St. Louis HIV Care Region
ST. LOUIS HIV CARE REGIONPopulation Counts, St. Louis HIV Care Region, 2016CountyFranklin CountyJefferson CountyLincoln CountySt. Charles CountySt. Louis CountySt. Louis CityWarren CountyRegion TotalWhite97,984 95.3%212,240 94.7%51,510 93.2%342,126 87.5%665,060 66.6%135,727 43.6%31,011 91.7%1,535,658 72.5%Black/AfricanAmerican940 0.9%2,311 1.0%1,059 1.9%18,495 4.7%242,105 24.2%145,572 46.7%772 2.3%411,254 19.4%Hispanic1,760 1.7%4,262 1.9%1,329 2.4%12,547 3.2%28,176 2.8%12,547 4.0%1,101 3.3%61,722 2.9%Asian/PacificIslander520 0.5%1,655 0.7%307 0.6%10,091 2.6%41,882 4.2%10,101 3.2%167 0.5%64,723 3.1%AmericanIndian/AlaskanNative320 0.3%593 0.3%169 0.3%649 0.2%1,807 0.2%595 0.2%113 0.3%4,246 0.2%Two or MoreRaces/OtherRaceTotal1,314 1.3% 102,8383,165 1.4% 224,226893 1.6%55,2677,010 1.8% 390,91819,551 2.0% 998,5816,862 2.2% 311,404638 1.9%33,80239,433 1.9% 2,117,036
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Epi Profiles Summary: St. Louis HIV Care RegionFigure 1. HIV disease cases (living and deceased), by current HIV vs. stage 3 (AIDS) status,St. Louis HIV Care Region, 1982-20173,944 (38.8% ) DeceasedHIV Disease CasesDeceased HIV Cases398Deceased Stage 3 (AIDS)Cases3,546Living HIV Cases3,25010,174 Cumulative HIV Disease Cases6,526 (64.1% ) Stage 3 (AIDS) Cases3,648 (35.9% ) HIV Cases6,230 (61.2% ) LivingHIV Disease CasesLiving Stage 3 (AIDS)Cases2,980Figure 2. Living and new HIV disease cases and deaths, by year*, St. Louis HIV Care Region, 5,3525,5145,6745,8366,0156,230Living HIV Disease4,000New HIV ear*Living HIV disease cases represent the number of individuals living with HIV disease at the end of the year. New HIV disease casesrepresent the number of individuals newly diagnosed in the year. HIV disease deaths represent the number of individuals that died in theyear.From 1982 to 2017, a total of 10,174 HIV disease cases were diagnosed in the St. Louis HIV Care Region andreported to DHSS (Figure 1). Of the cumulative cases reported, 61.2% were still presumed to be living with HIVdisease at the end of 2017. Among those living with HIV disease, 3,250 were classified as HIV cases at the endof 2017 and 2,980 were classified as stage 3 (AIDS) cases.At the end of 2017, there were 6,230 persons living with HIV disease whose most recent diagnosis occurred inthe St. Louis HIV Care Region (Figure 2). The number of people living with HIV disease increased every year.There were 247 new HIV disease diagnoses in 2017. The number of new diagnoses fluctuated slightly from2008 to 2017. The number of deaths among persons with HIV disease remained generally steady.2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri61
Epi Profiles Summary: St. Louis HIV Care RegionFigure 3. HIV disease cases, by current status* and year of diagnosis**,St. Louis HIV Care Region, 2008-2017Stage 3 (AIDS) Cases***400HIV Cases****350291Number of 5010050020082009201020112012201320142015Year of Diagnosis*HIV case vs. stage 3 (AIDS) case.**Cases are indicated by year of initial diagnosis reported to DHSS (i.e., the year in which the first diagnosis of the person, whether as anHIV case or a stage 3 (AIDS) case, was documented by DHSS).***These cases were either: 1) initially reported as HIV cases and then later reclassified as stage 3 (AIDS) cases because they subsequentlymet the stage 3 (AIDS) case definition; or 2) initially reported as stage 3 (AIDS) cases.****These cases were initially reported as HIV cases and have remained HIV cases. They have not met the case definition for stage 3(AIDS) as of December 31, 2017.Figure 4. Reported HIV disease cases, by current status* and year of diagnosis**,St. Louis HIV Care Region, 2008-2017HIV Disease CasesStage 3 (AIDS) Cases***HIV Cases****400Number of 1720015010050020082009201020112012201320142015Year of Diagnosis*HIV case vs. stage 3 (AIDS) case.**Cases are indicated by year of initial diagnosis reported to DHSS, (i.e., the year in which the first diagnosis of the person, whether as anHIV case or a stage 3 (AIDS) case, was documented by DHSS).***These cases were either: 1) initially reported as HIV cases and then later reclassified as stage 3 (AIDS) cases because they subsequentlymet the stage 3 (AIDS) case definition; or 2) initially reported as stage 3 (AIDS) cases.****These cases were initially reported as HIV cases and have remained HIV cases. They have not met the case definition for stage 3(AIDS) as of December 31, 2017.The number of new diagnoses remained fairly stable from 2008 to 2017 with no sustained upward or downwardtrend (Figures 3 and 4). The number of new diagnoses in 2017 decreased 4.3% from 2016. Differences in thenumber of persons sub-classified as stage 3 (AIDS) cases each year are due to the progression of the diseaseover time.622017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri
Epi Profiles Summary: St. Louis HIV Care RegionFigure 5. HIV disease deaths*, by selected race and year of death, St. Louis HIV Care Region,2008-2017†150Total DeathsWhite125Number of Year of Death*Includes deaths that have occurred among those diagnosed with HIV disease in the St. Louis HIV Care Region.†Only includes deaths through December 31, 2017 and reported by February 28, 2018.Figure 6. Persons diagnosed with HIV disease, by current vital status* and year of diagnosis**,St. Louis HIV Care Region, 2008-2017Number of 00100020082009201020112012201320142015Year of DiagnosisDeceased*Vital status on December 31, 2017.**Cases are indicated by year of initial diagnosis reported to DHSS (i.e., the year in which the first diagnosis of the person, whether as anHIV case or a stage 3 (AIDS) case, was documented by DHSS).The number of deaths among persons with HIV disease remained generally stable between 2008 and 2010,decreased from 2010 to 2011, and then remained generally stable between 2011 and 2013 (Figure 5). Thelower numbers of deaths in more recent years were likely due to delays in death reporting.Of the 247 persons diagnosed with HIV disease in 2008, 15 (6.1%) were deceased by the end of 2017 (Figure6). Among the 247 individuals first diagnosed in 2017, one was deceased at the end of 2017. The difference inthe proportion of cases that are deceased is due to the length of time individuals have been living with thedisease.2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri63
Epi Profiles Summary: St. Louis HIV Care RegionTable 1. Living† HIV, stage 3 (AIDS), and HIV disease cases, by sex, by race/ethnicity, by race/ethnicityand sex, and by current age, St. Louis HIV Care Region, 2017CasesHIV*%Rate****Stage 3 (AIDS)**Cases%Rate****HIV Disease***Cases%Rate****SexMaleFemaleTotal2,651 81.6%59918.4%3,250 100.0%258.954.8153.52,470 82.9%510 17.1%2,980 100.0%241.246.7140.85,121 82.2%1,109 17.8%6,230 can AmericanHispanicAsian/Pacific IslanderAmerican Indian/Alaskan NativeTwo or More Races/UnknownTotal1,261 38.8%1,825 56.2%973.0%230.7%10.0%431.3%3,250 100.0%82.1443.8157.235.523.6-153.51,165 39.1%1,680 56.4%792.7%140.5%00.0%421.4%2,980 100.0%75.9408.5128.021.60.0-140.82,426 38.9%3,505 56.3%1762.8%370.6%10.0%851.4%6,230 MalesWhite MaleBlack/African American MaleHispanic MaleAsian/Pacific Islander MaleAmerican Indian/Alaskan Native MaleTwo or More Races/Unknown MaleTotal1,141 43.0%1,383 52.2%762.9%160.6%10.0%341.3%2,651 100.0%151.7739.1237.751.247.6-258.91,066 43.2%1,293 52.3%672.7%100.4%00.0%341.4%2,470 100.0%141.7691.0209.632.00.0-241.22,207 43.1%293.52,676 52.3% 1,430.01432.8%447.3260.5%83.310.0%47.6681.3%-5,121 100.0% %1,109 1.6%809 27.1%1,870 62.8%2508.4%2,980 00.5%2624.2%2,327 37.4%3,161 50.7%4347.0%6,230 icity-FemalesWhite FemaleBlack/African American FemaleHispanic FemaleAsian/Pacific Islander FemaleAmerican Indian/Alaskan Native FemaleTwo or More Races/Unknown FemaleTotalCurrent Age ‡ 22-1213-1819-2425-4445-6465 1,518 46.7%1,291 39.7%1845.7%3,250 510†Includes persons diagnosed with HIV disease in the St. Louis HIV Care Region who are currently living, regardless of current residence.*Cases which remained HIV cases at the end of 2017.**Cases classified as stage 3 (AIDS) by December 31, 2017.***The sum of HIV cases and stage 3 (AIDS) cases.****Per 100,000 population based on 2016 DHSS estimates.‡Based on age as of December 31, 2017.Note: Percentages may not total 100% due to rounding.642017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri
Epi Profiles Summary: St. Louis HIV Care RegionTable 2. Diagnosed HIV, stage 3 (AIDS), and HIV disease cases, by sex, by race/ethnicity, by race/ethnicity and sex, and by current age, St. Louis HIV Care Region, 2017CasesHIV*%Rate****Stage 3 (AIDS)**Cases%Rate****HIV icityWhiteBlack/African AmericanHispanicAsian/Pacific IslanderAmerican Indian/Alaskan NativeTwo or More 6.20.0-11.7Race/Ethnicity-MalesWhite MaleBlack/African American MaleHispanic MaleAsian/Pacific Islander MaleAmerican Indian/Alaskan Native MaleTwo or More Races/Unknown 0-19.6Race/Ethnicity-FemalesWhite FemaleBlack/African American FemaleHispanic FemaleAsian/Pacific Islander FemaleAmerican Indian/Alaskan Native FemaleTwo or More Races/Unknown %2.2%0.0%2.2%100.0%0.517.06.73.00.0-4.2Current Age ‡ 22-1213-1819-2425-4445-6465 00.0%2.00.04.935.523.58.01.811.7*HIV cases diagnosed during 2017 which remained HIV cases at the end of the year.**Stage 3 (AIDS) cases initially diagnosed in 2017.***The sum of newly diagnosed HIV cases and newly diagnosed stage 3 (AIDS) cases. Does not include cases diagnosed prior to 2017 withHIV, which progressed to stage 3 (AIDS) in 2017.****Per 100,000 population based on 2016 DHSS estimates.‡Based on age as of December 31, 2017.Note: Percentages may not total 100% due to rounding.2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri65
Epi Profiles Summary: St. Louis HIV Care RegionOf the 6,230 persons living with HIV disease at the end of 2017, 82.2% were males (Table 1). The rate of thoseliving with HIV disease was 4.9 times as high among males compared to females. In contrast to the rest of theHIV Care Regions in which whites comprised the majority of persons living with HIV disease, blacks/AfricanAmericans represented the largest proportion in the St. Louis HIV Care Region. The rate of persons living withHIV disease among blacks/African Americans was 5.4 times as high as the rate among whites. The rate amongHispanics was 1.8 times as high as the rate among whites. Among males, the rate of individuals living with HIVdisease for blacks/African American was 4.9 times as high compared to whites, and 1.5 times as high amongHispanics compared to whites. Among females, the rate of those living with HIV disease among blacks/AfricanAmericans was 13.3 times as high as the rate among whites, and 4.0 times as high among Hispanics comparedto whites.Of the 247 persons newly diagnosed with HIV disease in 2017, 15.4% were classified as stage 3 (AIDS) casesby the end of 2017 (Table 2). The rate of new HIV disease diagnoses was 4.7 times as high among malescompared to females. The rate of new HIV disease cases was 10.2 times as high among blacks/AfricanAmericans compared to whites, and 4.5 times as high among Hispanics compared to whites.Figure 7. Diagnosed and living HIV, stage 3 (AIDS), and HIV disease cases by exposure category,St. Louis HIV Care Region, 2017New Diagnoses, 2017HIV1,CasesStage 3 (AIDS) CasesHIV Disease1%1, 1%1, 1%34,16%1, 1%46,19%12,31%17,45%44,21%52,21%124,59%2, 1%3, 1%8, 21%1, 3%3, 1%3, 1%141,57%Living Cases, 2017419, 5, 1%13%293,10%39, 1%17, 1%16, 1%501,17%547,17%2085,64%84, 3%70, 2%MSMMSM/IDU24, HIV Disease 1%Stage 3 (AIDS) CasesHIV Cases1048,17%211,1923, 3%64%173,3%127,4%103,3%IDU55, 1%712,12%Heterosexual ContactNIR4008,64%PediatricOtherAmong all categories, the largest proportion of cases with a known risk was attributed to MSM (Figure 7). Thelarge proportion of cases with no indicated risk made trends difficult to interpret for all categories. Thesurveillance program examined methods to improve the identification and reporting of exposure categoryinformation.662017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri
Epi Profiles Summary: St. Louis HIV Care RegionTable 3. New and living HIV and stage 3 (AIDS) cases and rates, by geographic area,St. Louis HIV Care Region, 2017Geographic AreaSt. Louis CitySt. Louis CountySt. Charles CountyRemainder of RegionST. LOUIS HIV CARE REGION TOTALHIV CasesDiagnosed 2017*Cases% Rate*** Cases101955820948.3% 32.445.5% 9.52.4%1.33.8%1.9100.0% 9.9Stage 3 (AIDS) CasesLivingDiagnosed 2017**Living%Rate*** Cases% Rate*** Cases%Rate***1,747 53.8%1,234 38.0%1444.4%1253.8%3,250 %7.9%100.0%4.51.80.80.71.81,664 55.8% 534.41,092 36.6% 109.4117 3.9%29.9107 3.6%25.72,980 100.0% 140.8*HIV cases diagnosed and reported to DHSS during 2017 which remained HIV cases at the end of the year.**Does not include HIV cases diagnosed prior to 2017 that progressed to stage 3 (AIDS) in 2017.***Per 100,000 population based on 2016 DHSS estimates.Note: Percentages may not total 100% due to rounding.Table 4. Diagnosed HIV cases and rates, by selected race/ethnicity and geographic area,St. Louis HIV Care Region, 2017WhiteAreaSt. Louis CitySt. Louis CountySt. Charles CountyRemainder of RegionST. LOUIS HIV CARE REGION TOTALCases21174749Black/African .0%0.0%68.9%50.128.95.40.035.045009Total**% Rate* .99.9*Per 100,000 population based on 2016 DHSS estimates.**Includes cases in persons whose race/ethnicity is either unknown or not listed.Note: Row percentages are shown. Percentages may not total 100% due to rounding.Table 5. Diagnosed stage 3 (AIDS) cases and rates, by selected race/ethnicity and geographic area,St. Louis HIV Care Region, 2017AreaCasesWhite%Rate*Black/African .8%5.82166.7%0.633.3%5.430100.0%0.80.0%0.0ST. LOUIS HIV CARE REGION TOTAL1231.6%0.82360.5%5.6*Per 100,000 population based on 2016 DHSS estimates.**Includes cases in persons whose race/ethnicity is either unknown or not listed.Note: Row percentages are shown. Percentages may not total 100% due to rounding.St. Louis CitySt. Louis CountySt. Charles CountyRemainder of * Cases15.90.00.00.03.214183338Total**% The rates of new diagnoses and living cases were higher in St. Louis City compared to other areas in the St.Louis HIV Care Region (Table 3).There were differences in the proportion of new HIV cases diagnosed by race/ethnicity among the geographicareas (Table 4). Greater proportions of new HIV cases diagnosed in St. Louis City and St. Louis County wereamong blacks/African Americans compared to St. Charles County and the remainder of the St. Louis HIV CareRegion.There were also differences in the proportion of new stage 3 (AIDS) cases diagnosed by race/ethnicity amongthe geographic areas (Table 5). Overall, a greater percentage of blacks/African Americans were diagnosed inSt. Louis City and St. Louis County compared to the remainder of the St. Louis HIV Care Region, where whitesrepresented a greater percentage of diagnoses.2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri67
Epi Profiles Summary: St. Louis HIV Care RegionTable 6. Newly diagnosed and living HIV and stage 3 (AIDS) cases in men who have sex with men,by selected race/ethnicity, St. Louis HIV Care Region, 2017Race/EthnicityWhiteBlack/African AmericanHispanicOther/UnknownST. LOUIS HIV CARE REGION TOTALHIV Cases*Stage 3 (AIDS) CasesNewly DiagnosedLivingNewly 0.0%2,085100.0%17100.0%1,923100.0%*Remained HIV cases at the end of the year.**Does not include HIV cases diagnosed prior to 2017 that progressed to stage 3 (AIDS) in 2017.Note: Percentages may not total 100% due to rounding.Table 7. Living HIV disease cases in men who have sex with men, by selected race/ethnicity and currentage group, St. Louis HIV Care Region, 2017Age Group13-1819-2425-4445-6465 ST. LOUIS HIV CARE REGION 10.8%1,854100.0%Black/African 753.6%6.9%111100.0%4,008100.0%*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of cases per age group.Note: Percentages may not total 100% due to rounding.Table 8. Living HIV disease cases in men who have sex with men, by selected race/ethnicity andgeographic area, St. Louis HIV Care Region, 2017Geographic AreaSt. Louis CitySt. Louis CountySt. Charles CountyRemaining CountiesST. LOUIS HIV CARE REGION 1%1,85446.3%Black/African 4,008100.0%*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of race/ethnicity in each area.***Percentage of cases per area.Note: Percentages may not total 100% due to rounding.A total of 141 new HIV disease diagnoses were attributed to MSM in 2017 for the St. Louis HIV Care Region(Table 6). Blacks/African Americans represented the greatest proportion of new HIV cases and new stage 3(AIDS) cases diagnosed in 2017 among MSM. Of the newly diagnosed cases among MSM, 12.1% progressedto stage 3 (AIDS) by the end of 2017.The distribution of living HIV disease cases by current age varied by race/ethnicity among MSM (Table 7).Among white MSM living with HIV disease, the majority (62.3%) were between 45 and 64 years of age at theend of 2017. In contrast, the greatest proportion of black/African American MSM living with HIV disease wasbetween 25 and 44 years of age (47.8%).There were differences in the distribution of persons living with HIV disease by race/ethnicity among thegeographic areas for MSM (Table 8). Black/African American MSM comprised a larger proportion of personsliving with HIV disease in St. Louis City and St. Louis County compared to other areas.682017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri
Epi Profiles Summary: St. Louis HIV Care RegionTable 9. Newly diagnosed and living HIV and stage 3 (AIDS) cases in men who have sex with men andinject drugs, by selected race/ethnicity, St. Louis HIV Care Region, 2017Race/EthnicityWhiteBlack/African AmericanHispanicOther/UnknownST. LOUIS HIV CARE REGION TOTALHIV Cases*Newly .7%300.0%4.3%000.0%0.0%3100.0%70100.0%Stage 3 (AIDS) CasesNewly 1.0%10-1.0%0-103100.0%*Remained HIV cases at the end of the year.**Does not include HIV cases diagnosed prior to 2017 that progressed to stage 3 (AIDS) in 2017.Note: Percentages may not total 100% due to rounding.Table 10. Living HIV disease cases in men who have sex with men and inject drugs, by selected race/ethnicity and current age group, St. Louis HIV Care Region, 2017Age Group13-1819-2425-4445-6465 ST. LOUIS HIV CARE REGION 00.0%Black/African 3100.0%*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of cases per age group.Note: Percentages may not total 100% due to rounding.Table 11. Living HIV disease cases in men who have sex with men and inject drugs, by selected race/ethnicity and geographic area, St. Louis HIV Care Region, 2017Geographic AreaSt. Louis CitySt. Louis CountySt. Charles CountyRemaining CountiesST. LOUIS HIV CARE REGION 6%Black/African %***10761.8%5129.5%74.0%84.6%173100.0%*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of race/ethnicity in each area.***Percentage of cases per area.Note: Percentages may not total 100% due to rounding.Three HIV disease diagnoses were attributed to MSM/IDU in 2017 for the St. Louis HIV Care Region (Table 9).There were 173 living HIV disease cases attributed to MSM/IDU at the end of 2017 in the St. Louis HIV CareRegion. The number of living HIV cases and living stage 3 (AIDS) cases among MSM/IDU was nearly equalamong blacks/African Americans and whites.The majority of persons living with HIV disease among both white and black/African American MSM/IDU were 45to 64 years old at the end of 2017. For Hispanics, the numbers of persons living with HIV disease were equalamong persons 25 to 44 years old and 45 to 64 years old (Table 10).There were differences in the distribution of living cases by race/ethnicity among the geographic areas for MSM/IDU (Table 11). Black/African American MSM/IDU comprised a larger proportion of living cases in St. Louis Cityand St. Louis County compared to other areas.2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri69
Epi Profiles Summary: St. Louis HIV Care RegionTable 12. Newly diagnosed and living HIV and stage 3 (AIDS) cases in injection drug users, by selectedrace/ethnicity and sex, St. Louis HIV Care Region, 2017Race/Ethnicity and SexWhite MaleBlack/African American MaleHispanic MaleWhite FemaleBlack/African American FemaleHispanic FemaleST. LOUIS HIV CARE REGION TOTAL †HIV Cases*Stage 3 (AIDS) CasesNewly DiagnosedLivingNewly .0%127100.0%*Remained HIV cases at the end of the year.**Does not include HIV cases diagnosed prior to 2017 that progressed to stage 3 (AIDS) in 2017.†Includes persons whose race/ethnicity is either unknown or not listed.Note: Percentages may not total 100% due to rounding.Table 13. Living HIV disease cases in injection drug users, by selected race/ethnicity and current agegroup, St. Louis HIV Care Region, 2017White MalesAge Group13-1819-2425-4445-6465 ST. LOUIS HIV CARE REGION Black/AfricanAmerican 0%White 0%Black/AfricanAmerican 8%100.0%*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of cases per age group.Note: Percentages may not total 100% due to rounding.Table 14. Living HIV disease cases in injection drug users, by selected race/ethnicity and geographicarea, St. Louis HIV Care Region, 2017Geographic AreaSt. Louis CitySt. Louis CountySt. Charles CountyRemaining CountiesST. LOUIS HIV CARE REGION TOTALWhiteBlack/African 13061.6%5124.2%125.7%188.5%211100.0%*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of race/ethnicity in each area.***Percentage of cases per area.Note: Percentages may not total 100% due to rounding.A total of three new HIV disease diagnoses were attributed to IDU in 2017 for the St. Louis HIV Care Region(Table 12). Of the newly diagnosed cases among IDU, one progressed to stage 3 (AIDS) by the end of 2017.There were 211 persons living with HIV disease attributed to IDU at the end of 2017 in the St. Louis HIV CareRegion. Black/African American males represented the largest proportion of both living HIV and stage 3 (AIDS)cases.At the end of 2017, the greatest proportion of IDU cases living with HIV disease was among individuals 45 to 64years of age for all sex and race/ethnicity categories presented (Table 13).There were differences in the distribution of IDU living with HIV disease by race/ethnicity among the geographicareas (Table 14). St. Louis City had the largest proportion of black/African American IDU living with HIV disease(80.0%).702017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri
Epi Profiles Summary: St. Louis HIV Care RegionTable 15. Newly diagnosed and living HIV and stage 3 (AIDS) cases in heterosexual contacts, byselected race/ethnicity and sex, St. Louis HIV Care Region, 2017Race/Ethnicity and SexWhite MaleBlack/African American MaleHispanic MaleWhite FemaleBlack/African American FemaleHispanic FemaleST. LOUIS HIV CARE REGION TOTAL†HIV Cases*Newly 44100.0%547100.0%Stage 3 (AIDS) CasesNewly 6%8100.0%501100.0%*Remained HIV cases at the end of the year.**Does not include HIV cases diagnosed prior to 2017 that progressed to stage 3 (AIDS) in 2017.†Includes persons whose race/ethnicity is either unknown or not listed.Note: Percentages may not total 100% due to rounding.Table 16. Living HIV disease cases in heterosexual contacts, by selected race/ethnicity and sex andcurrent age group, St. Louis HIV Care Region, 2017White MalesAge Group13-1819-2425-4445-6465 ck/AfricanAmerican .0%White 00.0%Black/AfricanAmerican FemalesCases12825426725575ST. LOUIS HIV CARE REGION TOTAL*Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of cases per age group.Note: Percentages may not total 100% due to s%**10.1%343.2%41639.7%52349.9%747.1%1,048 100.0%Table 17. Living HIV disease cases in heterosexual contacts, by selected race/ethnicity and geographicarea, St. Louis HIV Care Region, 2017Geographic AreaSt. Louis CitySt. Louis CountySt. Charles CountyRemaining CountiesST. LOUIS HIV CARE REGION 9.5%Black/African *Row totals and percentages include cases in persons whose race/ethnicity is either unknown or not listed.**Percentage of race in each area.***Percentage of cases per area.Note: Percentages may not total 100% due to rounding.There were 52 new HIV disease diagnoses attributed to heterosexual contact in 2017 for the St. Louis HIV CareRegion (Table 15). There were 1,048 persons living with HIV disease attributed to heterosexual contact at theend of 2017 in the St. Louis HIV Care Region. Black/African American females represented the largestproportion of both living HIV and stage 3 (AIDS) cases among heterosexual contact cases.The greatest proportion of heterosexual contact cases living with HIV disease among all race/ethnicity and sexcategories presented was between 45 and 64 years of age (Table 16).There were differences in the distribution of individuals living with HIV disease by race/ethnicity among thegeographic areas for heterosexual contact cases (Table 17). Black/African American heterosexual contactcases comprised a larger proportion of living cases in St. Louis City and St. Louis County compared to otherareas.2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri71
Epi Profiles Summary: St. Louis HIV Care RegionTable 18.
Epi Profiles Summary: St. Louis HIV Care Region 2017 Epidemiologic Profiles of HIV, STD, and Hepatitis in Missouri 63 Figure 5. HIV disease deaths*, by selected race and year of death, St. Louis HIV Care Region, 2008-2017† *Includes deaths that have occurred among those diagnosed with HIV disease in the St. Louis HIV Care Region.
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In the English writing system, many of the graphemes (letters and letter groups) have more than one possible pronunciation. Sometimes, specific sequences of letters can alert the reader to the possible pronunciation required; for example, note the letter sequences shown as ‘hollow letters’ in this guide as in ‘watch’, ‘salt’ and ‘city’ - indicating that, in these words with .
