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Who Does HIV Effect?

Though one would prefer a simple answer, in a global scale this is a complicated question under various circumstances. There are various inconsistencies of various key population and sub-populations that suffer greatly in the HIV epidemic

Which populations are at a greater risk?

Per UNAIDS, the homosexual/bisexual male population of different race/ethnicities, transgender population, African Americans, Latino/Hispanic population, and injection drug users (IDU) were some of the groups most at risk to contract HIV.

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From a global perspective, 62% of the emerging HIV cases originated from these population groups. Specifically, statistics show at a collectively global scale (explained by UNAIDS) that the gay and bisexual male population were 26 times more at risk to contract HIV as well as IDU (29 times higher), sex industry workers (30 times higher), and the transgender population (13 times higher).

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Are there goals set in place to prevent these risked key populations?

The UNAIDS has goals for at least 90% of the population living with HIV to be medically diagnosed and aware of the prognosis of the condition. Their goals also include for 90% of people with HIV to receive the proper antiretroviral treatments as well as 90% of that population to reach viral suppression where HIV is barely or not detected at all in the blood.

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People living with HIV Globally

There has been a progressive decrease in the number of new cases of HIV each year. For example, in the year 1998, there were 2.8 million new cases of HIV in comparison to 2019 where there were 1.7 million cases. However, despite the UNAIDS attempts, they have not reached their goal of >500,000 new HIV cases each year. In the year 2019, there were approximately 38.0 million people with HIV and from that population, there were approximately 36.2 million adults and 1.8 million children (ages 0-14) infected with HIV. Approximately 7.1 million people living with HIV that year, were unaware of their condition and had not been diagnosed. 

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Since the beginning of the Covid-19 Pandemic (around the end of 2019), approximately 75.7 million new persons have tested positive for HIV and 32.7 million passed away due to AIDS-related issues.


New HIV infection

Emerging HIV cases have decreased by approximately 40% after its peak in 1998. However, from a global perspective, there has been in increase in HIV infections in the following regions since the year 2010: Eastern Europe and Central Asia (72% increase in infections), Middle East and North Africa (22% increase), and Latin America (21% increase).

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AIDS-related deaths

Death rates from causes related to HIV/AIDS have decreased by 60% since the year 2004. Globally, there were 690,000 deaths related to HIV/AIDS.


Women

According to UNAIDS, approximately 5,500 women between the ages of 15-24 are infected with HIV per week. In one of the regions most impacted with HIV, Sub-Saharan Africa, women between that same age range are twice more likely to contract HIV than men. In the year 2019, approximately 19.2 million women had been diagnosed with HIV.  During this year, the female population accounted for approximately 48% of the emerging HIV cases globally.

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UNAIDS reported that women who experience forms of violence such as rape, sexual assault, domestic violence, etc are 50% more at risk for HIV compared to a woman who has not gone through a form of violence.

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HIV in Children

In the year 2019, approximately 1.8 million children (<15 years of age) were living with HIV. In this same year, approximately 950,000 of those children were on an antiretroviral treatment. In the year 2019, 95,000 deaths related to HIV/AIDS were reported within the same children population.


Has the 90-90-90 goal been met? What is the next step for eradicating the global HIV epidemic?

Currently, the 90-90-90 goal has not been met and currently has the goal to be fulfilled by the year 2030. Although many measures have been taken in the prevention and treatment of HIV, there are still higher than expected number of cases in certain regions of the world. A U.N. meeting is scheduled to take place in June 2021 in order to assess the next steps and measures needed to be taken in order to achieve the eradication of the HIV epidemic.

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U.S. Statistics

How many people get HIV diagnosed each year in the United States and 6 dependent areas*?

-In 2018, there were 37,968 new reported cases of people with HIV.

-There was a decrease in the amount of new cases reported between 2014-2018.


* The 6 dependent areas include: American Samoa, Guam, the Republic of Palau, the Northern Mariana Islands, the US Virgin Islands and Puerto Rico.

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How many people have HIV in the United States?

As of 2018, approximately 1.2 million people were living with HIV and 14% were unaware of their condition.


How does HIV affect different groups of people? Is HIV getting worse?

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Sexual Orientation

Per UNAIDS, the homosexual/bisexual male population as well as transgender population, are some of the population groups most at risk to contract HIV due to their sexual orientation.


Statistics show that the gay and bisexual male population were 26 times more at risk to contract HIV and the transgender population were 13 times more at risk in comparison to people of heterosexual orientation.


Race/Ethnicity

The African American population is one of the races most impacted by HIV. In the year 2018, the African American population made up approximately 42% of all emerging cases. The Hispanic and Latino population are also heavily impacted by HIV, making up 27% of all new cases.


Age

Young adolescents between the ages of 13-24 are the most impacted by HIV. This population made up 21% of the new emerging cases in the year 2018.


Sex at birth

The yearly rates for HIV infections remained stable in both the male and female populations in the year 2018. The male population had a rate of 5 times higher than the female population.


HIV Transmission

In the U.S. and 6 dependent areas, the largest percentages of HIV infection rates in the year 2018, came from the male homosexual population with a rate of transmission of 82%. Also in 2018, IDU made up approximately 7% of the emerging cases in the U.S. and 6 dependent areas. Males within this population accounted for 4% of new cases and females accounted for 3%.

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How many deaths are there with people who have HIV?


By age group

In 2018, there were 15,820 reported deaths among adults and adolescents living with HIV. Reported deaths in people who are 65 and older increased while the other age groups have decreased. The reported deaths in the age groups of 25-29 and 60-64 have remained stable.


Race/Ethnicity

The highest death rates were reported in the Black/African American population. Reported deaths in the American Indian, Alaska Natives, Hispanic/Latino and multiple race populations all remained stable.

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Are some areas of the country have more HIV than other areas?

Research shows that HIV is more prominent in urban areas compared to rural areas.

Higher cases reported in metropolitan areas.


Are there any updates on the efforts to stop HIV?

On December 29th, 2020, the CDC held a press conference regarding the eradication of the HIV Epidemic. The CDC made it crucial to diagnose and treat all HIV cases. In the initiative to end the HIV Epidemic, the CDC has donated $109 million to state and local health departments for assistance in 57 priority areas. A CDC study published in November 2020, also showed that investments in HIV testing, care, and treatment have led to progress in both reducing the rate of HIV-related deaths and decreasing the discrepancies related to racial and ethnic factors linked with HIV mortality.

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Florida Statistics

In 2019, there were 4,584 new cases of HIV reported. The rate of HIV diagnoses per 100,000 population has decreased from 22.7 in 2018 to 21.6 in 2019.

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Within the minority groups within Florida like the Black/African American and Hispanic/Latinx populations, there was also an indicated decrease in diagnoses. In the case of the Black/African American population, the diagnosis rate per 100,000 has decreased from 57.8 in 2018 to 53.2 in 2019. For the HIspanic/Latinx population,  the diagnosis rate per 100,000 decreased from 29.7 in 2018 to 29.2 in 2019.

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Though the numbers of HIV diagnoses have been decreasing, the Florida Department of Health have understood to reduce transmission as one of its continuous priorities. Much like many initiatives, the Department has implemented routine testing, rapid access to treatment/ensuring retention in care, improving access to PrEP/nPEP, and increasing HIV

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