wisconsin hiv/aids surveillance annual review addendum: city of milwaukee slide set city of...

Wisconsin HIV/AIDS Surveillance Annual Review Addendum: City of Milwaukee Slide Set

City of Milwaukee: New diagnoses, prevalent cases, syphilis diagnoses, and HIV testing through December 31, 2014

April, 2015P-00484A

Wisconsin Department of Health Services

New Diagnoses


Number and statewide proportion of new HIV diagnoses, city of Milwaukee, 2005-2014

Centers for Disease Control and Prevention. HIV Surveillance Report, 2013; vol.25. http://www.cdc.gov/hiv/library/reports/surveillance/. Published February 2015. Accessed 3/20/2015.

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

20

40

60

80

100

120

140

160

0%

10%

20%

30%

40%

50%

60%

101 111 118 119132 135

115102 111 119

40%44% 43%

50%46%

54%

47% 46%43%

53%

Number of New DiagnosesPercent of Statewide Diagnoses

Year of Diagnosis

Num

ber o

f Dia

gnos

es

Prop

ortio

n of

Sta

tew

ide

Dia

gnos

es

http://www.cdc.gov/hiv/library/reports/surveillance/

HIV diagnosis rates in Milwaukee compared to other geographical areas


HIV diagnosis rate by Metropolitan Statistical Area, 2013

Centers for Disease Control and Prevention. HIV Surveillance Report, 2013; vol.25. http://www.cdc.gov/hiv/library/reports/surveillance/. Published February 2015. Accessed 3/20/2015.

0

5

10

15

20

25

30

35

40

45

50Miami; 44.3

Washington DC; 33.5

Chicago; 19.8MSAs >500,000;

18.3

Indianapolis; 13.6

Detroit; 12.7Milwaukee; 8.7

Minneapolis; 8Madison; 5.4

Metropolitan Statistical Area

Rate

per

100

,000

Pop

ulati

on

http://www.cdc.gov/hiv/library/reports/surveillance/

HIV diagnosis rates in Milwaukee compared to county, state, and U.S.


City of Milwaukee HIV rate compared to other Wisconsin geographies (2014), and the United States (2013)

Sex and Age


Number of new HIV diagnoses by sex and age, city of Milwaukee, 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

10

20

30

40

50

60

70

Year of Diagnosis

Num

ber o

f Dia

gnos

es

Males 13-29 Years

Males 30+ Years

Females 30+ Years

Females 13-29 Years

Transgender Identity


• 24 transgender individuals diagnosed in city of Milwaukee since beginning of epidemic– Likely an underestimate due to

limited historical data collection on self-reported gender identity

– All from a racial/ethnic minority group

– Most (n=19) under age 30 at time of diagnosis

Race/ethnicity and sex


HIV diagnosis rate by sex and race/ethnicity, city of Milwaukee, 2010-2014

Male Female0.0

10.0

20.0

30.0

40.0

50.0

60.0 57.0

11.0

26.3

6.4

17.6

5.3

15.6

2.3

12.9

3.6

12.3

24.2

Black Hispanic Multi-Racial White Asian American Indian/Alaska Native

Rate

per

100

,000

Pop

ulati

on

Risk exposure


HIV diagnoses by estimated risk exposure group*, city of Milwaukee, 2005-2014

2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

20

40

60

80

100

120

MSM (incl. MSM/PWID) PWID

High Risk Heterosexual

Year of Diagnosis

Estim

ated

Num

ber o

f Dia

gnos

es

*Data have been statistically adjusted to account for those with unknown risk

Risk exposure and sex


Proportion of HIV diagnoses by sex and estimated risk exposure group*, city of Milwaukee, 2014

Female Male Total0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

31%

4%8%

69%

5%13%

90%

78%

MSM (incl. MSM/PWID) PWID High-Risk Heterosexual

Estim

ated

Per

cent

of N

ew D

iagn

oses

W

ithi

n Ea

ch C

ateg

ory

*Data have been statistically adjusted to account for those with unknown risk.

Risk exposure and age


Median age at HIV diagnosis by reported risk exposure, and among MSM by race/ethnicity, city of Milwaukee, 2014

Total (n=119)

High-Risk Heterosexual (n=8)

PWID (n=5)

MSM (n=73)

Black (n=48)

Hispanic (n=10)

White (n=14)

0 10 20 30 40 50 60

28

48.5

52

26

23.5

26

39.5

Median Age at Diagnosis (Years)

MSM*

*Includes MSM/PWID

Risk exposure, sex, race/ethnicity, age


Number of HIV diagnoses by selected sex, race/ethnicity, age and risk group*, City of Milwaukee, 2012-2014

Young Black MSM

Older Black MSM

Older White MSM

Older Black FemalesHigh-Risk Heterosexual

Older Hispanic MSM

Young Hispanic MSM

Young White MSM

Young Black Females High-Risk Heterosexual

0 20 40 60 80 100 120

107

43

36

21

21

16

10

9

Estimated Number of Diagnoses

* Data have been statistically adjusted to account for those with unknown risk

New diagnoses: zip codes


HIV diagnoses by zip code of residence*, city of Milwaukee, 2012-2014

53207

5322453223

53209

53221

5321853225

53215

53216

53208

53212

53204

5322253206

53219

53210

53202

53211

53214

53233

53220

53205

5322853227

5322653203

53213

53295

53213

53217

53154

53213

53022

53235

53051

* Dots are placed randomly within zip codes and do not reflect the actual case residence.

1 dot = 1 HIV diagnosis

New diagnoses among young Black MSM: zip codes


Relative number of new HIV diagnoses among young (ages 13-29) Black MSM by zip code of residence, city of Milwaukee, 2012-2014

Late testers


Percentage of new HIV diagnoses with concurrent AIDS diagnosis or progressing to AIDS within one year, city of Milwaukee, 2011-2014

2011 2012 2013 20140%

5%

10%

15%

20%

25%

30%

35%

19%25% 24%

21%

11%

7% 6%

Progression to AIDS within 1 year (excluding concurrent diagnoses)*

Concurrent diagnosis of HIV and AIDS

Year of Diagnosis

Perc

ent o

f Dia

gnos

es

* Those diagnosed with HIV infection during 2014 have not had one full year to evaluate progression to AIDS and therefore this category is excluded for 2014.

Prevalent cases: zip codes


Prevalent cases of HIV infection by last known zip code of residence, city of Milwaukee, as of December 31, 2014

Prevalent Cases1 - 4748 - 105106 - 164>165

53219

532205322853227

5322653203

53213

53295

53213

53217

53154

53213

53235

53207

5322453223

53221

53225

53222

53211

53214

53233

53205

53218

53216

53210

53202

53209

53215

53208

53212

53204

53206

HIV testing


New positivity rate at publically-funded counseling and testing sites in the city of Milwaukee for various populations, 2009-2014

All populations

Females

Non-MSM Males

White MSM

Hispanic MSM

Black MSM

0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 3.5%

0.7%

0.2%

0.2%

1.1%

1.5%

3.2%

New Positivity Rate

Syphilis and HIV diagnoses


Syphilis diagnoses in Milwaukee County from 2004-2013, and syphilis or syphilis-HIV diagnoses in Milwaukee County among males ages 13-29 from 2012-2014

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 20140

20

40

60

80

100

120

140

160

0

5

10

15

20

25

30

35

40

45

50

3125 26

16

18 13

Syphilis-HIV Co-InfectionMales 13-29 Years

Syphilis OnlyMales 13-29 Years

Total Syphilis for Milwaukee County

Year of Syphilis Diagnosis

Tota

l Num

ber o

f Dia

gnos

es

Num

ber o

f Dia

gnos

es, M

ales

Age

s 13

-29

Year

s

Centers for Disease Control and Prevention. Syphilis & MSM (Men Who Have Sex With Men) – CDC Fact Sheet. http://www.cdc.gov/std/syphilis/stdfact-msm-syphilis.htm. Accessed 4/9/2015.Wisconsin Department of Health Services. Sexually Transmitted Disease in Wisconsin 2013: Milwaukee County. https://www.dhs.wisconsin.gov/publications/p0/p00415-2013-milwaukee.pdf. Accessed 4/9/2015.

http://www.cdc.gov/std/syphilis/stdfact-msm-syphilis.htm

https://www.dhs.wisconsin.gov/publications/p0/p00415-2013-milwaukee.pdf

Full reports

• For additional information and methodology, visit our website: https://www.dhs.wisconsin.gov/aids-hiv/data.htm– Statewide report: https://

www.dhs.wisconsin.gov/publications/p0/p00484.pdf

– City of Milwaukee report: https://www.dhs.wisconsin.gov/publications/p0/p00484a.pdf

https://www.dhs.wisconsin.gov/aids-hiv/data.htm

https://www.dhs.wisconsin.gov/aids-hiv/data.htm

https://www.dhs.wisconsin.gov/publications/p0/p00484.pdf

https://www.dhs.wisconsin.gov/publications/p0/p00484.pdf

https://www.dhs.wisconsin.gov/publications/p0/p00484a.pdf



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