July 20, 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 Georgia through 2009 according to the Georgia Department of Community Health. Individuals in the Georgia Department of Corrections are omitted. Furthermore, 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.
The HIV/AIDS epidemic disproportionately affects those at risk from social factors such as disparity and discrimination. The following demographic numbers are from the Georgia Department of Community Health as of December 31, 2008.
The Centers for Disease Control and Prevention provided Georgia with $18,031,264 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
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.
In FY 2010, Georgia received $20,336,854 in Part A funding which went to its EMA (Atlanta).v
In FY 2010, the state received $47,433,283 in CARE Act Part B funds.vi
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.
Total Statewide AETC Fundingix: $2,333,318
Southeast AIDS Education and Training Center
Emory University School of Medicine
1256 Briarcliff Road, NE
Building A, Suite 238
Atlanta, GA, 30322
Web Site: www.seatec.emory.edu
Serves: AL, GA, KY, NC, SC, TN
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 $280,288 which went to the Dental Reimbursement Program.xi
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: $1,587,497
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 $11,948,902 HOPWA funding in FY 2010.xiii
ADAP -- AIDS Drug Assistance Programs save lives by providing HIV-related medications to uninsured and under insured individuals. Over 2010, the economic recession put increased pressure on states budgets, at the same time also caused an increase in clients seeking to enroll in ADAPs, putting many State ADAPs in crisis. As a result, Georgia reduced its drug formulary, implemented medical eligibility criteria, and is participating in the Alternative Method Demonstration Project which contracts with retail pharmacies to provide comprehensive convenient pharmacy services with ADAP cost savings. Despite these measures, 1,630 individuals remain waiting for ADAP services as of July 1, 2011.xiv
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 Miami 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.xv are currently exchange programs operating in Atlanta.xvi
Criminalization of HIV, which is often dependent on known status, creates barriers to testing along with discouraging disclosure and fostering stigma. In Georgia, there are two statues criminalizing the reckless conduct of HIV positive individuals. Intent to transmit and/or transmission are not required and there have been cases prosecuted in which there was little to no possibility of HIV transmission by behavior such as spitting and biting.xvii
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.
Atlanta AIDS Partnership Fund, Atlanta (A2C, Community Partnership)
Atlanta Harm Reduction Coalition, Atlanta (REACH, Syringe Access)
Equality Foundation of Georgia, Atlanta (REACH)
Living Room, Inc., Atlanta (REACH)
National AIDS Education & Services for Minorities, Atlanta (REACH)
SisterLove, Inc., Atlanta (REACH)
Georgia Department of Community Health
2 Peachtree Street, NW
Atlanta, Georgia, 30303