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Impact of HIV Disease, Impact of HIV Disease, Among the Caribbean-Born, Among the Caribbean-Born, Reported in Florida, Reported in Florida, Through 2012 Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living (Prevalence) data as of 06/30/2013 Created: 08/12/13 Revision: 09/20/13 To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

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To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts. Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012. Florida Department of Health HIV/AIDS and Hepatitis Section - PowerPoint PPT Presentation

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Page 1: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Impact of HIV Disease,Impact of HIV Disease,Among the Caribbean-Born,Among the Caribbean-Born,

Reported in Florida, Through 2012Reported in Florida, Through 2012Florida Department of HealthHIV/AIDS and Hepatitis SectionDivision of Disease Control and Health ProtectionAnnual data trends as of 12/31/2012Living (Prevalence) data as of 06/30/2013

Created: 08/12/13

Revision: 09/20/13

To protect, promote and improve the health of all people in Florida through integrated state, county, and community efforts.

Page 2: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

HIV and AIDS Case Data Adult cases represent ages 13 and older, pediatric cases are

those under the age of 13. For data by year, the age is by age of diagnosis. For living data, the age is by current age at the end of the most recent calendar year, regardless of age at diagnosis.

Unless otherwise noted, whites are non-Hispanic and blacks are non-Hispanic.

Total statewide data will include Department of Correction Cases (DOC) unless otherwise noted. County data will exclude DOC cases.

HIV prevalence data are generated later in the year, usually in May, when most of the “expected” death data are complete.

Unless otherwise note, cases with an unknown or blank country of birth were eliminated from these analyses.

For expanded data on Country of Birth, see the COB Slide set: http://www.doh.state.fl.us/disease_ctrl/aids/trends/slides/slides.html

Page 3: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

HIV/AIDS Cases among Caribbean-Born, by Country of Birth,

Reported through 2012, N=26,986

Note: Of the 26,986 HIV/AIDS cases who were born in the Caribbean, 26,977 were adults (age 13+) and 9 were pediatric cases. A total of 14,774 of these adult cases are living.

Caribbean Country of Birth Frequency(ABW) Aruba 10(AIA) Anguilla 2(ANT) Netherlands Antilles 7(ATG) Antigua and Barbuda 29(BHS) Bahamas 679(BMU) Bermuda 13(BRB) Barbados 79(CUB) Cuba 7,147(CYM) Cayman Islands 11(DMA) Dominica 21(DOM) Dominican Republic 531(GRD) Grenada 28(HTI) Haiti 12,130(JAM) Jamaica 1,692(KNA) Saint Kitts and Nevis 6(LCA) Saint Lucia 32(MSR) Montserrat 1(MTQ) Martinique 2(PRI) Puerto Rico 4,002(TCA) Turks and Caicos Islands 70(TTO) Trinidad and Tobago 241(VCT) Saint Vincent and the Grenadines 19(VGB) Virgin Islands, British 18(VIR) Virgin Islands, U.S. 216Total 26,986

Page 4: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Florida’s Population* By Country of Birth (2010 U.S. Census)

* U.S. Census Bureau, 2008-2010 American Community Survey 3-year Estimate http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml

Colombia, 1%

Cuba, 4%

Haiti, 1%

Jamaica, 1%

Mexico, 1%

Other, 10%

U.S. Born, 80.9%

Page 5: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Male Caribbean-Born HIV/AIDS Casesby Race/Ethnicity and

Year of Report, 2003-2012, Florida

0

50

100

150

200

250

300

350

400

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Year of Report

Nu

mb

er

of

Cases

Caribbean-born Whites Caribbean-born Blacks Caribbean-born Hispanics

Page 6: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Female Caribbean-Born HIV/AIDS Casesby Race/Ethnicity and

Year of Report, 2003-2012, Florida

0

50

100

150

200

250

300

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Year of Report

Nu

mb

er

of

Cases

Caribbean-born Whites Caribbean-born Blacks Caribbean-born Hispanics

Page 7: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

0

50

100

150

200

250

300

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Year of Death

Nu

mb

er

of

Case D

eath

s

Caribbean-born Whites Caribbean-born Blacks Caribbean-born Hispanics

Caribbean-Born Adult HIV/AIDS Cases, Known Dead, Regardless of Cause,

by Race/Ethnicity and Year of Death, 2003-2012, Florida

Page 8: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

0

0

00

0 0

0 0

0

00

00

9

1

1

1

3

1

9

12

4

35

3

14

5

1

12

46

4

7

1

2

2

5 26

31

2 1

6

49

21

13

3227

11

33

4

57

54

62

59

68

86

293

193

1769

172

6741

392

2719

1048

206

250

County totals exclude Department of Corrections cases (N=238).

Caribbean-Born Adults Living with HIV Disease,

Reported through 2012, Florida

N=14,774

Over 100 Cases51-100 Cases1-50 Cases0 Cases

Living with HIV Disease

Page 9: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Adults Living with HIV Disease,by Current Age Group and Country of Birth,

Reported through 2012, Florida

U.S. BornN=70,180

1

17

32

41

9

0

5

10

15

20

25

30

35

40

45

13-19 20-29 30-39 40-49 50+

Per

cen

t o

f C

ases

Caribbean BornN=14,774

0

14

31

51

4

0

10

20

30

40

50

60

13-19 20-29 30-39 40-49 50+

Per

cen

t o

f C

ases

Note: Caribbean-born cases have a higher percent of cases aged 50 and over. An additional 9 Caribbean-born and 211 US-born cases were under the age of 12, data not shown.

Page 10: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Adult Males Living with HIV Disease,by Country of Birth and Race/Ethnicity,

Reported through 2012, Florida

45%

1%

43%

10%WhiteBlack

HispanicOther**

U.S. BornN=48,812

Caribbean-BornN=9,666

52%

46% 1%1%

Note: In this snapshot of adult males living with HIV disease, among U.S. born, the majority of cases were among whites (45%) followed closely by blacks (43%), whereas among the Caribbean-born, the majority of cases were among blacks (52%) followed by Hispanics (46%). **Other includes Asian/Pacific Islanders and Native Alaskans/American Indians.

Page 11: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Adult Females Living with HIV Disease,by Country of Birth and Race/Ethnicity,

Reported through 2012, Florida

20%

1%

71%

7%

WhiteBlack

HispanicOther**

U.S. BornN=21,368

Caribbean-BornN=5,108

20%

79%

<1%1%

Note: In this snapshot of adult females living with HIV disease, among US-born, the majority of cases were among blacks (71%) followed by whites (20%), whereas among the Caribbean-born, the majority of cases were among blacks (79%) followed by Hispanics (20%).**Other includes Asian/Pacific Islanders and Native Alaskans/American Indians.

Page 12: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

8%

18%

69%

5%

White, non-HispanicN=74

27%

65%

<1%

5%2%

MSM IDU MSM/IDU Heterosexual Other*

Black, non-HispanicN=5,025

6%10% <1%

13%

71%

HispanicN=4,493

Caribbean-Born Adult MalesLiving with HIV Disease,

by Race/Ethnicity and Mode of Exposure,Reported through 2012, Florida

Note: NIRs redistributed. Among Caribbean-born males living with HIV disease, the distribution of risk among blacks differs from that among whites and Hispanics. MSM represents the highest risk for whites and Hispanics, where as blacks have a much larger proportion of cases with heterosexual risk.*Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.

Page 13: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

Caribbean-Born Adult FemalesLiving with HIV Disease,

by Race/Ethnicity and Mode of Exposure,Reported through 2012, Florida

24%72%

4%

White, non-HispanicN=25

95%

4%1%

IDU Heterosexual Other*

Black, non-HispanicN=4,005

15%

83%

2%

HispanicN=1,035

Note: NIRs redistributed. Among Caribbean-born females living with HIV disease, the distribution of risk among whites differs from that among blacks and Hispanics. Heterosexual contact is the highest risk for all races, however, whites have a larger proportion of IDU cases. *Other includes hemophilia, transfusion, perinatal and other pediatric risks and other confirmed risks.

Page 14: Impact of HIV Disease, Among the Caribbean-Born, Reported in Florida, Through 2012

For Florida HIV/AIDS Surveillance DataContact: (850) 245-4444

Lorene Maddox, MPH Ext. 2613 Tracina Bush, BSW Ext. 2612 Madgene Moise, MPH Ext. 2373

Visit Florida’s internet site for:Monthly Surveillance Reports

Slide Sets and Fact SheetsAnnual Reports and Epi Profiles

http://www.doh.state.fl.us/disease_ctrl/aids/trends/trends.html

Visit CDC’s HIV/AIDS internet site for:Surveillance Reports, fact sheets and slide sets

http://www.cdc.gov/hiv/topics/surveillance/resources/reports/index.htm