HIV Surveillance Report, 2003 Minnesota Department of Health HIV/AIDS Surveillance System Introduction (I) These two introduction slides provide a general context for the data.
Download ReportTranscript HIV Surveillance Report, 2003 Minnesota Department of Health HIV/AIDS Surveillance System Introduction (I) These two introduction slides provide a general context for the data.
HIV Surveillance Report, 2003 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, 2003 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 2003 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 = 91). Data analyses exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program (total participants in this program since its inception in August 2000 = 67). 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 2002 New York (34.8) 40 35 Overall U.S. Rate = 14.8 30 25 Illinois (16.7) 20 15 WI (3.4) 10 Minnesota (3.2) IA (3.2) SD (1.4) ND (0.5) 5 0 N F D C I M N T N C H A O M K M O N U W M K I M S Y L E T L S V N C A I L R I Y O K M T I N S D T D SOURCE: U.S. HIV/AIDS Surveillance Report, Year-end 2002 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, 2003, a cumulative total of 7,356* persons have been diagnosed and reported with HIV infection in Minnesota 3,173 persons diagnosed with HIV infection (non-AIDS) 4,183 persons diagnosed with AIDS Of these 7,356 persons, 2,583 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, 2003, 4,895* persons are assumed alive and living in Minnesota with HIV/AIDS 2,880 living with HIV infection (non-AIDS) 2,015 living with AIDS This number includes 538 persons who were first reported with HIV or AIDS elsewhere and subsequently moved to Minnesota This number excludes 481 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, 1990-2003 AIDS AIDS Deaths* 500 Living HIV/AIDS 5000 400 4000 300 3000 200 2000 100 1000 0 0 1990 1992 1994 1996 1998 2000 2002 Year * 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) 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 HIV Infections† by County of Residence at Diagnosis, 2003 Roseau Lake of the Woods Marshall Koochiching Pennington Number of Infections Beltrami Red Lake Polk Clearwater St. Louis Cook * Lake Itasca Norman Mahnomen None 1-2 3-5 Hubbard Becker Clay 6 - 15 Cass Aitkin Wadena 46 - 157 Crow Wing Otter Tail Wilkin 16 - 45 * Carlton Pine Todd Grant Douglas Stevens Pope Morrison City of Minneapolis – 102 City of St. Paul – 38 Suburban# – 92 Greater Minnesota - 30 * Mille Lacs Kanabec Traverse Benton * Stearns Isanti Big Stone Anoka Kandiyohi Wright Meeker Chippewa Yellow Medicine Hennepin McLeod Lyon Redwood Rock Murray Cottonwood Scott Nicollet Nobles Jackson Watonwan Martin (4 people missing residence information) Washington * Ramsey Le Sueur * Rice Dakota * Brown Pipestone * Carver Renville Sibley Lincoln Total number = 266 Chisago Swift Lac qui Parle * Sherburne Blue Earth Faribault Waseca Steele Freeborn Data Source: Minnesota HIV/AIDS Surveillance System Goodhue * Dodge Mower * Counties in which a state correctional facility is located Wabasha Olmsted Fillmore Winona Houston 7-county metro area, excluding the cities of Minneapolis and St. Paul # †HIV or AIDS at first diagnosis HIV/AIDS in Minnesota: Annual Review Map of Metro Area: HIV Infections† by County of Residence at Diagnosis, 2003 Number of Infections Anoka * None Washington 1-2 3-5 * Hennepin 6 - 15 16 - 45 Ramsey 46 - 157 City of Minneapolis – 102 City of St. Paul – 38 Suburban# – 92 Carver Total number (Metro only) = 232 Scott * Dakota * Counties in which a state correctional facility is located 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 HIV Infections* in Minnesota by Residence at Diagnosis, 2003 Greater MN 11% Total Number = 266 Minneapolis 39% (4 persons missing residence information) Suburban 35% St. Paul 15% 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 HIV Infections* by Gender and Year of Diagnosis, 1990-2003 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 2003 Year * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review HIV Infections* Among Males by Race/Ethnicity† and Year of Diagnosis, 1990-2003 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 2003 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 HIV Infections* Among Males by Race/Ethnicity† and Year of Diagnosis, 1990-2003 (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 2003 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 HIV Infections* Among Females by Race/Ethnicity† and Year of Diagnosis, 1990-2003 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 1997 Year 1998 1999 2000 2001 2002 2003 * 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 HIV Infections* Diagnosed in Year 2003 by Gender and Race/Ethnicity Males (n = 201) Females (n = 65) White 55% Afr Amer 31% Afr Amer 17% White 12% Other 0% Asian 2% Hispanic 11% Amer Ind 2% * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System Afr born 13% Other 2% Asian 3% Afr born 42% Amer Ind 5% Hispanic 5% n = Number of persons Afr Amer = African American (Black, not African-born persons) Afr born = African-born (Black, African-born persons) Amer Ind = American Indian Other = Multi-racial persons or persons with unknown race HIV/AIDS in Minnesota: Annual Review Number of Cases and Rates (per 100,000 persons) of HIV Infection* by Race/Ethnicity† – Minnesota, 2003 Race/Ethnicity Cases % Rate White, non-Hispanic 116 44% 2.7 Black, African-American 53 20% 31.6 Black, African-born 55 21% 110-156†† Hispanic 26 10% 18.1 American Indian 7 3% 8.6 Asian/Pacific Islander 7 3% 4.2 Other^ 2 1% X 266 100% 5.4 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. ^ Other = Multi-racial persons or persons with unknown race 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 2001-2003 33 (918) 35 (512) 38 (363) 32 (214) 34 (186) 37 (110) 30 (6) 36 (20) 36 (70) Hispanic 32 (54) 33 (48) 34 (65) Asian 25 (5) 38 (8) 39 (16) American Indian 29 (28) 29 (10) 38 (14) White Black African American African-born Cases with unknown or multiple race or unknown 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 2001-2003 30 (88) 32 (68) 32 (38) African American 29 (54) 30 (80) 32 (63) African-born 21 (6) 31 (11) 33 (97) 34 (14) 34 (13) 29 (15) -- -- 38 (5) 29 (16) 30 (12) 38 (10) White Black Hispanic Asian American Indian * Average age not displayed for subgroups with less than 5 cases. Cases with unknown or multiple race or unknown 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 HIV Infections* Among Adolescents and Young Adults† by Gender and Year of Diagnosis, 1990-2003 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 2003 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 HIV Infections* Among Adolescents and Young Adults† by Gender and Race/Ethnicity, 2001-2003 Combined Males (n = 58) Females (n = 48) White 44% Afr Amer 34% Afr Amer 22% Hispanic 10% White 23% Amer Ind 4% Other 2% Afr born 10% Amer Ind 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 Hispanic 19% Other 2% 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) Other = Multi-racial persons or persons with unknown race Afr born 27% HIV/AIDS in Minnesota: Annual Review HIV Infections* Among Adolescents and Young Adults† by Gender and Exposure Group, 2001-2003 Combined Males (n = 58) Females (n = 48) MSM 69% Unspecified 7% Unspecified 27% IDU 6% No Interview 17% MSM/IDU 5% Heterosex 2% * 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 34% Heterosex 23% Heterosex w/ IDU 10% 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, 1990-2003 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 2003 Year MSM = Men who have sex with men * HIV or AIDS at first diagnosis IDU = Injecting drug use Heterosexual = Heterosexual contact Unspecified = No mode of exposure ascertained 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, 1990-2003 (excluding MSM) 60 Number of Cases 50 IDU MSM/IDU Heterosexual Unspecified 40 30 20 10 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year MSM = Men who have sex with men * HIV or AIDS at first diagnosis IDU = Injecting drug use Heterosexual = Heterosexual contact Unspecified = No mode of exposure ascertained 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, 1990-2003 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 2003 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, 1990-2003 50 Births HIV Infections Number of Cases 40 30 20 Rate of Perinatal Transmission for years 2001-2003 = 2% 10 0 1990 1991 1992 1993 1994 1995 1996 1997 Year 1998 1999 2000 2001 2002 2003 * HIV or AIDS at first diagnosis for a child exposed to HIV during mother’s pregnancy, at birth, and/or during breastfeeding. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 combined White Males (n = 363) No Interview 8% MSM 78% Unspecified 4% Heterosex 2% Heterosex w/ IDU 1% IDU 1% MSM/IDU 6% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 combined African American Males† (n = 110) No Interview 25% MSM 44% Unspecified 13% Heterosex 4% Heterosex w/ IDU 3% 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 7% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined Hispanic Males (n = 65) No Interview 23% MSM 58% Unspecified 8% Heterosex 3% Heterosex w/ IDU 5% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined African-born Males† (n = 70) No Interview 41% MSM 3% Heterosex 1% Unspecified 55% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined American Indian Males (n = 14) CAUTION: Small number of cases – interpret carefully. MSM 29% No Interview 29% Unspecified 7% 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 MSM/IDU 7% Heterosex w/ IDU 7% IDU 14% IDU = Injecting drug use Heterosex = Heterosexual contact HIV/AIDS in Minnesota: Annual Review HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined Asian Males (n = 16) CAUTION: Small number of cases – interpret carefully. MSM 44% No Interview 25% MSM/IDU 6% Unspecified 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 Heterosex 6% IDU 6% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined African-born Females† (n = 97) No Interview 42% Heterosex 15% M w/ HIV 3% Unspecified 40% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined African American Females† (n = 63) Unspecified 17% Heterosex 34% Heterosex w/ IDU 16% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis † No Interview 24% IDU 6% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined White Females (n = 38) No Interview 13% IDU 5% Heterosex w/ IDU 24% Unspecified 26% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System Heterosex 32% Heterosex = Heterosexual contact No Interview = Could not, would not or have yet to be interviewed HIV/AIDS in Minnesota: Annual Review HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined Hispanic Females (n = 15) CAUTION: Small number of cases – interpret carefully. No Interview 33% M w/ HIV 7% IDU 13% Heterosex w/ IDU 7% Heterosex 40% n = Number of persons IDU = Injecting drug use * HIV or AIDS at first diagnosis Data Source: Minnesota HIV/AIDS Surveillance System 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined American Indian Females (n = 10) CAUTION: Small number of cases – interpret carefully. IDU 30% Heterosex w/ IDU 20% Heterosex 20% No Interview 20% Unspecified 10% 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 HIV Infections* by Mode of Exposure Diagnosis Years 2001-2003 Combined Asian Females (n = 5) CAUTION: Small number of cases – interpret carefully. Unspecified 60% Heterosex 20% No Interview 20% 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 Special Populations HIV/AIDS in Minnesota: Annual Review HIV Infections* among Foreign-Born Persons† in Minnesota by Year of Diagnosis and Region of Birth, 1990-2003 100 Number of Cases 80 60 Region of Birth# Other Latin America/Car 40 Asia Africa 20 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year * HIV or AIDS at first diagnosis † Excludes persons arriving to Minnesota through the HIV+ Refugee Resettlement Program. # Latin America/Car includes Mexico and all Central, South American, and Caribbean countries. Data Source: Minnesota HIV/AIDS Surveillance System HIV/AIDS in Minnesota: Annual Review HIV Infections* Among African-Born Persons† by Year of Diagnosis, 1990-2003 HIV (non-AIDS) 80 AIDS at first diagnosis 70 Number of Cases 60 50 40 30 20 10 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 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