Estimated Prevalence and New Diagnoses of HIV and HIV among Injection Drug Users 2012 - Current County Annual Health

data.pa.gov | Last Updated 17 Oct 2022

This data set provides an estimate of the number of people living with Human Immunodeficiency Virus (HIV) Disease at the end of each year for 2012 through 2016 and the number of these persons who have injection drug use identified as the primary risk for having acquired the infection. The data sets also provides the number of new diagnoses of HIV Disease by county among all persons and among those with injection drug identified as the primary risk. These data are derived through HIV surveillance activities of the Pennsylvania Department of Health. Laboratories and providers are required to report HIV test results for all individuals with a result that indicates the presence of HIV infection. These include detectable viral load results and CD4 results below 200 cells. These data are reported electronically to the Pennsylvania National Electronic Disease Surveillance System. The most recent patient address information obtained from all reports (both HIV and non-HIV reports) is used to identify last known county of residence in 2016. Cases are also matched to lists that identify individuals who have been reported to be living outside of Pennsylvania by the US Centers for Disease Control and Prevention (CDC) to remove cases that are presumed to have moved from Pennsylvania. Address data for Philadelphia County cases are extracted from the Pennsylvania enhanced HIV/AIDS Reporting System. IDU: use of non-prescribed injection drugs (e.g., heroin, fentanyl, cocaine, etc.) HIV Disease: Confirmed infection with the Human Immunodeficiency Virus (HIV). Acquired Immunodeficiency Syndrome (AIDS) is a stage of HIV Disease marked by a low CD4 count and/or certain co-morbid conditions.

Tags: opioid, hiv, aids, prevalence, drug, disease, oud, idu, infection

This dataset has the following 15 columns:

Column NameAPI Column NameData TypeDescriptionSample Values
County Namecounty_nametextLast known county of residence 2016. Address data is obtained from Pennsylvania National Electronic Disease Surveillance System and the enhanced HIV/AIDS Reporting System.
County Code Numbercounty_code_numbernumberThe number that correlates to the County code. 1-67 with 0 representing the state of Pennsylvania.
State FIPS Codestate_fips_codetextThese are the first 2 digits of the 5-digit Federal Information Processing Standard (FIPS) code that designate the State association. Each State has its own 2-digit number and each County within the state has its own 3-digit number which are combined into a 5-digit number to uniquely identify every US county. For more technical details : Federal Information Processing Standards Publications (FIPS PUBS) are issued by the National Institute of Standards and Technology (NIST) after approval by the Secretary of Commerce pursuant to Section 111 (d) of the Federal Property and Administrative Services Act of 1949 as amended by the Computer Security Act of 1987, Public Law 100-235. Federal Information Processing Standard (FIPS) 6-4, Counties and Equivalent Entities of the U.S., Its Possessions, and Associated Areas -- 90 Aug 31 , provides the names and codes that represent the counties and other entities treated as equivalent legal and/or statistical subdivisions of the 50 States, the District of Columbia, and the possessions and freely associated areas of the United States. Counties are considered to be the "first-order subdivisions" of each State and statistically equivalent entity, regardless of their local designations (county, parish, borough, etc.). Information gathered from census data - https://www.census.gov/library/reference/code-lists/ansi.html
County FIPS Codecounty_fips_codetextThe FIPS county code is a five-digit Federal Information Processing Standard (FIPS) code (FIPS 6-4) which uniquely identifies counties and county equivalents in the United States, certain U.S. possessions, and certain freely associated states. This is the 3-digit part of the 5-digit county FIPS code specifically standing for the county.
County Codecounty_codetextThe text format of the county code number. This gives a 2-digit format to match to other files.
Latitude/Longitudelocation_1locationLatitude and Longitude. One random point within the county boundary to help with creating a boundary map within the county lines.
New Diagnoses HIV Disease Countnew_diagnoses_hiv_disease_countnumberPersons newly diagnosed with Human Immunodeficiency Disease (HIV). HIV Disease includes all persons with confirmed HIV infection. This includes cases of AIDS and HIV(non-AIDS). Confirmed HIV disease is defined as (1) having a positive HIV confirmatory test, (2) a detectable HIV viral load result and/or (3) a physician confirmed diagnosis of HIV disease. HIV Disease: Confirmed infection with the Human Immunodeficiency Virus (HIV). Acquired Immunodeficiency Syndrome (AIDS) is a stage of HIV Disease marked by a low CD4 count and/or certain co-morbid conditions. Newly diagnosed is a proxy for “incidence.” We shy away from the term “incidence” because it implies newly infected (meaning somebody was newly exposed and infected with HIV) whereas we mean by “Newly Diagnosed” is somebody who was newly found to be infected, even though they may have been “infected” many years ago but did not know it or was not tested to know about it. So newly diagnosed means newly identified cases in a given year. So people who were diagnosed with HIV disease in a given year in a given place (e.g., Allegheny County) would be a newly diagnosed case. If that person is still alive at the end of the year (and still living in Allegheny County) they will also be counted as a prevalent case for Allegheny County. If they died (before the end of the year) or move out of Allegheny County (before the end of that year) then they would no longer be counted as a “Prevalent” case.
New Diagnoses HIV Disease Descriptionnew_diagnoses_hiv_disease_descriptiontextA description for the New Diagnoses HIV Disease count column. Providing information about the null fields and a description to use with visualizations. Newly diagnosed is a proxy for “incidence.” We shy away from the term “incidence” because it implies newly infected (meaning somebody was newly exposed and infected with HIV) whereas we mean by “Newly Diagnosed” is somebody who was newly found to be infected, even though they may have been “infected” many years ago but did not know it or was not tested to know about it. So newly diagnosed means newly identified cases in a given year. So people who were diagnosed with HIV disease in a given year in a given place (e.g., Allegheny County) would be a newly diagnosed case. If that person is still alive at the end of the year (and still living in Allegheny County) they will also be counted as a prevalent case for Allegheny County. If they died (before the end of the year) or move out of Allegheny County (before the end of that year) then they would no longer be counted as a “Prevalent” case.
Prevalence HIV Disease Countprevalence_hiv_disease_countnumberCount of Persons living with HIV Disease. Human Immunodeficiency Virus (HIV) Disease includes all persons with confirmed HIV infection. This includes cases of AIDS and HIV(non-AIDS). Confirmed HIV disease is defined as (1) having a positive HIV confirmatory test, (2) a detectable HIV viral load result and/or (3) a physician confirmed diagnosis of HIV disease. All PLWH (People Living With HIV/AIDS) have had a confirmed HIV diagnosis and were presumed to be alive as of last day of each year. HIV Disease: Confirmed infection with the Human Immunodeficiency Virus (HIV). Acquired Immunodeficiency Syndrome (AIDS) is a stage of HIV Disease marked by a low CD4 count and/or certain co-morbid conditions. Prevalence means the person had been diagnosed sometime before the end of that calendar year (anytime in any prior year or current year before the end of the year) and still alive as far as we know at the end of the year. So a person diagnosed in 2005 and still alive and living in PA (e.g., in Allegheny County) at the end of 2012 would be counted as a prevalent case for Allegheny County for that year.
Prevalence HIV Disease Descriptionprevalence_hiv_disease_descriptiontextA description for the Prevalence HIV Disease count column. Providing information about the null fields and a description to use with visualizations. Prevalence means the person had been diagnosed sometime before the end of that calendar year (anytime in any prior year or current year before the end of the year) and still alive as far as we know at the end of the year. So a person diagnosed in 2005 and still alive and living in PA (e.g., in Allegheny County) at the end of 2012 would be counted as a prevalent case for Allegheny County for that year.
New Diagnoses HIV Disease Among IDU Countnew_diagnoses_hiv_disease_among_idu_countnumberPersons newly diagnosed with Human Immunodeficiency Virus (HIV) Disease with Injection Drug Use (IDU) as an identified risk factor. Risk data is obtained from provider reports (e.g., medical records) and or patient interviews by Partner Counseling and Referral Services provided by PA Department of Health and other disease investigators. Injection Drug Use risk is also obtained by matching HIV surveillance data to other data sets that indicate Injection Drug Use risk (e.g., Ryan White CareWare data). IDU: use of non-prescribed injection drugs (e.g., heroin, fentanyl, cocaine, etc.) HIV Disease: Confirmed infection with the Human Immunodeficiency Virus (HIV). Acquired Immunodeficiency Syndrome (AIDS) is a stage of HIV Disease marked by a low CD4 count and/or certain co-morbid conditions. Newly diagnosed is a proxy for “incidence.” We shy away from the term “incidence” because it implies newly infected (meaning somebody was newly exposed and infected with HIV) whereas we mean by “Newly Diagnosed” is somebody who was newly found to be infected, even though they may have been “infected” many years ago but did not know it or was not tested to know about it. So newly diagnosed means newly identified cases in a given year. So people who were diagnosed with HIV disease in a given year in a given place (e.g., Allegheny County) would be a newly diagnosed case. If that person is still alive at the end of the year (and still living in Allegheny County) they will also be counted as a prevalent case for Allegheny County. If they died (before the end of the year) or move out of Allegheny County (before the end of that year) then they would no longer be counted as a “Prevalent” case.
New Diagnoses HIV Disease Among IDU Descriptionnew_diagnoses_hiv_disease_among_idu_descriptiontextA description for the New Diagnoses HIV Disease Among Injection Drug Use (IDU) count column. Providing information about the null fields and a description to use with visualizations. Newly diagnosed is a proxy for “incidence.” We shy away from the term “incidence” because it implies newly infected (meaning somebody was newly exposed and infected with HIV) whereas we mean by “Newly Diagnosed” is somebody who was newly found to be infected, even though they may have been “infected” many years ago but did not know it or was not tested to know about it. So newly diagnosed means newly identified cases in a given year. So people who were diagnosed with HIV disease in a given year in a given place (e.g., Allegheny County) would be a newly diagnosed case. If that person is still alive at the end of the year (and still living in Allegheny County) they will also be counted as a prevalent case for Allegheny County. If they died (before the end of the year) or move out of Allegheny County (before the end of that year) then they would no longer be counted as a “Prevalent” case.
Prevalence HIV Disease Among IDU Countprevalence_hiv_disease_among_idu_countnumberPersons living with HIV Disease with Injection Drug Use (IDU) as an identified risk factor. Risk data is obtained from provider reports (e.g., medical records) and or patient interviews by Partner Counseling and Referral Services provided by PADOH and other disease investigators. Injection Drug Use risk is also obtained by matching HIV surveillance data to other data sets that indicate Injection Drug Use risk (e.g., Ryan White CareWare data). IDU: use of non-prescribed injection drugs (e.g., heroin, fentanyl, cocaine, etc.) HIV Disease: Confirmed infection with the Human Immunodeficiency Virus (HIV). Acquired Immunodeficiency Syndrome (AIDS) is a stage of HIV Disease marked by a low CD4 count and/or certain co-morbid conditions. Prevalence means the person had been diagnosed sometime before the end of that calendar year (anytime in any prior year or current year before the end of the year) and still alive as far as we know at the end of the year. So a person diagnosed in 2005 and still alive and living in PA (e.g., in Allegheny County) at the end of 2012 would be counted as a prevalent case for Allegheny County for that year.
Prevalence HIV Disease Among IDU Descriptionprevalence_hiv_disease_among_idu_descriptiontextA description for the Prevalence HIV Disease Among Injection Drug Use (IDU) count column. Providing information about the null fields and a description to use with visualizations. Prevalence means the person had been diagnosed sometime before the end of that calendar year (anytime in any prior year or current year before the end of the year) and still alive as far as we know at the end of the year. So a person diagnosed in 2005 and still alive and living in PA (e.g., in Allegheny County) at the end of 2012 would be counted as a prevalent case for Allegheny County for that year.
YearyeartextThe Year of the count for this particular row. This data set is by Calendar year.