(PPT: 2.5MB/75 slides)

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Highlights from the MN HIV
Surveillance Report, 2011
Minnesota Department of Health
HIV/AIDS Surveillance System
HIV/AIDS in Minnesota:
New HIV Infection, HIV (non-AIDS) and AIDS Cases by Year, 1996-2011
*Includes all new cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis) diagnosed within a given calendar year.
^Includes all new cases of AIDS diagnosed within a given calendar year, including AIDS at first diagnosis. This includes refugees in the HIV+ Resettlement Program, as well as, other
refugee/immigrants diagnosed with AIDS subsequent to their arrival in the United States.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Estimated Number of Persons
Living with HIV/AIDS in Minnesota
As of December 31, 2011, 7,136* persons are
assumed alive and living in Minnesota with HIV/AIDS
 3,775 living with HIV infection (non-AIDS)
 3,361 living with AIDS
* This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes state prisoners and
refugees arriving through the HIV+ Refugee Resettlement Program, as well as HIV+ refugee/immigrants arriving through other programs.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV/AIDS in Minnesota:
Number of Prevalent Cases, and Deaths by Year, 1996-2011
*Deaths among MN AIDS cases, regardless of location of death and cause.
^Deaths in Minnesota among people with HIV/AIDS, regardless of location of diagnosis and cause.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Kittson
HIV Infections† by County of Residence at
Diagnosis, 2011
Roseau
Lake of the Woods
Marshall
Koochiching
Pennington
Beltrami
Norman
Clearwater
Polk
Cook
Mahnomen
Itasca
Lake
St. Louis
*
Red Lake
None
1-2
3-6
Hubbard
Becker
Clay
Number of Infections
7 - 15
Cass
16 - 54
Crow Wing
Otter Tail
Kanabec
Isanti
Sherburne
Hennepin
McLeod
Renville
Carver
Scott
Dakota
Sibley
Redwood
Nicollet
Le Sueur
Rice
*
Lyon
Rock
Nobles
Cottonwood
Jackson
Blue Earth
Watonwan
Martin
Faribault
Waseca Steele
Freeborn
Data Source: Minnesota HIV/AIDS Surveillance System
*Counties in which a state correctional
facility is located
# 7-county metro area, excluding the
cities of Minneapolis and St. Paul
Goodhue
Wabasha
Brown
Pipestone Murray
Total number = 292
*
Lincoln
Ramsey
Wright
Kandiyohi Meeker
*
Yellow Medicine
Anoka
*
Lac qui Parle
Chippewa
*
Swift
Chisago
Benton
Stearns
Big Stone
City of Minneapolis – 101
City of St. Paul – 43
Suburban# – 107
Greater Minnesota - 41
Washington
Pope
Mille Lacs
Stevens
Morrison
*
Traverse
Douglas
55 - 175
Pine
Todd
Grant
Carlton
*
Wilkin
Aitkin
*
Wadena
Dodge
Mower
Olmsted
Winona
Fillmore
†HIV
or AIDS at first diagnosis
Houston
HIV/AIDS in Minnesota: Annual Review
Map of Metro Area:
HIV Infections† by County of Residence at Diagnosis, 2011
Number of Infections
Anoka
*
None
Washington
1-2
3-6
*
Hennepin
7 - 15
16 - 54
Ramsey
55 - 175
City of Minneapolis – 101
City of St. Paul – 43
Suburban# – 107
Carver
Total number (Metro only) = 251
Scott
*
Dakota
* Counties in which a state
correctional facility is located
7-county metro area, excluding the
cities of Minneapolis and St. Paul
#
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV Infections* in Minnesota
by Residence at Diagnosis, 2011
Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott,
and Washington counties. Greater MN = All other Minnesota counties, outside the seven-county metro area.
* HIV or AIDS at first diagnosis
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Gender and Race/Ethnicity
HIV/AIDS in Minnesota: Annual Review
HIV Infections* by Gender and
Year of Diagnosis, 1996 - 2011
* HIV or AIDS at first diagnosis
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Diagnosed in Year 2011 and General Population
in Minnesota by Race/Ethnicity
* HIV or AIDS at first diagnosis
†
Population estimates based on 2010 U.S. Census
data.
Data Source: Minnesota HIV/AIDS Surveillance System
n = Number of persons
Amer Ind = American Indian
Afr Amer = African American (Black, not African-born persons)
Afr born = African-born (Black, African-born persons)
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Diagnosed in Year 2011
by Gender and Race/Ethnicity
Males (n = 218)
* HIV or AIDS at first diagnosis
Data Source: Minnesota HIV/AIDS Surveillance System
Females (n = 74)
n = Number of persons
Afr Amer = African American (Black, not African-born persons)
Afr born = African-born (Black, African-born persons)
Amer Ind = American Indian
Other = Multi-racial persons or persons with unknown race HIV/AIDS in Minnesota: Annual Review
Number of Cases and Rates (per 100,000 persons) of
HIV Infection* by Race/Ethnicity† – Minnesota, 2011
Race/Ethnicity
Cases
%
Rate
143
49%
3.2
Black, African-American
64
22%
32.6
Black, African-born
44
15%
60.3
Hispanic
24
8%
9.6
American Indian
4
1%
7.2
Asian/Pacific Islander
8
3%
3.7
Other^
5
2%
x
292
100%
White, non-Hispanic
Total
* HIV or AIDS at first diagnosis; 2010 U.S. Census Data used for rate calculations.
“African-born” refers to Blacks who reported an African country of birth; “African American” refers to all other Blacks. Cases with unknown race are
excluded.
†
Estimate of 72,930 Source: Retrieved from MNCompass.org on 3/22/12. Additional calculations by the State Demographic Center.
^ Other = Multi-racial persons or persons with unknown race
††
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Mode of Exposure
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Among Males by Mode
of Exposure and Year of Diagnosis, 1996 - 2011
MSM = Men who have sex with men
* HIV or AIDS at first diagnosis
IDU = Injecting drug use
Heterosexual = Heterosexual contact
Unspecified = No mode of exposure ascertained
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Among Females by Mode
of Exposure and Year of Diagnosis, 1996 - 2011
IDU = Injecting drug use Heterosexual = Heterosexual contact with HIV+ , with IDU, with partner with unknown risk
Unspecified = No mode of exposure ascertained
* HIV or AIDS at first diagnosis
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Births to HIV-Infected Women and Number of Perinatally
Acquired HIV Infections* by Year of Birth, 1996 - 2011
* HIV or AIDS at first diagnosis for a child exposed to HIV during mother’s pregnancy, at birth, and/or during breastfeeding.
Note: an additional 2 children under the age of 13 years were diagnosed in Minnesota in 2011. Neither were born in the United States.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Special Populations
HIV/AIDS in Minnesota: Annual Review
Adolescents & Young Adults
(Ages 13-24)*
* Case numbers are too small to present meaningful data separately for adolescents and young adults.
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Among Adolescents and Young Adults† by
Gender and Year of Diagnosis, 1996 - 2011
* HIV or AIDS at first diagnosis
†
Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Among Adolescents and Young Adults†
by Gender and Race/Ethnicity, 2009 - 2011 Combined
Males (n = 195)
* HIV or AIDS at first diagnosis
†
Adolescents defined as 13-19 year-olds;
Young Adults defined as 20-24 year-olds.
Data Source: Minnesota HIV/AIDS Surveillance System
Females (n = 35)
n = Number of persons
Amer Ind = American Indian
Afr Amer = African American (Black, not African-born persons)
Afr born = African-born (Black, African-born persons)
Other = Multi-racial persons or persons with unknown race
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Among Adolescents and
Young Adults† by Gender and Estimated Exposure Group#,
2009 - 2011 Combined
Males (n = 195)
Females (n = 35)
* HIV or AIDS at first diagnosis
n = Number of persons
MSM = Men who have sex with men
† Adolescents defined as 13-19 year-olds; Young Adults defined as 20-24 year-olds.
IDU = Injecting drug use
Heterosex = Heterosexual contact
# Mode of Exposure proportions have been estimated using cases for 2009-2011 with known risk. For more detail see the HIV Surveillance Technical notes.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV and Hepatitis B, C co-infection
HIV and Hepatitis B and C

As of December 31, 2011* , 7,136 persons are assumed alive and living in
Minnesota with HIV/AIDS

Of these 7,136 persons, 855 (12%) are co-infected with either Hepatitis B or C



Of the 855, 288 (34%) are living with HIV and Hep B
Of the 855, 523 (62%) are living with HIV and Hep C
Of the 855, 44 (5%) are living with HIV, Hep B and Hep C
* This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes state prisoners and
refugees arriving through the HIV+ Refugee Resettlement Program, as well as, HIV+ refugee/immigrants arriving through other programs.
Data Sources: Minnesota HIV/AIDS Surveillance System and Minnesota Hepatitis Surveillance System
Foreign-born Cases
HIV/AIDS in Minnesota: Annual Review
HIV Infections* among Foreign-Born Persons†
in Minnesota by Year of Diagnosis and Region of Birth,
1996 - 2011
Region of Birth
* HIV or AIDS at first diagnosis
† Excludes
persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival
in Minnesota.
# Latin
America/Car includes Mexico and all Central, South American, and Caribbean countries.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
#
HIV Infections* Among Foreign-Born Persons† by Gender
and Year of Diagnosis, 1996 – 2011
•HIV or AIDS at first diagnosis
† Excludes
persons arriving in Minnesota through the HIV+ Refugee Resettlement Program, as well as, other refugee/immigrants with an HIV diagnosis
prior to arrival in Minnesota.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
HIV Infections* Among Foreign-Born Persons†
by Gender and Age, 2011
* HIV or AIDS at first diagnosis
† Excludes
persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival in
Minnesota.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Countries of Birth Among Foreign-Born Persons† Diagnosed
with HIV*, Minnesota, 2011
• Mexico (n=12)
• Kenya (n=11)
• Liberia (n=10)
• Somalia (n=7)
• Ethiopia (n=5)
• Viet Nam (n=3)
• Other^ (n=21)
* HIV or AIDS at first diagnosis
† Excludes
persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior to arrival in
Minnesota.
^ Includes 18 additional countries.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Late Testers
(AIDS Diagnosis within one year of initial HIV Infection Diagnosis)
HIV/AIDS in Minnesota: Annual Review
Time of Progression to AIDS for HIV Infections Diagnosed
in Minnesota*, 2001 - 2011†
29.3%^
33.7%^
35.4%^
41.2%^ 30.6%^
29.8%^
32.0%^ 33.2%^
35.6%^
30.9%^
30.5%^
*Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior
to arrival in Minnesota.
^ Percent of cases progressing to AIDS within one year of initial diagnosis with HIV Infection.
† Numbers/Percent
for cases diagnosed in 2011 only represents cases progressing to AIDS through April 2, 2012.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Progression to AIDS within 1 year of initial HIV Infection*
Diagnosis by Gender, 2001 - 2011†
*Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with
an HIV diagnosis prior to arrival in Minnesota.
† Numbers/Percent for cases diagnosed in
2011 only represents cases progressing to AIDS through April 2, 2012.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Progression to AIDS within 1 year of initial HIV Infection*
Diagnosis by Race/Ethnicity^, 2001 - 2011†
*Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis
prior to arrival in Minnesota.
† Numbers/Percent
for cases diagnosed in 2011 only represents cases progressing to AIDS through April 2 2012.
^Percentage not calculated if less than 10 cases diagnosed per year
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Time of Progression to AIDS for HIV Infections* Diagnosed
Among Foreign-Born Persons, Minnesota 2001 - 2011†
40.6%^
41.4%^
59.3%^
44.0%^
49.2%^
47.4%^
42.5%^
42.7%^
40.3%^
43.6%^
48.3%^
*Numbers include AIDS at 1st report but exclude persons arriving to Minnesota through the HIV+ Refugee Resettlement Program, as well as other refugee/immigrants with an HIV diagnosis prior
to arrival in Minnesota.
^ Percent of cases progressing to AIDS within one year of initial diagnosis with HIV Infection.
† Numbers/Percent
for cases diagnosed in 2011 only represents cases progressing to AIDS through April 2, 2011.
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
Conclusions

There were 292 new HIV infections reported in MN in 2011

A decrease of 12 percent from 2010

Great disparities in HIV infection persist among populations
of color and American Indians living in Minnesota

Male-to-male sex remains the leading risk factor for
acquiring HIV/AIDS in MN

New HIV infection remains concentrated in the Twin Cities
seven-county metro area (86% of new infections in 2011)

Foreign-born persons made up nearly 1 in 4 of new HIV
infections in 2011, and progress from HIV to AIDS more
quickly than U.S. born persons living with HIV in Minnesota
Data Source: Minnesota HIV/AIDS Surveillance System
HIV/AIDS in Minnesota: Annual Review
For more information, please contact:
Allison La Pointe, HIV/AIDS Surveillance Coordinator
allison.lapointe@state.mn.us
(651) 201-4032
Hepatitis A, B & C in
Minnesota, 2011
Minnesota Department of Health
Hepatitis Surveillance System
Communicable Disease Reporting – HIV & Hepatitis

Hepatitis A, B, C, D and E, HIV and AIDS are all reportable
by name to the Minnesota Department of Health (MDH).

All reported cases may be contacted by the MDH
Surveillance staff for epidemiological follow-up.
Minnesota Hepatitis Surveillance System

Hepatitis B reportable since 1987

Hepatitis C reportable since 1998

Passive data collection
Introduction


Data in this presentation are current through 2011
Definitions:

Acute case:
Infected within the last six months
Symptomatic
Chronic case:
Infected for over six months
Asymptomatic or symptomatic
Resolved cases:
No evidence of current infection
Evidence of past infection








Data Source: Minnesota Viral Hepatitis Surveillance System
Data limitations

The slides rely on data from HCV and HBV cases diagnosed through
2011 and reported to the Minnesota Department of Health (MDH)
Hepatitis Surveillance System.

Some limitations of surveillance data:
 Data do not include hepatitis-infected persons who have not been
tested
 Data do not include persons whose positive test results have not
been reported to the MDH

Persons are assumed to be alive unless the MDH has knowledge of
their death.

Persons whose most recently reported state of residence was
Minnesota are assumed to be currently residing in Minnesota unless
the MDH has knowledge of their relocation.
Data Source: Minnesota Viral Hepatitis Surveillance System
Acute Viral Hepatitis

Acute case:
Infected within the last six months
Symptomatic


Reported rate per 100,000 population of acute viral hepatitis
United States, 1998-2009
Data Source: Surveillance for Acute Viral Hepatitis --- United States, 2007, May 22, 2009 / 58(SS03);1-27
Number of Acute Cases per year Minnesota,
1998-2011
Data Source: MN Viral Hepatitis Surveillance System
Chronic Viral Hepatitis
Overview of HCV in Minnesota
A hepatitis C case is defined as current or past
infection with hepatitis C and includes:
Acute cases:
Infected within the last six months
Symptomatic
Chronic cases:
Infected for over six months
Resolved cases:
No evidence of current infection
Evidence of past infection






Reported Number of Persons
Living with HCV in MN

As of December 31, 2011, 37,303* persons
are assumed alive and living in MN with HCV
*Includes persons with unknown city of residence
Note: Includes all acute, chronic, probable chronic, and resolved cases.
Data Source: MN Viral Hepatitis Surveillance System
HCV Infected Persons Identified through Passive
Surveillance in MN through 2011
N=84,863**
37,303
Estimated
unidentified HCV
infected persons
HCV infected
persons* identified
through passive
surveillance
47,560
*Includes all acute, chronic, probable chronic, and resolved cases.
Data Source: MN Viral Hepatitis Surveillance System
**http://www.cdc.gov/ncidod/diseases/hepatitis/c/fact.htm
Persons Living with HCV in MN by Current Residence,
2011
Total number with residence
information= 35,883
(1420 missing residence information)
Suburban = Seven-county metro area including Anoka, Carver, Dakota, Hennepin (except Minneapolis), Ramsey (except St. Paul), Scott, and Washington
counties including those in Hennepin County or Ramsey County with unknown city. Greater MN = All other Minnesota counties, outside the seven-county
metro area.
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HCV in MN by Age, 2011
Median Age: 55
Data Source: MN Viral Hepatitis Surveillance System
Persons Living HCV in MN
by Gender*, 2011
*Includes anonymous methadone patients
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with Chronic HCV in Minnesota by Race,
2011
Afr Amer = African American /Black Asian=Asian or Pacific Islander
Amer Ind = American Indian
Other = Multi-racial persons or persons with other race
Persons Living with HCV in Minnesota
rates (per 100,000 persons*), 2011
*Rates calculated using 2010 U.S. Census data
Excludes 11,819 persons with multiple races or unknown race
Data Source: MN Viral Hepatitis Surveillance System
Overview of Chronic HBV in MN

Chronic case:
Infected for over six months
Includes cases with no evidence
of recent infection
Asymptomatic or symptomatic



Reported Number of Persons
with Chronic HBV in MN

As of December 31, 2011, 20,216* persons
are assumed alive and living in MN with
chronic HBV
*Includes persons with unknown city of residence
Note: Includes all chronic, and probable chronic cases.
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with HBV in MN by Current Residence,
2008
Total number with residence
information = 19,501
(761 missing residence information)
Metro = Seven-county metro area including Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington counties.
Greater MN = All other Minnesota counties, outside the seven-county metro area.
Data Source: MN Viral Hepatitis Surveillance System
Persons with Chronic HBV in MN by Age, 2011
Median Age: 42
Data Source: MN Viral Hepatitis Surveillance System
Chronic HBV in MN by Gender, 2011
Data Source: MN Viral Hepatitis Surveillance System
Persons Living with Chronic HBV in Minnesota by Race,
2011
Persons with unknown race=3,205
Data Source: MN Viral Hepatitis Surveillance System
Afr Amer = African American /Black Asian=Asian or Pacific Islander
Amer Ind = American Indian
Other = Multi-racial persons or persons with other race
Persons Living with Chronic HBV in Minnesota by Race
rates (per 100,000 persons*), 2011
*Rates calculated using 2010 U.S. Census data
Data Source: MN Viral Hepatitis Surveillance System
Excludes 2524 cases with multiple races and unknown race
Hepatitis C in Young Adults
Age of Hepatitis C Cases by year,
2001-2011
Data Source: Minnesota Viral Hepatitis Surveillance System
HIV and Hepatitis B, C co-infection
HIV and Hepatitis B and/or C

As of December 31, 2011, 20,216* persons are assumed alive and
living in MN with chronic HBV


Of the 20,216 , 288 (1.4%) are living with HIV and Hep B
As of December 31, 2011, 37,303* persons are assumed alive and
living in MN with chronic HCV

Of the 37,303, 523 (1.4%) are living with HIV and Hep C
* This number includes persons who reported Minnesota as their current state of residence, regardless of residence at time of diagnosis. Includes state prisoners and
refugees arriving through the HIV+ Refugee Resettlement Program, as well as, HIV+ refugee/immigrants arriving through other programs.
Data Sources: Minnesota HIV/AIDS Surveillance System and Minnesota Hepatitis Surveillance System
Thank you!
Kristin.sweet@state.mn.us
651.201.4888
Hepatitis Programs
Cheri Booth, MPH
Awareness Events
•
•
•
•
•
•
May is National Hepatitis Awareness month
May 9th, HCV Tribal Summit- Mahnomen, MN
May 15th is National Hispanic Hepatitis day
May 19th is National Testing day
July 28th is World Hepatitis day
October 10-11th- Statewide Viral Hepatitis
Symposium- Bloomington, MN
Testing Programs
• There are 7 MDH-funded testing sites which
provide screening for hepatitis C
–
–
–
–
–
–
–
–
–
Red Door Clinic
Clinic 555
MAP- MN AIDS Project
Sacred Spirits
Indigenous People’s Task Force
Broadway Family Medicine (Outreach)
RAAN- Rural AIDS Action Network
Project Recovery
MN Transgender Health Coalition
Testing Programs
• Two (2) sites also provide hepatitis B screening
and confirmatory testing for both HBV and
HCV
– Red Door Clinic
– Clinic 555
Risk-Based Service Promotion
• Focuses limited resources on targeting those
persons with the highest degree of risk. These
risks are determined by epidemiological/
research evidence from the CDC and
supported by data collected in our own state.
• Focus of services for:
– those at primary risk of infection
– those who are undiagnosed and/ or not medically
managed
High Risk Target Populations
• HCV Risk groups
– Persons who Inject Drugs (PWID), especially those
under the age of 30yrs. Includes those with any
history of injection drug use.
– Persons who have a sexual partner infected with HCV
– Persons who received tattoos while incarcerated or in
a non-professional setting
– Vietnam Era military veterans who have not been
screened
– Persons who received blood or blood products prior
to 1992 and have not yet been screened.
– Infants and children born to HCV+ mothers.
High Risk Target Populations
• HBV Risk groups. Unvaccinated persons who:
– Inject Drugs (PWID). Includes those with any history of
injection drug use.
– Have a sexual partner infected with HBV
– Have multiple sexual partners and history of other
STDs
– MSM- Men who have sex with men.
– Persons born outside the United States* and those
born to HBV+ mothers.
• Particularly on countries with higher rates of endemicity.
(CDC recommendations)
Resources
• New CDC education/ awareness campaign
• Trusted web sites/ programs
– HBV/HCV Advocate
– National Viral Hepatitis Roundtable
– Asian Liver Center at Stanford University
• MN resources
• Chemical health
– Harm Reduction Coalition
• GLBT health
– www.GLBThealth.org
– http://lgbthealth.webolutionary.com/
• National Hepatitis Support
– www.Hep4Help.org
Resources
http://www.cdc.gov/hepatitis/KnowMoreHepatitis.htm
Resources
• VA Hepatitis C Resource Centers
– http://www.hepatitis.va.gov
• HBV/HCV Advocate
– www.hcvadvocate.org
• Harm Reduction Coalition
– http://harmreduction.org
This webinar has been recorded and
will posted at:
http://www.health.state.mn.us/divs/idepc/diseases/hiv/hivstatistics.html
Contact information for today’s speakers:
HIV/AIDS Surveillance:
allison.lapointe@state.mn.us - 651.201.4032
Hepatitis Surveillance:
kristin.sweet@state.mn.us - 651.201.4888
Hepatitis Prevention:
cheri.booth@state.mn.us - 651.201.4035
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