HIV Epidemiology Annual Report 2016

This annual report, created by the SF Dept. of Public Health, is an exhaustive report on the current state of HIV in San Francisco. We’ve parsed out some of the key points below. You can also read the full report.

New HIV diagnoses

declined 16% from 265 diagnoses in 2015 to 223 in 2016.

63% of HIV positive people are over 50 years old

26% of people living with HIV are over 60 years.

African American men have the highest HIV diagnosis rate

in San Francisco, at 96 cases per 100,000 population, compared to a rate of 39 per 100,000 among white men in 2016. Latino men in San Francisco have the second highest HIV diagnosis rate at 77 per 100,000 population. Among women, African American women have a the highest HIV diagnosis rate at 43 per 100,000.

  • Among men, the annual rate of new HIV diagnoses declined 16% from 265 diagnoses in 2015 to 223 in 2016.
  • Homeless people are lagging behind in viral suppression at 31 percent compared to 73 percent overall for HIV positive people in San Francisco.
  • 93% are aware of their HIV infection This is a testament to the effective HIV awareness efforts in San Francisco.
  • Survial with AIDS has steadily improved overtime; for people diagnosed, the survival probability is 90% at 3 years and 87% at 5 years.
  • Late diagnosis* declined to 16% The proportion of late diagnoses declined from 21% in 2012 to 16% in 2015. Nationally the proportion of late testers is 22%.* progressing to AIDS within 3 months of HIV diagnosis
  • 18% of the new diagnoses were among PWID (including PWID-MSM), highlighting the need for continued support for the long-standing syringe access programs in San Francisco.
  • Linkage to care within 1 month of HIV diagnosis has increased among newly diagnosed people; in 2016, 84% linked within 1 month of diagnosis compared to 77% in 2012.
  • Viral suppression within 1 year of diagnosis has increased among newly diagnosed people; in 2015 77% were virally suppressed within 1 year of diagnosis compared to 68% in 2012.
  • Time to ART (Antiretroviral Therapy) initiation after HIV diagnosis has improved from a median time (when 50% initiated ART) of 8 months in 2009 to 1 month in 2015.
  • Time to viral suppression after HIV diagnosis has improved; median time to viral suppression improved from 11 months in 2009 to 3 months in 2015.