Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
  Breaking News: FDA Approves Triumeq, New Once-Daily Combination Pill
  
  • Email Email
  • Comments Comments
  • Printable Single-Page Print-Friendly
  • Glossary Glossary
  • PDF PDF

HIV/AIDS in New York: 2008-2010

July 29, 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 epidemic in New York through 2008 according to the New York State Department of 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 estimates from the New York State Department of Health as of December 2008.

Demographic Trends
Counties


Fiscal Year 2010 Funding for HIV/AIDS in New York

At-a-Glance

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

Prevention

Advertisement
The Centers for Disease Control and Prevention provided New York with $85,361,094 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, New York received $128,750,433 in Part A funding. Of that, $127,403,120 went to its EMAs (Nassau-Suffolk, New York City) and $1,347,313 went to its TGA (Dutchess County).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 $164,425,258 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 $23,557,873 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 $12,070,013 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.

    Total Statewide AETC Fundingix: $3,904,016

    AETCsx

    Regional:

    New York/New Jersey AIDS Education and Training Center
    Columbia University, Department of Psychiatry
    HIV Center
    100 Haven Avenue #31G
    New York, NY, 10032
    Email: nynjaetc@columbia.edu
    Phone: 212-304-5530
    Fax: 212-304-5555
    Web Site: www.nynjaetc.org
    Serves: NY, NJ

    Local:

    Adolescent AIDS Program
    Children's Hospital at Montefiore Medical Center
    111 East 210th Street
    Bronx, NY, 10467
    www.adolescentaids.org

    AIDS Institute
    New York State Department of Health
    217 South Salina Street
    Syracuse, NY, 13202
    www.hivguidelines.org/

    Albany Medical Center
    AIDS Program, Albany Medical College
    47 New Scotland Avenue, MC-158
    Albany, NY, 12208
    www.amc.edu/Patient/services/HIV/Education/clinical_education.html

    Bronx-Lebanon Hospital Center
    HIV/AIDS Clinical Education and Training Program
    1645 Grand Concourse, Suite 1B
    Bronx, NY, 10452
    www.bronx-leb.org

    Cicatelli Associates, Inc.
    Training Center for Health Professionals
    505 Eight Avenue, Suite 1601
    New York, NY, 10018
    www.cicatelli.org/AboutCAI/home.htm

    Columbia HIV Mental Health Training Project
    1051 Riverside Drive, Unit 112
    New York, NY, 10032
    www.columbia.edu/cu/hivmentalhealthtraining

    St. Luke's Roosevelt Hospital
    Center for Comprehensive Care, West Village Division
    36th 7th Avenue, Unit 5, 2nd Floor
    New York, NY, 10011

    State University of New York at Stony Brook
    The Center for Public Health Education
    Health Science Drive, Benedict House
    Stony Brook, NY, 11794-4016
    Phone: 631-444-8292
    Fax: 631-444-6744
    www.hsc.stonybrook.edu/shtm/cphe/

    State University of New York Downstate
    SUNY Downstate Medical Center
    450 Clarkson Road, Box 1240
    Brooklyn, NY, 11203

    Weill Cornell Medical College
    525 East 68th Street, Box 566
    New York, NY, 10021
    www.cornellclinicaltrials.org/hiv/

    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 $4,936,292. Of that, $4,304,717 went to the Dental Reimbursement Program and $631,575 went to the Community Based Dental Program.xi

    Grant Recipients in FY 2010

    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: $3,869,860

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 $62,339,188 HOPWA funding in FY 2010.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 New York City 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).

Policy and Law

Criminalization of HIV, which is often dependent on known status, creates barriers to testing along with discouraging disclosure and fostering stigma. New York has one statue pertaining to venereal disease; however, it is unclear if HIV falls under this statue. Instead, known HIV-related prosecutions in New York have been under general criminal laws. Since 2009, there have been at least two documented prosecutions including a case where a HIV positive man took a ten year plea deal for spitting on a police officer despite the fact that salvia has not been shown to transmit HIV.xiv

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 There are currently exchange programs operating in Albany, Bronx, Brooklyn, Buffalo, Far Rockaway, Ithaca, Jamaica, Johnson City, Long Island City, Mt. Vernon, New York City, and Rochester.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.

Amida Care, New York (A2C)
Bronx AIDS Services, Inc., Bronx (GENERATIONS)
Community AIDS Partnership of the Capital Region, Albany (Community Partnerships)
CitiWide Harm Reduction, Inc., Bronx (Syringe Access)
Drug Policy Alliance, New York (Syringe Access)
Gay Men's Health Crisis, New York (PPC)
Greenhope Services for Women, Inc., New York (GENERATIONS)
Harm Reduction Coalition, New York (Syringe Access)
Housing Works, Inc., Brooklyn (direct grant)
Lower East Side Harm Reduction Center, New York (Syringe Access)
New York City AIDS Fund, New York (Community Partnership, A2C)
VOCAL New York, Brooklyn (Syringe Access)

State AIDS Director

AIDS Director
Humberto Cruz, MA
Director
AIDS Institute
New York State Department of Health
90 Church Street, 13th Floor
New York, New York, 10007-2919
Phone: 212-417-5500
Fax: 212-417-4685
hxc01@health.state.ny.usxvii


References

  1. New York State HIV/AIDS Surveillance Annual Report 2005 (Sept 2007), 2006 (May 2008), 2007 (May 2009), 2008 (June 2010), Bureau of HIV/AIDS Epidemiology, AIDS Institute, New York State Department of Health, available from: www.health.state.ny.us/diseases/aids/statistics/annual/index.htm.
  2. New York State HIV/AIDS Surveillance Annual Report 2008 (June 2010), Bureau of HIV/AIDS Epidemiology, AIDS Institute, New York State Department of Health, available from: www.health.state.ny.us/diseases/aids/statistics/annual/index.htm.
  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: New York, 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: New York, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  8. Find Grant Awards: New York, HRSA, US Department of Health and Human Services, available from: http://granteefind.hrsa.gov/.
  9. Find Grant Awards: New York, 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/treatmentmodernization/dentalrosters2010.htm.
  12. Find Grant Awards: New York, 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.
  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.



  
  • Email Email
  • Comments Comments
  • Printable Single-Page Print-Friendly
  • Glossary Glossary
  • PDF PDF

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

No comments have been made.
 

Add Your Comment:
(Please note: Your name and comment will be public, and may even show up in
Internet search results. Be careful when providing personal information! Before
adding your comment, please read TheBody.com's Comment Policy.)

Your Name:


Your Location:

(ex: San Francisco, CA)

Your Comment:

Characters remaining:

Tools
 

Advertisement