The Pennsylvania Department of Health (PADOH) is presenting the 2009/10 Summary Report of the Integrated Epidemiologic Profile of HIV/AIDS in Pennsylvania providing a comprehensive evaluation of data collected through different sources that are intended to provide epidemiologic /scientific resources in support of evidence-based planning for HIV/AIDS prevention and care activities. The HIV/AIDS Surveillance and HIV/AIDS Investigation Sections of the Division of Infectious Disease Epidemiology (IDE), Bureau of Epidemiology (BOE) are the primary entities in the Commonwealth with the capacity and responsibility for: a) HIV/AIDS surveillance and epidemiologic investigations; b) providing data and ongoing epidemiology support to prevention and care service development, evaluation and community planning processes (including participating in planning and implementation meetings, prioritization of population-transmission groups and interventions, conducting analyses to monitor trends, assess need for health-care resources, and project the future impact of the disease); and c) disseminating surveillance data through publications and presentations throughout the Commonwealth. Important uses of the collected data involve supporting the Prevention and Care Planning (PCP) programs during their planning process.

Click the following link to view/ download the INTEGRATED EPIDEMIOLOGIC PROFILE OF HIV/ AIDS IN PENNSYLVANIA 2009 – 2010

TABLE OF CONTENTS

GRAPH TABLE OF CONTENTS

Graph #                                                   GRAPH NAME                                                                                Page #

Figure 1	Trends in HIV and AIDS cases (excluding Philadelphia)	13
Figure 2	Indicators of HIV Epidemic Growth (over Time) by Geographic Area: Time-Space Analyses.	14
Figure 3	Change Over Time in Median Survival after Diagnosis with AIDS in PA	15
Figure 4	Proportions of Diagnoses Cases Presumed Alive After 48 Months for Each Successive AIDS Diagnosis Cohort in Each Coalition Region: Life-Table Analyses	16
Figure 5	Disproportionate Impact of HIV/AIDS by Race/Ethnicity in PA (excluding Philadelphia)	16
Figure 6	Distribution of HIV/AIDS Cases by Race/Ethnicity and Year of Diagnosis (excluding Philadelphia)	17
Figure 7	PA HIV/AIDS Cases by Race and of Year of Diagnosis (excluding Philadelphia)	17
Figure 8	Disproportionate Impact of HIV/AIDS by Age Groups at AIDS Diagnosis in PA	18
Figure 9	Distribution of HIV/AIDS Cases by Age Group and Year of Diagnosis (excluding Philadelphia)	18
Figure 10	PA HIV/AIDS Cases by Age and Year of Diagnosis (excluding Philadelphia)	19
Figure 11	Disproportionate Impact of HIV/AIDS by Sex in PA (excluding Philadelphia)	19
Figure 12	Distribution of HIV/AIDS Cases by Sex and Year of Diagnosis (excluding Philadelphia)	20
Figure 13	PA HIV/AIDS Cases by Gender and Year of Diagnosis (excluding Philadelphia)	20
Figure 14	Distribution of HIV/AIDS by Probable Mode of Transmission in Pennsylvania (excluding Philadelphia)	21
Figure 15	Distribution of HIV/AIDS Cases by Mode of Transmission and Year of Diagnosis (excluding Philadelphia)	21
Figure 16	PA HIV/AIDS Cases by Probable Mode of Transmission and Year of Diagnosis (excluding Philadelphia)	22
Figure 17	Disproportionate Impact of HIV/AIDS by Geographic/Coalition Area in Pennsylvania	22
Figure 18	Distribution of HIV/AIDS Cases by Coalition and Year of Diagnosis (excluding Philadelphia)	23
Figure 19	PA HIV/AIDS Cases by Coalition Region and Year of Diagnosis (excluding Philadelphia	23
Figure 20	Geographic Distribution of the General Population of Pennsylvania by Race/Ethnicity	32
Figure 21	Disproportionate Impact of HIV/AIDS by Race/Ethnicity in Pennsylvania	35
Figure 22	Disproportionate Impact of HIV/AIDS by Age Groups at AIDS Diagnosis in Pennsylvania	41
Figure 23	Disproportionate Impact of HIV/AIDS by Sex in Pennsylvania	44
Figure 24	Distribution of HIV/AIDS by Probable Mode of Transmission in PA (excluding Philadelphia)	50
Figure 25	Number of Adult AIDS cases in PA (excluding Philadelphia) by Year of Diagnosis and Exposure Category 1985-2007	50
Figure 26	Number of Adult AIDS Cases in PA (excluding Philadelphia) by Year of Diagnosis and Exposure Category (1985-2007)	51
Figure 27	Disproportionate Impact of HIV/AIDS by Geographic/Coalition Area in Pennsylvania	55
Figure 28	AIDS Cumulative Incidence Rates in HIV Planning Regions, PA Counties, 2005-2007	55
Figure 29	HIV (including AIDS) Cumulative Case Rates in HIV Planning Regions, PA Counties 2005-07	56
Figure 30	AIDS Cumulative Mortality Rates in HIV Planning Regions, PA Counties, 2005-2007	57
Figure 31	HIV(including AIDS) Cumulative Mortality Rates in HIV Planning Regions, PA Counties, 05-07	58
Figure 32	Disproportionate Geographic Distribution of Persons Living with AIDS (AIDS Prevalence) and Distribution of the General Population	59
Figure 33	Disproportionate Geographic Distribution of Persons Living with HIV (HIV including AIDS Prevalence) and Distribution of the General Population	60
Figure 34	Disproportionate Geographic Distribution of Persons Living with AIDS (AIDS Prevalence)	61
Figure 35	Disproportionate Geographic Distribution of Persons Living with HIV (HIV including AIDS Prevalence)	62
Figure 36	Geographic Variation in Survival after Diagnosis with AIDS in Pennsylvania	63
Figure 37	Geographic Variation in Survival after Diagnosis with AIDS in Pennsylvania	64
Figure 38	Geographic Variation in HIV (including AIDS) Epidemic Growth Rate for 2004-2007	65
Figure 39	Geographic Variation in HIV (including AIDS) Epidemic Growth Rate for 2004-2007 by Tier-based Classification of Epidemic Impact	66
Figure 40	Geographic Variation in HIV (including AIDS) Epidemic Growth Rate for 2004-2007 by Various Measures and Tier-based Classification of Epidemic Impact	67

TABLES - TABLE OF CONTENTS

Table #                                                TABLE NAME                                                                               Page #

Table 1	Incidence of AIDS cases in PA, by year of diagnosis and race/ethnicity	35
Table 2	Incidence of AIDS: cases and rates (per 100,000 population) in PA, by sex and race/ethnicity, 2007	36
Table 3	Incidence of AIDS cases in PA, by race/ethnicity and exposure category, 2007	36
Table 4	Prevalence of AIDS: Number of persons living with AIDS in PA, by year and race/ethnicity	37
Table 5	AIDS Mortality: Number of deaths among persons with AIDS in PA, by year of death and race/ethnicity	38
Table 6	AIDS Mortality: Numbers and rates (per 100,000 population) of deaths among persons with AIDS in PA, by sex and race/ethnicity, 2006 (as of December 31, 2007)	39
Table 7	Incidence of AIDS cases in PA, by year of diagnosis and age at diagnosis	41
Table 8	Incidence of AIDS cases in PA, by sex and age at diagnosis, 2007	42
Table 9	Prevalence of AIDS: Number of persons living with AIDS in PA, by year and current age	42
Table 10	AIDS Mortality: Number of deaths among persons with AIDS in PA, by year of death and age at death	43
Table 11	Incidence of AIDS cases in PA, by year of diagnosis and sex	45
Table 12	Incidence of AIDS cases in PA, by sex and exposure category, 2007	45
Table 13	Incidence of AIDS cases in PA, by sex and age at diagnosis, 2007	46
Table 14	Incidence of AIDS: cases and rates (per 100,000 population) in PA, by sex and race/ethnicity, 2007	46
Table 15	AIDS Prevalence: Numbers of persons living with AIDS in PA, by year and sex	47
Table 16	AIDS Mortality: Numbers of deaths among persons with AIDS in PA, by year of death and sex	47
Table 17	AIDS Mortality: Numbers and rates (per 100,000 population) of deaths among persons with AIDS in PA, by sex and race/ethnicity, 2006 (as of December 31, 2007)	48
Table 18	AIDS comorbidity incidence in PA, by sex and tuberculosis comorbidity, 2007	48
Table 19	Incidence of AIDS cases in PA by year of diagnosis and exposure category	51
Table 20	Incidence of AIDS cases in PA by sex and exposure category, 2007	52
Table 21	Incidence of AIDS cases in PA, by race/ethnicity and exposure category, 2007	52
Table 22	AIDS Incidence, AIDS Prevalence and HIV (not AIDS) Prevalence Race/Ethnicity, Sex, and Age as of 12/31/2007	70
Table 23	AIDS Incidence, AIDS Prevalence and HIV (not AIDS) Prevalence by Demographic Group and Risk Exposure as of 12/31/2007	71
Table 24	AIDS Incidence, AIDS Prevalence and HIV (not AIDS) Prevalence Race/Ethnicity, Sex, and Age as of 12/31/2008	72
Table 25	AIDS Incidence, AIDS Prevalence and HIV (not AIDS) Prevalence by Demographic Group and Risk Exposure as of 12/31/2007	73
Table 26	Modified Option 2 Framework and Estimated Numbers of Persons with Unmet Needs for Primary Medical Care among Persons Living with HIV(non-AIDS PLWH) and AIDS (PLWA) based on Estimates among Publicly vs. Privately Insured HIV+/aware populations.	76
Table 27	Modified Option 2 Framework and Estimated Numbers of Persons with Unmet Needs for Primary Medical Care among Persons Living with HIV(non-AIDS PLWH) and AIDS (PLWA) in Statewide & HIV/AIDS Service Coalition Areas	77
Table 28	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - AACO Service Area	81
Table 29	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - AIDSNET Service Area	83
Table 30	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - NorthCentral Service Area	85
Table 31	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - NorthEast Service Area	87
Table 32	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - NorthWest Service Area	89
Table 33	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - SouthCentral Service Area	91
Table 34	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 - SouthWest Service Area	93
Table 35	Trends of No. Persons Living with HIV (including AIDS) at the end of each year: 2003-2008 – Pennsylvania	95