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HIV/AIDS in Georgia: 2008-2010

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.

Total Reported AIDS Casesi

Total 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 Georgia Department of Community Health as of December 31, 2008.

Demographic Trends
Counties


Fiscal Year 2010 Funding for HIV/AIDS in Georgia

At-a-Glance

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

Prevention

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

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.

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 $11,948,902 HOPWA funding in FY 2010.xiii

HOPWA Funding

State Issues

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

Policy and Law

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 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.

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)

State AIDS Director

AIDS Director
William Lyons
AIDS Director
Georgia Department of Community Health
2 Peachtree Street, NW
Suite 12-224
Atlanta, Georgia, 30303
Phone: 404-463-0414
Fax: 785-296-4197
wilyons@dhr.state.ga.usxviii


References

  1. Georgia HIV/AIDS Surveillance Summary (data through 2008), (2007), (2006); Prevalent HIV/AIDS Cases by District of Current Residence, Georgia, 1980-Decemeber 31, 2009, Georgia Department of Community Health, available from: http://health.state.ga.us/epi/hivaids/index.asp.
  2. Georgia HIV/AIDS Surveillance Summary (data through 2008); Prevalent HIV/AIDS Cases by District of Current Residence, Georgia, 1980-Decemeber 31, 2009, Georgia Department of Community Health, available from: http://health.state.ga.us/epi/hivaids/index.asp.
  3. State & County QuickFacts, U.S. 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: Georgia, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/; Breakouts provided by NASTAD: Part B total includes Base, ADAP, MAI, and EC; base includes base supplemental; ADAP includes supplemental and emergency funds.
  7. Find Grant Awards: Georgia, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  8. Find Grant Awards: Georgia, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  9. Find Grant Awards: Georgia, 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: Georgia, 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. ADAP Watch Update -- July 1, 2011, NASTAD, available from: www.thebody.com/content/62830/the-adap-watch.html.
  15. 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.
  16. Syringe Exchange Programs in the United States 2011, amfAR, available from: www.amfar.org/uploadedFiles/On_The_Hill/SEPS.pdf?n=3826%29.
  17. 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.
  18. State HIV/AIDS Program Directory, National Alliance of State and Territorial AIDS Directors, available from: www.nastad.org/About/res_state_Directory.aspx.




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