Major updates to New York State’s HIV Care Cascades show fewer people living with HIV in New York and higher levels of viral suppression than previously reported
The ETE Dashboard includes the recently updated statewide and regional New York State HIV Care Cascades for 2013, which show that 87% of New Yorkers living with HIV infection have been diagnosed and 55% achieved the important clinical and public health milestone of HIV viral load suppression. The levels of viral suppression in New York’s 2013 HIV care cascades are the highest ever reported for the state and its sub-regions (range 53% of infected in Nassau-Suffolk Ryan White Region to 60% of infected in Binghamton Ryan White Region).
HIV Care Cascades -The Basics:
The HIV Care Cascade, also known as a treatment cascade or HIV care continuum, presents key sequential stages of HIV medical care and treatment from diagnosis to being linked to care, retained in care and eventually reaching the goal of viral load suppression. The Cascade for New York State (shown below) shows the number and proportion of individuals living with HIV who have reached each stage of the continuum. The HIV care cascades on the ETE Dashboard include statewide, New York City and Ryan White regional cascades.
Major Updates to the New York State HIV Care Cascades
The AIDS Institute Bureau of HIV/AIDS Epidemiology (BHAE) recently completed revisions to the 2013 New York State HIV Care Cascades. Until this year, all NYS HIV Surveillance reporting of persons living with diagnosed HIV infection has been based on their residence at the time of their HIV or AIDS diagnosis. The revised cascades exclude persons in the following categories:
- Those who, based on their most recent address as of 2013, appear to have moved out of state
- Those with no HIV-related event (HIV-related laboratory test results, surveillance report) for 5 years prior to December 2013 through January 2015 (persons with an AIDS diagnosis) or 8 years prior to December 2013 through January 2015 (persons with HIV with no prior report of an AIDS diagnosis)
Using the new method based on recent address, the estimated total number of persons living with diagnosed HIV infection in New York drops from 133,400 to 112,400, almost a 16% change (Figure below). By removing 20,000+ cases from the equation, the 2013 Cascades become more accurate and an even better tool for addressing gaps along the care continuum in New York.