Eastern Region of Virginia

HIV/AIDS and STD TrendsData through 2006

Eastern Region •Accomack•Chesapeake•Essex•Gloucester•Hampton•Isle of Wight•James City•King & Queen•King William•Lancaster•Mathews•Middlesex•Newport News

•Norfolk•North Hampton•Northumberland•Portsmouth•Richmond County•South Hampton•Suffolk•Virginia Beach•Westmoreland•Williamsburg•York

Notes to Accompany Virginia HIV/AIDS TrendsAll data is reported as of December 31st, 2006 unless otherwise indicated.

HIV and AIDS reportingVirginia regulations require reporting of HIV and AIDS cases separately. As a result, a person canbe listed as either a Virginia HIV case, a Virginia AIDS case, or as both (HIV and AIDS). A personfirst diagnosed with HIV infection with no AIDS defining events will always be an HIV case. If at alater time, the patient is diagnosed as AIDS; the person will be listed as both an HIV and AIDScase. If a patient's initial diagnosis of HIV infection is accompanied with an AIDS defining event,the person will be listed as only an AIDS case.

UnduplicatedAs a result of Virginia reporting regulations for HIV and AIDS (see note above), an individualcould be reported twice, once as an HIV case and once as an AIDS case. An unduplicated reportwill count this individual only once. In the case of both HIV and AIDS diagnoses for one individual,age and place of residence at the time of diagnosis will derive from the HIV report. Unduplicated counts will be indicated.

LivingWhen active (e.g., review of charts at provider’s offices) or passive (e.g., receipt of death certificate from Division of Vital Records) surveillance indicates that a patient with HIV or AIDS has died, the reporting database is updated to reflect this information. Living counts will be indicated.

Notes to Accompany Virginia HIV/AIDS TrendsGeographyAll location information is based on the address that is reported to the Division at the time of report.

Report Date vs. Diagnosis DateTime frames are selected based on either the date of report or date of diagnosis. The report date is the date the morbidity is entered into the database. Diagnosis date is the date the disease was diagnosed by a health professional. Statistical reports prepared based on diagnosis dates are likely to change over time, given that disease reports sometimes involve time lags of varying degrees.

AIDS Case Definition ChangeOn January 1, 1993, the AIDS surveillance case definition for adolescents and adults was expanded to include three additional clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer) as well as a laboratory marker of severeimmunosuppression in HIV-infected persons

HIV*/AIDS Trends Between 2005-2006, statewide increase (3%) in reported

HIV/AIDS Eastern Region saw a 8% decrease in reported

HIV/AIDS In the Eastern Region, Portsmouth showed the most

notable decrease (48%) In 2006, 23% of reported cases of HIV/AIDS in the

Eastern region were White, 72% Black, and 5% were Hispanic

Majority of the reported cases of HIV/AIDS were male (70%)

*Includes those that may have progressed to AIDS

VirginiaHIV*/AIDS Cases by Region (N=34,585**)

**Data through 2006

Northwest6.3%

Southwest8.3%

Central24.4%

Northern27.3%

Eastern33.7%

*Includes those that may have progressed to AIDS

Eastern Region of Virginia (N=6,433)Cases of HIV*/AIDS (1996-2006)

318

257

303

264 276

173 175 185

137

284

373283 281

346

476

322

407439

258 266 267

343

0

50

100

150

200

250

300

350

400

450

500

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s_

Cases of HIV (n=3461)

Cases of AIDS (n=2972)

*Includes those that may have progressed to AIDS

People living with HIV(not AIDS)/AIDS Trends Number of people living with HIV(not

AIDS)/AIDS in Eastern Virginia at the end of 2006 ≈ 5851

32% of Virginia’s living total Most of cases are 32 years old 72% male 71% black

Number of People Living with HIV(not AIDS) or AIDS,

in Virginia, by Region, at the end of 2006 (N=18,119)

4379

58515263

1217 1409

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

5500

6000

6500

Rep

ort

ed L

ivin

g

Region

CentralEasternNorthernNorthwestSouthwest

Percentage of People Living with HIV (not AIDS), by Region (N=10,088*)

Northwest5.8%

Southwest7.6%

Central25.8%

Northern26.0%

Eastern34.8%

*Data through 2006

Percentage of People Living with AIDS, by Region, (N=8,031*)

Northwest7.9%

Southwest8.0%

Central22.1%

Northern32.8%

Eastern29.2%

*Data through 2006

Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region of Virginia by Locality as of the end of 2006 (N=5,851)1983

725

560485

17210850 43 41 40 39 35 25 24 22 20 20 18 14 12 9 7 4 4

993

396

0

200

400

600

800

1000

1200

1400

1600

1800

2000

NO

RFO

LK

VIR

GIN

IA B

EACH

NEW

PO

RT N

EW

S

PO

RTSM

OU

TH

HAM

PTO

N

CH

ESAPEAKE

SU

FFO

LK

ACCO

MACK C

O.

WIL

LIAM

SBU

RG

RIC

HM

ON

D C

O.

NO

RTH

AM

PTO

NCO

.

YO

RK C

O.

GLO

UCESTER C

O.

ISLE

OF W

IGH

T C

O.

SO

UTH

AM

PTO

N C

O.

FRAN

KLI

N

JAM

ES C

ITY C

O.

LAN

CASTER C

O.

NO

RTH

UM

BERLA

ND

CO

.W

ESTM

ORELA

ND

CO

.

ESSEX C

O.

MID

DLE

SEX C

O.

KIN

G A

ND

QU

EEN

CO

.

KIN

G W

ILLI

AM

CO

.

MATH

EW

S C

O.

PO

QU

OSO

N

Locality

Rep

orte

d L

ivin

g_

Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region, by Race, at the end of 2006 (N=5,851)

9 30

4141

1981 33

1439

0

500

1000

1500

2000

2500

3000

3500

4000

4500

Report

ed L

ivin

g_

Race

American Indian/ Alaskan Native

Asian/ Pacific Islander

Black

Hispanic

Multiple

Unknown

White

Individuals Living with HIV(not AIDS)/AIDS in the Eastern Region, by Risk at the end of 2006 (N=5,581)

11

1178

716

2064

195 28367

22

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2200

Rep

orte

d Li

ving

_

Risk Factor

HemophiliaHeterosexual ContactInjecting Drug Use (IDU)Men Having Sex with Men (MSM)

MSM & IDUMultiple Heterosexual ContactsPediatricTransfusion/Blood Products

*1315 cases unidentified risk or undetermined risk

Females Living with HIV(not AIDS)/AIDS in the Eastern Region of Virginia by Risk at the end of 2006 (N=1664*)

1

261

86

34

786

120

50100150200250300350400450500550600650700750800

Hemophilia HeterosexualContact

Injecting DrugUse (IDU)

MultipleHeterosexual

Contacts

Pediatric Transfusion

Risk Factor

Rep

orte

d L

ivin

g_ Females (n=1664)

*484 cases unidentified risk or undetermined risk

Males Living with HIV(not AIDS)/AIDS in the Eastern Region by Risk at the end of 2006 (N=4187*)

10

455

2064

195

33 10

392

197

0

200

400

600

800

1000

1200

1400

1600

1800

2000

2200

Hemophilia HeterosexualContact

IDU MSM MSM & IDU MultipleHeterosexual

Contacts

Pediatric Transfusion

Risk Factor

Rep

ort

ed L

ivin

g_ Males (n=4187)

*831 cases unidentified risk or undetermined risk

Total Early Syphilis* Trends Between 2005-2006, statewide increase (21%) in

reported syphilis Eastern Region saw a 13% increase in reported syphilis In the Eastern Region, Suffolk showed the most notable

decrease (53%) In 2006, 10% of reported cases of Syphilis in the Eastern

region were white, 88% black and 2% reported another race

Majority of the reported cases of Syphilis were male (76%)

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Virginia

Total Early Syphilis Cases by Region, 2006 (N=351)

Northwest5.1%

Southwest6.0%

Central17.1%

Northern26.8%

Eastern45.0%

Eastern Health Region Cases of Total Early Syphilis* (1998-2006)

114

99 101

68

45

103

140

158167

0

20

40

60

80

100

120

140

160

180

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by locality in 2006 (N=158)

61

2317 15 13

83 1 1

16

0

5

10

15

20

25

3035

40

45

50

55

60

65

70N

ORFO

LK

PO

RTSM

OU

TH

NEW

PO

RT

NEW

S

VIR

GIN

IABEACH

SU

FFO

LK

HAM

PTO

N

CH

ESAPEAKE

ISLE

OF W

IGH

T

SO

UTH

AM

PTO

N

WIL

LIAM

SBU

RG

Locality

Rep

orte

d C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by Race, in 2006 (N=158)

1

139

216

0

20

40

60

80

100

120

140

160

Report

ed C

ase

s

Count of CASES

Race

Asian/Pacific Islander

Black

Hispanic

White

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Individuals Reported with Total Early Syphilis* in the Eastern Health Region, by age in 2006 (N=158)

10

40

32

15 1620

16

9

0

5

10

15

20

25

30

35

40

4513 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50+

Age

Rep

orte

d C

ases

*Includes a diagnosis of Primary Syphilis, Secondary Syphilis or Early Latent Syphilis

Gonorrhea Trends Between 2005-2006, statewide decrease (23%) in

reported Gonorrhea. 34% decrease in reported Hispanic cases.

Eastern Region saw a 24% decrease in reported Gonorrhea

In the Eastern Region, Norfolk showed the most notable decrease (33%)

In 2006, 12% of reported cases of Gonorrhea in the Eastern region were White, 83% Black, 7% were Hispanic, and 3% were unknown

Majority of the reported cases of Gonorrhea were female (52%)

VirginiaGonorrhea Cases by Region, 2006 (N=6,474)

Northwest6.5%

Southwest15.1%

Central29.7%

Northern6.9%

Eastern41.8%

Eastern Health Region Cases Gonorrhea (1998-2006)

4211

48975088 5029

4479

39803574

2707

4229

0

1000

2000

3000

4000

5000

6000

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s

Individuals Reported with Gonorrhea in the Eastern Health Region, by locality in 2006 (N=2707)

575562

417

319

229171

129

41 31 31 30 27 22 15 13 9 9 8 7 6 4 2 126 230

100

200

300

400

500

600

700N

ORFO

LK

NEW

PO

RT N

EW

S

VIR

GIN

IA B

EACH

HAM

PTO

N

CHESAPEAKE

PO

RTSM

OUTH

SUFFO

LK

FRAN

KLIN

CIT

Y

ACCO

MACK

ESSEX

JAM

ES C

ITY

ISLE O

F W

IGHT

YO

RK

WESTM

ORELAN

D

SO

UTHAM

PTO

N

NO

RTHUM

BERLAN

D

LAN

CASTER

GLO

UCESTER

NO

RTHAM

PTO

N

WIL

LIA

MSBURG

RIC

HM

ON

D C

O.

KIN

G W

ILLIA

M

KIN

G A

ND Q

UEEN

MID

DLESEX

PO

QUO

SO

N

Locality

Rep

orte

d C

ases

Individuals Reported with Gonorrhea in the Eastern Health Region, by Race, in 2006 (N=2,707)

12

2,253

19 16 76331

0

500

1000

1500

2000

2500

Report

ed C

ase

s

Race

Asian/Pacific IslanderBlackHispanicOtherUnknownWhite

Individuals Reported with Gonorrhea in the Eastern Health Region, by Age, in 2006 (N=2,707)

8

752

491

197143

8840 45

943

0

100

200

300

400

500

600

700

800

900

1000

11000-

12

13-1

9

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50+

Age

Rep

orte

d C

ases

Chlamydia Trends Between 2005-2006, statewide increase (6%) in reported

Chlamydia and 26% increase in reported Hispanic Cases Eastern Region saw a 8% increase in reported

Chlamydia In the Eastern Region, Chesapeake showed the most

notable increase (25%) In 2006 in the Eastern Region, 18% of reported cases of

Chlamydia were white, 69% black and 9% were unknown

Majority of the reported cases of Chlamydia were female (73%)

VirginiaChlamydia Cases by Region, 2006 (N=24,081)

Northwest11.5%

Southwest11.9%

Central22.5%

Northern13.4%

Eastern40.6%

Eastern Health Region Cases Chlamydia (1998-2006)

43395222

6847 66877266

82309030

9783

4777

0

2000

4000

6000

8000

10000

12000

1998 1999 2000 2001 2002 2003 2004 2005 2006

Year of Report

Report

ed C

ase

s_

Individuals Reported with Chlamydia in the Eastern Health Region, by locality in 2006 (N=9,783)

17861545

812 732

399

121 88 74 60 60 52 44 40 25 21 19 652 34

7061 4

113163

1167

2235

0

500

1000

1500

2000

2500N

ORFO

LK

VIR

GIN

IA B

EACH

NEW

PO

RT N

EW

S

HAM

PTO

N

CHESAPEAKE

PO

RTSM

OUTH

SUFFO

LK

ACCO

MACK

YO

RK

ISLE O

F W

IGHT

FRAN

KLIN

CIT

Y

SO

UTHAM

PTO

N

WESTM

ORELAN

D

JAM

ES C

ITY

ESSEX

NO

RTHAM

PTO

N

GLO

UCESTER

NO

RTHUM

BERLAN

D

LAN

CASTER

WIL

LIA

MSBURG

KIN

G W

ILLIA

M

MID

DLESEX

KIN

G A

ND Q

UEEN

RIC

HM

ON

D C

O.

MATHEW

S

PO

QUO

SO

N

Locality

Rep

orte

d C

ases

Individuals Reported with Chlamydia in the Eastern Health Region, by Race, in 2006 (N=9,783)

109

6786

240 81842

1725

0

1000

2000

3000

4000

5000

6000

7000

8000

Report

ed C

ase

s

Race

Asian/Pacific Islander

Black

Hispanic

Other

Unknown

White

Individuals Reported with Chlamydia in the Eastern Region, by age in 2006 (N=9,783)

10

3268

4037

1494

499253 102 66 50

0

500

1000

1500

2000

2500

3000

3500

4000

4500

50000-

12

13-1

9

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50+

Age

Rep

orte

d C

ases

Prepared by:

Carrie Dolan, MPHEpidemiologist

Lindsey Matthews, MPH (updated)

Division of Disease PreventionJuly 2007carrie.dolan@vdh.virginia.gov

*Data accessed from HIV/AIDS Reporting System (HARS) and Sexually Transmitted Disease Management Information System (STDMIS) July 2007