Quarterly HIV/AIDS Analysis for Michigan January 1, 2008

Quarterly HIV/AIDS
Analysis for Michigan
January 1, 2008
Michigan Department of Community Health
HIV/STD/Viral Hepatitis and TB Epidemiology Section
Division of Communicable Disease
Bureau of Epidemiology
Estimate of HIV Prevalence
This estimate is calculated using several data sources,
including:
• Persons who have not yet been tested
• Persons tested but not yet reported to MDCH
• Persons reported by name and living with HIV
• Persons reported by name and living with AIDS
Prevalence Estimates of Persons Living with
HIV/AIDS in MI by Sex & Race, January 1, 2008
7000
6000
5000
4000
3000
2000
Hispanic
females
Hispanic
males
White
females
Black
females
0
White males
1000
Black males
Prevalence Estimate
8000
Reported Living with HIV/not AIDS:
• All living persons confidentially reported
with HIV infection, excluding those with AIDS.
Reported Living with AIDS:
• All living persons confidentially reported who
meet the AIDS case definition.
Reported Living with HIV/AIDS:
• All living persons confidentially reported
with HIV infection, including those with AIDS.
Persons living with HIV/AIDS by Sex
18000
16000
Estimate of HIV
Prevalence
14000
12000
Reported Living
with HIV not AIDS
10000
8000
6000
Reported Living
with AIDS
4000
2000
0
Total
Male
Female
# persons est. or reported living with HIV/AIDS
Persons living with HIV/AIDS
by Race & Ethnicity
Estimate of
HIV
Prevalence
10000
8000
Reported
Living with
HIV not
AIDS
6000
Reported
Living with
AIDS
4000
2000
0
White, NonHispanic
Black, NonHispanic
Hispanic
Asian
Am Indian
Multi/Unk/Other
Persons living with HIV/AIDS by Age at
Diagnosis, Ages 0-39
7000
6000
Estimate of HIV
Prevalence
5000
Reported Living
with HIV not AIDS
4000
3000
Reported Living
with AIDS
2000
1000
0
0-12
13-19
20-24
25-29
30-39
Persons living with HIV/AIDS by Age at
Diagnosis, Ages 40+
4000
3500
Estimate of HIV
Prevalence
3000
2500
Reported Living
with HIV not AIDS
2000
1500
Reported Living
with AIDS
1000
500
0
40-49
50-59
60 & over
Unspecified
Behavior Groups
• Behaviors facilitate transmission.
• It is the frequency of particular behaviors
combined with the HIV prevalence in sexual or
drug using networks that determines one’s risk for
becoming infected.
• Demographic descriptors further describe those
at risk.
Persons living with HIV/AIDS
by Behavior Group
9000
8000
Estimate of
HIV
Prevalence
7000
6000
Reported
Living with
HIV not AIDS
5000
4000
Reported
Living with
AIDS
3000
2000
1000
0
MSM
IDU
MSM/IDU
Blood
Heterosexual
Perinatal
Undetermined
Males Reported Living with HIV/AIDS by
Race & Behavior (n=10,255)
3500
3000
White, NonHispanic
2500
Black, NonHispanic
2000
Hispanic
1500
Other/Unk
1000
500
0
MSM
IDU
MSM/IDU
Blood Rec.
Heterosexual
Perinatal
Undetermined
Females Reported Living with HIV/AIDS
by Race & Behavior (n=3,065)
1400
1200
White, NonHispanic
1000
Black, NonHispanic
800
Hispanic
600
Other/Unk
400
200
0
IDU
Blood Rec.
Heterosexual
Perinatal
Undetermined
Persons Living with HIV/AIDS
by Mode of Transmission (n=13,320)
MSM
48%
IDU
12%
MSM/IDU
4%
Blood
1%
Undetermined
17%
Perinatal
1%
Heterosexual
17%
Black Males Living with HIV/AIDS,
by Mode of Transmission (n =5,551)
IDU
13%
MSM
52%
MSM/IDU
6%
Blood
1%
Undetermined
21%
Perinatal
1%
Heterosexual
6%
White Males Living with HIV/AIDS,
by Mode of Transmission (n =4,139)
MSM
74%
IDU
4% MSM/IDU
6%
Blood
2%
Undetermined
11%
Perinatal
<1%
Heterosexual
2%
Black Females Living with HIV/AIDS,
by Mode of Transmission (n =2,268)
Heterosexual
58%
Perinatal
2%
Blood
<1%
IDU
22%
Undetermined
18%
White Females Living with HIV/AIDS,
by Mode of Transmission (n =622)
Perinatal
2%
Undetermined
12%
IDU
18%
Heterosexual
66%
Blood
2%
Infection Status of Perinatal HIV Exposures
2001 - 2007
Number of Infants
80
60
Unknown
25
19
28
40
38
44
34
20
0
Not Infected
41
31
36
28
17
9
4
2
2001
2002
2003
HIV or AIDS
1
2004
Year of Birth
2
2005
10
16
1
4
2006
2007
1
Black Males
White Males
Black Females
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
500
450
400
350
300
250
200
150
100
50
0
1987
Number of Deaths
HIV Related Deaths in MI, all ages,
by Race and Sex 1987-2006
White Females
Year of Death
02/05/08
Leading Causes of Death Among
Black Men in MI
Ages 25-44
350
1990-2006
250
1.Homicide
200
2.Heart Dis
3.Accidents
150
4.Cancer
100
5.HIV Dis
50
6.Suicide
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
0
1990
Number of Deaths
300
Year
02/05/08
Leading Causes of Death Among
White Men in MI
Ages 25-44
1990-2006
500
1.Accidents
400
2.Heart Dis
300
3. Suicide
4.Cancer
200
5.Cirrhosis
100
13. HIV Dis
Year
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
0
1990
Number of Deaths
600
02/05/08
Leading Causes of Death Among
Black Women in MI
120
Ages 25-44
1990-2006
1.Cancer
80
2.Heart Dis
60
3.Homicide
40
4.Accidents
5.Stroke
20
5.HIV Dis
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
0
1990
Number of Deaths
100
Year
02/05/08
Leading Causes of Death
Among White Women in MI
400
Ages 25-44
1990-2006
350
1.Cancer
250
2.Accidents
200
3.Heart Dis
150
4.Suicide
100
5.Cirrhosis
14.HIV Dis
50
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
0
1990
Number of Deaths
300
Year
02/05/08