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Facing the Future of HIV and STD in Texas: Epidemiology, Impact, and Priorities
Outline ,[object Object],[object Object],[object Object]
STD Epidemiology  Ed Weckerly  Texas Department of State Health Services
Primary and Secondary Syphilis Cases: Texas, 1971-2009
P&S Syphilis Case Rates by County: Texas, 2009
P&S Syphilis Case Rates by Race/Ethnicity: Texas, 1998-2009
P&S Syphilis Case Rates* by Year of Report and Sex: Texas, 1998-2009 * Rate = Cases per 100,000 population. Female Male
P&S Syphilis Cases by Sex and MSM: Texas, 2002-2009
HIV Status Among P&S Syphilis Cases by Sex and MSM: Texas, 2009
Congenital Syphilis Cases: Texas, 1991-2009
Chlamydia Cases: Texas, 1988-2009
Chlamydia Case Rates by County: Texas, 2009
Chlamydia Cases by Year of Report: Texas, 2000-2009
Chlamydia Case Rates Among Women by Race/Ethnicity: Texas, 1991-2009 Hispanic Black White
Gonorrhea Cases: Texas, 1971-2009
Gonorrhea Case Rates by County: Texas, 2009
Gonorrhea Case Rates by Race/Ethnicity: Texas, 1991-2009
Gonorrhea Cases by Age Group and Race/Ethnicity: Texas, 2009
Repeat Infections ,[object Object],[object Object],[object Object]
Final Points ,[object Object],[object Object],[object Object],[object Object]
Final Points ,[object Object]
HIV Epidemiology  Nita Ngo  Texas Department of State Health Services
Texas: The Big Picture ,[object Object],[object Object],[object Object],[object Object]
Newly Diagnosed HIV Cases, Deaths, and Persons Living with HIV, Texas, 1980-2008 New  HIV Cases Deaths  among HIV Cases Living  with HIV
Persons Living with HIV, Texas  1987
Persons Living with HIV, Texas  1997
Persons Living with HIV, Texas  2007
Estimated Persons Living with HIV –  Diagnosed and Undiagnosed:  Texas, 2008
Texas: The Big Picture ,[object Object],[object Object],[object Object],[object Object]
Newly-diagnosed HIV Cases*: Texas, 1999-2008 *AIDS cases were diagnosed with AIDS within 1 month of HIV diagnosis
HIV Diagnoses by Sex, Age, and Race/Ethnicity
Newly-diagnosed HIV Case Rates by Sex: Texas, 1999-2008
Newly-diagnosed HIV Case Rates by Race/Ethnicity: Texas, 1999-2008
Newly-diagnosed HIV Cases by Race/Ethnicity: Texas, 2008 43%  29%  26%  2%  Texas Population n= 24,383,647 New HIV Cases n=4,293 48%  11%  36%  5%  White Hispanic Other/Unknown Black
Newly-diagnosed HIV Case Rates by Age: Texas, 1999-2008
Newly-diagnosed HIV Cases by Mode of Transmission: Texas, 1999-2008 *High risk heterosexual contact with a person known to have HIV or a higher risk of acquiring HIV
Perinatal HIV Transmission, Texas, 1990-2008
Late Diagnosis
Late Diagnosis ,[object Object],[object Object]
Concurrent HIV/AIDS Diagnoses* by Race/Ethnicity and Sex, Texas 2008 *AIDS diagnosis occurred within 1 month of HIV diagnosis
Concurrent HIV/AIDS Diagnoses* by Geographic Area, Texas 2008 *AIDS diagnosis occurred within 1 month of HIV diagnosis ^Dallas, Harris, Bexar, Tarrant, and Travis counties
Incidence Surveillance ,[object Object],[object Object]
Incidence Surveillance ,[object Object]
Summary ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
Implications  Ann Robbins Texas Department of State Health Services
Focus has been primarily individual, but individuals acquire STD/HIV in relationships ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pushing Down the Load ,[object Object],[object Object],[object Object]
Technology Reshapes Understanding and Response ,[object Object],[object Object],[object Object],[object Object]
New Partners? New Approaches? ,[object Object],[object Object],[object Object]

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