Transcript London HIV Report: slides

London HIV Report: slides
18 July 2015
Figure 1.1: New HIV and AIDS diagnoses and deaths in
HIV-infected individuals in London clinics, 1999-2008
3,500
Diagnoses / deaths
3,000
2,500
2,000
1,500
1,000
500
0
1999
2000
2001
2002
2003
2004
2005
2006
2007
Year of first UK HIV diagnosis
HIV diagnoses
AIDS diagnoses
Deaths
2008
Figure 1.2: Exposure category of newly diagnosed HIV
infected individuals in London clinics, 1999-2008
2,500
Diagnoses
2,000
1,500
1,000
500
0
1999
2000
2001
2002
2003 2004
2005
2006
2007
2008
Year of first UK HIV diagnosis
MSM
Heterosexual
IDU
Other
Figure 1.3: New HIV diagnoses made in London clinics
by ethnicity, 1999-2008
1,400
1,200
Diagnoses
1,000
800
600
400
200
0
1999 2000
2001
2002 2003
2004 2005
2006
2007 2008
Year of first UK HIV diagnosis
White males
Black African males
Black Caribbean
White females
Black African females
Other BME
Figure 1.4: Probable world region of infection for
heterosexually acquired HIV infections newly diagnosed
in London clinics, 1999-2008
1,400
1,200
Diagnoses
1,000
800
600
400
200
0
1999 2000
2001 2002
2003 2004
2005 2006
2007 2008
Year of first UK HIV diagnosis
UK
Other w orld region
Possibly UK
UK + Possibly UK
Africa
Figure 2.1: Diagnosed HIV positive London residents seen
for care by London sector, 1999-2008 (SOPHID data)
7000
25000
6000
20000
5000
4000
15000
3000
10000
2000
5000
1000
0
0
Survey year North Central London
London
North East London
North West London
South East London
South West London
Diagnosed HIV+ residents
(London)
30000
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
Diagnosed HIV+ residents
(sector)
8000
Diagnosed HIV prevalence per 1,000 (aged 15-59)
Figure 2.2 Diagnosed prevalence of HIV (in those aged
15-59) by London sector, 2008 (SOPHID data)
8.0
6.9
7.0
6.0
5.5
5.0
5.0
4.5
5.0
4.0
3.3
3.0
2.0
1.0
0.0
North
Central
London
North West North East South East South West
London
London
London
London
London
Figure 2.3: Prevalence of diagnosed HIV in London
residents aged 15-59 by PCT, 2008
Figure 2.4: Gender distribution of HIV infected London
residents accessing care by age group (in years), 2008
100%
% of diagnosed HIV+ residents
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
0-14
15-24
Male
25-34
Age group
Female
35-54
55+
Figure 2.5: Proportion of HIV infected London residents
accessing care by London sector and risk group, 2008
% of diagnosed HIV+ residents
60%
50%
40%
30%
20%
10%
0%
North
Central
London
North East North West South East
London
London
London
% MSM
South
West
London
% Heterosexual
London
Figure 2.6: Number of MSM accessing care for
diagnosed HIV by PCT, 2008
Figure 2.7: Number of Black Africans in London
accessing care for diagnosed HIV by PCT, 2008
Figure 2.8: Proportion of HIV infected London residents
accessing care by ethnicity and London sector of
residence, 2008
% of diagnosed HIV+ residents
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
North
Central
London
White
North East North West South East
London
London
London
Black African
South
West
London
Other
London
Figure 2.9: HIV infected London residents accessing
care by clinical stage and London sector of residence,
2008
% of diagnosed HIV+ residents
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
North
Central
London
North East
London
AIDS
North
West
London
South East
London
Symptoms pre-AIDS
South
West
London
London
Asymptomatic
Figure 3.1: Rate of previously undiagnosed HIV in GUM
clinics attendees in London, 1999-2008
6%
% of each group
undiagnosed
5%
4%
3%
2%
1%
0%
1999 2000 2001 2002 2003
2004 2005 2006 2007 2008
Year of surveillance
Male Heterosexual
Female Heterosexual
UK born male heterosexual
UK born female heterosexual
Sub-Saharan Africa male heterosexual
Sub-Saharan Africa female heterosexual
MSM
Figure 3.2: Rate of GUM clinics attendees in London who
left the clinic with their HIV still undiagnosed, 1999-2008
% who left clinic diagnosed
80%
70%
60%
50%
40%
30%
20%
10%
0%
1999 2000
2001 2002
2003 2004
2005 2006
2007 2008
Year of surveillance
MSM
Heterosexual men
Heterosexual w omen
% of London pregnant women with HIV
Figure 3.3: The prevalence of HIV in pregnant women in
Inner and Outer London, 2008
0.6%
0.5%
0.4%
0.3%
0.2%
0.1%
0.0%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Year of surveillance
London
Inner London
Outer London
Figure 3.5: The prevalence of HIV in pregnant women in
London by PCT, 2008
% of HIV patients who were diagnosed late
Figure 4.1: Proportion of HIV-infected London residents
aged 15 years or above by CD4 count and year of new
diagnosis by London sector, 2007-2008
70%
60%
50%
40%
30%
20%
10%
0%
North
Central
London
North East North West South East South West
London
London
London
London
%<200 cells/mm3
%<350 cells/mm3
London
% of HIV patients who were diagnosed
late
Figure 4.2: Proportion of HIV-infected London residents
aged 15 years or above with a CD4 count of <200 cells per
mm3 by risk group and year of new diagnosis, 2007-2008
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
2004/05
2006
2007
2008
Year of first UK HIV diagnosis
MSM
Heterosexual
All
Figure 4.3: Proportion of HIV-infected London residents
aged 15 years or above where CD4 cell count <200 cells
per mm3 by PCT, 2008
HIV tests offered in GUM clinics in London
Figure 6.1: Number of tests conducted in London clinics
by London sector, 2007 and 2008 (P1A + S2) (KC60)
100,000
80,000
60,000
40,000
20,000
0
North
Central
London
North East
London
North West
London
Number of tests offered in 2007
South East
London
South West
London
Number of tests offered in 2008
% of GUM clinic attendees in London who had an HIV
test
Figure 6.2: Proportion of GUM attendees who accepted
the offer of a HIV test by risk group by London sector,
2008 (P1A+S2)/P1A+S2+P1B)x100 (KC60)
90%
85%
80%
75%
70%
65%
North
Central
London
North East North West South East
London
London
London
% uptake of tests in 2008 by Heterosexuals
South
West
London
London
% uptake of tests in 2008 by MSM
% uptake of HIV test in antenatal clinics in 2008
Figure 6.3: Proportion of women attending antenatal
clinics in London who took up the offer of an HIV test by
London sector in 2008 (NAISM)
100%
98%
96%
94%
92%
90%
North
Central
London
North East
London
North
West
London
South East
London
South
West
London
London