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Bureau of Disease Control and PreventionKansas
Department of Health and Environment
Kansas HIV/AIDS Program 2008
L. William LyonsDirector, HIV/AIDS Program
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Disclaimer

• Please note that the surveillance data you are
  about to review may differ from prior years data.
  
• These differences are the result of the
  conversion from the old HARS to the new eHARS
  data reporting system and the CDC de-duplication
  process.
• Although the data is different, you will from
  this point on have a truer picture of the
  progression of HIV/AIDS in the state of Kansas

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HIV/AIDS Cases in Kansas 2008
HIV (no AIDS) Prevalence Estimates 38 Cases
per 100,000
Cumulative AIDS Cases (through 12/08) Total Alive
Alive 2107 1344 64
Cumulative HIV Cases (not AIDS) (through
12/08) Total Alive Alive 1317 1259 96
Grand Total Total Alive Alive
HIV/AIDS Cases 3424 2603 76
ADULTS Males Females Total MF
Ratio Cumulative AIDS Cases 1799 308
2107 5.81 Cumulative HIV Cases 1051 266
1317 4.01
Data Source Kansas HIV/AIDS Surveillance System
2008
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New AIDS Case Rates, by Year of Report , Kansas
2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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New AIDS Cases by Year of Report, Kansas
2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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New HIV (no AIDS) Case Rates, by Year of Report,
Kansas 2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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New HIV (no AIDS) Cases by Year of Report, Kansas
2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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New HIV/AIDS Case Rates, by Year of Report,
Kansas 2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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Population Estimates and New Adult HIV, and AIDS
Cases by Race/Ethnicity Reported in Kansas 2008
2007 Kansas Population Estimates (N2,775,997)
AIDS (N106)
HIV (N115)
Other includes Asian/Pacific Islanders, Native
Hawaiian/Pacific Islander, American Indian/Native
Alaskan, and mixed races. 2007 Kansas Population
Estimates, KDHE, Office of Health Assessment,
Center for Health and Environmental
Statistics Note that the categories for White
and Black are White Non-Hispanic and Black
Non-Hispanic
Data Source Kansas HIV/AIDS Surveillance System
2008
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New Male HIV Cases By Race/Ethnicity and Year of
Report, Kansas 2000-2008
Other
Data Source Kansas HIV/AIDS Surveillance System
2008
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New Female HIV Cases By Race/Ethnicity and Year
of Report, Kansas 2000-2008
Other
Data Source Kansas HIV/AIDS Surveillance System
2008
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New AIDS Cases by Sex and Year of Report, Kansas
2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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New HIV/AIDS Cases by Sex and Year of Report,
Kansas, 2000-2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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Newly Diagnosed HIV (no AIDS) Cases by
Race/Ethnicity and Year of Report, Kansas,
2000-2008
Other
Data Source Kansas HIV/AIDS Surveillance System
2008
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Percent Change HIV/AIDS 2007-2008

• HIV a 18.5 increase in number of cases
• AIDS a 16 decrease in the number of cases

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Number of Tests by Race/Ethnicity Counseling
Testing 2006-2008
2007
2008
2006
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Resident HIV/AIDS Deaths by Year, Kansas,
19932008
A new national system for coding death
certificates (ICD-10) began in 1999
Source Office of Health Assessment, Center for
Health and Environmental Statistics, and Office
of Epidemiology and Surveillance Kansas Death
certificates coded to HIV/AIDS as underlying cause
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HIV Testing by Ethnicity, Race and Gender Kansas
January-December 2008
Data Source Kansas Counseling and Testing
Services, as of 02/01/09
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Total testing 2007 13130Total testing 2008
2496490 increase in testing from 2007 - 2008
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Counseling Testing, Kansas 2000-2007
No. HIV Tests in Publicly Funded Sites
Percent Change Percentage increase or decrease
in 2008 when compared to 2007
Data Source Kansas Counseling and Testing
Services, as of 03/05/2008
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HIV Tests Conducted at KDHE SponsoredTesting
Sites in Kansas 1999-2008
Data Source Kansas Counseling and Testing
Services, as of 03/05/2008
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Cumulative HIV, AIDS Cases Statistics in Kansas,
2008
Data Source Kansas HIV/AIDS Surveillance System,
accessed on January 13, 2008 analysis by date of
report
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Living HIV (no AIDS), AIDS Cases Statistics, by
Date of Report, Kansas 2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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Prevalent AIDS Cases by Age, by Date of Report
2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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Prevalent HIV Cases by Age, by Date of Report 2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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HIV/AIDS Prevalence Rates Among Race Groups,
Kansas 2008
Data Source Kansas HIV/AIDS Surveillance System,
accessed on January 13, 2008,analysis by date of
report 2007 Population Estimates Center for
Health and Environmental Statistics, KDHE
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New Adult Male Cases by Mode of Exposure Reported
in 2008, Kansas
AIDS (n85)
HIV (n95)
Data Source Kansas HIV/AIDS Surveillance System
2008
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New Adult Female Cases by Mode of Exposure
Reported in 2008, Kansas
AIDS (n21)
HIV (n20)
Data Source Kansas HIV/AIDS Surveillance System
2008
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PLWHA Cases and Population, Kansas, Through 2008
PLWHA Cases (N2603)
Population Estimate in 2007 (N2,775,997)
5
3
6
12
8
25
83
58
PLWHA person living with HIV/AIDS
Data Source Kansas HIV/AIDS Surveillance System,
accessed on January 13, 2008, analysis by date of
report 2007 Population Estimates Center for
Health and Environmental Statistics, KDHE Note
categories for White and African American are
Non-Hispanic White and Non-Hispanic African
American
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Living HIV/AIDS Cases Top Ten Counties in Kansas,
by Date of Report, 2008
Data Source Kansas HIV/AIDS Surveillance System
2008
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True Incidence Kansas 2004-2008
Data Source Kansas HIV AIDS Reporting System
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True Incidence Kansas 2004-2008
Data Source Kansas HIV AIDS Reporting System
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HIV/AIDS Program Funding Kansas 2008
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Prevention/Patient Care Initiatives, Kansas, 2008

• 6 HIV Rapid Testing Sites
• Ryan White Part B Grant
• Ryan White Part B Quality Management
• Linkage to Care

• 23 AHP Prevention Project
• FACTORS
• Opt-Out Testing
• Participation of providers in National HIV/AIDS
  Events
• PEMS Rollout and Training for sites self-entry

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Kansas AIDS Drug Assistance Program, Oct-Dec 2008
CLIENTS ENROLLED IN KANSAS RYAN WHITE 1031
CLIENTS SERVED THROUGH ADAP 601
CLIENTS SERVED BY GENDER
CLIENTS SERVED BY ETHNICITY/RACE
Other Non-Hispanic includes Asians, Pacific
Islanders, Native Americans, Multiple Races, and
Other Races
Data Source Kansas Ryan White CARE Program
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KANSASAIDS DRUG ASSISTANCE PROGRAM
(ADAP)

• Sponsors 63 medications for HIV, depression, side
  effects, opportunistic infections
• Current drug budget 2.2 million
• Administered by Medicaid
• Funded by Ryan White Part B / ADAP
• Currently serving approximately 601 clients

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KANSASAIDS DRUG ASSISTANCE PROGRAM
(ADAP) Contd..

• BASIC PROGRAM ELIGIBILITY
• Document HIV status
• Income ? 300 federal poverty level
• Recent CD4 and viral load lab tests
• Kansas Resident

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Program Highlights Ryan White Part B Program

• Hired eligibility specialist in Dec 2008
• New Web-based database implemented live in July
  2008
• Working toward complete electronic referrals for
  eligibility of services
• Collaborating electronically with Part A for
  eligibility of services
• All claims processed and paid by HSI
• All premiums paid by HSI
• Hired a quality manager in February 2009
• Secured FLEX Policy money from ADAP for
  laboratory services

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Program Highlights HIV/AIDS Surveillance

• 2008 eHARS Implementation Complete
• eHARS is a new browser-based reporting system
  that has replaced HIV/AIDS Reporting System
  (HARS)
• eHARS allows for more complete tracking of
  HIV/AIDS cases.

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Program Highlights Counseling Testing and
Referral

• Drastic increase in testing numbers, over a 90
  increase. In 2007 conducted 13,126 tests in 2008
  conducted 24,969 tests.
• Began using Clearview Rapid Testing
• Clearview HIV 1/2 STAT-PAK is a rapid qualitative
  screening test for the detection of antibodies to
  HIV-1 and HIV-2 in human whole blood, serum and
  plasma

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Program Highlights CTR contd.

• Collaborate with Title X Family Planning Program
  to institute a pilot program to determine the
  efficacy of opt out testing in family planning
  clinics
• Institute opt out in STD clinics and Prenatal
  Health clinics

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Program Highlights CTR contd.

• Expanded HIV Testing
• Collaborated with Bureau for Children, Youth, and
  Families Title X Family Planning Program
• Increased access to testing by decreasing
  requirements
• all moderate risk (multiple partners, sex while
  using non-injection drugs, etc.) and high risk
  (MSM, IDU, partners of positive individuals)
  categories
• all individuals who have ever had sex or used
  injection drugs

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Program Highlights Health Education/Risk
Reduction contd.

• Program Evaluation Monitoring System (PEMS) data
• Contractors and Interventions
• Trained 10 HIV providers to enter data directly
  into PEMS
• Increased accountability for intervention
  planning delivery
• Improved client demographics documentation
• Improved risk behavior details documentation
• All CDC required variables collected entered
• Data collection entry occurs within CDC
  timeline (1 month)

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Community Planning Group Priority Populations

• HIV
• Men who have Sex with Men
• High Risk Women
• Youth
• Injection Drug Users (IDU)
• High Risk Individuals

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KDHE Priority Populations by Epi Data

• HIV
• White MSM 25-44 years
• Black Female Heterosexuals
• Black Male MSM and IDU

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Contact Information

• L. William Lyons, Director of HIV/AIDS Programs
• Kansas Department of Health and Environment
• Bureau of Disease Control and Prevention
• 1000 SW Jackson, Suite 210
• Topeka, Kansas 66612-1274
• Bus 785-296-1037
• Fax [phone]