HIV Surveillance Report, 2002 Minnesota Department of Health HIV/AIDS Surveillance System Introduction (I) These two introduction slides provide a general context for the data used.
Download ReportTranscript HIV Surveillance Report, 2002 Minnesota Department of Health HIV/AIDS Surveillance System Introduction (I) These two introduction slides provide a general context for the data used.
HIV Surveillance Report, 2002 Minnesota Department of Health HIV/AIDS Surveillance System Introduction (I) These two introduction slides provide a general context for the data used to create this slide set. If you have questions about any of the slides please refer to the Companion Text to the Minnesota HIV Surveillance Report, 2002 or HIV Surveillance Technical Notes. This slide set describes new HIV infections (including AIDS at first diagnosis) in Minnesota by person, place, and time. The slides rely on data from HIV/AIDS cases diagnosed through 2002 and reported to the Minnesota Department of Health (MDH) HIV/AIDS Surveillance System. The data are displayed by year of HIV diagnosis. Introduction (II) Data analyses exclude persons diagnosed in federal or private correctional facilities, but include state prisoners (number of state prisoners believed to be living with HIV/AIDS = 99). Data analyses exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program (total participants in this program since its inception in August 2000 = 50). Some limitations of surveillance data: Data do not include HIV-infected persons who have not been tested for HIV Data do not include persons whose positive test results have not been reported to the MDH Case numbers for the most recent years may be undercounted due to delays in reporting National Context HIV/AIDS in Minnesota: Annual Review U.S. State-Specific AIDS Rates per 100,000 Population Year 2001 New York (39.3) 40 35 Overall U.S. Rate = 14.9 30 25 20 Illinois (10.6) 15 10 WI (3.6) Minnesota (3.2) SD (3.3) IA (3.0) 5 ND (0.5) 0 N F G L C M V M N T H R K N A C M W N M W M I M W Y L A A T I A A C N I I Y M R O I V E E I N A T Y SOURCE: U.S. HIV/AIDS Surveillance Report, Year-end 2001 National Center for HIV, STD, and TB Prevention, CDC HIV/AIDS in Minnesota: Annual Review Overview of HIV/AIDS in Minnesota HIV/AIDS in Minnesota: Annual Review Minnesota HIV/AIDS Surveillance: Cumulative Cases As of December 31, 2002, a cumulative total of 7,073* persons have been diagnosed and reported with HIV infection in Minnesota 3,065 persons diagnosed with HIV infection (non-AIDS) 4,008 persons diagnosed with AIDS Of these 7,073 persons, 2,528 are known to be deceased * This number includes only persons who reported Minnesota as their state of residence at the time of their HIV and/or AIDS diagnosis. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review Estimated Number of Persons Living with HIV/AIDS in Minnesota As of December 31, 2002, 4,598* persons are assumed alive and living in Minnesota with HIV/AIDS 2,736 living with HIV infection (non-AIDS) 1,862 living with AIDS This number includes 439 persons who were first reported with HIV or AIDS elsewhere and subsequently moved to Minnesota This number excludes 439 persons who were first reported with HIV or AIDS in Minnesota and subsequently moved out of the state * This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review HIV/AIDS in Minnesota: Number of New Cases, Prevalent Cases, and Deaths by Year, 1990-2002 AIDS AIDS Deaths* Living HIV/AIDS 500 5000 400 4000 300 3000 200 2000 100 1000 0 0 1990 1992 1994 1996 Year 1998 2000 2002 * Deaths among AIDS cases, regardless of cause. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review No. of Persons Living w/ HIV/AIDS No. of New HIV/AIDS Cases & Deaths HIV (non-AIDS) New HIV Infections* in Minnesota by Person, Place, and Time * HIV or AIDS at first diagnosis HIV/AIDS in Minnesota: Annual Review Place HIV/AIDS in Minnesota: Annual Review Kittson New HIV Infections† by County of Residence at Diagnosis, 2002 Roseau Lake of the Woods Marshall Koochiching Number of New Infections Pennington Beltrami Red Lake Polk Cook Clearwater St. Louis Lake Itasca Norman Hubbard Clay 6 - 15 Cass Wadena 16 - 45 Crow Wing Wilkin Aitkin Carlton Otter Tail Todd Grant 46 - 187 * City of Minneapolis – 126 City of St. Paul – 41 Suburban# – 104 Greater Minnesota - 32 * Pine Mille Lacs Morrison Douglas Kanabec Traverse Benton Pope Stevens Big Stone Stearns Swift Lac Qui Parle Meeker Lyon Anoka Renville Redwood Nicollet Carver Scott Rock Murray Nobles Cottonwood Watonwan Jackson Martin * Blue Earth Faribault Waseca Ramsey Dakota Le Sueur Rice Brown Pipestone (2 people missing residence information) Washington Hennepin McLeod Total number = 305 Chisago Wright Sibley Lincoln * Isanti Sherburne Kandiyohi Chippewa Yellow Medicine * 1-2 3-5 Mahnomen Becker None * Steele Freeborn * * Goodhue * Counties in which a state correctional facility is located Wabasha Dodge Mower Olmsted Fillmore Winona 7-county metro area, excluding the cities of Minneapolis and St. Paul # Houston †HIV Data Source: Minnesota HIV/AIDS Surveillance System or AIDS at first diagnosis HIV/AIDS in Minnesota: Annual Review Map of Metro Area: New HIV Infections† by County of Residence at Diagnosis, 2002 Number of New Infections Anoka * None Washington 1-2 3-5 * Hennepin 6 - 15 16 - 45 Ramsey 46 - 187 City of Minneapolis – 126 City of St. Paul – 41 Suburban# – 104 Carver Total number (Metro only) = 271 Scott * Dakota 7-county metro area, excluding the cities of Minneapolis and St. Paul # Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* in Minnesota by Residence at Diagnosis, 2002 Greater MN 11% Total Number = 305 Minneapolis 41% (2 persons missing residence information) Suburban 34% St. Paul 14% Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott, and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area. * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review Gender and Race/Ethnicity HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Gender and Year of Diagnosis, 1990-2002 Males 450 Females 400 Number of Cases 350 300 250 200 150 100 50 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among Males by Race/Ethnicity† and Year of Diagnosis, 1990-2002 350 White Hispanic American Indian 300 African American Asian African-born Number of Cases 250 200 150 100 50 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year * HIV or AIDS at first diagnosis † “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among Males by Race/Ethnicity† and Year of Diagnosis, 1990-2002 (excluding Whites) 100 African American Asian African-born Number of Cases 80 Hispanic American Indian 60 40 20 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year * HIV or AIDS at first diagnosis † “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among Females by Race/Ethnicity† and Year of Diagnosis, 1990-2002 White Hispanic American Indian 50 45 African American Asian African-born 40 Number of Cases 35 30 25 20 15 10 5 0 1990 1991 1992 1993 1994 1995 1996 Year 1997 1998 1999 2000 2001 2002 * HIV or AIDS at first diagnosis † “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* Diagnosed in Year 2002 by Gender and Race/Ethnicity Males† (n = 218) Females† (n = 87) Afr Amer 29% White 54% Afr Amer 17% White 16% Asian 3% Amer Ind 1% Hispanic 12% Afr born 13% * HIV or AIDS at first diagnosis † 2 males and 1 female had missing race and were excluded. Data Source: Minnesota HIV/AIDS Surveillance System Afr born 41% Asian 2% Amer Ind 5% Hispanic 7% n = Number of persons Amer Ind = American Indian Afr Amer = African American (Black, not African-born persons) Afr born = African-born (Black, African-born persons) HIV/AIDS in Minnesota: Annual Review Number of Cases and Rates (per 100,000 persons) of HIV Infection* by Race/Ethnicity† – Minnesota, 2002 Race/Ethnicity Cases % Rate 129 42% 3.0 Black, African-American 62 20% 37.0 Black, African-born 65 21% 130-185†† Hispanic 31 10% 21.6 American Indian 7 2% 8.6 Asian/Pacific Islander 9 3% 5.3 Unknown 2 1% X 305 100% 6.2 White, non-Hispanic Total * HIV or AIDS at first diagnosis; 2000 U.S. Census Data used for rate calculations. “African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are excluded. † †† Accurate population estimates for African-born persons and MSM (any race) living in Minnesota are unavailable – anecdotal (50,000) and 2000 US Census data (35,188) ) were used to create the range of rates reported for African-born. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review Age HIV/AIDS in Minnesota: Annual Review Average Age at HIV Diagnosis Among Males: Three-Year Averages Race/Ethnicity Average age in years (Number of cases) 1989-1991 1994-1996 2000-2002 33 (916) 35 (510) 37 (341) 33 (212) 34 (186) 37 (122) 30 (6) 36 (20) 37 (65) Hispanic 32 (54) 33 (46) 32 (66) Asian 25 (5) 38 (8) 39 (14) American Indian 29 (28) 29 (10) 35 (15) White Black African American African-born Cases with unknown race or age were excluded. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review Average Age at HIV Diagnosis Among Females: Three-Year Averages Race/Ethnicity Average age in years (Number of cases)* 1989-1991 1994-1996 2000-2002 30 (88) 32 (68) 31 (51) African American 29 (54) 30 (80) 33 (71) African-born 21 (6) 31 (11) 31 (84) 34 (14) 34 (13) 29 (18) -- -- 31 (6) 29 (16) 30 (12) 37 (11) White Black Hispanic Asian American Indian * Average age not displayed for subgroups with less than 5 cases. Cases with unknown race or age were excluded. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review Adolescents & Young Adults (Ages 13-24)* * Case numbers are too small to present meaningful data separately for adolescents and young adults. HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among Adolescents and Young Adults† by Year of Diagnosis, 1990-2002 50 Males Females 45 40 Number of Cases 35 30 25 20 15 10 5 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year * HIV or AIDS at first diagnosis † Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among Adolescents and Young Adults† by Gender and Race/Ethnicity, 2000-2002 Combined Males (n = 65) Females (n = 47) White 40% Afr Amer 30% Afr Amer 23% White 35% Hispanic 6% Amer Ind 6% Afr born 9% Amer Ind 5% Hispanic 23% * HIV or AIDS at first diagnosis † Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds. Data Source: Minnesota HIV/AIDS Surveillance System Afr born 23% n = Number of persons Amer Ind = American Indian Afr Amer = African American (Black, not African-born persons) Afr born = African-born (Black, African-born persons) HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among Adolescents and Young Adults† by Gender and Exposure Group, 2000-2002 Combined Males (n = 65) Females (n = 47) MSM 71% Unspecified 11% Heterosex w/ IDU 11% Heterosex 32% IDU 4% Unspecified 21% No Interview 12% MSM/IDU 3% Heterosex 3% * HIV or AIDS at first diagnosis † Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds. Data Source: Minnesota HIV/AIDS Surveillance System No Interview 32% n = Number of persons MSM = Men who have sex with men IDU = Injecting drug use Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review Mode of Exposure HIV/AIDS in Minnesota: Annual Review HIV Infections* Among Males by Mode of Exposure and Year of Diagnosis, 1990-2002 350 300 MSM IDU MSM/IDU Heterosexual Unspecified Number of Cases 250 200 150 100 50 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year MSM = Men who have sex with men * HIV or AIDS at first diagnosis IDU = Injecting drug use Heterosexual = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review HIV Infections* Among Males by Mode of Exposure and Year of Diagnosis, 1990-2002 (excluding MSM category) 60 IDU MSM/IDU Heterosexual Unspecified Number of Cases 50 40 30 20 10 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year MSM = Men who have sex with men * HIV or AIDS at first diagnosis IDU = Injecting drug use Heterosexual = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review HIV Infections* Among Females by Mode of Exposure and Year of Diagnosis, 1990-2002 45 IDU Heterosexual Unspecified Number of Cases 30 15 0 1990 1991 IDU = Injecting drug use * HIV or AIDS at first diagnosis 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year Heterosexual = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review Births to HIV-Infected Women and Number of Perinatally Acquired HIV Infections* by Year of Birth, 1990-2002 40 Births HIV Infections (Trend Line without EPS Project) Number of Cases 30 20 Rate of Perinatal Transmission for years 2000-2002 = 2% 10 0 1990 1991 1992 1993 1994 1995 1996 Year 1997 1998 1999 2000 2001 2002 * HIV or AIDS at first diagnosis for a child exposed to HIV during mother’s pregnancy, at birth, and/or during breastfeeding. NOTE: Reporting of births is known to be incomplete. During 2001 an Enhanced Perinatal Surveillance Project (EPS) Project was undertaken and identified 19 of the 37 births reported in 2001. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 combined White Males (n = 341) No Interview 7% Unspecified 4% MSM 80% Heterosex 3% Heterosex w/ IDU 2% IDU 1% MSM/IDU 3% n = Number of persons MSM = Men who have sex with men * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System IDU = Injecting drug use Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 combined African American Males† (n = 122) No Interview 25% MSM 43% Unspecified 13% Heterosex 3% Heterosex w/ IDU 2% n = Number of persons MSM = Men who have sex with men * HIV or AIDS at first diagnosis † Refers to Black, African American (not African-born) males. Data Source: Minnesota HIV/AIDS Surveillance System IDU 10% MSM/IDU 4% IDU = Injecting drug use Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined Hispanic Males (n = 66) No Interview 18% Unspecified 9% MSM 57% Heterosex 6% Heterosex w/ IDU 6% IDU 2% n = Number of persons MSM = Men who have sex with men * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System MSM/IDU 2% IDU = Injecting drug use Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined African-born Males† (n = 65) No Interview 45% MSM 6% Heterosex 2% Heterosex w/ IDU 5% Unspecified 42% n = Number of persons MSM = Men who have sex with men * HIV or AIDS at first diagnosis † IDU = Injecting drug use Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed Refers to Black, African-born males. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined American Indian Males (n = 15) CAUTION: Small number of cases – interpret carefully. No Interview 27% MSM 33% Heterosex 7% Heterosex w/ IDU 13% n = Number of persons MSM = Men who have sex with men * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System MSM/IDU 7% IDU 13% IDU = Injecting drug use Heterosex = Heterosexual contact HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined Asian Males (n = 14) CAUTION: Small number of cases – interpret carefully. MSM 51% No Interview 7% Unspecified 21% Heterosex 7% n = Number of persons MSM = Men who have sex with men * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System IDU 7% MSM/IDU 7% IDU = Injecting drug use Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined African-born Females† (n = 84) No Interview 44% Heterosex 18% M w/ HIV 4% Unspecified 34% n = Number of persons M w/ HIV = Mother w/ HIV, HIV risk * HIV or AIDS at first diagnosis † Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed Refers to Black, African-born females. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined African American Females† (n = 71) Heterosex 35% Unspecified 13% No Interview 27% Heterosex w/ IDU 18% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis † IDU 4% M w/ HIV 3% Heterosex = Heterosexual contact M w/ HIV = Mother with HIV, HIV risk No Interview = Could not, would not or have yet to be interviewed Refers to Black, African American (not African-born) females. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined White Females (n = 51) No Interview 17% IDU 7% Heterosex w/ IDU 20% Unspecified 28% Heterosex 28% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined Hispanic Females (n = 18) CAUTION: Small number of cases – interpret carefully. No Interview 28% IDU 6% Unspecified 11% M w/ HIV 11% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System Heterosex 44% M w/ HIV = Mother w/ HIV, HIV risk Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined American Indian Females (n = 11) CAUTION: Small number of cases – interpret carefully. IDU 18% Heterosex w/ IDU 37% No Interview 9% Heterosex 36% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review New HIV Infections* by Mode of Exposure Diagnosis Years 2000-2002 Combined Asian Females (n = 6) CAUTION: Small number of cases – interpret carefully. Heterosex 33% Unspecified 50% No Interview 17% n = Number of persons Heterosex = Heterosexual contact * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review Emerging Trend HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among African-Born Persons† by Year of Diagnosis, 1990-2002 HIV (non-AIDS) 70 AIDS at first diagnosis Number of Cases 60 50 40 30 20 10 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Year * HIV or AIDS at first diagnosis † Includes 1 non-Black, African-born individual, but excludes persons arriving to Minnesota through the HIV+ Refugee Resettlement Program. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review New HIV Infections* Among African-Born Persons† Compared to Other Minnesota Cases by Gender, 2002 African-born Persons Other Minnesota Cases Total Number = 65 Total Number = 238 Women 21% Men 45% Women 55% Men 79% * HIV or AIDS at first diagnosis † Includes 1 non-Black, African-born individual, but excludes persons arriving to Minnesota through the HIV+ Refugee Resettlement Program. Two cases with unknown race are excluded. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review