Maryland Annual HIV Epidemiological Profile



-354965-171450AcknowledgementsThis report is published by The Center for HIV Surveillance, Epidemiology and Evaluation annually with valuable contribution from the following people listed. In addition, this report would not have been possible without the cooperation, dedication and hard work of HIV health care providers, community groups, researchers and members of the community and contribution from people with HIV.Center for HIV Surveillance, Epidemiology and EvaluationColin Flynn, ChiefJami Stockdale, Deputy Chief, Epidemiology and EvaluationReshma Bhattacharjee, Deputy Chief, HIV Case SurveillanceAlyssa Arey, EpidemiologistMorgan Boyer, EpidemiologistHarold Boykin, EpidemiologistMolly Gribbin, EpidemiologistJennifer Lawall, EpidemiologistLeigh Carels, Surveillance InvestigatorPhyllis Finch, Surveillance InvestigatorDelwar Hossain, Surveillance InvestigatorBekele Mamo, Surveillance InvestigatorWinona Matthews, Surveillance InvestigatorCarly Stokum, Surveillance Investigator Assefa Tigeneh, Surveillance InvestigatorDenise Bannerman-Wood, Data Quality Specialist/NIR CoordinatorYvonne Childress, Data SpecialistKathy Colburn, Data SpecialistLillian Keene, Data SpecialistRhonda Rowlette, Data Specialist, Health Record ReviewerMohammed Haque, Health Record ReviewerNancy McCaslin, Health Record ReviewerMarilyn Walkins, Health Record ReviewerLinda Knapp, EvaluatorSara Daneshpour, Research AssistantClaire Kihn, Research AssistantSuggested Citation: Baltimore Metro HIV Epidemiological Profile 2014. Center for HIV Surveillance, Epidemiology and Evaluation, Department of Health and Mental Hygiene, Baltimore, MD. 2016.Table of Contents TOC \o "1-2" \h \z \u Acknowledgements PAGEREF _Toc449941253 \h 1Table of Contents PAGEREF _Toc449941254 \h 2Section I – Background Information PAGEREF _Toc449941255 \h 4HIV/AIDS Reporting Requirements PAGEREF _Toc449941256 \h 4For Assistance with HIV/AIDS Reporting PAGEREF _Toc449941257 \h 4Limitations in the HIV/AIDS Data PAGEREF _Toc449941258 \h 4Stages of a Case of HIV/AIDS PAGEREF _Toc449941259 \h 5Changes in Case Terminology PAGEREF _Toc449941260 \h 5Laboratory Data PAGEREF _Toc449941261 \h 6Sources of Data PAGEREF _Toc449941262 \h 6Tabulation of Column Totals PAGEREF _Toc449941263 \h 6Data Suppression PAGEREF _Toc449941264 \h 6HIV Exposure Categories PAGEREF _Toc449941265 \h 6Section II – Trends 1985-2014 PAGEREF _Toc449941266 \h 7Figure 1 – Trends in Reported HIV and AIDS Diagnoses and Deaths, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941267 \h 7Figure 2 – Trends in Living HIV Cases, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941268 \h 8Figure 3 – Trends in Adult/Adolescent Reported HIV Diagnoses by Sex at Birth, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941269 \h 9Figure 4 – Trends in Adult/Adolescent Reported HIV Diagnoses by Race/Ethnicity, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941270 \h 10Figure 5 – Trends in Adult/Adolescent Reported HIV Diagnoses by Age at Diagnosis, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941271 \h 11Figure 6 – Trends in Adult/Adolescent Reported HIV Diagnoses by Exposure Category, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941272 \h 12Section III – Adult/Adolescent Cases by Jurisdiction PAGEREF _Toc449941273 \h 13Table 1 – Adult/Adolescent HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Jurisdiction, Reported through 12/31/2015 PAGEREF _Toc449941274 \h 13Table 2 – Adult/Adolescent AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Jurisdiction, Reported through 12/31/2015 PAGEREF _Toc449941275 \h 14Table 3 – Adult/Adolescent HIV Cases Alive on 12/31/2014, by Jurisdiction, Reported through 12/31/2015 PAGEREF _Toc449941276 \h 15Table 3A – Adult/Adolescent HIV Cases Alive on 12/31/2014, by Jurisdiction and Current Residence, Reported through 12/31/2015 PAGEREF _Toc449941277 \h 16Table 4 – CD4 Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, Reported through 12/31/2015 PAGEREF _Toc449941278 \h 17Table 5 – Viral Load Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, by Jurisdiction, Reported through 12/31/2015 PAGEREF _Toc449941279 \h 17Figure 7 – Prevalence-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, Reported through 12/31/2015 PAGEREF _Toc449941280 \h 18Figure 7A – Prevalence-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, by Current Residence, Reported through 12/31/2015 PAGEREF _Toc449941281 \h 19Figure 8 – Diagnosis-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, Reported through 12/31/2015 PAGEREF _Toc449941282 \h 20Figure 8A – Diagnosis-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, by Current Residence, Reported through 12/31/2015 PAGEREF _Toc449941283 \h 21Section IV – Cases by Age PAGEREF _Toc449941284 \h 22Table 6 – HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Age at HIV Diagnosis, Reported through 12/31/2015 PAGEREF _Toc449941285 \h 22Table 7 – AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Age at AIDS Diagnosis, Reported through 12/31/2015 PAGEREF _Toc449941286 \h 22Table 8 – HIV Cases Alive on 12/31/2014, by Age on 12/31/2014, Reported through 12/31/2015 PAGEREF _Toc449941287 \h 24Table 9 – CD4 Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, by Age on 12/31/2014, Reported through 12/31/2015 PAGEREF _Toc449941288 \h 25Table 10 – Viral Load Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, by Age on 12/31/2014, Reported through 12/31/2015 PAGEREF _Toc449941289 \h 25Section V – Adult/Adolescent Cases by Demographics PAGEREF _Toc449941290 \h 26Table 11 – Adult/Adolescent HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Sex at Birth, Race/Ethnicity and Country of Birth, Reported through 12/31/2015 PAGEREF _Toc449941291 \h 26Table 12 – Adult/Adolescent AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Sex at Birth, Race/Ethnicity and Country of Birth, Reported through 12/31/2015 PAGEREF _Toc449941292 \h 28Table 13 – Adult/Adolescent Living HIV Cases with and without AIDS by Sex at Birth, Race/Ethnicity, and Country of Birth, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941293 \h 29Table 14 –Adult/Adolescent Total Living HIV Cases, Recent CD4 Test Results, by Sex at Birth, Race/Ethnicity and Country of Birth, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941294 \h 30Table 15 – Adult/Adolescent Total Living HIV Cases, Recent Viral Load Test Results, by Sex at Birth, Race/Ethnicity and Country of Birth, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941295 \h 31Section VI – HIV Cases by Expanded Demographics PAGEREF _Toc449941296 \h 32Figure 9 – Population Pyramids of Total Living HIV Cases by Current Age, Sex at Birth, and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941297 \h 32Table 16 – Total Living Male HIV Cases by Current Age and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941298 \h 33Table 17 – Total Living Female HIV Cases by Current Age and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941299 \h 34Section VII – HIV Exposure Category PAGEREF _Toc449941300 \h 35Table 18 – Adult/Adolescent HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Exposure Category and Sex at Birth, Reported through 12/31/2015 PAGEREF _Toc449941301 \h 35Table 19 – Adult/Adolescent AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Exposure Category and Sex at Birth, Reported through 12/31/2015 PAGEREF _Toc449941302 \h 37Table 20 – Adult/Adolescent Living HIV Cases with and without AIDS by Exposure Category and Sex at Birth, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941303 \h 38Table 21 – Adult/Adolescent Total Living HIV Cases by Exposure Category, Race/Ethnicity, and Sex at Birth, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941304 \h 39Table 22 – Adult/Adolescent Total Living HIV Cases, Recent CD4 Test Results by Exposure Category, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941305 \h 40Table 23 – Adult/Adolescent Total Living HIV Cases, Recent Viral Load Test Results by Exposure Category, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941306 \h 40Section VIII – Disease Progression and Mortality PAGEREF _Toc449941307 \h 41Figure 10 – Trends in Disease Progression by Year of HIV Diagnosis, 1985-2013, Reported through 12/31/2015 PAGEREF _Toc449941308 \h 41Figure 11 – Trends in Survival Times by Year of AIDS Diagnosis, 1985-2013, Reported through 12/31/2015 PAGEREF _Toc449941309 \h 42Section IX – Pediatric Cases PAGEREF _Toc449941310 \h 43Figure 12 – Trends in Pediatric HIV Cases, 1985-2014, Reported through 12/31/2015 PAGEREF _Toc449941311 \h 43Table 24 – Pediatric Total Living HIV Cases, Alive on 12/31/2014, by Jurisdiction, Reported through 12/31/2015 PAGEREF _Toc449941312 \h 44Table 25 – Pediatric Total Living HIV Cases by Sex at Birth and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015 PAGEREF _Toc449941313 \h 45Glossary of Terms PAGEREF _Toc449941314 \h 46Section I – Background InformationHIV/AIDS Reporting RequirementsThe Maryland HIV/AIDS Reporting Act of 2007 went into effect on April 24, 2007. The law expanded HIV/AIDS reporting and required that HIV cases be reported by name. The following highlights the reporting requirements of Health-General Articles 18-201.1, 18-202.1, and 18-205 of the Annotated Code of Maryland, as specified in COMAR 10.18.02.Physicians are required to report patients in their care with diagnoses of HIV or AIDS immediately to the Local Health Department where the physician’s office is located by mailing DHMH Form 1140. Reports are also accepted by phone.Physicians are required to report infants born to HIV positive mothers within 48 hours to the State Health Department by mailing DHMH Form 1140. Reports are also accepted by phone.Clinical and infection control practitioners in hospitals, nursing homes, hospice facilities, medical clinics in correctional facilities, inpatient psychiatric facilities, and inpatient drug rehabilitation facilities are required to report patients in the care of the institution with diagnoses of HIV or AIDS within 48 hours to the Local Health Department where the institution is located by mailing DHMH Form 1140. Reports are also accepted by phone. Facilities with large volumes are encouraged to contact the State Health Department to establish electronic reporting.Laboratory Chiefs are required to report patients with laboratory results indicating HIV infection (e.g., positive confirmatory HIV diagnostic tests, all CD4 immunological tests, all HIV viral load tests, and all HIV genotype and phenotype tests) within 48 hours to the Local Health Department where the laboratory is located, or if out of state to the Maryland State Health Department, by mailing DHMH Form 4492. Laboratories are encouraged to contact the State Health Department to establish electronic reporting.Reporting forms and instructions are available on our website: For Assistance with HIV/AIDS Reporting For assistance with reporting, including establishment of routine, electronic, or other alternate methods of reporting to the Health Department, please contact the Center for HIV Surveillance, Epidemiology and Evaluation in the Maryland Department of Health and Mental Hygiene at 410-767-5227.Limitations in the HIV/AIDS DataThis epidemiological profile only contains data for HIV and AIDS cases that have been diagnosed by a health care provider, were reported to the health department by name, and were residents of Maryland at the time of diagnosis. Nationally, it has been estimated that 12.8% of people living with HIV infection are undiagnosed. In Maryland, it has been estimated that 18.7% of people living with HIV infection are undiagnosed. In addition, despite a massive effort during which over 17,000 HIV cases were reported after the Maryland HIV reporting law changed on April 24, 2007, not all diagnosed HIV cases previously reported by Maryland’s code-based identifier were located and re-reported by name. In addition, many of the re-reported HIV cases were identified by a recent diagnosis and not by their earliest diagnosis, resulting in an under-reporting of HIV diagnoses before 2001 and an over-reporting of HIV diagnoses from 2001 to 2008. It is important to note that surveillance is an ongoing systematic collection, analysis, interpretation, and dissemination of laboratory data. Furthermore, laboratory data are only available for cases receiving medical care, usually only at facilities in Maryland, and only includes test results that have been reported to the health department. Linkage to care data is based solely on laboratory data reported to the health department. Caution should be exercised in using the number of living HIV cases without AIDS and in interpreting trends in the number of reported HIV diagnoses.Stages of a Case of HIV/AIDSUntreated HIV disease progresses from HIV infection to AIDS to death. These are biological events that occur whether or not a person receives any medical care. For example, a person can be HIV infected but never have an HIV test and so they do not have an HIV diagnosis. A medical provider diagnoses that these biological events have occurred and records them as a medical event. The law requires medical providers to report these medical events to the Health Department, thereby creating a surveillance event.Time PointBiological EventMedical EventSurveillance Event1HIV Infection2HIV Diagnosis3HIV Report4AIDS Conditions5AIDS Diagnosis6AIDS Report7Death8Death Diagnosis9Death ReportA case of HIV/AIDS can only move through time in one direction, from HIV infection to death report [from time point 1 to time point 9], but may skip over individual stages. Events can occur simultaneously, but usually there is a time lag between them. The time lag between events can be measured in days, months, and years. For example, the time between HIV infection [time point 1] and the test that diagnoses HIV [time point 2] may be several years, and it may then take several days for the laboratory and physician to report the diagnosis to the health department [time point 3]. In a second example, a person with diagnosed and reported HIV infection [time point 3] may die [time point 7] without developing AIDS, thereby skipping the three AIDS events (conditions, diagnosis, and report [time points 4, 5 and 6]). And in a third example, a person with undiagnosed HIV infection [time point 1] may become sick, enter the hospital, and die [time point 7] of what is later determined to be AIDS. In that situation, HIV diagnosis [time point 2], AIDS diagnosis [time point 5], and death diagnosis [time point 8] would all occur at the same time, and that would probably be many years after the initial HIV infection [time point 1].Changes in Case TerminologyThe terminology for HIV and AIDS cases was changed from earlier epidemiological profiles to be more precise, with Reported Diagnoses replacing Incidence and Living Cases replacing Prevalence. Incidence is a measure of the number of new events (such as HIV infections) in a population during a period of time. Prevalence is a measure of the number of people living with a condition (such as HIV) in a population at a certain time. Prevalence includes both new and old diagnosed cases as well as undiagnosed infections. For HIV, Incidence and Prevalence cannot be directly measured and must be estimated using statistical methods. The HIV surveillance system is able to provide the actual number of diagnoses and deaths that are reported in the population. For this epidemiological profile, the reports received through a certain time (the end of the year) are used to generate the number of diagnoses during the prior years. This one-year lag allows for delays in reporting and time to complete investigations. For example, the Reported HIV Diagnoses for 2014 are the total of the reported HIV cases with or without an AIDS diagnosis, diagnosed with HIV during 01/01/2014-12/31/2014, as reported by name through 12/31/2015.To calculate the number of Living Cases we count up all of the Reported Diagnoses from the beginning of the epidemic (all the new cases each year) and subtract all of the Reported Deaths. For example, the Total Living HIV Cases on 12/31/2015 are the total of the reported HIV Cases with or without an AIDS diagnosis and not reported to have died as of 12/31/2015 as reported by name through 12/31/2015.Laboratory DataCD4+ T-lymphocyte tests are measures of a person’s immune system function. An HIV infected adult is considered to have AIDS if they have less than 200 CD4 cells per microliter of blood. Viral load (VL) tests are measures of the amount of HIV in a person’s body. The goal of HIV treatment is to have a very low number of copies of virus per milliliter of blood, below what the test can measure, which is called an undetectable level. Treatment recommendations are that a person in HIV medical care should have their CD4 and VL levels measured regularly, at least once per year. We use the presence of these lab tests as an indicator that someone has been “linked to care” after diagnosis or is “in care.”Sources of DataInformation on HIV and AIDS diagnoses, including residence at diagnosis, age, race/ethnicity, sex at birth, country of birth, vital status, HIV exposure category, and CD4 and HIV viral load test results are from the Maryland Department of Health and Mental Hygiene’s Enhanced HIV/AIDS Reporting System (eHARS), December 31, 2015.Population data by sex, age, and race/ethnicity are from the July 1, 2014 U.S. Census Estimates and by country-of-birth from the 2013 American Community Survey (note the difference in total population due to different source). Due to estimation limitations, some population totals may not equal the sum of its components. When needed, age groups were divided by assuming uniform age distribution within the age group. Non-Hispanic multiple race and Non-Hispanic some other race from the Census were combined into one group.Tabulation of Column TotalsFigures in tables and generally in the text have been rounded. Discrepancies in tables between totals and sums of components are due to rounding.Data SuppressionIn order to protect the confidentiality of reported HIV cases, data are suppressed in the following instances:Data describing a demographic group or geographic area (e.g. ZIP code) with a population less than 1,000 people.All clinical/laboratory information if it is describing less than 5 cases.All exposure/risk information if it is describing less than 5 cases, except in the case of "other" exposure. ?If any cell is suppressed, additional cells are also suppressed as necessary to prevent back calculation of the suppressed cell(s).HIV Exposure Categories The Centers for Disease Control and Prevention (CDC) developed a hierarchy of exposure categories for surveillance purposes. Persons with more than one reported risk factor are classified in the exposure category listed first in the hierarchy and therefore counted only once. Men who have sex with men and report injection drug use constitutes a separate transmission category. MSM (Men who have Sex with Men): Men who report a history of sexual contact with other men (homosexual contact) including men who report sexual contact with both men and women (bisexual contact).Injection Drug Use (IDU): Men or women who report receiving an injection, either self-administered or given by another person, of a drug that was not prescribed by a physician.MSM/IDU: Men who report a history of sexual contact with other men who also have engaged in injection drug use.Heterosexual Exposure (HET): Men or women who report a history of sexual contact with a person of the opposite sex who is known to have an HIV infection or at high risk for an HIV infection. High risk groups include bisexual men, IDUs and recipients of blood, blood components, transplants of organ or tissue and artificial insemination. Perinatal Exposure: Any baby born to an HIV positive mother. Section II – Trends 1985-2014Figure 1 – Trends in Reported HIV and AIDS Diagnoses and Deaths, 1985-2014, Reported through 12/31/2015Year of Diagnosis or DeathReported HIVDiagnosesReported AIDSDiagnosesReported AIDSDeathsYear of Diagnosis or DeathReported HIVDiagnosesReported AIDSDiagnosesReported AIDSDeaths<1985222783620001,09388151919854391105820011,1961,01058819865821809420021,4181,069608198777527314020031,20793163219881,14145022420041,23295752019891,45557433520051,28189653519901,52680043020061,32980848819911,73799954520071,24660046819921,7131,37669820081,16060043419931,5631,569820200992551838219941,4101,3901,012201092556035819951,3751,4011,075201171446132819961,2741,313862201268849632619971,2831,133554201362246433419981,2771,039516201457231928319991,1721,011555Total34,55224,26614,7570742950Reported HIV Cases with or without an AIDS Diagnosis (Reported HIV Diagnoses) by Year of HIV Diagnosis, Reported HIV Cases with an AIDS Diagnosis (Reported AIDS Diagnoses) by Year of AIDS Diagnosis, and Reported HIV Cases with an AIDS Diagnosis Reported to have Died of Any Cause (Reported AIDS Deaths) by Year of Death, from 1985 through 2014 as Reported through 12/31/2015 During the 2007-2008 transition to name-based reporting, many HIV cases were reported by a recent HIV diagnosis and not by their earliest HIV diagnosis, resulting in an artificial upward trend in HIV diagnoses during the period 2001-2008.Figure 2 – Trends in Living HIV Cases, 1985-2014, Reported through 12/31/2015Reported HIV Cases with or without an AIDS Diagnosis and Not Reported to have Died as of December 31st of Each Year (Living HIV Cases without AIDS, Living HIV Cases with AIDS, and Total Living HIV Cases) from 1985 through 2014, as Reported through 12/31/2015YearLiving HIV Caseswithout AIDSLiving HIV Caseswith AIDSTotal LivingHIV CasesYearLiving HIV Caseswithout AIDSLiving HIV Caseswith AIDSTotal LivingHIV Cases19854719456520004,2616,10610,36719868651801,04520014,3126,52810,84019871,3593141,67320024,5326,98911,52119882,0365402,57620034,6477,28811,93519892,8737793,65220044,8177,72512,54219903,5661,1494,71520055,1108,08613,19619914,2511,6035,85420065,5398,40713,94619924,5092,2816,79020076,0978,53914,63619934,4153,0307,44520086,5748,70515,27919944,3073,4097,71620096,9088,84115,74919954,1483,7357,88320107,1999,04316,24219963,9874,1868,17320117,3979,17616,57319974,0114,7658,77620127,5349,34616,88019984,1305,2889,41820137,6429,47617,11819994,1685,7449,91220147,8339,51217,345Figure 3 – Trends in Adult/Adolescent Reported HIV Diagnoses by Sex at Birth, 1985-2014, Reported through 12/31/20159525588645Percent by Sex at Birth of Adult/Adolescent Reported HIV Cases, Age 13+ at HIV Diagnosis, with or without an AIDS Diagnosis (Adult/Adolescent Reported HIV Diagnoses) by Year of HIV Diagnosis from 1985 through 2014, as Reported through 12/31/2015Year of HIV DiagnosisAdult/Adolescent Reported HIV DiagnosesYear of HIV DiagnosisAdult/Adolescent Reported HIV DiagnosesNo.% Male% FemaleNo.% Male% Female<198522085.9%14.1%20001,08562.8%37.2%198543284.3%15.7%20011,18764.4%35.6%198657579.8%20.2%20021,41060.3%39.7%198775979.4%20.6%20031,20563.2%36.8%19881,11977.1%22.9%20041,22763.9%36.1%19891,42773.9%26.1%20051,28064.1%35.9%19901,48974.4%25.6%20061,32464.7%35.3%19911,70070.7%29.3%20071,21563.3%36.7%19921,66770.5%29.5%20081,15265.4%34.6%19931,51769.0%31.0%200991966.6%33.4%19941,38068.3%31.7%201092265.8%34.2%19951,35667.8%32.2%201171270.6%29.4%19961,25468.6%31.4%201268673.0%27.0%19971,27364.7%35.3%201362172.5%27.5%19981,26265.5%34.5%201457072.1%27.9%19991,15767.4%32.6%Total34,10268.4%31.6%Figure 4 – Trends in Adult/Adolescent Reported HIV Diagnoses by Race/Ethnicity, 1985-2014, Reported through 12/31/2015Year of HIV DiagnosisAdult/Adolescent Reported HIV DiagnosesNo.% Hispanic% Non-Hispanic Black, only% Non-Hispanic White, only% Non-Hispanic Other Race<19852202.7%53.6%41.4%2.3%19854321.4%61.8%34.0%2.8%19865753.0%65.0%30.8%1.2%19877591.7%68.0%27.8%2.5%19881,1191.2%73.5%23.2%2.1%19891,4270.5%79.3%18.6%1.7%19901,4891.4%76.5%20.1%2.0%19911,7001.6%80.8%15.8%1.9%19921,6670.8%81.6%15.2%2.4%19931,5171.5%82.3%13.9%2.4%19941,3801.4%83.3%12.7%2.6%19951,3561.5%81.6%14.7%2.2%19961,2541.1%84.8%11.6%2.6%19971,2731.2%80.5%14.3%4.0%19981,2621.3%82.1%13.7%2.9%19991,1572.2%80.6%12.8%4.4%20001,0851.8%80.4%13.1%4.7%20011,1872.0%82.2%12.5%3.3%20021,4101.9%81.5%12.0%4.6%20031,2053.7%78.3%13.9%4.1%20041,2272.6%79.3%13.0%5.1%20051,2803.0%79.7%12.6%4.8%20061,3244.2%78.9%12.2%4.6%20071,2153.2%79.8%11.8%5.3%20081,1524.0%77.4%13.9%4.7%20099193.5%77.7%14.3%4.6%20109223.9%76.1%13.0%6.9%20117125.3%71.6%17.6%5.5%20126864.4%75.1%14.9%5.7%20136213.9%73.1%17.1%6.0%20145705.8%76.0%11.9%6.3%Total34,1022.3%78.7%15.5%3.6%0604520Percent by Race/Ethnicity of Adult/Adolescent Reported HIV Cases, Age 13+ at HIV Diagnosis, with or without an AIDS Diagnosis (Adult/Adolescent Reported HIV Diagnoses) by Year of HIV Diagnosis from 1985 through 2014, as Reported through 12/31/2015Non-Hispanic Other race not shownFigure 5 – Trends in Adult/Adolescent Reported HIV Diagnoses by Age at Diagnosis, 1985-2014, Reported through 12/31/2015Percent by Age at HIV Diagnosis of Adult/Adolescent Reported HIV Cases, Age 13+ at HIV Diagnosis, with or without an AIDS Diagnosis (Adult/Adolescent Reported HIV Diagnoses) by Year of HIV Diagnosis from 1985 through 2014, as Reported through 12/31/2015Year of HIV DiagnosisReported Adult/Adolescent HIV DiagnosesNo.% Age 13-19% Age 20-29% Age 30-39% Age 40-49% Age 50-59% Age 60+<19852205.9%43.2%31.4%13.2%5.9%0.5%19854324.6%39.4%38.7%12.7%3.2%1.4%19865753.7%36.7%39.1%14.3%4.9%1.4%19877592.6%33.6%43.7%14.1%4.3%1.6%19881,1191.6%30.2%46.6%16.0%4.0%1.5%19891,4272.2%28.7%45.5%18.1%4.1%1.3%19901,4891.9%27.9%44.6%18.2%5.2%2.1%19911,7001.3%25.9%45.4%21.4%4.2%1.8%19921,6671.5%21.7%47.5%23.1%4.4%1.9%19931,5171.1%19.9%47.6%24.0%5.6%1.8%19941,3801.1%19.6%46.2%25.1%6.3%1.7%19951,3561.1%17.3%44.7%26.8%6.9%3.2%19961,2540.9%14.1%42.9%30.7%8.9%2.6%19971,2731.3%15.1%44.1%28.8%6.9%3.8%19981,2621.8%13.9%39.5%32.4%9.4%2.9%19991,1571.8%12.9%38.5%32.0%11.4%3.4%20001,0852.5%12.0%35.9%34.7%10.8%4.1%20011,1871.3%12.9%34.1%35.9%12.0%3.7%20021,4104.5%14.4%31.5%33.3%12.4%3.9%20031,2053.0%13.9%30.1%33.4%14.8%4.7%20041,2272.7%15.9%27.9%35.6%13.7%4.2%20051,2802.7%15.7%22.0%39.1%17.1%3.4%20061,3243.2%17.1%23.0%34.8%16.4%5.5%20071,2154.6%19.3%20.7%33.5%17.8%4.1%20081,1524.3%22.6%19.4%28.0%18.8%7.0%20099193.8%24.3%22.6%27.5%16.8%5.0%20109225.0%24.1%18.3%28.7%19.4%4.4%20117124.8%33.0%17.7%21.8%17.7%5.1%20126865.8%32.2%16.9%23.2%14.7%7.1%20136213.9%31.2%20.6%19.8%15.9%8.5%20145703.3%32.3%25.3%17.5%15.8%5.8%Total34,1022.6%21.3%35.5%27.0%10.3%3.4%Figure 6 – Trends in Adult/Adolescent Reported HIV Diagnoses by Exposure Category, 1985-2014, Reported through 12/31/2015Percent by Exposure Category of Adult/Adolescent Reported HIV Cases, Age 13+ at HIV Diagnosis, with or without an AIDS Diagnosis (Adult/Adolescent Reported HIV Diagnoses) and with Reported Exposure Category by Year of HIV Diagnosis from 1985 through 2014, as Reported through 12/31/2015Other Exposure Category not shownYearAdult/Adolescent Reported HIV DiagnosesNo.With Exposure CategoryNo.% MSM% IDU% MSM/IDU% HET% Other Exposure<198522021556.3%27.9%7.9%3.7%4.2%198543241345.3%33.4%13.8%5.3%2.2%198657555844.8%38.5%7.2%7.3%2.2%198775973542.9%41.1%7.5%7.1%1.5%19881,1191,08134.8%47.9%8.2%8.0%1.1%19891,4271,38629.3%51.2%8.4%9.3%1.8%19901,4891,43028.9%52.5%8.0%9.7%0.9%19911,7001,62222.9%57.3%5.2%13.3%1.2%19921,6671,58221.1%60.2%5.4%12.6%0.8%19931,5171,46720.1%58.4%5.5%15.4%0.7%19941,3801,31717.8%58.2%4.2%19.1%0.7%19951,3561,29218.2%56.2%5.4%19.9%0.3%19961,2541,19116.5%57.7%4.7%20.7%0.4%19971,2731,17918.2%56.0%4.0%21.7%0.2%19981,2621,17315.6%55.6%5.2%23.3%0.3%19991,1571,05416.8%54.6%3.9%24.5%0.2%20001,08597917.6%48.9%2.9%30.5%0.1%20011,1871,06316.4%52.9%4.0%26.6%0.1%20021,4101,20817.6%46.4%3.4%32.5%0.1%20031,2051,06120.1%45.1%3.8%30.8%0.3%20041,2271,06425.1%39.5%2.2%32.9%0.4%20051,2801,03025.1%37.8%3.5%33.5%0.1%20061,32498425.1%36.7%4.5%33.2%0.5%20071,21586832.3%30.5%2.4%34.4%0.3%20081,15276635.4%26.0%2.2%36.4%0.0%200991955342.5%17.2%1.6%38.5%0.2%201092251645.2%15.3%2.1%36.8%0.6%201171244252.9%10.4%2.3%33.9%0.5%201268650155.7%9.6%1.0%33.3%0.4%201362152852.3%7.0%1.9%38.6%0.2%201457048353.8%5.2%1.0%40.0%0.0%Total34,10229,74126.6%45.5%4.8%22.5%0.6%Section III – Adult/Adolescent Cases by JurisdictionTable 1 – Adult/Adolescent HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Jurisdiction, Reported through 12/31/2015Jurisdiction of Residence at HIV DiagnosisPopulation Age 13+Adult/Adolescent Reported HIV DiagnosesNo. with HIV Diagnosis% of TotalRateNo. Linked to Care% Linked to CareNo. Late HIV Diagnosis% Late HIV DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountAnne Arundel468,309518.9%10.94282.4%1223.5%4486.3%301Baltimore City523,28130353.2%57.923778.2%8126.7%24079.2%396Baltimore698,02816028.1%22.913383.1%4025.0%13181.9%395Carroll142,50561.1%4.2*********************Harford210,360254.4%11.92288.0%728.0%2184.0%584Howard256,471244.2%9.41770.8%729.2%1875.0%435Queen Anne’s41,27710.2%2.4*********************Total2,340,231570100.0%24.445880.4%15126.5%46180.9%387*** Data withheld due to low population counts and/or case countsAdult/Adolescent Reported HIV Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial HIV diagnosis during the specified year.Jurisdiction of Residence at HIV Diagnosis: Jurisdiction of residence at time of initial HIV diagnosis. Population Age 13+: Population age 13 years or older, estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Median Count (First CD4): Median CD4 count (cells per microliter) of the first CD4 test result reported within 12 months following initial HIV diagnosis.Number Linked to Care: Number of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis calculated from Percent Linked to Care.Percent Linked to Care: Percent of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Number of Late HIV diagnosis (for HIV diagnoses): Number of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis calculated from Percent Late HIV Diagnosis.Percent Late HIV Diagnosis (for HIV diagnoses): Number and percent of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis.Table 2 – Adult/Adolescent AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Jurisdiction, Reported through 12/31/2015Jurisdiction of Residence at AIDS DiagnosisPopulation Age 13+Adult/Adolescent Reported AIDS DiagnosesNo.% of TotalRateMean Years from HIV Diagnosis% Late HIV DiagnosisAnne Arundel468,309226.9%4.76.750.0%Baltimore City523,28119762.1%37.64.644.2%Baltimore698,0286520.5%9.33.953.8%Carroll142,50541.3%2.8******Harford210,360144.4%6.72.950.0%Howard256,471134.1%5.12.361.5%Queen Anne’s41,27720.6%4.8******Total2,340,231317100.0%13.54.447.9%***Data withheld due to low population counts and/or case countsAdult/Adolescent Reported AIDS Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial AIDS diagnosis during the specified year.Jurisdiction of Residence at AIDS Diagnosis: Jurisdiction of residence at time of initial AIDS diagnosis. Population Age 13+: Population age 13 years or older, estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate). Mean Years from HIV Diagnosis (to AIDS Diagnosis): Mean number of years from initial HIV diagnosis to initial AIDS diagnosis for cases with a reported AIDS diagnosis. Percent Late HIV Diagnosis (for AIDS diagnoses): Percent of adult/adolescent reported AIDS diagnoses with an initial HIV diagnosis less than or equal to 12 months prior to their initial AIDS diagnosis.Table 3 – Adult/Adolescent HIV Cases Alive on 12/31/2014, by Jurisdiction, Reported through 12/31/2015Jurisdiction of Residence at DiagnosisPopulation Age 13+Adult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Total Living HIV CasesNo.% of TotalRateNo.% of TotalRateNo.% of TotalRateRatio (1 in X)Anne Arundel468,3094966.5%105.96186.6%132.01,1146.5%237.9420Baltimore City523,2815,44670.9%1,040.76,71771.8%1,283.612,16371.4%2,324.443Baltimore698,0281,22315.9%175.21,44415.4%206.92,66715.7%382.1261Carroll142,505550.7%38.6680.7%47.71230.7%86.31,158Harford210,3601862.4%88.42262.4%107.44122.4%195.9510Howard256,4712543.3%99.02502.7%97.55043.0%196.5508Queen Anne’s41,277160.2%38.8310.3%75.1470.3%113.9878Total2,340,2317,676100.0%328.09,354100.0%399.717,030100.0%727.7137Jurisdiction of Residence at Diagnosis: Jurisdiction of residence at later of time of initial HIV diagnosis or time of initial AIDS diagnosis. Population Age 13+: Population greater than or equal to 13 years old, estimate for 7/1/2014.Adult/Adolescent Living HIV Cases without AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Living HIV Cases with AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Table 3A – Adult/Adolescent HIV Cases Alive on 12/31/2014, by Jurisdiction and Current Residence, Reported through 12/31/2015Adult/Adolescent Living HIV Cases with or without AIDS DiagnosisJurisdiction of ResidencePopulation Age 13+Residence at HIV DiagnosisLast Known Residence% ChangeCurrent Residence 2009-2015% ChangeNo.% of TotalRateRatioNo.% of TotalRateRatioNo.% of TotalRateRatioAnne Arundel468,3091,1146.5%237.94201,2927.1%275.936216.0%1,0737.1%229436-3.7%Baltimore City523,28112,16371.4%2,324.44312,20967.0%2,333.2420.4%9,97366.4%1,90652-18.0%Baltimore698,0282,66715.7%382.12613,42818.8%491.120328.5%2,91819.4%4182399.4%Carroll142,5051230.7%86.31,1581370.8%96.11,04011.4%1060.7%741,344-13.8%Harford210,3604122.4%195.95104852.7%230.643317.7%4052.7%193519-1.7%Howard256,4715043.0%196.55086103.3%237.842021.0%5003.3%195512-0.8%Queen Anne's41,277470.3%113.9878540.3%130.876414.9%460.3%111897-2.1%Total2,340,23117,030100.0%727.713718,215100.0%778.31287.0%15,021100.0%642155-11.8%Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Jurisdiction of Residence: Jurisdiction of residence at time of initial HIV diagnosis or most recent lab test.Population Age 13+: Population age 13 years or older, estimate for 7/1/2014.Residence at HIV Diagnosis: Jurisdiction of residence at time of initial HIV diagnosis. Last Known Residence: Jurisdiction of residence from the most recent laboratory test or case report,?reported through 12/31/2015. ?Current Residence 2009-2015: Jurisdiction of residence from the most recent laboratory test or case report between 1/1/2009-12/31/2015. Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Percent Change: The extent to which a county gained or lost HIV/AIDS cases relative to the number of cases diagnosed in the county. For additional information regarding current residence please contact the Center for HIV Surveillance, Epidemiology and Evaluation in the Maryland Department of Health and Mental Hygiene at 410-767-5227.Table 4 – CD4 Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, Reported through 12/31/2015Jurisdiction of Residence at DiagnosisAdult/Adolescent Total Living HIV CasesNo.Recent CD4 Test ResultNo. with Test% with TestMedian Count<200200-349350-499500+Anne Arundel1,11462355.9%52612.5%16.9%17.5%53.1%Baltimore City12,1637,31060.1%52513.3%14.7%18.7%53.3%Baltimore2,6671,61460.5%52713.6%13.5%19.1%53.8%Carroll1236048.8%56618.3%6.7%20.0%55.0%Harford41225662.1%55817.6%11.7%16.0%54.7%Howard50428256.0%57713.1%9.6%17.4%59.9%Queen Anne’s473063.8%64010.0%10.0%16.7%63.3%Total17,03010,17559.7%52813.4%14.4%18.6%53.6%Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Recent CD4 Test Result: The most recent CD4 test result reported in the 12 months prior to December 31st of the specified year. Jurisdiction of Residence at Diagnosis: Jurisdiction of residence at later of time of initial HIV diagnosis or time of initial AIDS diagnosis. Median Count (Recent CD4): Median CD4 count (cells per microliter) of the most recent CD4 test result reported in the 12 months prior to December 31st of the specified year.CD4 Result Distribution (<200, 200-349, 350-499, 500+): Percent of cases with a CD4 test distributed by their CD4 count results (cells per microliter).Table 5 – Viral Load Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, by Jurisdiction, Reported through 12/31/2015Jurisdiction of Residence at DiagnosisAdult/Adolescent Total Living HIV CasesNo.Recent Viral Load Test ResultNo. with Test% with Test% SuppressedMedian UnsuppressedAnne Arundel1,11455850.1%74.0%10,735Baltimore City12,1636,28951.7%70.8%8,244Baltimore2,6671,39352.2%74.0%12,511Carroll1235544.7%76.4%21,080Harford41222454.4%78.1%15,136Howard50427254.0%78.3%7,838Queen Anne’s472757.4%81.5%3,162Total17,0308,81851.8%72.0%9,435Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Jurisdiction of Residence at Diagnosis: Jurisdiction of residence at later of time of initial HIV diagnosis or time of initial AIDS diagnosis. Recent Viral Load Test Result: The most recent viral load test result reported in the 12 months prior to December 31st of the specified year. Percent Suppressed (Viral Load): Percent of adult/adolescent total living HIV cases with a most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Median Unsuppressed (Viral Load): Median unsuppressed viral load (copies per milliliter) among adult/adolescent living HIV cases with a most recent viral load test result reported in the 12 months prior to December 31st of the specified year of 200 copies per milliliter or greater. Figure 7 – Prevalence-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, Reported through 12/31/2015In their 2011 article in Clinical Infectious Diseases, Gardner et al. utilize a continuum of care “cascade” to illustrate estimates of the number of persons living with HIV who belong to each of the stages of engagement in HIV care. The prevalence-based Baltimore Metro Engagement in HIV Care Cascade (below) uses a CDC estimate of the number of undiagnosed persons in Maryland (18.7%) to generate an estimated number of HIV infected persons in the Baltimore Metro area. It then uses local data to describe the number and percentage of persons living with HIV in the Baltimore Metro area who belong to each of the stages of engagement in HIV care. Continuum of Care StageNumberPercentageHIV Infected20,947100.0%HIV Diagnosed17,03081.3%Linked to HIV Care13,69265.4%Retained in HIV Care10,86251.9%Suppressed VL6,34930.3%HIV Infected: HIV Diagnosed divided by one minus the estimate of undiagnosed HIV infections (18.7%) in Maryland.HIV Diagnosed: Adult/adolescent total living HIV cases as of December 31st of the specified year.Linked to HIV Care: HIV Diagnosed multiplied by the percent of adult/adolescent reported HIV diagnoses during the specified year with a reported CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Retained in HIV Care: HIV Diagnosed with a CD4 test result reported in the 12 months prior to December 31st of the specified year.Suppressed Viral Load: HIV Diagnosed with the most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Figure 7A – Prevalence-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, by Current Residence, Reported through 12/31/2015The prevalence-based Baltimore Metro Engagement in HIV Care Cascade (below) uses a CDC estimate of the number of undiagnosed persons in Maryland (18.7%) to generate an estimated number of HIV infected persons in the Baltimore Metro area. It then uses local data for current Baltimore Metro area residents to describe the number and percentage of persons living with HIV in the Baltimore Metro area who belong to each of the stages of engagement in HIV care. Continuum of Care StageNumberPercentageHIV Infected18,476100.0%HIV Diagnosed15,02181.3%Linked to HIV Care12,21266.1%Retained in HIV Care11,59362.7%Suppressed VL6,86937.2%HIV Infected: HIV Diagnosed divided by one minus the estimate of undiagnosed HIV infections (18.7%) in Maryland.HIV Diagnosed: Adult/adolescent total living HIV cases as of December 31st of the specified year.Linked to HIV Care: HIV Diagnosed multiplied by the percent of adult/adolescent reported HIV diagnoses during the specified year with a reported CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Retained in HIV Care: HIV Diagnosed with a CD4 test result reported in the 12 months prior to December 31st of the specified yearSuppressed Viral Load: HIV Diagnosed with the most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.For additional information regarding current residence please contact the Center for HIV Surveillance, Epidemiology and Evaluation in the Maryland Department of Health and Mental Hygiene at 410-767-5227.Figure 8 – Diagnosis-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, Reported through 12/31/2015 The diagnosis-based Baltimore Metro Engagement in HIV Care Cascade (below) uses local data to describe the number and percentage of persons diagnosed with HIV in the Baltimore Metro area who belong to each of the stages of engagement in HIV care.Continuum of Care StageNumberPercentageHIV Diagnosed17,030100.0%Linked to HIV Care13,69280.4%Retained in HIV Care10,86263.8%Suppressed VL6,34937.3%HIV Diagnosed: Adult/adolescent total living HIV cases as of December 31st of the specified year.Linked to HIV Care: HIV Diagnosed multiplied by the percent of adult/adolescent reported HIV diagnoses during the specified year with a reported CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Retained in HIV Care: HIV Diagnosed with a CD4 test result reported in the 12 months prior to December 31st of the specified yearSuppressed Viral Load: HIV Diagnosed with the most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Figure 8A – Diagnosis-Based Estimated Adult/Adolescent 2014 HIV Continuum of Care Cascades, by Current Residence, Reported through 12/31/2015The diagnosis-based Baltimore Metro Engagement in HIV Care Cascade (below) uses local data for current Maryland residents to describe the number and percentage of persons diagnosed with HIV in the Baltimore Metro area who belong to each of the stages of engagement in HIV care.Continuum of Care StageNumberPercentageHIV Diagnosed15,021100.0%Linked to HIV Care12,21281.3%Retained in HIV Care11,59377.2%Suppressed VL6,86945.7%HIV Diagnosed: Adult/adolescent total living HIV cases as of December 31st of the specified year.Linked to HIV Care: HIV Diagnosed multiplied by the percent of adult/adolescent reported HIV diagnoses during the specified year with a reported CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Retained in HIV Care: HIV Diagnosed with a CD4 test result reported in the 12 months prior to December 31st of the specified yearSuppressed Viral Load: HIV Diagnosed with the most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.For additional information regarding current residence please contact the Center for HIV Surveillance, Epidemiology and Evaluation in the Maryland Department of Health and Mental Hygiene at 410-767-5227.Section IV – Cases by AgeTable 6 – HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Age at HIV Diagnosis, Reported through 12/31/2015Age at HIV DiagnosisPopulationReported HIV DiagnosesNo.% of TotalRateNo. Linked to Care% Linked to CareNo. Late Diagnosis% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian Count<5 (Pediatric)170,30020.3%1.2*********************5-12 (Pediatric)275,34300.0%0.0--------------13-19246,097193.3%7.7*********************20-29395,77718432.2%46.514176.6%2413.0%14413.0%40730-39366,31414425.2%39.312083.3%4430.6%11430.6%39240-49369,37310017.5%27.18080.0%3333.0%8433.0%32150-59409,0569015.7%22.07280.0%3336.7%7736.7%26060+553,614335.8%6.02781.8%1545.5%2645.5%184Total2,785,874572100.0%20.546080.4%15226.6%46226.6%387*** Data withheld due to low population counts and/or case countsAge at AIDS DiagnosisPopulationReported AIDS DiagnosesNo.% of TotalRateMean Years from HIV Diagnosis% Late HIV Diagnosis<5 (Pediatric) 170,300 10.3%0.6******5-12 (Pediatric) 275,343 00.0%0.0--0.0%13-19 246,097 10.3%0.4******20-29 395,777 4614.4%11.63.247.8%30-39 366,314 7824.5%21.32.560.3%40-49 369,373 8927.9%24.15.241.6%50-59 409,056 7122.3%17.4640.8%60+ 553,614 3310.3%6.05.748.5%Total 2,785,874 319100.0%11.54.548.0%Table 7 – AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Age at AIDS Diagnosis, Reported through 12/31/2015 *** Data withheld due to low population counts and/or case countsReported HIV Diagnoses: Reported HIV diagnoses with an initial HIV diagnosis during the specified year.Age at HIV Diagnosis: Age group at time of initial HIV diagnosis.Population: Population estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).First CD4 Test Result: First reported CD4 test result obtained within 12 months following initial HIV diagnosis. Median Count (First CD4): Median CD4 count (cells per microliter) of the first CD4 test result reported within 12 months following initial HIV diagnosis.Number Linked to Care: Number of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis calculated from Percent Linked to Care.Percent Linked to Care: Percent of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Number of Late HIV diagnosis (for HIV diagnoses): Number of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis calculated from Percent Late HIV Diagnosis.Percent Late HIV Diagnosis (for HIV diagnoses): percent of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis.Age at AIDS Diagnosis: Age group at time of initial AIDS diagnosis. Reported AIDS Diagnoses: Reported HIV diagnoses with an initial AIDS diagnosis during the specified year.Mean Years from HIV Diagnosis (to AIDS Diagnosis): Mean number of years from initial HIV diagnosis to initial AIDS diagnosis for cases with a reported AIDS diagnosis. Table 8 – HIV Cases Alive on 12/31/2014, by Age on 12/31/2014, Reported through 12/31/2015 Age On 12/31/2014PopulationLiving HIV Cases without AIDSLiving HIV Cases with AIDSTotal Living HIV CasesNo.%RateNo.%RateNo.%RateRatio (1 in X)<5170,30030.0%1.820.0%1.250.0%2.934,0605-12275,343300.4%10.930.0%1.1330.2%12.08,34313-19246,097791.0%32.1370.4%15.01160.7%47.12,12120-29395,7771,19515.3%301.95205.5%131.41,7159.9%433.323030-39366,3141,45618.6%397.51,07511.3%293.52,53114.6%690.914440-49369,3731,83923.5%497.92,48026.1%671.44,31924.9%1,169.38550-59409,0562,23028.5%545.23,66738.6%896.55,89734.0%1,441.66960+553,6141,00112.8%180.81,72818.2%312.12,72915.7%492.9202Total2,785,8747,833100.0%281.29,512100.0%341.417,345100.0%622.6160Age on [date]: Age group of living cases on the specified date.Population: Population estimate for 7/1/2014.Adult/Adolescent Living HIV Cases without AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Living HIV Cases with AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Table 9 – CD4 Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, by Age on 12/31/2014, Reported through 12/31/2015 Age On 12/31/2014Adult/Adolescent Total Living HIV CasesNo.Recent CD4 Test ResultsNo. with Test% with TestMedian Count<200200-349350-499500+13-19 38 27 71.1%5013.7%11.1%33.3%51.9%20-29 1,525 954 62.6%51112.2%13.2%23.5%51.2%30-39 2,522 1,508 59.8%54413.3%12.4%19.3%55.0%40-49 4,319 2,521 58.4%52314.7%14.5%17.4%53.4%50-59 5,897 3,592 60.9%53614.1%14.5%17.3%54.1%60+ 2,729 1,573 57.6%51710.9%16.7%19.5%52.8%Total 17,030 10,175 59.7%52813.4%14.4%18.6%53.6%Table 10 – Viral Load Test Results for Adult/Adolescent HIV Cases Alive on 12/31/2014, by Age on 12/31/2014, Reported through 12/31/2015Age On 12/31/2014Adult/Adolescent Total Living HIV CasesNo.Recent Viral Load Test ResultNo. with Test% with Test% SuppressedMedian Unsuppressed13-19 38 28 73.7%32.1% 2,692 20-29 1,525 950 62.3%56.2% 12,045 30-39 2,522 1,390 55.1%68.2% 11,732 40-49 4,319 2,196 50.8%71.3% 11,010 50-59 5,897 3,032 51.4%75.4% 7,690 60+ 2,729 1,222 44.8%82.2% 4,980 Total 17,030 8,818 51.8%72.0% 9,435 Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Age on [date]: Age group of living cases on the specified date.Recent CD4 Test Result: The most recent CD4 test result reported in the 12 months prior to December 31st of the specified year. Median Count (Recent CD4): Median CD4 count (cells per microliter) of the most recent CD4 test result reported in the 12 months prior to December 31st of the specified yearCD4 Result Distribution (<200, 200-349, 350-499, 500+): Percent of cases with a CD4 test distributed by their CD4 count results (cells per microliter).Recent Viral Load Test Result: The most recent viral load test result reported in the 12 months prior to December 31st of the specified year. Percent Suppressed (Viral Load): Percent of adult/adolescent total living HIV cases with a most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Median Unsuppressed (Viral Load): Median unsuppressed viral load (copies per milliliter) among adult/adolescent living HIV cases with a most recent viral load test result reported in the 12 months prior to December 31st of the specified year of 200 copies per milliliter or greater. Section V – Adult/Adolescent Cases by DemographicsTable 11 – Adult/Adolescent HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Sex at Birth, Race/Ethnicity and Country of Birth, Reported through 12/31/2015Sex At BirthPopulation Age 13+*Adult/Adolescent Reported HIV DiagnosesNo.% of TotalRateNo. Linked to Care% Linked to CareNo. of % Late Diagnosis% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountMale1,116,18441172.1%36.832077.9%10625.8%32980.0%388Female1,224,04715927.9%13.013886.8%4528.3%13283.0%354Total2,340,231570100.0%24.445880.4%15126.5%46180.9%387Race/EthnicityPopulation Age 13+*Adult/Adolescent Reported HIV DiagnosesNo.% of TotalRateNo. Linked to Care% Linked to CareNo. of % Late Diagnosis% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountHispanic108,986335.8%30.32678.8%1133.3%2987.9%306Non-Hispanic2,231,24553794.2%24.143280.4%14026.1%43280.4%389American Indian/Alaska Native, only5,99010.2%16.7*********************Asian, only122,93930.5%2.4*********************Black, only655,86943376.0%66.034980.6%11326.1%34679.9%392Native Hawaiian/Other Pacific Islander, only1,23500.0%0.000.0%00.0%00.0%--White only1,407,6566811.9%4.85377.9%1725.0%5479.4%373Multiracial/Other37,555325.6%85.22887.5%928.1%3093.8%405Total2,340,231570100.0%24.445880.4%15126.5%46180.9%387Country of BirthPopulation Age 13+**Adult/Adolescent Reported HIV DiagnosesNo.% of TotalRateNo. Linked to Care% Linked to CareNo. of % Late Diagnosis% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountUnited States2,063,32147282.8%22.937178.6%12225.8%37880.1%386Foreign-born242,913356.1%14.43085.7%1440.0%3291.4%317Africa--244.2%--2291.7%833.3%2291.7%372Asia--50.9%--*********************Caribbean--20.4%--*********************Central America--30.5%--*********************Other--10.2%--*********************Unknown--6311.1%--5790.5%1523.8%5181.0%408Total2,306,234570100.0%24.745880.4%15126.5%46180.9%387* Population data by sex at birth, age, and race/ethnicity are from the 2014 U.S. Census population estimates ** Population data by country of birth are from the 2013 American Community Survey*** Data withheld due to low population and/or case countsAdult/Adolescent Reported HIV Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial HIV diagnosis during the specified year.Population Age 13+: Population greater than or equal to 13 years old, estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).First CD4 Test Result: First reported CD4 test result obtained within 12 months following initial HIV diagnosis. Median Count (First CD4): Median CD4 count (cells per microliter) of the first CD4 test result reported within 12 months following initial HIV diagnosis.Number Linked to Care: Number of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis calculated from Percent Linked to Care.Percent Linked to Care: Percent of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Number of Late HIV diagnosis (for HIV diagnoses): Number of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis calculated from Percent Late HIV Diagnosis.Percent Late HIV Diagnosis (for HIV diagnoses): Percent of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis.Table 12 – Adult/Adolescent AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Sex at Birth, Race/Ethnicity and Country of Birth, Reported through 12/31/2015 Sex At BirthPopulation Age 13+*Adult/Adolescent Reported AIDS DiagnosesNo.% of TotalRateMean Years from HIV Diagnosis% Late HIV DiagnosisMale1,116,18420163.4%18.04.252.2%Female1,224,04711636.5%9.54.740.5%Total2,340,231317100.0%13.54.447.9%Race/EthnicityPopulation Age 13+*Adult/Adolescent Reported AIDS DiagnosesNo.% of TotalRateMean Years from HIV Diagnosis% Late HIV DiagnosisHispanic108,986154.7%13.81.373.3%Non-Hispanic2,231,24530295.3%13.54.646.7%American Indian/Alaska Native, only5,99000.0%0.0--0.0%Asian, only122,93910.3%0.8******Black, only655,86923774.8%36.14.548.5%Native Hawaiian/Other Pacific Islander, only1,23500.0%0.0--0.0%White only1,407,6564413.9%3.1******Multiracial/Other37,555206.3%53.34.640.0%Total2,340,231317100.0%13.54.447.9%County Of BirthPopulation Age 13+**Adult/Adolescent Reported AIDS DiagnosesNo.% of TotalRateMean Years from HIV Diagnosis% Late HIV DiagnosisUnited States2,063,32128589.9%13.84.843.2%Foreign-born242,913175.4%7.00.888.2%Africa--92.8%--0.2100.0%Asia--20.6%--******Caribbean--10.3%--******Central America--30.9%--******Other--20.6%--******Unknown--154.7%--0.493.3%Total2,306,234317100.0%13.74.447.9%* Population data by sex at birth, age, and race/ethnicity are from the 2014 U.S. Census population estimates ** Population data by country of birth are from the 2013 American Community Survey*** Data withheld due to low population and/or case countsAdult/Adolescent Reported AIDS Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial AIDS diagnosis during the specified year.Population Age 13+: Population greater than or equal to 13 years old, estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Mean Years from HIV Diagnosis (to AIDS Diagnosis): Mean number of years from initial HIV diagnosis to initial AIDS diagnosis for cases with a reported AIDS diagnosis. Percent Late HIV Diagnosis (for AIDS diagnoses): Percent of adult/adolescent reported AIDS diagnoses with an initial HIV diagnosis less than or equal to 12 months prior to their initial AIDS diagnosis.Table 13 – Adult/Adolescent Living HIV Cases with and without AIDS by Sex at Birth, Race/Ethnicity, and Country of Birth, Alive on 12/31/2014 and Reported through 12/31/2015 Sex At BirthPopulation Age 13+Adult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Total Living HIV CasesNo.%RateNo.%RateNo.%RateRatio(1 in X)Male1,116,1845,04865.6%452.36,01164.0%538.511,05964.7%990.8100Female1,224,0472,64834.5%216.33,37536.1%275.76,02335.4%492.1203Total2,340,2317,676100.0%328.09,354100.0%399.717,030100.0%727.7137Race/EthnicityPopulation Age 13+*Adult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Total Living HIV CasesNo.%RateNo.%RateNo.%RateRatio (1 in X)Hispanic108,9862363.1%216.53363.6%308.35723.4%524.8190Non-Hispanic2,231,2457,44096.9%333.49,01896.4%404.216,45896.6%737.6135American Indian/Alaska Native, only5,99090.1%150.2 7 0.1%116.9 16 0.1% 267.1 374 Asian, only122,939390.5%31.7200.2%16.3590.3%48.02,083Black, only655,8695,86276.4%893.87,15776.5%1,091.213,01976.4%1,985.050Native Hawaiian/Other Pacific Islander, only1,235 3 0.0% 242.9 0 0.0% 0.0 3 0.0% 242.9 411 White only1,407,6561,23816.1%87.91,33114.2%94.62,56915.1%182.5547Multiracial/Other37,5552893.8%769.55035.4%1,339.47924.7%2,108.947Total2,340,2317,676100.0%328.09,354100.0%399.717,030100.0%727.7137Country Of BirthPopulation Age 13+**Adult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Total Living HIV CasesNo.%RateNo.%RateNo.%RateRatio(1 in X)United States2,063,3217,19893.8%348.98,88295.0%430.516,08094.4%779.3128Foreign-born242,9131832.4%75.33323.5%136.75153.0%212.0471Africa--881.1%--1711.8%--2591.5%----Asia--190.2%--270.3%--460.3%----Caribbean--190.2%--320.3%--510.3%----Central America--300.4%--650.7%--950.6%----Other--270.4%--370.4%--640.4%----Unknown--2953.8%--1401.5%--4352.6%----Total2,306,2347,676100.0%332.89,354100.0%405.617,030100.0%738.4135* Population data by sex at birth, age, and race/ethnicity are from the 2014 U.S. Census population estimates ** Population data by country of birth are from the 2013 American Community SurveyPopulation Age 13+: Population greater than or equal to 13 years old, estimate for 7/1/2014.Adult/Adolescent Living HIV Cases without AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Living HIV Cases with AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Table 14 –Adult/Adolescent Total Living HIV Cases, Recent CD4 Test Results, by Sex at Birth, Race/Ethnicity and Country of Birth, Alive on 12/31/2014 and Reported through 12/31/2015Sex At BirthAdult/Adolescent Total Living HIV CasesNo.Recent CD4 Test ResultNo. with Test% with TestMedian Count<200200-349350-499500+Male 11,007 6,335 57.6%51213.2%14.7%20.3%51.7%Female 6,023 3,840 63.8%56113.8%13.9%15.7%56.7%Total 17,030 10,175 59.7%52813.4%14.4%18.6%53.6%Race/EthnicityAdult/Adolescent Total Living HIV CasesNo.Recent CD4 Test ResultNo. with Test% with TestMedian Count<200200-349350-499500+Hispanic57233258.0%51812.0%14.2%21.7%52.1%Non-Hispanic16,4589,84359.8%52913.5%14.4%18.5%53.6%American Indian/Alaska Native, only16*********************Asian, only593050.8%5276.7%20.0%20.0%53.3%Black, only13,0197,86960.4%52313.6%14.7%18.8%53.0%Native Hawaiian/Other Pacific Islander, only3*********************White only2,5691,36753.2%58411.3%12.4%16.6%59.8%Multiracial/Other79257372.3%47718.0%15.0%19.2%47.8%Total17,03010,17559.7%52813.4%14.4%18.6%53.5%Country Of BirthAdult/Adolescent Total Living HIV CasesNo.Recent CD4 Test ResultNo. with Test% with TestMedian Count<200200-349350-499500+United States16,0809,62559.6%53013.5%14.4%18.3%53.8%Foreign-born25915258.748615.1%12.5%28.3%44.1%Africa462656.543211.5%23.1%26.9%38.5%Asia5126515723.8%7.7%30.8%57.7%Caribbean955052.646110.0%20.0%28.0%42.0%Central America643046.960313.3%10.0%20.0%56.7%Other51528455.1%48612.7%14.1%27.5%45.8%Unknown43530570.1%51413.4%14.4%19.0%53.1%Total17,03010,17559.7%52813.4%14.4%18.6%53.6%*** Data withheld due to low population and/or case counts Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Recent CD4 Test Result: The most recent CD4 test result reported in the 12 months prior to December 31st of the specified year. Median Count (Recent CD4): Median CD4 count (cells per microliter) of the most recent CD4 test result reported in the 12 months prior to December 31st of the specified year.CD4 Result Distribution (<200, 200-349, 350-499, 500+): Percent of cases with a CD4 test distributed by their CD4 count results (cells per microliter).Table 15 – Adult/Adolescent Total Living HIV Cases, Recent Viral Load Test Results, by Sex at Birth, Race/Ethnicity and Country of Birth, Alive on 12/31/2014 and Reported through 12/31/2015Sex At BirthAdult/Adolescent Total Living HIV CasesNo.Recent Viral Load Test ResultNo. with Test% with Test% SuppressedMedian UnsuppressedMale 11,0075,40849.1%73.4%10,716Female6,0233,41056.6%69.9%7,372Total17,0308,81851.8%72.0%9,435Race/EthnicityAdult/Adolescent Total Living HIV CasesNo.Recent Viral Load Test ResultNo. with Test% with Test% SuppressedMedian UnsuppressedHispanic57229050.7%76.2%18,381Non-Hispanic16,4588,52851.8%71.9%9,360American Indian/Alaska Native, only16************Asian, only592644.1%92.3%21,920Black, only13,0196,87352.8%70.5%9,251Native Hawaiian/Other Pacific Islander, only3************White only2,5691,13044.0%81.2%10,434Multiracial/Other79249462.4%67.8%8,845Total17,0308,81851.8%72.0%9,435Country of BirthAdult/Adolescent Total Living HIV CasesNo.Recent Viral Load Test ResultNo. with Test% with Test% SuppressedMedian UnsuppressedUnited States16,0808,27251.4%71.6%9,553Foreign-born25914154.4%77.3%2,515Africa462452.2%87.5%10,930Asia512752.9%92.6%26,131Caribbean953840.0%76.3%3,020Central America642132.8%81.0%1,439Other51525148.7%80.1%2,515Unknown43529567.8%75.6%13,775Total17,0308,81851.8%72.0%9,435*** Data withheld due to low population and/or case counts Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Recent Viral Load Test Result: The most recent viral load test result reported in the 12 months prior to December 31st of the specified year. Percent Suppressed (Viral Load): Percent of adult/adolescent total living HIV cases with a most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Median Unsuppressed (Viral Load): Median unsuppressed viral load (copies per milliliter) among adult/adolescent living HIV cases with a most recent viral load test result reported in the 12 months prior to December 31st of the specified year of 200 copies per milliliter or greater. Section VI – HIV Cases by Expanded DemographicsFigure 9 – Population Pyramids of Total Living HIV Cases by Current Age, Sex at Birth, and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015MaleFemaleTotal Living HIV Cases: Reported HIV diagnoses with or without an AIDS diagnosis and not reported to have died as of December 31st of the specified year.Table 16 – Total Living Male HIV Cases by Current Age and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015MalesAge On 12/31/2014Race/EthnicityTotal Males by Age GroupHispanicNon-Hispanic Black, onlyNon-Hispanic White, onlyNon-Hispanic Other Race<13 (Pediatric)Population19,76572,494109,42525,571227,255Cases0161017Rate0.022.10.90.07.5Ratio (1 in X)--4,530109,425--13,36713-19Population8,00339,68866,06411,482125,237Cases1512559Rate12.5128.53.043.547.1Ratio (1 in X)8,00377833,0322,2962,12220-29Population13,94359,311107,82716,213197,294Cases501,013106721241Rate358.61,707.998.3444.1629.0Ratio (1 in X)278581,01722515830-39Population15,51447,21998,91016,193177,836Cases1211,148242941605Rate779.92,431.2244.7580.5902.5Ratio (1 in X)1284140817211040-49Population10,07748,664104,57913,979177,299Cases1161,7075181332474Rate1,151.13,507.7495.3951.41,395.4Ratio (1 in X)86282011057150-59Population5,67049,567129,76710,748195,752Cases1002,8037621803845Rate1,763.75,655.0587.21,674.71,964.2Ratio (1 in X)5617170595060+Population4,10550,889176,90010,872242,766Cases431,404370861903Rate1,047.52,758.9209.2791.0783.9Ratio (1 in X)9536478126127Total Males by Race/EthnicityPopulation77,077367,832793,472105,0581,343,439Cases4318,1422,00157011,144Rate559.22,213.5252.2542.6829.5Ratio (1 in X)17845396184120Age on [date]: Age group of living cases on the specified date.Total Living HIV Cases: Reported HIV diagnoses with or without an AIDS diagnosis and not reported to have died as of December 31st of the specified year.Population: Population estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Table 17 – Total Living Female HIV Cases by Current Age and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015FemalesAge On 12/31/2014Race/EthnicityTotal Females by Age GroupHispanicNon-Hispanic Black, onlyNon-Hispanic White, onlyNon-Hispanic Other Race<13 (Pediatric)Population19,17970,336104,26924,605218,388Cases0200121Rate0.028.40.04.19.6Ratio (1 in X)--3,516--24,60410,39913-19Population7,63839,27462,32611,621120,860Cases2513157Rate26.2129.94.88.647.2Ratio (1 in X)3,81977020,77511,6212,12020-29Population11,83464,969104,65717,023198,483Cases104093718474Rate84.5629.535.4105.7238.8Ratio (1 in X)1,1831582,82894541830-39Population12,94758,74398,20318,585188,478Cases4272410852926Rate324.41,232.5110.0279.8491.3Ratio (1 in X)3088190935720340-49Population8,91758,532108,66515,960192,074Cases401509198981,845Rate448.62,578.1182.2614.0960.6Ratio (1 in X)2223854816210450-59Population5,39761,379134,77711,751213,304Cases3817361731052,052Rate704.12,828.3128.4893.5962.0Ratio (1 in X)1423577911110360+Population4,94177,634214,98113,292310,848Cases137066938826Rate263.1909.432.1285.9265.7Ratio (1 in X)3801093,115349376Total Females by Race/EthnicityPopulation70,853430,867827,878112,8371,442,435Cases1455,1555883136,201Rate204.61,196.471.0277.4429.9Ratio (1 in X)488831,407360232Age on [date]: Age group of living cases on the specified date.Total Living HIV Cases: Reported HIV diagnoses with or without an AIDS diagnosis and not reported to have died as of December 31st of the specified year.Population: Population estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate).Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Section VII – HIV Exposure CategoryTable 18 – Adult/Adolescent HIV Diagnoses during 2014, First CD4 Test Result, Percent Linked to Care, and Percent Late Diagnosis, by Exposure Category and Sex at Birth, Reported through 12/31/2015Exposure CategoryAdult/Adolescent HIV DiagnosesNo.% of Total with ExposureNo. Linked to Care% Linked to CareNo. of Late Diagnoses% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountWith Exposure484100.0%39581.6%12225.2%40082.6%395Men who have Sex with Men (MSM)26053.7%21783.5%6123.5%22084.6%406Injection Drug Users (IDU)255.2%1248.0%1040.0%2080.0%268Men who have Sex with Men and Inject Drugs (MSM/IDU)51.0%************5100.0%384Heterosexual Exposure (HET)19339.9%16183.4%5025.9%15580.3%356Other Exposure10.2%************00.0%--No Reported Exposure866373.3%2933.7%6170.9%255Total57045880.4%15126.5%46180.9%387Male Exposure CategoryAdult/Adolescent Reported HIV DiagnosesNo.% of Total with ExposureNo. Linked to Care% Linked to CareNo. of Late Diagnoses% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountWith Exposure349100.0%27979.9%8724.9%28882.5%397Men who have Sex with Men (MSM)26074.5%21783.5%6123.5%22084.6%406Injection Drug Users (IDU)164.6%************1275.0%183Men who have Sex with Men and Inject Drugs (MSM/IDU)51.4%************5100.0%384Heterosexual Exposure (HET)6719.2%5074.6%1725.4%5176.1%388Other Exposure10.3%1100.0%00.0%00.0%--No Reported Exposure624166.1%1930.6%4166.1%255Total41132077.9%10625.8%32980.0%388Female Exposure CategoryAdult/Adolescent Reported HIV DiagnosesNo.% of Total with ExposureNo. Linked to Care% Linked to CareNo. of Late Diagnoses% Late DiagnosisFirst CD4 Test ResultNo. with Test% with TestMedian CountWith Exposure135100.0%11685.9%3525.9%11283.0%359Injection Drug Users (IDU)96.7%555.6%******888.9%507Heterosexual Exposure (HET)12693.3%11188.1%******10482.5%354Other Exposure00.0%00.0%00.0%00.0%--No Reported Exposure242291.7%1041.7%2083.3%232Total15913886.8%4528.3%13283.0%354*** Data withheld due to low population and/or case countsAdult/Adolescent Reported HIV Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial HIV diagnosis during the specified year.First CD4 Test Result: First reported CD4 test result obtained within 12 months following initial HIV diagnosis. Median Count (First CD4): Median CD4 count (cells per microliter) of the first CD4 test result reported within 12 months following initial HIV diagnosis.Number Linked to Care: Number of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis calculated from Percent Linked to Care.Percent Linked to Care: Percent of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Number of Late HIV diagnosis (for HIV diagnoses): Number of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis calculated from Percent Late HIV Diagnosis.Percent Late HIV Diagnosis (for HIV diagnoses): Percent of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis.Table 19 – Adult/Adolescent AIDS Diagnoses during 2014, Mean Years from HIV Diagnosis and Percent Late HIV Diagnosis, by Exposure Category and Sex at Birth, Reported through 12/31/2015Exposure CategoryAdult/Adolescent AIDS DiagnosesNo.% of Total with ExposureMean Years from HIV Diagnosis% Late HIV DiagnosisWith Exposure269100.0%4.746.1%Men who have Sex with Men (MSM)10338.3%3.459.2%Injection Drug Users (IDU)************Men who have Sex with Men and Inject Drugs (MSM/IDU)************Heterosexual Exposure (HET)11342.0%4.249.6%Other Exposures00.0%----No Reported Exposure*492.857.1%Total3174.447.8%Male Exposure CategoryAdult/Adolescent AIDS DiagnosesNo.% of Total with ExposureMean Years from HIV Diagnosis% Late HIV DiagnosisWith Exposure172100.0%4.549.4%Men who have Sex with Men (MSM)10359.9%3.459.2%Injection Drug Users (IDU)************Men who have Sex with Men and Inject Drugs (MSM/IDU)************Heterosexual Exposure (HET)3721.5%4.248.6%Other Exposures00.0%----No Reported Exposure302.766.7%Total2014.352.0%Female Exposure CategoryAdult/Adolescent AIDS DiagnosesNo.% of Total with ExposureMean Years from HIV Diagnosis% Late HIV DiagnosisWith Exposure97100.0%5.140.2%Injection Drug Users (IDU)2121.6%8.44.8%Heterosexual Exposure (HET)7678.4%4.150.0%Other Exposures00.0%----No Reported Exposure*193.042.1%Total1164.740.5%* Includes 3 new HIV diagnoses with Presumed Female Heterosexual exposure*** Data withheld due to low population and/or case countsAdult/Adolescent Reported AIDS Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial AIDS diagnosis during the specified year.Mean Years from HIV Diagnosis (to AIDS Diagnosis): Mean number of years from initial HIV diagnosis to initial AIDS diagnosis for cases with a reported AIDS diagnosis. Percent Late HIV Diagnosis (for AIDS diagnoses): Percent of adult/adolescent reported AIDS diagnoses with an initial HIV diagnosis less than or equal to12 months prior to their initial AIDS diagnosis.Table 20 – Adult/Adolescent Living HIV Cases with and without AIDS by Exposure Category and Sex at Birth, Alive on 12/31/2014 and Reported through 12/31/2015Exposure CategoryAdult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Living HIV CasesNo.% of Total with ExposureNo.% of Total with ExposureNo.% of Total with ExposureWith Exposure5,707100.0%8,239100.0%13,946100.0%Men who have Sex with Men (MSM)2,26139.6%2,26227.5%4,52332.4%Injection Drug Users (IDU)1,38824.3%2,98136.2%4,36931.3%Men who have Sex with Men and Inject Drugs (MSM/IDU)1602.8%3644.4%5243.8%Heterosexual Exposure (HET)1,88133.0%2,59531.5%4,47632.1%Other Exposures170.3%370.4%540.4%No Reported Exposure*1,9691,1153,084Total7,6769,35417,030Male Exposure CategoryAdult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Living HIV CasesNo.% of Total with ExposureNo.% of Total with ExposureNo.% of Total with ExposureWith Exposure3,874100.0%5,311100.0%9,185100.0%Men who have Sex with Men (MSM)2,26158.4%2,26242.6%4,53249.2%Injection Drug Users (IDU)82721.3%1,78333.6%2,61028.4%Men who have Sex with Men and Inject Drugs (MSM/IDU)1604.1%3646.9%5245.7%Heterosexual Exposure (HET)61816.0%88016.6%1,49816.3%Other Exposures80.2%220.4%300.3%No Reported Exposure1,1546681,822Total5,0285,97911,007Female Exposure CategoryAdult/Adolescent Living HIV Cases without AIDSAdult/Adolescent Living HIV Cases with AIDSAdult/Adolescent Living HIV CasesNo.% of Total with ExposureNo.% of Total with ExposureNo.% of Total with ExposureWith Exposure1,833100.0%2,928100.0%4,761100.0%Injection Drug Users (IDU)56130.6%1,19840.9%1,75936.9%Heterosexual Exposure (HET)1,26368.9%1,71558.6%2,97862.5%Other Exposures90.5%150.5%240.5%No Reported Exposure*8154471,262Total2,6483,3756,023* Includes 68 HIV cases without AIDS and 35 HIV cases with AIDS with Presumed Female Heterosexual exposureAdult/Adolescent Living HIV Cases without AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Living HIV Cases with AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Table 21 – Adult/Adolescent Total Living HIV Cases by Exposure Category, Race/Ethnicity, and Sex at Birth, Alive on 12/31/2014 and Reported through 12/31/2015Exposure CategoryAdult/Adolescent Total Living HIV CasesRace/EthnicityHispanicNon-Hispanic, Black, onlyNon-Hispanic, White, onlyNo.% of Total with ExposureNo.% of Total with ExposureNo.% of Total with ExposureWith Exposure456100.0%10,592100.0%2,148100.0%Men who have Sex with Men (MSM)20645.2%2,81426.6%1,22356.9%Injection Drug Users (IDU)7316.0%3,65534.5%43120.1%Men who have Sex with Men and Inject Drugs (MSM/IDU)143.1%3993.8%793.7%Heterosexual Exposure (HET)162355.0%3,69234.9%39718.5%Other Exposures10.2%320.3%180.8%No Reported Exposure*1162,427421Total57213,0192,569Male Exposure CategoryAdult/Adolescent Total Living HIV CasesRace/EthnicityHispanicNon-Hispanic, Black, onlyNon-Hispanic, White, onlyNo.% of Total with ExposureNo.% of Total with ExposureNo.% of Total with ExposureWith Exposure350100.0%6,680100.0%1,670100.0%Men who have Sex with Men (MSM)20658.9%2,81442.1%1,22373.2%Injection Drug Users (IDU)5214.9%2,25233.7%21212.7%Men who have Sex with Men and Inject Drugs (MSM/IDU)144.0%3996.0%794.7%Heterosexual Exposure (HET)7822.3%1,20118.0%1428.5%Other Exposures00.0%140.2%140.8%No Reported Exposure801,346319Total4308,0261,989Female Exposure CategoryAdult/Adolescent Total Living HIV CasesRace/EthnicityHispanicNon-Hispanic, Black, onlyNon-Hispanic, White, onlyNo.% of Total with ExposureNo.% of Total with ExposureNo.% of Total with ExposureWith Exposure106100.0%3,912100.0%478100.0%Injection Drug Users (IDU)2119.8%1,40335.9%21945.8%Heterosexual Exposure (HET)8479.2%2,49163.7%25553.3%Other Exposures10.9%180.5%40.8%No Reported Exposure*361,081102Total1424,993580* Includes 4 Hispanic cases, 90 non-Hispanic black cases, and 7 non-Hispanic white cases with Presumed Female Heterosexual exposureAdult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Table 22 – Adult/Adolescent Total Living HIV Cases, Recent CD4 Test Results by Exposure Category, Alive on 12/31/2014 and Reported through 12/31/2015Exposure CategoryAdult/Adolescent Total Living HIV CasesNo.Recent CD4 Test ResultsNo. with Test% with TestMedian Count<200200-349350-499500+With Exposure13,9468,68762.3%52513.5%14.5%18.7%53.3%Men who have Sex with Men (MSM)4,5232,74260.6%5579.5%11.8%20.8%57.9%Injection Drug Users (IDU)4,3692,72662.4%47516.3%18.9%18.3%46.5%Men who have Sex with Men and Inject Drugs (MSM/IDU)52432061.1%51816.6%13.4%17.2%52.8%Heterosexual Exposure (HET)4,4762,86063.9%55114.2%13.0%17.0%55.8%Other Exposures543972.2%45417.9%17.9%33.3%30.8%No Reported Exposure*3,0841,48848.2%54613.0%13.6%18.1%55.2%Total17,03010,17559.7%52813.4%14.4%18.6%53.6%* Includes 103 cases with Presumed Female Heterosexual exposureTable 23 – Adult/Adolescent Total Living HIV Cases, Recent Viral Load Test Results by Exposure Category, Alive on 12/31/2014 and Reported through 12/31/2015Exposure CategoryAdult/Adolescent Total Living HIV CasesNo.Recent Viral Load Test ResultsNo. with Test% with Test% SuppressedMedian CountWith Exposure13,9467,45153.4%71.5%9,986Men who have Sex with Men (MSM)4,5232,42553.6%74.4%10,995Injection Drug Users (IDU)4,3692,23851.2%68.6%10,715Men who have Sex with Men and Inject Drugs (MSM/IDU)52425548.7%65.1%13,568Heterosexual Exposure (HET)4,4762,50556.0%72.2%7,071Other Exposures542851.9%50.0%35,271No Reported Exposure*3,0841,36744.3%74.6%6,769Total17,0308,81851.8%72.0%9,435* Includes 103 cases with Presumed Female Heterosexual exposureAdult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Recent CD4 Test Result: The most recent CD4 test result reported in the 12 months prior to December 31st of the specified year. Median Count (Recent CD4): Median CD4 count (cells per microliter) of the most recent CD4 test result reported in the 12 months prior to December 31st of the specified year.CD4 Result Distribution (<200, 200-349, 350-499, 500+): Percent of cases with a CD4 test distributed by their CD4 count results (cells per microliter).Recent Viral Load Test Result: The most recent viral load test result reported in the 12 months prior to December 31st of the specified year. Percent Suppressed (Viral Load): Percent of adult/adolescent total living HIV cases with a most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Median Unsuppressed (Viral Load): Median unsuppressed viral load (copies per milliliter) among adult/adolescent living HIV cases with a most recent viral load test result reported in the 12 months prior to December 31st of the specified year of 200 copies per milliliter or greater. Section VIII – Disease Progression and MortalityFigure 10 – Trends in Disease Progression by Year of HIV Diagnosis, 1985-2013, Reported through 12/31/2015Number of Adult/Adolescent Reported HIV Cases, Age 13+ at HIV Diagnosis, with or without an AIDS Diagnosis by 12/31/13 (Adult/Adolescent Reported HIV Diagnoses), Number of Adult/Adolescent Reported HIV Cases with an AIDS Diagnosis by 12/31/2014 (Reported AIDS Diagnoses), Percent by Year of HIV Diagnosis of Adult/Adolescent Reported HIV Diagnoses with a Reported AIDS Diagnosis by 12/31/2014, the Average Years from HIV Diagnosis to AIDS Diagnosis for Cases with an AIDS Diagnosis, and the Percent by Year of HIV Diagnosis of Reported Adult/Adolescent HIV Diagnoses with a Reported AIDS Diagnosis at 1 Year, 2 Years, 5 Years, and 10 Years after HIV Diagnosis, by Year of HIV Diagnosis from 1985 through 2013, as Reported by Name through 12/31/2015.Year of HIV DiagnosisAdult/Adolescent Reported HIV DiagnosesNo.Reported AIDS DiagnosesPercent with AIDS by Years After HIV DiagnosisNo.% with AIDSMean Years from HIV to AIDS1 Year2 Years5 Years10 Years<198522021296.4%6.934.5%34.5%38.2%68.6%198543239090.3%6.525.9%27.1%35.0%74.8%198657553492.9%5.533.6%34.3%46.3%79.5%198775969491.4%4.633.5%36.8%54.3%82.2%19881,1191,02791.8%3.838.2%42.1%63.8%85.5%19891,4271,29190.5%3.638.0%43.5%67.3%83.3%19901,4891,34690.4%3.044.0%50.8%73.1%84.9%19911,7001,50388.4%2.746.1%55.7%73.2%83.0%19921,6671,49689.7%2.550.8%59.0%75.3%84.0%19931,5171,35789.5%2.254.1%62.2%76.5%85.3%19941,3801,19686.7%2.353.0%60.9%73.7%81.7%19951,3561,17486.6%2.256.7%62.3%72.4%82.1%19961,2541,05784.3%1.959.4%64.0%71.4%80.2%19971,2731,03381.1%2.055.5%60.5%68.9%76.9%19981,2621,00980.0%2.055.4%59.0%67.6%75.8%19991,15789277.1%1.656.3%60.3%68.3%74.6%20001,08586079.3%1.656.2%60.5%69.8%76.9%20011,18793778.9%1.459.1%63.1%71.5%76.7%20021,4101,03073.0%1.654.0%57.4%64.0%70.8%20031,20586271.5%1.454.3%57.7%63.5%70.0%20041,22786370.3%1.452.7%56.5%62.8%69.0%20051,28080162.6%1.346.6%49.2%55.9%--20061,32471153.7%1.438.7%40.9%48.1%--20071,21553844.3%1.628.4%31.4%39.2%--20081,15248942.4%1.428.0%31.3%39.0%--200991937640.9%1.427.3%30.3%----201092233035.8%1.025.9%28.9%----201171224534.4%0.627.2%31.3%----201268622632.9%0.627.7%30.0%----201362119631.6%0.329.5%------Total33,53224,67573.6%2.445.4%50.0%60.9%70.0%Figure 11 – Trends in Survival Times by Year of AIDS Diagnosis, 1985-2013, Reported through 12/31/2015Number of Adult/Adolescent Reported HIV Cases, Age 13+ at HIV Diagnosis, with an AIDS Diagnosis by 12/31/13 (Adult/Adolescent Reported AIDS Diagnoses), Number of Adult/Adolescent Reported AIDS Diagnosis Reported to Have Died of Any Cause by 12/31/2014 (Reported AIDS Deaths), Percent by Year of AIDS Diagnosis of Adult/Adolescent Reported AIDS Diagnoses with a Reported AIDS Death (Percent Dead) by 12/31/2014, the Average Years from AIDS Diagnosis to Death for Cases that have Died, and the Percent by Year of AIDS Diagnosis of Adult/Adolescent Reported AIDS Diagnoses Not Reported to Have Died (Percent Alive) at 1 Year, 2 Years, 5 Years, and 10 Years after AIDS Diagnosis, by Year of AIDS Diagnosis from 1985 through 2013, as Reported by Name through 12/31/2015Year of HIV DiagnosisAdult/Adolescent Reported AIDS DiagnosesNo.Reported AIDS DeathsPercent Alive by Years After AIDS DiagnosisNo.% DeadMean Years from AIDS to Death1 Year2 Years5 Years10 Years<1985777394.8%2.551.9%32.5%15.6%13.0%198510510196.2%1.742.9%21.9%8.6%6.7%198617417198.3%2.654.0%35.6%14.9%8.6%198726325797.7%2.161.2%33.1%11.0%4.9%198843542096.6%2.359.3%39.1%13.8%6.7%198955553195.7%2.460.5%39.3%15.5%7.9%199078373894.3%2.865.5%46.2%20.1%11.7%199197490993.3%2.767.5%46.0%18.0%12.1%19921,3481,25393.0%3.070.3%48.7%20.4%14.3%19931,5441,34887.3%3.677.5%55.3%32.6%21.0%19941,3711,16184.7%3.877.0%58.3%37.9%23.9%19951,3881,07177.2%4.578.0%65.7%48.5%34.7%19961,30093471.8%5.181.8%74.6%57.3%41.4%19971,12675066.6%5.085.0%77.0%60.7%44.4%19981,03065964.0%5.287.0%80.0%64.0%47.0%19991,00560360.0%4.786.9%79.7%64.0%48.3%200087947153.6%4.385.6%80.0%65.1%52.7%20011,00356556.3%4.185.3%76.6%62.0%49.9%20021,06353750.5%4.587.8%81.7%69.5%56.3%200393042545.7%3.383.2%77.7%66.2%57.0%200495539241.0%3.486.9%82.3%71.3%60.8%200589532536.3%3.188.3%83.4%73.5%--200680527534.2%2.988.1%83.4%73.9%--200759518430.9%2.688.2%84.7%75.6%--200859317128.8%2.188.0%83.6%74.9%--200951512323.9%2.190.3%86.6%----201055311420.6%1.589.7%86.3%----20114576814.9%1.593.7%90.6%----20124937314.8%1.190.7%88.4%----2013455439.5%0.894.3%------Total23,66914,74562.3%3.680.8%69.8%53.6%43.6%Section IX – Pediatric CasesFigure 12 – Trends in Pediatric HIV Cases, 1985-2014, Reported through 12/31/2015YearPediatric Reported HIV DiagnosesPediatric Total Living HIV CasesNo. by Year of BirthNo. by Year of HIV DiagnosisNo. by Year of AIDS DiagnosisNo. by Year ofDeathNo. Alive on 12/31 ofEach Year<1985262101985207419198623764121987261610523198832221444219892728195651990403716598199146372681261992294628916319934046251219719942130201221419951719131222119961320121422819971610762321998121593244199961574254200088202622001109832672002886327220035212272200425232742005411027520062532279200733154306200858733112009463231520102374314201102423152012123331420130110131420142230315Total45045028213695251711325Number of Pediatric Reported HIV Cases, Age <13 at HIV Diagnosis, with or without an AIDS Diagnosis (Pediatric Reported HIV Diagnoses) by Year of Birth, by Year of HIV Diagnosis, by Year of AIDS Diagnosis, and by Year of Death Due to Any Cause, and Number of Pediatric Reported HIV Cases, Age <13 at HIV Diagnosis, with or without an AIDS Diagnosis and Not Reported to have Died as of December 31st of Each Year (Pediatric Total Living HIV Cases) from 1985 through 2014, as Reported by Name through 12/31/2015.Table 24 – Pediatric Total Living HIV Cases, Alive on 12/31/2014, by Jurisdiction, Reported through 12/31/2015Jurisdiction of Residence at DiagnosisPediatric Total Living HIV CasesNo.% of TotalAnne Arundel216.7%Baltimore City22270.5%Baltimore4915.6%Carroll41.3%Harford134.1%Howard61.9%Queen Anne’s00.0%Total315100.0%Jurisdiction of Residence at Diagnosis: Jurisdiction of residence at time of initial HIV diagnosis for pediatric reported HIV diagnoses, and jurisdiction of residence at later of time of initial HIV diagnosis or initial AIDS diagnosis for pediatric total living HIV cases. Pediatric Reported HIV Diagnoses: Reported HIV diagnoses, age less than 13 years at HIV diagnosis, with or without an AIDS diagnosis, with initial HIV diagnosis during the specified year.Pediatric Total Living HIV Cases: Reported HIV diagnosis, age less than 13 years at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Table 25 – Pediatric Total Living HIV Cases by Sex at Birth and Race/Ethnicity, Alive on 12/31/2014 and Reported through 12/31/2015Sex at BirthPediatric Total Living HIV CasesNo.% of TotalMale13743.5%Female17856.5%Total315100.0%Race/EthnicityPediatric Total Living HIV CasesNo.% of TotalHispanic41.3%Non-Hispanic31198.7%American Indian/ Alaska Native, only00.0%Asian, only10.3%Black, only27888.3%Native Hawaiian/Other Pacific Islander, only00.0%White, only206.3%Multiracial/Other123.8%Total315100.0%Pediatric Reported HIV Diagnoses: Reported HIV diagnoses, age less than 13 years at HIV diagnosis, with or without an AIDS diagnosis, with initial HIV diagnosis during the specified year.Pediatric Total Living HIV Cases: Reported HIV diagnosis, age less than 13 years at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Glossary of TermsAdult/Adolescent Living HIV Cases with AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Living HIV Cases without AIDS: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Adult/Adolescent Reported AIDS Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial AIDS diagnosis during the specified year.Adult/Adolescent Reported HIV Diagnoses: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with an initial HIV diagnosis during the specified year.Adult/Adolescent Total Living HIV Cases: Reported HIV diagnoses, age 13 years or older at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Age at AIDS Diagnosis: Age group at time of initial AIDS diagnosis. Age at HIV Diagnosis: Age group at time of initial HIV diagnosis.Age on [date]: Age group of living cases on the specified date.AIDS Deaths: Reported HIV diagnoses with an AIDS diagnosis that have died due to any cause. CD4 Result Distribution (<200, 200-349, 350-499, 500+): Percent of cases with a CD4 test distributed by their CD4 count results (cells per microliter).Confirmed Perinatal HIV Transmissions: Reported babies born to an HIV positive mother, with a confirmed HIV diagnosis.Current Residence 2009-2015: Jurisdiction of residence from the most recent laboratory test or case report between 1/1/2009-12/31/2015.First CD4 Test Result: First reported CD4 test result obtained within 12 months following initial HIV diagnosis. Jurisdiction of Residence: Jurisdiction of residence at time of initial HIV diagnosis or most recent lab test.Jurisdiction of Residence at AIDS Diagnosis: Jurisdiction of residence at time of initial AIDS diagnosis. Jurisdiction of Residence at Diagnosis: Jurisdiction of residence at the later of time of initial HIV diagnosis or time of initial AIDS diagnosis. Jurisdiction of Residence at HIV Diagnosis: Jurisdiction of residence at time of initial HIV diagnosis. Last Known Residence: Jurisdiction of residence from the most recent laboratory test or case report,?reported through 12/31/2015. ?Live Births: Babies born alive in the general population.Living HIV Cases with AIDS: Reported HIV diagnoses with an AIDS diagnosis and not reported to have died as of December 31st of the specified year.Living HIV Cases without AIDS: Reported HIV diagnoses without an AIDS diagnosis and not reported to have died as of December 31st of the specified year. Mean Years from HIV Diagnosis (to AIDS Diagnosis): Mean or average number of years from initial HIV diagnosis to initial AIDS diagnosis for cases with a reported AIDS diagnosis. Mean Years from AIDS diagnosis to AIDS Death: Mean or average number of years from initial AIDS diagnosis to death for adult/adolescent reported AIDS diagnoses with a reported death.Median: The measure of central location, which divides a set of data into two equal parts.Median Count (First CD4): Median CD4 count (cells per microliter) of the first CD4 test result reported within 12 months following initial HIV diagnosis.Median Count (Recent CD4): Median CD4 count (cells per microliter) of the most recent CD4 test result reported in the 12 months prior to December 31st of the specified yearMedian Unsuppressed (Viral Load): Median unsuppressed viral load (copies per milliliter) among adult/adolescent living HIV cases with a most recent viral load test result reported in the 12 months prior to December 31st of the specified year of 200 copies per milliliter or greater. Number Linked to Care: Number of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis calculated from Percent Linked to Care.Number of Late HIV diagnosis (for HIV diagnoses): Number of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis calculated from Percent Late HIV Diagnosis.On ART: Estimated number of HIV Diagnosed receiving antiretroviral therapy (ART) during the specified year.Pediatric Reported HIV Diagnoses: Reported HIV diagnoses, age less than 13 years at HIV diagnosis, with or without an AIDS diagnosis, with initial HIV diagnosis during the specified year.Pediatric Total Living HIV Cases: Reported HIV diagnosis, age less than 13 years at HIV diagnosis, with or without an AIDS diagnosis, and not reported to have died as of December 31st of the specified year.Percent Alive by Years after AIDS Diagnosis: Percent of adult/adolescent reported AIDS diagnoses not reported to have died at 1 year, 2 years, 5 years and 10 years after initial AIDS diagnosis, by year of AIDS diagnosis.Percent Late HIV Diagnosis (for AIDS diagnoses): Percent of adult/adolescent reported AIDS diagnoses with an initial HIV diagnosis less than or equal to 12 months prior to their initial AIDS diagnosis.Percent Late HIV Diagnosis (for HIV diagnoses): Percent of adult/adolescent reported HIV diagnoses with an initial AIDS diagnosis less than or equal to 12 months after their initial HIV diagnosis.Percent Linked to Care: Percent of adult/adolescent reported HIV diagnoses with a CD4 or viral load test performed less than or equal to 3 months after their initial HIV diagnosis.Percent Suppressed (Viral Load): Percent of adult/adolescent total living HIV cases with a most recent viral load reported in the 12 months prior to December 31st of the specified year of less than 200 copies per milliliter.Percent with AIDS: Percent of adult/adolescent reported HIV diagnoses in the specified year with an initial AIDS diagnosis by 12/31/2015.Percent with AIDS by Years after HIV Diagnosis: Percent of adult/adolescent reported HIV diagnoses in the specified year with an initial AIDS diagnosis at 1 year, 2 years, 5 years and 10 years after HIV diagnosis.Perinatal HIV Transmission Rate: Percent of confirmed perinatal HIV transmissions among reported perinatal HIV exposures.Population: Population estimate for 7/1/2014.Population Age 13+: Population age 13 years or older, estimate for 7/1/2014.Rate: A proportion used to represent risk for disease within a given population. It is calculated by dividing the number of diagnoses by the number of persons at risk (population estimate). Ratio (1 in X): Number of people for every 1 living HIV case in the population, or 1 living HIV case in every X number of people.Recent CD4 Test Result: The most recent CD4 test result reported in the 12 months prior to December 31st of the specified year. Recent Viral Load Test Result: The most recent viral load test result reported in the 12 months prior to December 31st of the specified year. Reported AIDS Deaths: Reported HIV diagnoses with an AIDS diagnosis, reported to have died of any cause during the specified year.Reported AIDS Diagnoses: Reported HIV diagnoses with an initial AIDS diagnosis during the specified year.Reported HIV Diagnoses: Reported HIV diagnoses with an initial HIV diagnosis during the specified year.Reported Perinatal HIV Exposures: Reported babies born to an HIV positive mother during the specified year.Retained in HIV Care: HIV Diagnosed with a CD4 test result reported in the 12 months prior to December 31st of the specified year.Total Living HIV Cases: Reported HIV diagnoses with or without an AIDS diagnosis and not reported to have died as of December 31st of the specified year.Women of Childbearing Age Total Living HIV cases: Reported HIV diagnoses among women of childbearing age (13-49 years old) on December 31st of the specified year. ................
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