Emerging Trends of
HIV/AIDS in New York
City
Chris Williams, MPH
NYC DOHMH
New York City HIV/AIDS
Epidemiology
98,861 PLWHA as of 12/31/06 (62.3% diagnosed
with AIDS)
2002-2006 HIV/AIDS trends
6000
5000
4000
N

3000
2000
1000
0
2002
2003
2004
New HIV infection
HIV/AIDS Deaths
Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006
2005
2006
Concurrent HIV/AIDS Diagnosis
AIDS Diagnosis
New HIV Infections by Gender, Race
and Transmission Risk, 2006
New HIV Infections by Gender
2006
Male
2729
72.9%
Female
1016
27.1%
Black
1899
50.7%
Hispanic
1148
30.7%
611
16.3%
74
2.0%
1449
38.7%
IDU
248
6.6%
Heterosexual
848
22.6%
Perinatal
12
0.3%
Unknown
1187
31.7%
3745
100.0%
New HIV Infections by Race
White
Asian/Pacific Islander
New HIV Infections by Transmission Risk
MSM
Total New HIV Infections, 2006
Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006
Concurrent HIV/AIDS Diagnosis by
Gender, Race and Transmission Risk,
2006
Concurrent HIV/AIDS Diagnosis by Gender
2006
Male
723
75.2%
Female
239
24.8%
Black
501
52.1%
Hispanic
315
32.7%
White
124
12.9%
20
2.1%
301
31.3%
77
8.0%
220
22.9%
Perinatal
1
0.1%
Unknown
363
37.7%
962
100.0%
Concurrent HIV/AIDS Diagnosis by Race
Asian/Pacific Islander
Concurrent HIV/AIDS Diagnosis by
Transmission Risk
MSM
IDU
Heterosexual
Total Concurrent HIV/AIDS Diagnosis
Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006
HIV/AIDS Deaths by Gender, Race and
Transmission Risk, 2006
HIV/AIDS deaths by Gender
Male
2006
1429
68.8%
647
31.2%
1103
53.1%
Hispanic
651
31.4%
White
297
14.3%
21
1.0%
MSM
323
15.6%
IDU
799
38.5%
Heterosexual
330
15.9%
Perinatal
10
0.5%
Unknown
607
29.2%
2,076
100.0%
Female
HIV/AIDS deaths by Race
Black
Asian/Pacific Islander
HIV/AIDS deaths by Transmission Risk
Total HIV/AIDS Deaths
Source: New York City HIV/AIDS Annual Surveillance Statistics, 2006
Trends Among Age Groups

Ages 13-19 and 20-29 account for an increasing share of new HIV
infections from 2004-2006, particularly among males ages 20-29.*
*HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April,
2008.
Emerging Populations- Women

Hispanic Women have an increased share of new HIV diagnoses
and Concurrent HIV/AIDS diagnosis in women, overall
Concurrent HIV/AIDS Diagnosis in Women by Race in
New York City, 2002-2006
300
1200
Number of HIV/AIDS
diagnosis
Number of New Infections
New HIV Infections in Women by Race in New York City,
2002-2006
1000
800
600
400
200
0
2002
2003
2004
2005
2006
Year
Black
Hispanic
White
250
200
150
100
50
0
2002
2003
2004
2005
Year
Asian/Pacific Islander
Source: New York City HIV/AIDS Annual Surveillance Statistics. New York: New York City Department of Health and Mental
Hygiene, 2007. Updated November 27, 2007. Accessed May 20, 2008 at http://www.nyc.gov/html/doh/html/ah/hivtables.shtml.
2006
Emerging Populations- Correctional inmates
and releases

25,000 HIV tests completed in
2006. In 2003, prior to rapid
testing, only 6,500 tests were
completed#

4.7% of male and 9.7% of female
jail admissions are HIV+#

90% of self-identifying HIV+
admissions receive post-release
plans with the goal of
connecting 90% of those to
care**
105 overall (29.7% of males and
23.4% of females) appeared to
have previously undiagnosed
HIV infection at admission#

#Source:
HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008.
**Source: Rikers Island Intake System, 2006. From Jordan, A., & Gbur, M. Presentation 5/15/08.
Emerging Populations- Immigrants
Source: HIV Epidemiology & Field Services Semi-Annual Report. New York: New York City Department of Health and Mental Hygiene, April, 2008.
Follow-up HIV care in 2006, by Sex
and Race
Received Follow-up
HIV Medical Care at
Any Site in 2006
No Documentation of
Follow-up HIV
Medical Care in 2006
Total Receiving Last 2005
Care at Hospital, Clinic,
Extended Care or Private MD
N
Row %
N
Row %
N
Col %
49,902
91.4
4,714
8.6
54,616
100
Male
33,179
91.2
3,215
8.8
36,394
66.6
Female
16,723
91.8
1,499
8.2
18,222
33.4
Black
22,657
91.1
2,204
8.9
24,861
45.5
Hispanic
16,279
92.2
1,379
7.8
17,658
32.3
9,925
90.6
1,035
9.4
10,960
20.1
656
91.5
61
8.5
717
1.3
Native American
41
89.1
5
10.9
46
0.1
Other/unknown
344
92
30
8
374
0.7
Total
Sex
Race/ethnicity
White
Asian/Pacific Islander
Source: From data reported by September 30, 2007, to the HIV Epidemiology and Field Services Program of the NYC DOHMH
Follow-up HIV care in 2006, by Age
Received Followup HIV Medical
Care at Any Site in
2006
Age group at end
of 2005 (years)
N
Row %
No Documentation
of Follow-up HIV
Medical Care in
2006
N
Total Receiving Last
2005 Care at Hospital,
Clinic, Extended Care or
Private MD
Row %
N
Row %
0-12
646
94.4
38
5.6
684
1.3
13-19
829
92.8
64
7.2
893
1.6
20-29
2,803
85.7
467
14.3
3,270
6
30-39
10,302
89.2
1,241
10.8
11,543
21.1
40-49
20,069
91.9
1,767
8.1
21,836
40
50-59
11,671
93.1
866
6.9
12,537
23
3,582
93
271
7
3,853
7.1
60+
Source: From data reported by September 30, 2007, to the HIV Epidemiology and Field Services Program of the NYC DOHMH
Follow-up HIV care in 2006, by
Place of Birth
Received Follow-up
HIV Medical Care at
Any Site in 2006
Place of birth
United States
N
Row %
No Documentation of
Follow-up HIV
Medical Care in 2006
N
Row %
Total Receiving Last
2005 Care at Hospital,
Clinic, Extended Care or
Private MD
N
Row %
27,751
91.3
2,630
8.7
30,381
55.6
United States dependency
2,699
92.6
217
7.4
2,916
5.3
Foreign country
7,357
91.7
666
8.3
8,023
14.7
Africa
866
88.3
115
11.7
981
1.8
Asia
354
91.0
35
9.0
389
0.7
3,129
92.4
259
7.6
3,388
6.2
Central America
934
92.5
76
7.5
1,010
1.8
Europe
411
89.7
47
10.3
458
0.8
53
91.4
5
8.6
58
0.1
1,413
92.7
111
7.3
1,524
2.8
197
91.6
18
8.4
215
0.4
12,095
91.0
1,201
9.0
13,296
24.3
Caribbean/West Indies
Middle East
South America
Other/unknown foreign country
Unknown