CDC REPORTS ON DIAGNOSED, UNDIAGNOSED HIV INFECTION IN U.S. FROM 2008-2012

FROM:  U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION
MMWR News Synopsis for June 25, 2015

Prevalence of Diagnosed and Undiagnosed HIV Infection — United States, 2008–2012

HIV diagnosis is the essential first step in ensuring those living with HIV can access ongoing care and treatment, as well as other information and tools to help prevent transmission to others. More than one million people are living with HIV in the U.S. Although most of these individuals are aware of their infection, those who are not cannot benefit from life-extending treatment. They account for a significant proportion (30 percent) of new HIV transmissions. Reaching these individuals with HIV testing is critical. For this analysis, CDC researchers analyzed data from the National HIV Surveillance System to estimate the prevalence of diagnosed and undiagnosed HIV for the 50 states and the District of Columbia. In 2012, the number of people living with HIV ranged from 110 (Iowa) to 3,936 (Washington, DC) per 100,000 persons in 42 jurisdictions with stable estimates. The percentage living with diagnosed HIV ranged from 77.4 percent in Louisiana to 90 percent or greater in Colorado, Connecticut, Delaware, Hawaii, and New York. These five jurisdictions have already met the National HIV/AIDS Strategy goal of increasing the percentage of people living with HIV who know their serostatus to 90 percent by 2015. These data underscore the continued need for ongoing efforts to increase testing to further reduce undiagnosed HIV infection. The authors also note that because the percentage of persons who are diagnosed varies by geographic area, efforts tailored to each area’s unique needs and situations may be needed.

CDC REPORTS ON VIRAL SUPPRESSION OF HIV INFECTION

FROM:  CENTERS FOR DISEASE CONTROL 

Prevalence and Predictors of Viral Suppression Among Persons with Diagnosed HIV Infection Retained in Care — Georgia, 2010

Not all persons with HIV who are receiving and remain in medical care achieve the goal of viral suppression, and fewer persons diagnosed with early stage disease achieve viral suppression compared with persons diagnosed with late stage disease. Health-care providers and community-based organizations should implement the national HIV treatment guidelines by initiating antiretroviral therapy (ART) at any stage of disease and explain to patients the benefits of taking ART earlier and regularly to achieve viral suppression. Early diagnosis of HIV infection and treatment to achieve viral suppression can benefit patients by improving their health status and the community by reducing HIV transmission. This analysis in Georgia, however, found that some persons who receive and remain in care don’t achieve viral suppression. In addition, the analysis found fewer persons diagnosed with early stage disease achieved viral suppression compared with persons diagnosed with late stage disease.