National Latino AIDS Awareness Day

Bechara Choucair, MDCommissioner

Chicago Department of Public Health

@Choucair #NLAAD

2013 National LatinoAIDS Awareness Day

October 17, 2013

Chicago Department of Public HealthCommissioner Bechara Choucair, M.D.

City of ChicagoMayor Rahm Emanuel

HEALTHY CHICAGOCHICAGO DEPARTMENT OF PUBLIC HEALTH

TRANSFORMING THE HEALTH OF OUR CITYCHICAGO ANSWERS THE CALL

Healthy Chicago Strategies to Reach National HIV/AIDS Strategy- 3 Goals

1.Reduce new HIV infections

2.Increase access to care and improve health outcomes for people living with HIV

3.Reducing HIV-related health disparities

Healthy Chicago HIV Prevention Goal

Healthy Chicago Strategies to Reach National HIV/AIDS Strategy Goals1. Reduce new HIV infections

• Support HIV testing for over 58,000 high-risk individuals annually

• Work with partners to distribute 10 million condoms annually

• Implement on-line services to facilitate the identification of partners of newly diagnosed HIV cases

• Work with hospitals, medical schools and physician residency programs to encourage integration of opt-out testing in protocols and curricula

• Support partner agencies in the distribution of over three million syringes, in conjunction with prevention education information, to injection drug users

Healthy Chicago Strategies to Reach NHAS Goals2. Increase access to care and improve health outcomes for people living with HIV

Lead efforts and develop partnerships/collaborations to expand linkage to care for HIV-positive individuals currently not in care

Link 80% of individuals who were previously HIV-positive and newly diagnosed with syphilis to care within 90 days of diagnosis

Promote integration of hepatitis, tuberculosis, and STI testing for HIV infected persons

Implement the Get Real, Get Care campaign to promote linkage to care for persons newly diagnosed with HIV

Healthy Chicago Strategies to

Reach the NHAS Goals3. Reducing HIV-related health disparities

• Pilot combination prevention strategies in communities with the highest incidence and prevalence of HIV

• Implement the Greater Than campaign to deliver prevention messages.

Changes in Chicago’s HIV Epidemic

Trends in HIV Infection Diagnoses, Chicago

HIV Infection Diagnoses by Race/Gender and Risk

Latino MSM HIV Infections by Age

Unrecognized HIV Infection by Race, NHBS Chicago 2011

Total HIV +

Unaware HIV + 2008

# # (%) (%)Black 46 16 35 66White 35 3 9 23Hispanic 14 4 21 50

Total 95 23 24 50

76

51

25

28

2

55

7

6

70

61

49

30

24

10

8

56

4

15

19

71

17

3

23

22

53

69

54

66

46

75

516

29

12

72

67 68

52

44

6543

31

1

73

58

74

64

1311

63

50

60

42

57

21

27

14

9

33

48

38

77

32

35

4140

59

26

45

62

20

39

18

34

37

47

36

HIV Infection Diagnosis Rate (per 100,000) by Community Area, Chicago, through 2011

1 Rogers Park2 West Ridge3 Uptown4 Lincoln Square5 North Center6 Lake View7 Lincoln Park8 Near North Side9 Edison Park10 Norwood Park11 Jefferson Park12 Forest Glen13 North Park14 Albany Park15 Portage Park16 Irving Park17 Dunning18 Montclare19 Belmont Cragin20 Hermosa21 Avondale22 Logan Square23 Humboldt Park24 West Town25 Austin26 West Garfield Park27 East Garfield Park28 Near West Side29 North Lawndale30 South Lawndale31 Lower West Side32 Loop33 Near South Side34 Armour Square35 Douglas36 Oakland37 Fuller Park38 Grand Boulevard39 Kenwood40 Washington Park

41 Hyde Park42 Woodlawn43 South Shore44 Chatham45 Avalon Park46 South Chicago47 Burnside48 Calumet Heights49 Roseland50 Pullman51 South Deering52 East Side53 West Pullman54 Riverdale55 Hegewisch56 Garfield Ridge57 Archer Heights58 Brighton Park59 Mckinley Park60 Bridgeport61 New City62 West Elsdon63 Gage Park64 Clearing65 West Lawn66 Chicago Lawn67 West Englewood68 Englewood69 Greater Grand Crossing70 Ashburn71 Auburn Gresham72 Beverly73 Washington Heights74 Mount Greenwood75 Morgan Park76 Ohare77 Edgewater

9.4 - 25.5

25.6 - 39.7

39.8 - 64.0

64.1 - 108.2

No Cases/SmallNumbers (suppressed)

Chicago Communities

Highest Number of Latino PLWHA

• Logan Square

Highest number of Latino Males Living with HIV/AIDS

• Uptown

Highest Number of New Infections Among Latinos

• Lakeview

Highest Number of New Infections Among Latino Males

• Rogers Park

2010 HIV Continuum of Care

*Percentage of 2009 diagnoses linked to care within 3 months

Conclusion:Putting Data To Use

•We know how many people have HIV/AIDS

•We know how many new diagnoses we have every year

•We know which neighborhood affected

•We know how sexual partners are found

BUILDING ON & ENGAGING PARTNERSHIPS

Commit to Speak

@ChiPublicHealth

312.747.9884

facebook.com/ChicagoPublicHealth

HealthyChicago@CityofChicago.org

www.CityofChicago.org/Health