latino, Any Race

234

9.7

American Indian/Alaska Native

2

0.1

Asian/Native Hawaiian/Pacific Islander

17

0.7

Multiple races

54

2.1

Age Group at Diagnosis (Years)
<13

5

0.2

13-19

151

5.8

20-29

1,040

40.1

30-39

666

26.0

40-49

320

12.4

50-59

269

10.3

60+

134

5.2

Transmission Category (Unadjusted)
Male-to-male sexual contact

1,338

53.5

Injection drug use

39

1.5

Male-to-male sexual contact and injection drug use 24

0.9

Heterosexual contact3

455

17.5

Perinatal/other pediatric4

2

0.1

Unknown

688

26.5

Transmission Category (Adjusted)5
Male-to-male sexual contact

1,684

66.9

Injection drug use

72

2.8

Male-to-male sexual contact and injection drug use 37

1.4

Heterosexual contact3

710

27.3

Perinatal/other pediatric4

2

0.1

Late HIV Diagnoses1

Stage 3 (AIDS) Diagnoses2

N

%*

554

100

row %

N

21.3

1,014

%*
100

427

77.5

21.4

773

76.2

117

21.2

21.5

228

22.5

7

1.3

14.0

13

1.3

385

69.5

21.3

743

73.3

92

16.6

21.8

155

15.3

58

11.4

25.0

78

7.7

0.0

1

0.2

5.9

4

0.4

12

2.2

22.2

29

2.9

1

0.2

20.0

2

0.2

12

2.2

7.9

10

1.0

153

27.6

14.7

242

23.9

139

25.1

20.6

298

29.4

106

19.1

32.8

187

18.4

92

16.6

34.2

196

19.3

51

9.2

38.1

79

7.8

251

46.8

18.6

505

51.0

9

1.6

23.1

29

2.9

3

0.5

12.5

16

1.6

123

22.2

27.0

216

21.3

1

0.2

50.0

5

0.5

159

28.7

23.1

231

22.8

337

62.3

19.8

614

61.8

17

3.1

23.6

43

4.2

7

1.2

18.9

22

2.2

183

33.1

25.8

312

30.8

1

0.2

50.0

5

0.5

*Percentages may not add up to 100% due to rounding. 1. Late diagnosis: stage 3 (AIDS) diagnosis within 12 months of HIV diagnosis. Row % is percent of HIV diagnoses that were late diagnoses 2. Stage 3 (AIDS): includes persons diagnosed with stage 3 in 2018, regardless of year of HIV diagnosis. 3. Heterosexual contact: 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, and or person with AIDS or documented HIV. 4. Perinatal/other pediatric: cases born to HIV-infected mother, cases <13 with missing risk, and cases <13 with other risk (e.g. sexual transmission). 5. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding.

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Table 2. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses among males, Georgia, 2018

HIV Diagnoses (all stages)

Late HIV Diagnoses1

Stage 3 (AIDS) Diagnoses2

Total Race/Ethnicity
Black/Non Hispanic

N

%*

N

1,995

100

427

1,352

67.8

288

White/Non Hispanic

332

16.6

74

Hispanic/Latino, Any Race

205

11.0

54

American Indian/Alaska Native

2

0.1

0

Asian/Native Hawaiian/Pacific Islander

13

0.7

0

Multiple races

38

1.9

7

Age Group at Diagnosis (Years)
<13

2

0.1

0

13-19

117

5.9

12

20-29

875

44.0

142

30-39

499

25.5

108

40-49

217

11.0

73

50-59

174

8.8

61

60+

95

4.8

31

Transmission Category (Unadjusted)
Male-to-male sexual contact

1338

67.1

251

Injection drug use

23

1.2

7

Male-to-male sexual contact and injection drug use 23

1.2

3

Heterosexual contact3

149

7.5

53

Perinatal/other pediatric4

1

0.1

0

Unknown

461

23.1

113

Transmission Category (Adjusted)5
Male-to-male sexual contact

1684

84.4

337

Injection drug use

39

2.0

11

Male-to-male sexual contact and injection drug use 37

1.8

7

Heterosexual contact3

204

10.2

72

Perinatal/other pediatric4

1

0.1

0

%* row %

N %*

100.0

21.4

773

100

67.4

21.3

17.3

22.3

13.6

26.4

0.0

0.0

1.6

18.4

545

70.5

124

16.0

73

9.4

0

0.0

3

0.4

23

3.0

0.0

2.8

10.3

33.3

16.2

25.3

21.2

17.1

33.2

14.3

34.9

7.3

32.6

0

0.0

10

1.3

215

27.8

231

29.9

129

16.7

137

17.7

51

6.6

58.8

18.8

1.6

30.4

0.7

13.0

12.4

35.6

0.0

26.5

24.5

505

65.3

15

1.9

16

2.1

84

10.9

3

0.4

150

19.4

78.8

20.0

2.6

28.2

1.6

19.4

17.0

35.3

0.0

614

79.5

21

2.8

22

2.9

107

13.9

3

0.4

* Percentages may not add up to 100% due to rounding. 1. Late diagnosis: stage 3 (AIDS) diagnosis within 12 months of HIV diagnosis. Row % is percent of HIV diagnoses that were late diagnoses 2. Stage 3 (AIDS): includes persons diagnosed with stage 3 in 2018, regardless of year of HIV diagnosis. 3. Heterosexual contact: 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, and or person with AIDS or documented HIV. 4. Perinatal/other pediatric: cases born to HIV-infected mother, cases <13 with missing risk, and cases <13 with other risk (e.g. sexual transmission). 5. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding.

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Table 3. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses among females, Georgia, 2018

Total
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group at Diagnosis (Years)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Injection drug use Heterosexual contact3 Perinatal/other pediatric4 Unknown
Transmission Category (Adjusted)5
Injection drug use Heterosexual contact3 Perinatal/other pediatric4

HIV Diagnoses (all stages)

N

%*

543

100

Late HIV Diagnoses1

N

%*

row %

117

100

21.5

Stage 3 (AIDS) Diagnoses2

N
228

%*
100

409

75.3

89

76.1

21.8

186

81.6

84

15.5

18

15.4

21.4

31

13.6

29

5.3

4

3.4

13.8

5

2.2

0

0.0

0

0.0

0

0.0

4

0.7

1

0.9

25.0

1

0.4

12

2.2

4

3.4

33.3

5

2.2

3

0.6

1

0.9

33.3

2

0.9

32

5.9

0

0.0

0.0

0

0.0

130

23.9

8

6.8

6.2

21

9.2

148

27.3

27

23.1

18.2

62

27.2

98

18.0

31

26.5

31.6

57

25.0

93

17.1

30

25.6

32.3

59

25.9

39

7.2

20

17.1

51.3

27

11.8

16

2.9

2

1.7

12.5

14

6.1

305

56.2

70

59.8

23.0

132

57.9

1

0.2

1

0.9

100.0 2

0.9

221

40.7

44

37.6

19.9

80

35.1

33

6.1

6

4.8

18.2

22

9.5

502

92.4

109

93.5

21.7

204

89.6

1

0.2

1

0.9

100.0 2

0.9

* Percentages may not add up to 100% due to rounding. 1. Late diagnosis: stage 3 (AIDS) diagnosis within 12 months of HIV diagnosis. Row % is percent of HIV diagnoses that were late diagnoses 2. Stage 3 (AIDS): includes persons diagnosed with stage 3 in 2018, regardless of year of HIV diagnosis. 3. Heterosexual contact: 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, and or person with AIDS or documented HIV. 4. Perinatal/other pediatric: cases born to HIV-infected mother, cases <13 with missing risk, and cases <13 with other risk (e.g. sexual transmission). 5. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding.

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Table 4. HIV diagnoses, late diagnoses, and stage 3 (AIDS) diagnoses among transgender persons, Georgia, 2018

Total

HIV Diagnoses (all stages)

Late HIV Diagnoses1

Stage 3 (AIDS) Diagnoses2

N 51

%* 100

N

%*

row %

7

100

13.7

N 13

%* 100

Gender Identity

Transgender Woman

47

Transgender Man

4

Race/Ethnicity

Black/Non Hispanic

40

White/Non Hispanic

5

Hispanic/Latino, Any Race

2

American Indian/Alaska Native

0

Asian/Native Hawaiian/Pacific Islander

0

Multiple races

3

Age Group at Diagnosis (Years)

13-19

2

20-29

29

30-39

16

40-49

4

50-59

0

60+

0

Transmission Category (Unadjusted)

Sexual contact3

45

Sexual contact and injection drug use

1

Unknown

5

Transmission Category (Adjusted)4

Sexual contact3

49

Sexual contact and injection drug use

1

92.2

6

85.7

12.8

12

7.8

1

14.3

25.0

1

78.4

6

85.7

15.0

12

9.8

0

0.0

0.0

0

3.9

0

0.0

0.0

0

0.0

0

0.0

0.0

0

0.0

0

0.0

0.0

0

5.9

1

14.3

33.3

1

3.9

0

0.0

0.0

0

56.9

3

42.9

10.3

6

31.4

3

42.9

18.8

5

7.8

1

14.3

25.0

1

0.0

0

0.0

0.0

0

0.0

0

0.0

0.0

1

88.3

6

85.7

13.3

12

2.0

0

0.0

0.0

0

9.8

1

14.3

20.0

1

96.0

7

100.0 14.3

13

2.0

0

0.0

0.0

0

92.3 7.7
92.3 0.0 0.0 0.0 0.0 7.7
0.0 46.2 38.5 7.7 0.0 7.7
92.3 0.0 7.7
100.0 0.0

1. Late diagnosis: stage 3 (AIDS) diagnosis within 12 months of HIV diagnosis. 2. Stage 3 (AIDS): includes persons diagnosed with stage 3 in 2018, regardless of year of HIV diagnosis. 3. Includes sex with male and probable heterosexual transmission as noted in medical chart. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding.

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Table 5. Persons Living with HIV (PLWH), and PLWH ever Stage 3 (AIDS), Georgia, as of 12/31/2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Persons
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Current Age Group (Years)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact2 Adult Other3 Perinatal/other pediatric4 Unknown
Transmission Category (Adjusted)5
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact2 Adult Other3 Perinatal/other pediatric4

PLWH N
60,346
45,432 14,160 624
40,720 10,992 4,366 26 287 3,033
99 354 7,481 13,264 13,762 16,536 8,838
29,583 2,566 2,175 9,860 582 84 14,871
36,307 3,710 2,635 15,453 582 84

Ever Stage 3 (AIDS)1

%*

N

%*

100

31,527

100

75.3

23,792

75.5

23.5

7,402

23.5

1.0

288

0.9

67.5

21,515

68.2

18.2

5,653

17.9

7.2

2,306

7.3

0.0

7

0.0

0.5

110

0.3

5.0

1,762

5.6

0.2

25

0.1

0.6

46

0.1

12.4

1,955

6.2

22.0

5,414

17.2

22.8

7,744

24.6

27.4

10,568

33.5

14.6

5,773

18.3

50.0

15,100

48.7

4.3

1,831

5.8

3.7

1,471

4.7

16.3

5,659

18.0

1.0

311

1.0

0.1

23

0.1

24.6

6,852

21.7

61.2

18,181

58.5

6.1

2,478

7.9

4.4

1,728

5.5

25.6

8,340

26.5

1.0

311

1.0

0.1

23

0.1

* Percentages may not add up to 100% due to rounding. 1. Persons whose infection was ever classified as stage 3 (AIDS). 2. Heterosexual contact: 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, and or person with AIDS or documented HIV. 3. Includes perinatal exposure current age > 13, hemophilia, blood transfusion. 4. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 5. Adjusted for missing risk using multiple imputation methods.

2018 Georgia HIV Surveillance Summary

Page 14

Table 6. Persons living with HIV (PLWH), and PLWH ever stage 3 (AIDS), males, Georgia, as of 12/31/2018

Total Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Current Age Group (Years)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact2 Adult Other3 Perinatal/other pediatric4 Unknown
Transmission Category (Adjusted)5
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact2 Adult Other3 Perinatal/other pediatric4

N 45,432
29,286 9,411 3,485 21 219 2,345
51 216 6,241 10,365 9,813 12,418 6,321
29,583 1,415 2,175 2,568 279 44 9,368
36,307 1,934 2,635 3,579 279 44

PLWH %*
100.0
64.5 20.7 7.7 0.0 0.5 5.2
0.1 0.5 13.7 22.8 21.6 27.3 13.9
65.1 3.1 4.8 5.7 0.6 0.1 20.6
79.9 4.3 5.8 7.9 0.6 0.1

Ever Stage 3 (AIDS)1

N 23,792

%* 100.0

15,437

64.9

4,915

20.7

1,858

7.8

5

0.0

89

0.4

1,357

5.7

13

0.1

30

0.1

1,613

6.8

4,279

18.0

5,544

23.3

8,055

33.9

4,257

17.9

15,100

63.5

1,050

4.4

1,471

6.2

1,617

6.8

156

0.7

12

0.1

4,386

18.4

18,181

76.4

1,358

5.7

1,728

7.3

2,229

9.4

156

0.7

12

0.1

* Percentages may not add up to 100% due to rounding. 1. Persons whose infection was ever classified as stage 3 (AIDS). 2. Heterosexual contact: 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, and or person with AIDS or documented HIV. 3. Includes perinatal exposure current age > 13, hemophilia, blood transfusion. 4. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 5. Adjusted for missing risk using multiple imputation methods.

2018 Georgia HIV Surveillance Summary

Page 15

Table 7. Persons living with HIV (PLWH), and PLWH ever stage 3 (AIDS), females, Georgia, as of 12/31/2018

Total Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Current Age Group (Years)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Injection drug use Heterosexual contact2 Adult Other3 Perinatal/other pediatric4 Unknown
Transmission Category (Adjusted)5
Injection drug use Heterosexual contact2 Adult Other3 Perinatal/other pediatric4

N 14,160

PLWH
%* 100.0

10,876

76.8

1,540

10.9

816

5.8

5

0.0

67

0.5

650

4.6

48

0.3

134

0.9

1,046

7.4

2,622

18.5

3,801

26.8

4,018

28.4

2,486

17.6

1,145

8.1

7,271

51.3

300

2.1

40

0.3

5,404

38.2

1,768

12.5

11,836

83.6

300

2.1

40

0.3

Ever Stage 3 (AIDS)1

N 7,402

%* 100.0

5,825

78.7

725

9.8

411

5.6

2

0.0

21

0.3

387

5.2

12

0.2

16

0.2

287

3.9

1,024

13.8

2,120

28.6

2,448

33.1

1,494

20.2

777

10.5

4,032

54.5

152

2.1

11

0.1

2,430

32.8

1,113

15.0

6,092

82.3

152

2.1

11

0.1

* Percentages may not add up to 100% due to rounding. 1. Persons whose infection was ever classified as stage 3 (AIDS). 2. Heterosexual contact: 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, and or person with AIDS or documented HIV. 3. Includes perinatal exposure current age > 13, hemophilia, blood transfusion. 4. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 5. Adjusted for missing risk using multiple imputation methods.

2018 Georgia HIV Surveillance Summary

Page 16

Table 8. Persons living with HIV (PLWH), and PLWH ever stage 3 (AIDS), transgender persons, Georgia, as of 12/31/2018

Total Gender Identity
Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Current Age Group (Years)
13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Sexual contact2 Injection drug use Sexual contact and injection drug use Adult Other3 Unknown
Transmission Category (Adjusted)4
Sexual contact2 Injection drug use Sexual contact and injection drug use Adult Other3

PLWH

Ever Stage 3 (AIDS)1

N 624

%* 100.0

N 288

%* 100.0

602

96.5

276

95.8

22

3.5

12

4.2

502

80.4

226

78.5

30

4.8

11

3.8

59

9.5

35

12.2

0

0.0

0

0.0

1

0.2

0

0.0

32

5.1

16

5.6

4

0.6

177

28.4

53

18.4

243

38.9

100

34.7

114

18.3

70

24.3

67

10.7

50

17.4

19

3.0

15

5.2

568

91.0

256

88.9

1

0.2

1

0.3

33

5.3

20

6.9

2

0.3

2

0.7

20

3.2

9

3.1

586

93.9

263

91.5

2

0.4

2

0.7

34

5.4

20

7.1

2

0.3

2

0.7

* Percentages may not add up to 100% due to rounding. 1. Persons whose infection was ever classified as stage 3 (AIDS). 2. Includes sex with male and probable heterosexual transmission as noted in medical chart 3. Includes perinatal exposure current age > 13, hemophilia, blood transfusion.4. Adjusted for missing risk using multiple imputation methods.

2018 Georgia HIV Surveillance Summary

Page 17

HIV Diagnoses and Persons Living with HIV by Public Health District
Table 9. HIV Diagnoses and Persons Living with HIV, District 1-1 (Rome), Georgia, 2018

Total
Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+ Transmission Category (Unadjusted) Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown Transmission Category (Adjusted)4 Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

56

100

44

78.6

11

19.6

<5

<5

24

42.9

28

50.0

<5

<5

0.0

0

0.0

0

0.0

<5

17

30.4

15

26.8

9

16.1

10

17.9

<5

21

37.5

6

10.7

<5

1.8

10

17.9

0

0.0

0

0.0

18

32.1

33

59.3

7

13.2

<5

14

25.0

0

0

0

0

PLWH as of 12/31/2018

N

%*

1,183

100

863

73.0

314

26.6

5

0.4

0

450

38.1

553

46.8

94

8.0

<5

61

5.2

<5

<5

111

9.4

195

16.5

312

26.4

345

29.2

212

17.9

489

41.4

98

8.3

54

4.6

174

14.7

21

1.8

<5

342

28.9

651

55.1

123

10.4

65

5.5

298

25.2

21

1.8

<5

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 18

Table 10. HIV Diagnoses and Persons Living with HIV, District 1-2 (Dalton), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Unknown
Transmission Category (Adjusted)3
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2

HIV diagnoses

N

%*

30

100

24

80.0

6

20.0

0

0

4

13.3

16

53.3

8

26.7

<5

<5

<5

12

40.0

6

20.0

<5

5

16.7

<5

18

60.0

0

<5

<5

0

0.0

8

26.7

22

74.3

0

<5

7

21.7

0

PLWH as of 12/31/2018

N

%*

690

100

544

78.8

142

20.6

<5

<5

120

17.4

394

57.1

121

17.5

<5

0.4

39

5.7

<5

77

11.2

131

19.0

160

23.2

204

29.6

114

16.5

357

51.7

28

4.1

42

6.1

88

12.8

<5

0.6

171

24.8

441

63.9

42

6.1

47

6.8

143

20.8

<5

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion. 3. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 19

Table 11. HIV Diagnoses and Persons Living with HIV, District 2 (Gainesville), Georgia, 2018

Total Gender Identity Cisgender Male Cisgender Female Transgender Woman Race/Ethnicity Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races Age Group (at diagnosis for diagnosed, current for PLWH) <13 13-19 20-29 30-39 40-49 50-59 60+ Transmission Category (Unadjusted) Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use

HIV diagnoses

N

%*

33

100

25

75.8

8

24.2

0

0

<5

20

58.8

9

26.5

0

0.0

0

0.0

<5

0

0.0

<5

9

26.5

10

29.4

<5

6

17.6

<5

16

47.1

<5

0

0.0

PLWH as of 12/31/2018

N

%*

894

100

628

70.2

257

28.7

7

0.8

226

25.3

440

49.2

136

15.2

<5

15

1.7

47

5.3

<5

5

0.6

91

10.2

164

18.3

225

25.2

262

29.3

145

16.2

368

41.2

47

5.3

46

5.1

Heterosexual contact1

<5

Adult Other2

0

Perinatal/other pediatric3

0

Unknown

14

Transmission Category (Adjusted)4

Male-to-male sexual contact

22

Injection drug use

<5

Male-to-male sexual contact and injection drug use

0

Heterosexual contact1

10

Adult Other2

0

Perinatal/other pediatric3

0

133

14.9

0.0

9

1.0

0.0

<5

41.2

290

32.4

64.7

492

55.0

70

7.8

0.6

55

6.2

28.5

239

26.8

0.0

9

1.0

0.0

<5

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 20

Table 12. HIV Diagnoses and Persons Living with HIV, District 3-1 (Cobb/Douglas), Georgia, 2018

Total Gender Identity Cisgender Male Cisgender Female Transgender Woman Transgender Man Race/Ethnicity Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH) <13 13-19 20-29 30-39 40-49 50-59 60+ Transmission Category (Unadjusted) Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown Transmission Category (Adjusted)4 Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

191

100

158

83.2

25

13.2

7

3.7

0

0

119

61.7

42

21.8

26

14.0

0

0.0

<5

<5

9

4.7

96

49.7

51

26.4

20

10.4

12

6.2

<5

125

64.8

<5

<5

31

16.1

0

0.0

<5

31

16.1

147

76.2

<5

5

2.5

37

19.3

0

0.0

<5

PLWH as of 12/31/2018

N

%*

4,201

100

3,197

76.1

952

22.7

44

1.0

<5

2,579

61.4

906

21.6

412

9.8

15

0.4

239

5.7

7

0.2

21

0.5

567

13.5

1,013

24.1

993

23.6

1,110

26.4

490

11.7

2,236

53.2

155

3.7

157

3.7

741

17.6

36

0.9

7

0.2

870

20.7

2,679

63.8

214

5.1

189

4.5

1,025

24.4

36

0.9

7

0.2

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 21

Table 13. HIV Diagnoses and Persons Living with HIV, District 3-2 (Fulton), Georgia, 2018

Total
Gender Identity
Cisgender Male Cisgender Female Transgender Male-to-Female Transgender Female-to-Male
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

615

100

514

82.8

90

14.5

16

2.6

<5

478

76.2

76

12.1

47

8.3

<5

<5

12

1.9

0

0.0

30

4.8

246

39.2

187

29.8

77

12.3

56

8.9

31

4.9

403

64.3

6

1.0

<5

86

13.7

0

0.0

0

0.0

130

20.7

479

76.4

11

1.7

5

0.8

128

20.4

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

17,043

100

14,176

83.2

2,605

15.3

224

1.3

<5

12,142

71.2

2,808

16.5

970

5.7

9

0.1

53

0.3

842

4.9

11

0.1

60

0.4

1,978

11.6

4,061

23.8

3,933

23.1

4,594

26.9

2,405

14.1

10,385

60.9

685

4.0

814

4.8

1,922

11.3

94

0.6

7

0.0

3,141

18.4

12,051

70.7

900

5.3

924

5.4

2,841

16.7

94

0.6

7

0.0

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 22

Table 14. HIV Diagnoses and Persons Living with HIV, District 3-3 (Clayton), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Women Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

139

100

102

72.3

37

26.2

<5

<5

124

86.7

5

3.5

11

7.7

0

0.0

0

0.0

<5

0

0.0

9

6.3

64

44.8

36

25.2

19

13.3

9

6.3

6

4.2

79

55.2

<5

0

0.0

26

18.2

0

0.0

0

0.0

36

25.2

90

63.2

<5

<5

47

33.1

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

2,968

100

2,164

72.9

759

25.6

40

1.3

5

0.2

2,433

81.9

124

4.2

206

6.9

<5

17

0.6

164

5.5

7

0.2

21

0.7

544

18.3

736

24.8

650

21.9

709

23.9

302

10.2

1,526

51.4

104

3.5

96

3.2

535

18.0

29

1.0

6

0.2

673

22.7

1,820

61.3

154

5.2

117

3.9

821

27.7

29

1.0

6

0.2

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 23

Table 15. HIV Diagnoses and Persons Living with HIV, District 3-4 (East Metro), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Women Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

198

100

151

75.1

46

22.9

<5

<5

115

57.5

25

12.5

44

24.0

0

0.0

<5

6

3.0

0

0.0

9

4.5

86

43.0

54

27.0

23

11.5

19

9.5

9

4.5

108

54.0

<5

<5

22

11.0

0

0.0

0

0.0

63

31.5

133

66.7

8

4.1

<5

53

26.4

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

4,271

100

3,049

71.4

1,181

27.7

30

0.7

<5

2,563

60.0

742

17.4

609

14.3

<5

64

1.5

217

5.1

6

0.1

24

0.6

576

13.5

897

21.0

1,109

26.0

1,161

27.2

498

11.7

2,012

47.1

136

3.2

115

2.7

765

17.9

58

1.4

6

0.1

1,179

27.6

2,527

59.2

218

5.1

151

3.5

1,236

28.9

58

1.4

6

0.1

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 24

Table 16. HIV Diagnoses and Persons Living with HIV, District 3-5 (DeKalb), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

372

100

302

79.5

67

17.6

9

2.4

<5

285

75.8

35

9.3

34

9.3

<5

<5

7

1.9

0

0.0

26

6.9

156

41.5

96

25.5

45

12.0

35

9.3

18

4.8

231

61.4

5

1.3

<5

51

13.6

0

0.0

0

0.0

87

23.1

270

71.7

9

2.3

<5

85

22.7

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

10,249

100

8,184

79.9

1,915

18.7

119

1.2

6

0.1

7,240

70.6

1,650

16.1

708

6.9

<5

72

0.7

473

4.6

11

0.1

50

0.5

1,229

12.0

2,355

23.0

2,349

22.9

2,845

27.8

1,409

13.7

6,057

59.1

302

2.9

325

3.2

1,377

13.4

78

0.8

9

0.1

2,101

20.5

7,108

69.4

463

4.5

405

3.9

2,080

20.3

78

0.8

9

0.1

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 25

Table 17. HIV Diagnoses and Persons Living with HIV, District 4 (LaGrange), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

118

100

93

78.8

22

18.6

<5

<5

80

67.8

24

20.3

7

5.9

<5

<5

5

4.2

0

0.0

6

5.1

41

34.7

45

38.1

13

11.0

7

5.9

6

5.1

62

52.5

<5

<5

25

21.2

0

0.0

0

0.0

29

24.6

79

66.6

<5

<5

35

29.8

0

0.0

0

0

PLWH as of 12/31/2018

N

%*

2,292

100

1,635

71.3

633

27.6

22

1.0

<5

1,416

61.8

559

24.4

150

6.5

<5

<5

134

5.8

8

0.3

22

1.0

308

13.4

492

21.5

480

20.9

631

27.5

351

15.3

996

43.4

100

4.4

73

3.2

426

18.6

38

1.7

7

0.3

653

28.5

1,293

56.4

155

6.8

92

4.0

681

29.7

38

1.7

7

0.3

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 26

Table 18. HIV Diagnoses and Persons Living with HIV, District 5-1 (Dublin), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Unknown
Transmission Category (Adjusted)3
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2

HIV diagnoses

N

%*

21

100

17

81.0

4

19.0

0

0.0

0

0.0

12

57.1

6

28.6

<5

<5

0

0.0

6

28.6

5

23.8

5

23.8

<5

<5

9

42.9

<5

<5

5

23.8

0

0.0

5

23.8

13

60.0

<5

<5

6

27.1

0

0.0

PLWH as of 12/31/2018

N

%*

667

100

452

67.8

214

32.1

<5

<5

485

72.7

94

14.1

49

7.3

31

4.6

<5

50

7.5

114

17.1

168

25.2

215

32.2

119

17.8

167

25.0

50

7.5

21

3.1

152

22.8

<5

273

40.9

290

43.5

79

11.8

29

4.4

256

38.4

<5

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion. 3. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 27

Table 19. HIV Diagnoses and Persons Living with HIV, District 5-2 (Macon), Georgia, 2018

Total
Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Woman
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

129

100

92

71.3

36

27.9

<5

<5

106

81.5

16

12.3

6

4.6

0

0.0

0

0.0

<5

0

0.0

7

5.4

58

44.6

28

21.5

21

16.2

9

6.9

7

5.4

48

36.9

<5

<5

32

24.6

0

0.0

0

0.0

45

34.6

79

60.4

<5

<5

44

33.5

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

2,359

100

1,584

67.1

755

32.0

15

0.6

0

0

1,737

73.6

356

15.1

109

4.6

<5

<5

129

5.5

7

0.3

13

0.6

338

14.3

462

19.6

503

21.3

646

27.4

390

16.5

860

36.5

105

4.5

69

2.9

483

20.5

24

1.0

6

0.3

812

34.4

1,206

51.1

178

7.6

93

3.9

829

35.2

24

1.0

6

0.3

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 28

Table 20. HIV Diagnoses and Persons Living with HIV, District 6 (Augusta), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

138

100

111

79.9

24

17.3

<5

<5

110

78.6

21

15.0

<5

0

0.0

<5

<5

<5

13

9.3

58

41.4

27

19.3

22

15.7

10

7.1

9

6.4

79

56.4

<5

0

0.0

32

22.9

0

0.0

0

0.0

27

19.3

92

66.0

<5

<5

39

27.5

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

2,222

100

1,502

67.5

703

31.6

16

0.7

<5

1,679

75.5

359

16.1

78

3.5

<5

0.0

7

0.3

85

3.8

7

0.3

49

2.2

266

12.0

390

17.5

424

19.1

624

28.1

464

20.9

854

38.4

155

7.0

89

4.0

454

20.4

74

3.3

6

0.3

592

26.6

1,056

47.5

214

9.6

105

4.7

753

33.9

74

3.3

6

0.3

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 29

Table 21. HIV Diagnoses and Persons Living with HIV, District 7 (Columbus), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman
Transgender man Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

102

100

63

61.2

38

36.9

<5

<5

80

77.7

16

15.5

5

4.9

0

0.0

0

0.0

<5

1.9

0

0.0

10

9.7

42

40.8

17

16.5

13

12.6

19

18.4

<5

1.9

33

32.0

<5

1.0

<5

1.0

45

43.7

0

0.0

0

0.0

23

22.3

46

44.6

<5

2.3

<5

1.5

53

51.7

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

1,941

100

1,279

65.9

645

33.2

13

0.7

0

0.0

1,439

74.1

242

12.5

108

5.6

<5

0.1

<5

0.2

94

4.8

7

0.4

15

0.8

232

12.0

380

19.6

459

23.6

523

26.9

325

16.7

629

32.4

118

6.1

45

2.3

496

25.6

19

1.0

7

0.4

627

32.3

877

45.2

165

8.5

61

3.1

758

39.1

19

1.0

7

0.4

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 30

Table 22. HIV Diagnoses and Persons Living with HIV, District 8-1 (Valdosta), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

74

100

42

56.0

33

44.0

0

0.0

50

66.7

17

22.7

4

5.3

0

0.0

<5

<5

<5

22

29.3

14

18.7

9

12.0

13

17.3

12

16.0

18

24.0

0

0.0

<5

19

25.3

0

0.0

<5

36

48.0

31

41.7

<5

<5

36

48.7

0

0.0

<5

PLWH as of 12/31/2018

N

%*

1,224

100

727

59.4

488

39.9

7

0.6

836

68.3

208

17.0

100

8.2

<5

69

5.6

<5

12

1.0

125

10.2

240

19.6

285

23.3

343

28.0

216

17.6

351

28.7

65

5.3

40

3.3

450

36.8

10

0.8

<5

305

24.9

461

37.7

90

7.4

47

3.8

603

49.3

10

0.8

<5

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 31

Table 23. HIV Diagnoses and Persons Living with HIV, District 8-2 (Albany), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race American Indian/Alaska Native Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

83

100

56

66.7

27

32.1

<5

<5

70

83.3

6

7.1

5

6.0

<5

<5

0

0.0

0

0.0

8

9.5

25

29.8

21

25.0

9

10.7

16

19.0

5

6.0

31

36.9

<5

<5

20

23.8

0

0.0

0

0.0

30

35.7

45

53.0

<5

<5

33

38.9

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

1,825

100

1,128

61.8

682

37.3

13

0.7

<5

1,470

80.5

181

9.9

72

3.9

<5

<5

90

4.9

5

0.3

25

1.4

246

13.5

357

19.6

394

21.6

490

26.8

308

16.9

604

33.1

70

3.8

45

2.5

455

24.9

25

1.4

5

0.3

622

34.1

819

44.9

123

6.7

58

3.2

786

43.1

25

1.4

5

0.3

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 32

Table 24. HIV Diagnoses and Persons Living with HIV, District 9-1 (Savannah), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

135

100

96

71.1

39

28.9

0

0.0

0

0.0

74

54.8

41

30.4

8

5.9

<5

<5

<5

10

7.4

53

39.3

30

22.2

14

10.4

19

14.1

7

5.2

53

39.3

<5

<5

26

19.3

0

0.0

0

0.0

54

40.0

76

56.4

<5

<5

47

34.5

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

2,766

100

1,862

67.3

877

31.7

17

0.6

<5

1,807

65.3

584

21.1

180

6.5

11

0.4

154

5.6

9

0.3

15

0.5

343

12.4

549

19.8

530

19.1

816

29.5

505

18.2

1,022

36.9

162

5.9

71

2.6

537

19.4

30

1.1

6

0.2

940

34.0

1,393

50.3

247

8.9

96

3.5

963

34.8

30

1.1

6

0.2

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 33

Table 25. HIV Diagnoses and Persons Living with HIV, District 9-2 (Waycross), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman Transgender Man
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Unknown
Transmission Category (Adjusted)3
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2

HIV diagnoses

N

%*

48

100

43

84.3

8

15.7

0

0.0

0

0.0

25

50.0

9

18.0

10

20.0

<5

<5

0

0.0

15

30.0

16

32.0

5

10.0

10

20.0

<5

21

42.0

<5

<5

7

14.0

0

0.0

19

38.0

31

62.4

<5

<5

12

23.8

0

0.0

PLWH as of 12/31/2018

N

%*

1,242

100

808

65.1

429

34.5

<5

<5

782

63.0

256

20.6

106

8.5

<5

72

5.8

<5

138

11.1

223

18.0

270

21.7

373

30.0

234

18.8

386

31.1

72

5.8

46

3.7

304

24.5

12

1.0

422

34.0

543

43.7

110

8.8

56

4.5

497

40.0

12

1.0

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion. 3. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 34

Table 26. HIV Diagnoses and Persons Living with HIV, District 10 (Athens), Georgia, 2018

Total Gender Identity
Cisgender Male Cisgender Female Transgender Woman
Race/Ethnicity
Black/Non Hispanic White/Non Hispanic Hispanic/Latino, Any Race Asian/Native Hawaiian/Pacific Islander Multiple races
Age Group (at diagnosis for diagnosed, current for PLWH)
<13 13-19 20-29 30-39 40-49 50-59 60+
Transmission Category (Unadjusted)
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3 Unknown
Transmission Category (Adjusted)4
Male-to-male sexual contact Injection drug use Male-to-male sexual contact and injection drug use Heterosexual contact1 Adult Other2 Perinatal/other pediatric3

HIV diagnoses

N

%*

63

100

46

71.9

18

28.1

0

0.0

36

54.5

18

27.3

8

12.1

0

0.0

<5

0

0.0

<5

30

45.5

14

21.2

8

12.1

8

12.1

<5

31

47.0

<5

0

0.0

10

15.2

0

0.0

0

0.0

23

34.8

41

62.0

<5

0

0.2

21

31.5

0

0.0

0

0.0

PLWH as of 12/31/2018

N

%*

1,067

100

720

67.5

331

31.0

15

1.4

582

54.5

338

31.7

79

7.4

8

0.8

52

4.9

<5

11

1.0

126

11.8

235

22.0

239

22.4

281

26.3

172

16.1

424

39.7

68

6.4

42

3.9

211

19.8

13

1.2

<5

0.3

306

28.7

551

51.6

90

8.5

49

4.6

353

33.0

13

1.2

<5

* Percentages may not add up to 100% due to rounding 1. Heterosexual contact: 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, and or person with AIDS or documented HIV. 2. Includes perinatal exposure current age > 13; hemophilia, blood transfusion.3. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 4. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 35

HIV Diagnoses and Persons Living with HIV, Atlanta MSA

Table 27. HIV Diagnoses and Persons Living with HIV, Atlanta Metropolitan Statistical Area1, Georgia, 2018

HIV diagnoses

PLWH as of 12/31/2018

Total Gender Identity
Cisgender Male

N

%*

N

%*

1,712

100

42,394

100

1,345

79.8

33,404

78.8

Cisgender Female

301

17.6

8,408

19.8

Transgender Woman

40

2.3

480

1.1

Transgender Man

<5

18

0.0

Race/Ethnicity
Black/Non Hispanic

1,220

71.2

28,812

68.0

White/Non Hispanic

232

13.5

7,452

17.6

Hispanic/Latino, Any Race

174

11.1

3,194

7.5

American Indian/Alaska Native

<5

18

0.0

Asian/Native Hawaiian/Pacific Islander

11

0.6

237

0.6

Multiple races

36

2.1

2,145

5.1

Age Group (at diagnosis for diagnosed,

current for PLWH)

<13

<5

54

0.1

13-19

91

5.3

206

0.5

20-29

702

41.1

5,322

12.6

30-39

471

28.1

9,801

23.1

40-49

206

12.2

9,870

23.3

50-59

149

8.8

11,457

27.0

60+

77

4.5

5,675

13.4

Transmission Category (Unadjusted)

Male-to-male sexual contact

1,013

60.1

23,782

56.1

Injection drug use

23

1.3

1,559

3.7

Male-to-male sexual contact and injection

13

0.8

1,644

3.9

drug use

Heterosexual contact2

253

14.8

5,981

14.1

Adult Other3

0

0.0

354

0.8

Perinatal/other pediatric4

<5

45

0.1

Unknown

394

23.0

9,029

21.3

Transmission Category (Adjusted)5

Male-to-male sexual contact

1,213

71.7

28,245

66.6

Injection drug use

40

2.3

2,208

5.2

Male-to-male sexual contact and injection

21

1.2

1,954

4.6

drug use

Heterosexual contact2

405

23.6

9,043

21.3

Adult Other3

0

0.0

354

0.8

Perinatal/other pediatric4

<5

45

0.1

*Percents may not add up to 100 due to rounding 1.Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Heard, Henry, Jasper, Lamar, Meriwether, Morgan, Newton, Paulding, Pickens, Pike, Rockdale, Spalding, Walton 2.Heterosexual contact: 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, and or person with AIDS or documented HIV. 3. Includes perinatal exposure, hemophilia, blood transfusion.4. Perinatal/other pediatric: cases born to HIV-infected mother, and cases <13 with missing risk. 5. Adjusted for missing risk using multiple imputation methods. Adjusted subtotals may be different from unadjusted subtotals due to rounding

2018 Georgia HIV Surveillance Summary

Page 36

Late Diagnoses by Public Health District and Atlanta MSA
Table 28. Late diagnoses by Public Health District and for Atlanta Metropolitan Statistical Area, Georgia, 2018

District
1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2 North (Gainesville) 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton (Jonesboro) 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) 9-2 Southeast (Waycross) 10 Northeast (Athens) Atlanta MSA1

HIV Diagnoses
N
56 30 33 191 615 139 198 372 118 21 129 138 102 74 83 135 48 63 1,712

Late HIV Diagnoses Stage 3 [AIDS] within 12 months

N

row %

23

41.1

6

20.0

8

24.2

36

18.8

109

17.7

36

25.9

37

18.7

78

21.0

25

21.2

5

23.8

30

23.3

26

18.8

34

33.3

17

23.0

25

30.1

28

20.7

10

20.8

18

28.6

338

19.7

1. Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Heard, Henry, Jasper, Lamar, Meriwether, Morgan, Newton, Paulding, Pickens, Pike, Rockdale, Spalding, Walton

2018 Georgia HIV Surveillance Summary

Page 37

Public Health District and County Rates
Table 29. HIV diagnoses and persons living with HIV (PLWH): Public Health District and County number and rates per 100,000 population, Georgia 2018

HIV Diagnoses (all stages)

N1

1-1 Northwest (Rome)

56

Bartow County

12

Catoosa County

5

Chattooga County

<5

Dade County

0

Floyd County

13

Gordon County

<5

Haralson County

<5

Paulding County

13

Polk County

<5

Walker County

<5

1-2 North Georgia (Dalton)

30

Cherokee County

17

Fannin County

<5

Gilmer County

<5

Murray County

5

Pickens County

<5

Whitfield County

6

2 North (Gainesville)

33

Banks County

<5

Dawson County

<5

Forsyth County

8

Franklin County

<5

Habersham County

5

Hart County

<5

Hall County

14

Lumpkin County

<5

Rabun County

0

Stephens County

0

Towns County

0

Union County

<5

3-1 Cobb/Douglas

191

Cobb County

164

Douglas County

31

3-2 Fulton

615

Fulton County

630

3-3 Clayton

139

Clayton County

147

3-4 East Metro

(Lawrenceville)

198

Gwinnett County

156

Newton County

24

2018 Georgia HIV Surveillance Summary

Rate/100,0002,
3
8.3 11.3 7.4 -0.0 13.3 --7.9 --6.2 6.7 --12.5 -5.8 4.6 --3.4 -11.0 -6.9 -0.0 0.0 0.0 -21.2 21.7 21.3 58.6 60.0 48.0 50.8
17.6
16.8 21.9

PLWH as of 12/31/2018

N1
1,183
212 73 59 16 249 62 34 344 61 72 690
367 35 46 47 43 152 894
34 24 195 34 65 48 314 38 19 47 10 33 4,201
3,559 642 17,043
17,042 2,968
2,969
4,271
3,471 414

Rate/100,0002,
3
175
199 108 238 99 254 107 115 210 144 104 142
144 135 149 118 134 146 124
179 96 82 148 143 184 155 115 113 181 84 137 466
470 442 1,623
1,623 1,025
1,025
379
374 378
Page 38

Rockdale County
3-5 DeKalb

20

22.1

372

49.2

DeKalb County
4 LaGrange

387

51.2

118

13.6

Butts County

<5

--

Carroll County

7

5.9

Coweta County

11

7.5

Fayette County

14

12.3

Heard County

0

0.0

Henry County

39

16.9

Lamar County

<5

10.5

Meriwether County

6

--

Pike County

<5

--

Spalding County

17

25.7

Troup County

15

21.4

Upson County

<5

--

5-1 South Central (Dublin)

21

14.0

Bleckley County

<5

--

Dodge County

<5

--

Johnson County

0

0.0

Laurens County

9

19.0

Montgomery County

<5

--

Pulaski County

<5

--

Telfair County

0

0.0

Treutlen County

<5

--

Wheeler County

0

0

Wilcox County

<5

--

5-2 North Central (Macon)

129

24.3

Baldwin County

12

26.8

Bibb County

59

38.5

Crawford County

<5

--

Hancock County

<5

--

Houston County

31

19.9

Jasper County

<5

--

Jones County

<5

--

Monroe County

<5

--

Peach County

7

25.6

Putnam County

5

22.9

Twiggs County

<5

--

Washington County

<5

--

Wilkinson County

0

0.0

6 East Central (Augusta)

138

28.3

Burke County

9

40.1

Columbia County

16

10.4

Emanuel County

<5

--

Glascock County

0

0.0

Jefferson County

<5

25.9

Jenkins County

<5

11.5

Lincoln County

<5

--

McDuffie County

<5

--

Richmond County

103

51.1

Screven County

<5

--

Taliaferro County

<5

--

Warren County

0

0.0

Wilkes County

0

0.0

7 West Central (Columbus)

102

27.8

Chattahoochee County

<5

--

2018 Georgia HIV Surveillance Summary

386 10,240
10,248 2,292
105 259 273 208 12 827 42 72 18 223 182 71 667
47 88 47 196 18 31 94 26
77 2,359
169 1,257
32 45 428 22 53 55 127 45 26 78 22 2,222
98 200 61
7 53 41 15 55 1,593 47 7 21 26 1,941
15

426 1,353
1,355 265
434 219 187 183 101 359 221 342 97 337 260 271 444
366 425 484 414 196 280 592 382
874 444
377 821 260 539 275 157 185 200 465 206 318 383 243 455
437 130 270 234 343 472 190 255 790 337 435 400 263 529
140
Page 39

Clay County

0

Crisp County

7

Dooly County

<5

Harris County

<5

Macon County

5

Marion County

<5

Muscogee County

61

Quitman County

<5

Randolph County

0

Schley County

0

Stewart County

8

Sumter County

13

Talbot County

<5

Taylor County

<5

Webster County

0

8-1 South (Valdosta)

74

Ben Hill County

<5

Berrien County

<5

Brooks County

8

Cook County

5

Echols County

<5

Irwin County

6

Lanier County

<5

Lowndes County

35

Tift County

12

Turner County

<5

8-2 Southwest (Albany)

83

Baker County

0

Calhoun County

<5

Colquitt County

8

Decatur County

<5

Dougherty County

43

Early County

<5

Grady County

<5

Lee County

<5

Miller County

<5

Mitchell County

<5

Seminole County

<5

Terrell County

<5

Thomas County

10

Worth County

<5

9-1 Coastal (Savannah)

135

Bryan County

5

Camden County

7

Chatham County

80

Effingham County

5

Glynn County

17

Liberty County

15

Long County

<5

McIntosh County

<5

9-2 Southeast (Waycross)

48

Appling County

<5

Atkinson County

<5

Bacon County

<5

Brantley County

0

Bulloch County

7

Candler County

0

2018 Georgia HIV Surveillance Summary

0.0 31.0 7.3 -38.0 12.0 31.4 -0.0 0.0 129.1 43.7 --0.0 28.8
--51.6 29.1 -63.8 -30.1 29.6 -23.9
0.0 -17.5 -47.1 39.0 ------22.5 -36.4
13.1 13.0 27.7 8.0 19.9 24.4 --7.7
---0.0 9.1 0.0

16 127 76 50 73 15 1,179 10 42
7 112 153 26 36 <5 1,224
56 42 53 69 15 76 23 671 174 45 1,825
<5 39 211 135 819 31 68 65 20 114 26 44 173 76 2,766
50 100 1,872 92 343 217 34 59 1,242
35 18 45 23 283 27

554 562 555 145 555 180 607 439 615 134 1,807 515 415 448
476
334 218 342 402 375 809 222 577 429 569 526
614 463 508 898 303 275 218 352 514 313 511 389 374 746
131 186 647 148 402 353 179 411 199
189 217 402 122 366 249
Page 40

Charlton County

12

92.5

60

463

Clinch County

0

0.0

30

451

Coffee County

5

11.6

122

283

Evans County

<5

47

438

Jeff Davis County

0

0.0

31

206

Pierce County

<5

27

139

Tattnall County

<5

101

398

Toombs County

<5

96

357

Ware County

8

22.4

189

530

Wayne County

8

26.8

107

359

10 Northeast (Athens)

63

12.3

1,067

209

Barrow County

9

11.1

141

174

Clarke County

34

26.7

444

349

Elbert County

<5

43

225

Greene County

<5

30

170

Jackson County

7

9.9

82

116

Madison County

<5

30

101

Morgan County

0

0.0

34

180

Oconee County

<5

36

92

Oglethorpe County

<5

28

186

Walton County

7

7.5

199

213

1. Cells <5 are not 2. Rates are not calculated when numerator is <12. 3. Persons residing in correctional facilities are included in this report and may inflate rates in certain geographic regions where there are large numbers of HIV-positive inmates. 4. Most cases associated with a federal detention center located in this county.

2018 Georgia HIV Surveillance Summary

Page 41

Distribution of General Population by Race/Ethnicity

Table 30. Distribution of the general population by race/ethnicity, Georgia 2018

Race/Ethnicity
White, Non-Hispanic Black, Non-Hispanic Hispanic/Latino, Any Race Asian, Non-Hispanic American Indian /Alaskan Native, Non-Hispanic Native Hawaiian/Pacific Islander, Non-Hispanic
Total

Number (%)
5,511,319 3,313,815 1,026,737 443,813 24,102 6,446
10,519,475

Source: Georgia Online Analytical Statistical Information System (https://oasis.state.ga.us/oasis/webquery/qryPopulation.aspx)

2018 Georgia HIV Surveillance Summary

Page 42

HIV/AIDS RESOURCES:

Georgia Department of Public Health http://dph.georgia.gov/what-hiv-and-aids

Centers for Disease Control and Prevention http://www.cdc.gov/hiv/

AIDSVu http://aidsvu.org/

Reporting All health care providers diagnosing and/or providing care to a patient with HIV are required by Georgia law (O.C.G.A. 31-12-1) to report HIV infection using the HIV/AIDS Case Report Form. Case report forms should be completed within seven (7) days of diagnosing a patient with HIV and/or AIDS or within seven (7) days of assuming care of an HIV positive patient who is new to the provider, regardless of whether the patient has previously received care elsewhere. Adult and Pediatric case report forms are available at https://dph.georgia.gov/hivaids-case-reporting For more questions on HIV case reporting in Georgia please contact the HIV Surveillance Coordinator at 1800-827-9769

2018 Georgia HIV Surveillance Summary

Page 43