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 Page 1 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 Page 2 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 2018 Georgia HIV Surveillance Summary Page 3 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 2018 Georgia HIV Surveillance Summary Page 4 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. 2018 Georgia HIV Surveillance Summary Page 5 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 Page 6 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 Page 7 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. 2018 Georgia HIV Surveillance Summary Page 8 TABLES 2018 Georgia HIV Surveillance Summary Page 9 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. 2018 Georgia HIV Surveillance Summary Page 10 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. 2018 Georgia HIV Surveillance Summary Page 11 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. 2018 Georgia HIV Surveillance Summary Page 12 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. 2018 Georgia HIV Surveillance Summary Page 13 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