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HIV/AIDS in California: 2010

July 6, 2011

While the Federal government's investment in treatment and research is helping people with HIV/AIDS live longer and more productive lives, HIV continues to spread at a staggering national rate. The latest incidence data from the Centers for Disease Control and Prevention (CDC) estimates nationally there were 48,100 new HIV infections in 2009. The graph below depicts the HIV/AIDS epidemic in California through September 30, 2010 according to the California Department of Public Health. Note that the following HIV/AIDS statistics only represent a portion of the epidemic in the U.S. -- those cases that have been both confirmed through testing and reported.

Reported AIDS Casesi

Reported AIDS Cases

Demographic Trendsii

The HIV/AIDS epidemic disproportionately affects those at risk from social factors such as disparity and discrimination. The following demographic numbers are from the California Department of Public Health, Office of AIDS as of September 30, 2010.

Demographic Trends
Counties


Fiscal Year 2010 Funding for HIV/AIDS in California

At-a-Glance

Fiscal Year 2010 Funding for HIV/AIDS in California at a Glance

Prevention

The Centers for Disease Control and Prevention provided California with $72,222,473 for HIV prevention programs in 2010. These funds were allocated to state and local health departments and community-based organizations to finance counseling, testing programs, health education/risk reduction activities, and surveillance/ monitoring programs.iv

Ryan White CARE Act

The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, enacted in 1990 and reauthorized in 1996, 2000, 2006, and 2009 is the centerpiece of the federal government's efforts to improve the quality and availability of care for medically underserved individuals and families affected by HIV/AIDS. The CARE Act, administered by the HIV/AIDS Bureau of the Health Resources and Services Administration, provides funding to states, territories, and other public and private nonprofit entities to develop, organize, coordinate, and operate more effective and cost-efficient systems for the delivery of essential health care and support services to people living with HIV/AIDS and their families.

  • Part A -- Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAS): Part A provides funding to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs), areas that are disproportionately affected by the HIV epidemic. To be considered EMAs, metropolitan areas must have more than 2,000 cumulative AIDS cases over the last five-years and a population of 50,000 or more. Cities are considered TGAs if they have at least 1,000, but not more than 1,999, cumulative AIDS cases in the last five years, and a population of 50,000 or more.

    In FY 2010, California received $103,712,804 in Part A funding. Of that, $77,270,043 went to its EMAs (Los Angeles, San Diego, San Francisco) and $26,442,761 went to its TGAs (Oakland, Orange County, Riverside-San Bernardino, Sacramento, San Jose, Santa Rosa).v

  • Part B -- States and Territories: Part B helps state health departments improve the quality, availability, and organization of HIV health care and support services. In additional to base grant, Part B funds support the AIDS Drug Assistance Program (ADAP) which provides medications to individuals with low income, the Minority AIDS Initiative (MAI), and Supplemental Grants for Emerging Communities (EC), cities reporting between 500 and 1,999 cumulative AIDS cases in the past five years.

    In FY 2010, the state received $139,687,894 in CARE Act Part B funds.vi

  • Part C -- Early Intervention Services: Part C supports competitive grants to provide medical treatment and medical support services for people living with HIV including HIV testing, early intervention services, risk reduction counseling, case management, outreach, oral health, nutrition, and mental health services. Part C supports Early Intervention Services (EIS) grants that provide services for HIV positive individuals with low income who are uninsured or underinsured as well as grants for planning and capacity building to help rural or underserved communities develop high-quality HIV primary care. In FY 2010, the state received $19,377,381 in Part C funds.vii
  • Part D -- Capacity Building and Women, Infants, Children, Youth and Their Families: Part D focuses on the operation and development of primary care systems and social services for women and youth, who represent a growing share of the epidemic. In FY 2010, the state received $6,489,674 in Part D funds.viii
  • Other CARE Act Funding Programs:

    AIDS Education and Training Centers (AETC) Program: AETCs provide training, consultation, and information to HIV health care providers through a network of 1 international center; 5 national centers (the AETC National Resource Center, the National HIV/AIDS Clinicians' Consultation Center, the National Evaluation AETC, the AETC National Center for HIV Care in Minority Communities, and the AETC National Multicultural Center); 11 regional centers, each of which serves between two and ten states and/or territories; and over 130 local performance sites across all 50 states, the District of Columbia, and the U.S. territories. Funding is allocated to each of the 17 national and regional centers, which then distribute resources to local performance sites in each state. Note that international, national, and local AETC programs may receive funding from HRSA through non-Ryan White grants.

    Total Statewide AETC Fundingix: $ 7,211,708

    AETCsx

    National:

    AETC National Evaluation Center
    University of California, San Francisco
    AIDS Policy Research Center
    Center for AIDS Prevention Studies
    50 Beale Street, Suite 1300
    San Francisco, CA, 94105
    Email: aetcnec@ucsf.edu
    Phone: 415-597-9186
    Fax: 415-597-9213
    Web Site: aetcnec.ucsf.edu

    National HIV/AIDS Clinicians' Consultation Center
    University of California, San Francisco
    Department of Family and Community Medicine
    San Francisco General Hospital
    1001 Potrero Avenue
    Building 20, Ward 2203
    San Francisco, CA, 94110
    Web Site: www.nccc.ucsf.edu

    Regional:

    Pacific AIDS Education and Training Center (PAETC)
    Department of Family and Community Medicine
    University of California, San Francisco
    50 Beale Street, Suite 1300
    San Francisco, CA, 94105
    Phone: 415-597-8198
    Fax: 415-597-9386
    Web Site: www.paetc.org
    Serves: AZ, CA, HI, NV

    Local:

    Drew University AETC
    Charles R. Drew University of Medicine and Science
    Center for AIDS Research, Education and Services (Drew CARES)
    1731 East 120th Street, Building N
    Los Angeles, CA, 90059
    Phone: 323-357-3447
    Fax: 323-357-3477
    Web Site: www.HIVtrainingCDU.org

    North Coast Area AETC
    Sonoma County Academic Foundation for Excellence in Medicine
    3324 Chanate Road
    Santa Rosa, CA, 95404
    Email: ncaaetc@scafem.org
    Phone: 707-527-6223
    Fax: 707-576-4087
    Web Site: www.scafem.org

    East Bay AETC
    Center for Health Training
    614 Grand Avenue, Suite 400
    Oakland, CA, 94610
    Phone: 510-835-3700
    Fax: 510-625-9307
    Web Site: www.eastbayaetc.org

    San Francisco Area AETC
    Uni. of California, San Francisco
    San Francisco General Hospital
    1001 Potrero Avenue, Box 1365
    San Francisco, CA, 94110
    Email: sfaetc@ucsf.edu
    Phone: 415-206-8730
    Fax: 415-476-3454
    Web Site: www.sfaetc.ucsf.edu

    UCLA AETC
    University of California, Los Angeles
    Center for Health Promotion & Disease Prevention
    10880 Wilshire Boulevard, Suite 1800
    Los Angeles, CA, 90095-7027
    Phone: 310-794-2932
    Fax: 310-794-6097
    Web Site: http://fm.mednet.ucla.edu/CHPDP/chpdp.asp

    San Jose AETC
    Community Health Partnership
    Health Education and Training Center
    100 North Winchester Boulevard, Suite 250
    Santa Clara, CA, 95050-6250
    Phone: 408-556-6605
    Fax: 408-556-6617
    Web Site: www.chpscc.org

    San Joaquin Valley AETC
    UCSF Fresno Family and Community Medicine
    155 North Fresno Street, Suite 326
    Fresno, CA, 93701-2302
    Phone: 559-499-6450
    Fax: 559-499-6451

    UC Davis AETC
    University of California, Davis
    4150 V Street, PSSB 500
    Sacramento, CA, 95817
    Phone: 916-734-3815
    Fax: 916-734-7766

    UC Irvine AETC
    University of California, Irvine
    101 The City Drive South, City Tower
    Suite 400, Zot 4081
    Orange, CA, 92868
    Phone: 714-456-7612
    Fax: 714-456-7169

    UC San Diego AETC
    University of California, San Diego
    200 West Arbor Drive, MC 8681
    San Diego, CA, 92103-8681
    Phone: 619-543-2415
    Fax: 619-543-7841
    Web Site: health.ucsd.edu/specialties/owen/

    USC AETC
    Keck School of Medicine, University of Southern California
    1000 South Fremont Avenue, Unit 22
    Building A-7, 4th Floor
    Alhambra, CA, 91803
    Phone: 626-457-4226
    Fax: 626-457-4230
    Web Site: www.paetc.com

    Dental Program: The Ryan White Care Act Dental program provides funding to the Community Based Dental Program, which aims to increase HIV-positive individuals' access to oral health care services while providing education and clinical training for dental care providers. The Dental program also provides funding for a Dental Reimbursement Program which reimburses dental schools, postdoctoral dental education programs, and dental hygiene programs for oral health care of individuals living with HIV.

    In FY 2010, the total funding allocated to the state's dental program was $1,702,294. Of that, $320,000 went to the Community Based Dental Program and $1,382,294 went to the Dental Reimbursement Program.xi

    Grant Recipients in FY 2010 - Dental Reimbursement

    Special Projects of National Significance (SPNS): SPNS is the research and development aspect of the Ryan White CARE Act. SPNS is responsible for assessing the effectiveness of certain care models, providing support for innovative models of HIV/AIDS service delivery and for assisting the replication of effective models across the nation.

    Total SPNS Fundingxii: $2,589,038

Housing Opportunities for Persons With AIDS

The Housing Opportunities for Persons with AIDS program (HOPWA) provides housing assistance and related supportive services for HIV positive persons with low income and their families. Funding is provided in the form of formula grants, which are awarded to eligible states and cities on behalf of their metropolitan areas, and competitive grants, which are awarded to model projects or programs.

The Department of Housing and Urban Development (HUD) provided the state a total of $39,773,647 in FY 2010 HOPWA funding.xiii

HOPWA Funding

State Issues

Enhanced Comprehensive HIV Prevention Plan (ECHPP) -- In 2010, the Centers for Disease Control and Prevention (CDC) released a plan for prevention targeting twelve cities including Los Angeles and San Francisco that compromise 44% of all infections in the United States. In accordance with the National HIV/AIDS Strategy, the Department of Health and Human Services (HHS) built upon the program with what is known as the "twelve cities" project by coordinating cross-departmental collaboration with the Centers for Medicare and Medicaid Services (CMS), Health Resources and Services Administration (HRSA), Indian Health Service (IHS), National Institutes of Health (NIH), and Substance Abuse and Mental Health Services Administration (SAMHSA).

Syringe Exchange -- In 2009, the nationwide ban on a state's use of federal funds for Syringe Exchange Programs (SEPs) was removed through appropriations legislation and signed by President Barack Obama. Numerous studies have indicated that SEPs offer vital care and services to intravenous drug users and reduce risk behavior. Yet, despite long held support from the CDC, NIH, and the majority of the medical and scientific community, syringe exchange programs remain politically targeted.xiv There are currently exchange programs operating in Berkeley, Davis, Eureka, Freedom, Fremont, Fresno, Inglewood, Los Angeles, Lower Lake, Monterey, Oakland, Pittsburg, Redway, Redding, Redwood City, Reseda, Richmond, Sacramento, Salinas, San Diego, San Francisco, San Jose, San Luis Obispo, San Rafael, Sand City, Santa Barbara, Santa Cruz, Santa Monica, Santa Rosa, Ukiah, Ventura, Watsonville, Weitchpec, West Sacramento, Winters, and Woodland.xv

Policy and Law

Criminalization, which is often dependent on known HIV status, creates barriers to testing along with discouraging disclosure and fostering stigma. California has five HIV-specific statutes that allow for criminal prosecution based on HIV status and HIV has been applied in prosecuting for non-HIV specific charges. At least one arrest has been made recently; in September of 2010 a HIV-positive man pleaded guilty to intentional HIV exposure and was sentenced to three years in prison (the minimum for the charge).xvi

AIDS United Partners and Grantees

AIDS United promotes collaborative local planning and provides strategic grants and technical support to more than 400 direct service organizations annually through our Community Partnerships, Public Policy Committee, and targeted initiatives such as AmeriCorps, Access to Care (A2C), GENERATIONS/Women's Initiative, Southern REACH, Puerto Rico grantmaking, and the Syringe Access Fund.

AIDS Community Research Consortium (ACRC), Redwood City (Syringe Access)
AIDS Project Los Angeles, Los Angeles (A2C, direct grant, PPC)
Asian Americans for Community Involvement (AACI), San Jose (direct grant)
Berkeley Needle Exchange Emergency Distribution, Berkeley (Syringe Access, direct grant)
Center for Health Justice, Los Angeles (A2C)
Chicano Federation of San Diego County, Inc., San Diego (Generations)
Christie's Place, San Diego (A2C)
Common Ground -- The Westside HIV Community Center, Santa Monica (Syringe Access, direct grant)
Community Health Empowerment/Exchange Works, Richmond (Syringe Access)
Health Equity Institute -- San Francisco State University, San Francisco (A2C)
HIV Education and Prevention Project of Alameda County (HEPPAC), Oakland (Syringe Access, direct grant)
Marin AIDS Project, San Rafael (direct grant)
Points of Distribution, San Francisco (Syringe Access)
Clean Needles Now, Los Angeles (Syringe Access)
REACH LA, Los Angeles (direct grant)
Safer Alternatives thru Networking & Education (SANE), Sacramento (Syringe Access)
San Diego HIV Funding Collaborative, San Diego (Community Partnerships)
St. James Infirmary, San Francisco (Syringe Access)
Tarzana Treatment Centers, Inc., Tarzana (Syringe Access)
Tenderloin Health, San Francisco (Syringe Access)
Homeless Youth Alliance/San Francisco Needle Exchange, San Francisco (Syringe Access)
Tri-City Health Center, Fremont (Syringe Access)
Ventura County AIDS Partnership, Camarillo (Community Partnerships)
Van Ness Recovery House, Los Angeles (PPC)
WORLD, Oakland (direct grant)

State AIDS Director

AIDS Director
Michelle Roland, MD
Chief
Office of AIDS
California Dept. of Public Health
P.O Box 997426 MS7700
Sacramento, California 95899-7426
Phone: 916-449-5900
Fax: 916-449-5909
michelle.roland@cdph.ca.govxvii


References

  1. HIV/AIDS Surveillance in California, (December 2006), (December 2007), (December 2008), (December 2009), Quarter 3 (September 2010), Office of AIDS, California Department of Public Health, available from: www.cdph.ca.gov/data/statistics/Pages/OAHIVAIDSStatistics.aspx.
  2. HIV/AIDS Surveillance in California, Quarter 4 (December 2010), Office of AIDS, California Department of Public Health, available from: www.cdph.ca.gov/data/statistics/Pages/OAHIVAIDSStatistics.aspx.
  3. State & County QuickFacts, US Census Bureau, available from: http://quickfacts.census.gov/qfd/index.html.
  4. DHAP HIV Prevention Funding Allocations by State and Dependent Area (Fiscal Year 2010), Centers for Disease Control & Prevention, available from: www.cdc.gov/hiv/topics/funding/state-awards/index.htm.
  5. Ryan White Part A Awards to Eligible Metropolitan Areas (EMAs) and Transitional Grant Areas (TGAs) for FY 2010, HRSA, US Department of Health and Human Services, available from: http://hab.hrsa.gov/data/reports/partaemastgas.html.
  6. Find Grant Awards: California, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/; Breakouts provided by NASTAD: Part B totals include Base, ADAP, MAI, and EC; Base includes supplemental funds; ADAP includes supplemental and emergency funds.
  7. Find Grant Awards: California, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  8. Find Grant Awards: California, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  9. Find Grant Awards: California, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  10. About the AIDS Education & Training Centers, AETC National Resource Center, available from: www.aids-ed.org/aidsetc?page=ab-00-00.
  11. The HIV/AIDS Program: Caring for the Underserved; Part F: Dental Reimbursement Programs 2010 Award Amounts, HRSA, US Department of Health and Human Services, available from: http://hab.hrsa.gov/abouthab/special/dental2010.html.
  12. Find Grant Awards: California, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  13. HOPWA Report, US Department of Housing and Urban Development, available from: www.hudhre.info/hopwa/index.cfm?do=viewHopwaRptsSelect&opt=Awards#tab.
  14. Syringe Exchange and HIV/AIDS, AIDS United (published under formerly AIDS Action), available from: www.aidsunited.org/uploads/docs/Learn-Syringe_Exchange_and_HIV.pdf.
  15. Syringe Exchange Programs in the United States 2011, amfAR, available from: www.amfar.org/uploadedFiles/On_The_Hill/SEPS.pdf?n=3826%29.
  16. Ending and Defending Against HIV Criminalization: A Manual for Advocates, Volume 1, State and Federal Laws and Prosecutions, The Center for HIV Law and Policy, Fall 2010, available from: www.hivlawandpolicy.org/resources/view/564; Positive Justice Project: Prosecutions for HIV Exposure in the United States, 2008–2011, The Center for HIV Law & Policy, available from: www.hivlawandpolicy.org/resources/view/456.
  17. State HIV/AIDS Program Directory, National Alliance of State and Territorial AIDS Directors, available from: http://nastaddemo.dedicated.advansiv.com/About/res_state_Directory.aspx.



  
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This article was provided by AIDS United. Visit AIDS United's website to find out more about their activities and publications.
 
See Also
U.S. HIV/AIDS State Fact Sheets: Table of Contents

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