# Presentation: 501519

## Slide 1

**Notes:**
From 2003 through 2006 there were increases in the number of adults and adolescents living with HIV/AIDS in the 33 states with confidential name-based HIV infection surveillance. The increase is due primarily to the widespread use of highly active antiretroviral therapy, introduced in 1996, which has delayed the progression of AIDS to death.At the end of 2006, an estimated 488,861 adults and adolescents were living with HIV/AIDS; of these, 73% were males and 27% were females. The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.Data exclude persons who have died and were reported to the HIV/AIDS Reporting System as of December 2006. The data have been adjusted for reporting delays.

## Slide 2

**Notes:**
The estimated number of persons living with HIV/AIDS in 33 states with confidential name-based HIV infection surveillance increased from 428,107 at the end of 2003 to 491,727 at the end of 2006. 
Increases in the number of persons living with HIV/AIDS occurred in all racial/ethnic groups. From 2003 through 2006, the number of non-Hispanic blacks living with HIV/AIDS increased from 202,951 to 231,957; non-Hispanic whites increased from 145,081 to 166,000 and the number of Hispanic persons living with HIV/AIDS increased from 72,612 to 84,720. 
(On slide 3, Asians/Pacific Islanders and American Indians/Alaska Natives are shown on a different scale.)
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
Data exclude persons who have died and were reported to the HIV/AIDS Reporting System as of December 2006. The data have been adjusted for reporting delays.

## Slide 3

## Slide 4

**Notes:**
In 2006, of HIV/AIDS cases diagnosed among male adults and adolescents in 33 states with confidential name-based HIV infection surveillance, 67% were attributed to male-to-male sexual contact and 12% were attributed to injection drug use. Approximately 16% of cases were attributed to high-risk heterosexual contact and 5% attributed to male-to-male sexual contact and injection drug use.
Most (80%) of the HIV/AIDS cases diagnosed among female adults and adolescents were attributed to high-risk heterosexual contact, and 19% were attributed to injection drug use. 
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 5

## Slide 6

**Notes:**
This slide shows the proportional distribution of HIV/AIDS cases among adults and adolescents diagnosed from 2003 through 2006, by transmission category, for 33 states with confidential name-based HIV infection surveillance.
The proportion of HIV/AIDS cases attributed to male-to-male sexual contact increased from 45% in 2003 to 50% in 2006. HIV/AIDS cases attributed to injection drug use, high-risk heterosexual contact, and male-to-male sexual contact and injection drug use remained stable from 2003 through 2006.
The remaining HIV/AIDS cases were those attributed to hemophilia or the receipt of blood or blood products, and those in persons without an identified risk factor.
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 7

**Notes:**
This slide shows the distribution of transmission categories for HIV/AIDS cases diagnosed in 2006 in 33 states with confidential name-based HIV infection surveillance.
Approximately 50% of the 35,180 HIV/AIDS cases diagnosed in 2006 among adults and adolescents were attributed to male-to-male sexual contact.  An additional 3% of HIV/AIDS diagnoses were attributed to male-to-male sexual contact and injection drug use.
Injection drug use accounted for 13% of HIV/AIDS diagnoses, and high-risk heterosexual contact accounted for 33%.
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 8

**Notes:**
In 2006, an estimated 17,465 HIV/AIDS cases diagnosed in 33 states with confidential name-based HIV infection surveillance were attributed to male-to-male sexual contact. 
Almost half of the cases associated with male-to-male sexual contact were in non-Hispanic whites (41%).  Most of the remaining cases were in non-Hispanic blacks (38%) or Hispanics (19%). Asians/Pacific Islanders and American Indians/Alaska Natives each accounted for 1% of cases. 
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.	
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 9

**Notes:**
In 2006, an estimated 11,584 HIV/AIDS cases diagnosed in 33 states with confidential name-based HIV infection surveillance  were attributed to high-risk heterosexual contact. 
More than half of the cases associated with high-risk heterosexual contact were in non-Hispanic blacks (66%).  Most of the remaining cases were in non-Hispanic whites (16%) or Hispanics (17%). Asians/Pacific Islanders accounted for 1% of cases and American Indians/Alaska Natives accounted for less than 1% of all cases.
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 10

**Notes:**
In 2006, an estimated 1,180 HIV/AIDS cases diagnosed in 33 states with confidential name-based HIV infection surveillance were attributed to male-to-male sexual contact and injection drug use. 
The majority of cases associated with male-to-male sexual contact and injection drug use were in non-Hispanic whites (42%) and non-Hispanic blacks (37%).  Most of the remaining cases were in Hispanics (18%). Asians/Pacific Islanders and American Indians/Alaska Natives each accounted for 1% of all cases. 
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 11

**Notes:**
In 2006, an estimated 4,728 HIV/AIDS cases diagnosed in 33 states with confidential name-based HIV infection surveillance were attributed to injection drug use. 
More than half of the cases associated with injection drug use were in non-Hispanic blacks (53%).  Most of the remaining cases were in non-Hispanic whites (26%) or Hispanics (19%). American Indians/Alaska Natives and Asians/Pacific Islanders each accounted for 1% of all cases. 
The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays and cases without risk factor information were proportionally redistributed. 

## Slide 12

**Notes:**
This slide shows diagnosis rates for HIV/AIDS cases among male adults and adolescents residing in 33 states with confidential name-based HIV infection surveillance.
For male adults and adolescents, the rate (HIV/AIDS cases per 100,000) for non-Hispanic blacks (119.1) was 7 times higher than for non-Hispanic whites (16.7) and more than twice as high as the rate for Hispanics (50.9).  
Relatively few cases were diagnosed among Asian/Pacific Islander and American Indian/Alaska Native males, although the rate for American Indian/Alaska Native males (17.7) was higher than that for non-Hispanic white males.
The following 33 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays.

## Slide 13

**Notes:**
This slide shows diagnosis rates for HIV/AIDS cases among female adults and adolescents residing in 33 states with confidential name-based HIV infection surveillance.
For female adults and adolescents, the rate (HIV/AIDS cases per 100,000) for non-Hispanic blacks (56.2) was nearly 20 times higher than that for non-Hispanic whites (2.9).  
The estimated number of HIV/AIDS cases diagnosed in 2006 was similar for Hispanics and non-Hispanic whites, but the rate for Hispanics (15.1) was more than 5 times higher than the rate for non-Hispanic whites.
Relatively few cases were diagnosed among Asian/Pacific Islander and American Indian/Alaska Native females, although the rates for both groups were higher than the rate for non-Hispanic white females.
The following 33 states have had laws or regulations requiring confidential name-based HIV infection reporting since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.
The data have been adjusted for reporting delays.

## Slide 14

**Notes:**
For adults and adolescents living with HIV/AIDS, prevalence rates per 100,000 population are shown for 33 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance.
Areas with the highest prevalence rates in 2006 were New York, the U.S. Virgin Islands, Florida, New Jersey, and Louisiana. 
The following 33 states and 5 U.S. dependent areas have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.
The data have been adjusted for reporting delays.

## Slide 15

**Notes:**
For children living with HIV/AIDS, prevalence rates per 100,000 population are shown for 33 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance.
Areas with the highest prevalence rates in 2006 were New York, Louisiana, New Jersey, and the U.S. Virgin Islands.
The following 33 states and 5 U.S. dependent areas have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.
The data have been adjusted for reporting delays.

## Slide 16

## Slide 17

**Notes:**
In 2006, 52,878 cases of HIV infection (not AIDS) were reported to CDC from 45 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance. California, Illinois, New York, Pennsylvania, Florida, and Washington reported the largest number of cases of HIV infection. 
In 2006, the following 45 states and 5 U.S. dependent areas conducted HIV case surveillance and reported cases of HIV infection in adults, adolescents, and children to CDC: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.
Note. Because states initiated confidential name-based HIV infection reporting on different dates, the length of time reporting has been in place influences the number cases reported in a given year. For example, California, Illinois and Washington switched from code-based to name-based reporting in 2006. The high numbers of cases reported from these areas in 2006 are most likely due to an influx of previously diagnosed cases into the name-based system. As time passes and name-based reporting stabilizes, the annual numbers should decrease for these areas.

## Slide 18

**Notes:**
At the end of 2006, a total of 3,808 adolescents, 13–19 years of age were reported to be living with HIV infection (not AIDS) in 45 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance.
In 2006, the following 45 states and 5 U.S. dependent areas conducted HIV case surveillance and reported cases of HIV infection in adults, adolescents, and children to CDC: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.
Data exclude persons who have died and were reported to the HIV/AIDS Reporting System as of December 2006.

## Slide 19

**Notes:**
Cumulative through December 2006, a total of 287,954 persons with HIV infection (not AIDS) had been reported from the 45 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance; 65% of these persons were aged 25-44 years at the time of diagnosis. 
In 2006, the following 45 states and 5 U.S. dependent areas conducted HIV case surveillance and reported cases of HIV infection in adults, adolescents, and children to CDC: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.

## Slide 20

**Notes:**
In 2006, a total of 566 cases of HIV infection (not AIDS) in children younger than 13 years of age were reported from 45 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance. Most (80%) of these cases were perinatally acquired. Illinois, California, and New York reported the largest number of cases. 
In 2006, the following 45 states and 5 U.S. dependent areas conducted HIV case surveillance and reported cases of HIV infection in adults, adolescents, and children to CDC: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.
Note. Because states initiated confidential name-based HIV infection reporting on different dates, the length of time reporting has been in place influences the number cases reported in a given year. For example, California, Illinois, and Washington switched from code-based to name-based reporting in 2006. The high numbers of cases reported from these areas in 2006 are most likely due to an influx of previously diagnosed cases into the name-based system. As time passes and name-based reporting stabilizes, the annual numbers should decrease for these areas.

## Slide 21

**Notes:**
Through December 2006, a total of 287,954 cases of HIV infection (not AIDS) had been reported to CDC from 45 states and 5 U.S. dependent areas with confidential name-based HIV infection surveillance: 71% were in males and 29% in females. Most of the cases were diagnosed when the men and women were 25–44 years of age.
In 2006, the following 45 states and 5 U.S. dependent areas conducted HIV case surveillance and reported cases of HIV infection in adults, adolescents, and children to CDC: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.

## Slide 22

**Notes:**
In the 33 states with confidential name-based HIV infection reporting, the diagnosis rate of HIV/AIDS among adults and adolescents was 22.4 per 100,000 population in 2006. The rate for adults and adolescents diagnosed with HIV/AIDS ranged from 2.3 per 100,000 in Wyoming to 42.6 per 100,000 in Florida.The following 33 states have had laws or regulations requiring confidential name-based HIV infection surveillance since at least 2003: Alabama, Alaska, Arizona, Arkansas, Colorado, Florida, Idaho, Indiana, Iowa, Kansas, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming.
The data have been adjusted for reporting delays.