Hennepin County Human Services and Public Health Department

Public Health Protection

Epidemiology and Environmental Health Epidemiology: (612) 543-5230
1011 South First Street, Suite 215 Environmental Health: (612) 543-5200
Hopkins, MN 55343-9413 FAX: (952) 351-5222

30 September 2010

Dear Colleague:

Please find enclosed the Hennepin County annual HIV/AIDS surveillance reports for 2009.
These reports were generated from surveillance data as of January 1, 2010, and are based on
diagnosis date (i.e., date of the first report of a positive blood test for HIV or the first report of
AIDS), not necessarily when the infection occurred.

The following describes what you will find enclosed:

1. Tables 1-2 describe persons currently living with HIV/AIDS by demographic variables.
Notable findings include that the rate of HIV/AIDS prevalence is highest in those 45-49
years old, and that populations of color, particularly Blacks and American Indians, continue
to have strikingly higher HIV prevalence compared to Whites.

2. Tables 3-4 show annual trends in HIV and AIDS diagnoses, as well as annual AIDS deaths.
Table 4 shows cumulative totals for AIDS diagnoses and deaths. Although reporting of
deaths is incomplete, the data show a significant decline in case fatality rates for this disease
over the past two decades.

3. Tables 5-7 describe new cases of HIV infection and AIDS diagnosis. Table 5 shows these
incident cases year-by-year, with cumulative totals. Tables 6 and 7 describe persons with
new HIV infection diagnosed in 2009 by demographic variables. Notable findings include
that 20-24 year olds had the highest rate of new HIV infection in 2009 and that populations
of color continue to have markedly higher rates of new HIV infection compared to Whites,
particularly Blacks and American Indians.

4. Chart 1 depicts the annual trends in number of new HIV/AIDS cases and deaths, as well as
the annual trend in those living with HIV/AIDS.

If you have any questions about these reports, please feel free to contact Erica Bagstad at (612)
543-5227 or Erica.Bagstad@co.hennepin.mn.us

Sincerely,

Erica Holt Bagstad, M.S., M.P.H.

Epidemiologist

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 Table 1. Number1 and Rate2 (per 100,000) of Persons Living with HIV (non-AIDS) and AIDS
by Residence, Age, and Gender -- Hennepin County, 2009

HIV/AIDS
Prevalence
HIV (non-AIDS) AIDS Total Rates3
Group Cases % Cases % Cases %
Residence
Minneapolis 1,432 73% 1238 73% 2,670 73% 690.5
Suburban 538 27% 449 27% 987 27% 126.2

Age4
<10 yrs 4 0% 0 0% 4 0% 2.6
10-14 yrs 6 0% 0 0% 6 0% 9.1
15-19 yrs 14 1% 6 0% 20 1% 27.8
20-24 yrs 88 4% 16 1% 104 3% 134.3
25-29 yrs 199 10% 64 4% 263 7% 256.0
30-34 yrs 210 11% 117 7% 327 9% 350.9
35-39 yrs 272 14% 184 11% 456 12% 571.0
40-44 yrs 313 16% 289 17% 602 16% 757.0
45-49 yrs 361 18% 408 24% 769 21% 860.4
50-54 yrs 256 13% 280 17% 536 15% 629.0
55-59 yrs 144 7% 163 10% 307 8% 414.5
60+ yrs 101 5% 160 9% 261 7% 141.8

Gender
Male 1,565 79% 1,357 80% 2,922 80% 510.4
Female 405 21% 330 20% 735 20% 125.9

County Totals 1,970 1,687 3,657 316.3

1
Cases reported to the MDH, assumed to be alive, and currently residing in Hennepin County as of 12/31/09.
2
HIV/AIDS prevalence rate calculated by dividing the total number of prevalent cases in a stratum (e.g., persons

aged 20-24 years) by the estimated population for that stratum and multiplying by 100,000.
3
All rates were calculated using Series Vintage 2009 Bridged Population Estimates for Hennepin County, except for rates by residence,
which were calculated
using Metropolitan Council estimates
4
Age information missing for 2 persons living with HIV and 0 persons living with AIDS.

Prepared by Hennepin County Epidemiology

Data Source: Minnesota Department of Health

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 Table 2. Number1 and Rate2 (per 100,000) of Males & Females Living with HIV (non-AIDS) and AIDS
by Race/Ethnicity and Mode of Exposure - Hennepin County, 2009
Males Females Total
HIV Total HIV Total HIV Grand Total
(non- (non- (non-
Group AIDS) AIDS Cases % AIDS) AIDS Cases % AIDS) AIDS Cases % Rate
Race/Ethnicity
White, non-Hispanic 1,025 787 1,812 62% 84 62 146 20% 1,109 849 1,958 54% 224.9
3,4
Black, African-American 293 295 588 20% 146 133 279 38% 439 428 867 24%
Black, African-born3,4 99 114 213 7% 124 99 223 30% 223 213 436 12% 1017.4
Hispanic 96 119 215 7% 24 10 34 5% 120 129 249 7% 334.4
American Indian 18 21 39 1% 16 17 33 4% 34 38 72 2% 598.9
Asian/PI 15 12 27 1% 3 5 8 1% 18 17 35 1% 49.3
Other/Unknown 19 9 28 1% 8 4 12 2% 27 13 40 1% x
Total 1,565 1,357 2,922 100% 405 330 735 100% 1,970 1,687 3,657 100% 316.3

Mode of Exposure5
MSM 1,157 923 2,080 71% -- -- -- -- 1,157 923 2,080 57% x
IDU 55 70 125 4% 32 43 75 10% 87 113 200 5% x
MSM/IDU 108 101 209 7% -- -- -- -- 108 101 209 6% x
Heterosexual (Total) 25 47 72 2% 157 129 286 39% 182 176 358 10% x
with IDU 9 19 28 -- 35 39 74 -- 44 58 102 -- x
with Bisexual Male -- -- -- -- 23 26 49 -- 23 26 49 -- x
with Hemophiliac/other 1 1 2 -- 1 1 2 -- 2 2 4 -- x
with HIV+, unknown risk 15 27 42 -- 98 63 161 -- 113 90 203 -- x
Perinatal 4 4 8 0.3% 9 3 12 2% 13 7 20 1% x
Other 2 7 9 0.3% 2 1 3 0.4% 4 8 12 0% x
Unspecified 214 205 419 14% 205 154 359 49% 419 359 778 21% x
Total 1,565 1,357 2,922 100% 405 330 735 100% 1,970 1,687 3,657 100% 316.3
Cases reported to the MDH, assumed to be alive, and currently residing in Hennepin County as of 12/31/09.
1

2
HIV/AIDS prevalence rate calculated by dividing the total number of prevalent cases in a stratum (e.g., White, non-Hispanic) by the estimated population
for that stratum and multiplying by 100,000. Series Vintage 2009 Bridged Population Estimates for Hennepin County.
African-born Blacks are reported separately from other Blacks (born in the U.S. or elsewhere).
3

An accurate population estimate for Black, African-born persons living in Hennepin County is unavailable. Rate is calculated by adding the Black, African-
4

American and Black, African-born strata and dividing by the population estimate for total Black population.
5
MSM = Men who have sex with men. IDU = Injecting drug use. Heterosexual = For males: heterosexual contact with a female known to be HIV+, an
injecting drug user, or a hemophiliac/blood product or organ transplant recipient. For females: heterosexual contact with a male known to be HIV+,
bisexual, an injecting drug user, or a hemophiliac/blood product or organ transplant recipient. Perinatal = Mother to child HIV transmission; birth may
have occurred in a previous year. Unspecified = Cases who did not acknowledge any of the risks listed above.
Prepared by Hennepin County Epidemiology and Environmental Health

Data Source: Minnesota Department of Health

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 Table 3. Number of HIV (non-AIDS) Cases, AIDS Cases, and AIDS Deaths1 -- Hennepin County, 1990-2009
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
HIV (non-
AIDS) 233 213 227 161 152 139 139 126 124 131 116 132 136 128 108 134 148 149 154 146
AIDS 182 226 249 213 210 214 158 124 121 87 103 86 113 102 123 99 87 86 109 85
AIDS deaths 105 124 132 142 182 165 124 47 44 39 40 48 36 30 43 24 34 30 28 35

1
HIV (non-AIDS) = New cases of HIV infection (excluding AIDS at first diagnosis) diagnosed within a given calendar year. AIDS =
All new cases of AIDS diagnosed within a given calendar year. AIDS deaths = Number of deaths known to have occurred among
AIDS cases in a given calendar year, regardless of cause.

Note: These numbers refer to events, not individuals. For example, a person diagnosed as an HIV (non-AIDS) case in 1992 and
then diagnosed as an AIDS case in 2000 will be counted twice in Table 3, once for each event. Thus, the numbers of HIV (non-
AIDS) and AIDS cases cannot be summed over years to obtain cumulative totals. Please refer to Tables 4-5 for cumulative totals.

Prepared by Hennepin County Epidemiology and Environmental Health

Data Source: Minnesota Department of
Health

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 Table 4. Known Mortality among AIDS Cases
by Year of Diagnosis -- Hennepin County, through 20091

Cases Known to be Deaths Occurring in

Year Cases Diagnosed Dead2 Case-Fatality3 this Interval
1982-1989 490 469 96% 250
1990 182 173 95% 105
1991 226 206 91% 124
1992 249 201 81% 132
1993 213 164 77% 142
1994 210 132 63% 182
1995 214 87 41% 165
1996 158 59 37% 124
1997 124 40 32% 47
1998 121 29 24% 44
1999 87 17 20% 39
2000 103 19 18% 40
2001 86 13 15% 48
2002 113 15 13% 36
2003 102 16 16% 30
2004 123 19 15% 43
2005 99 13 13% 24
2006 87 4 5% 34
2007 86 13 15% 30
2008 109 10 9% 28
2009 85 3 4% 35
Cumulative
Total 3,267 1,702 52% 1,702

CDC 1993 AIDS definition used for all cases.

1

Cases known to be dead (by any cause) as of 12/31/2009. Reporting of deaths is incomplete.
2

3
Case fatality is calculated by dividing the number of cases known to be dead by those diagnosed in a given
interval and multiplying by 100.

Prepared by Hennepin County Epidemiology and Environmental Health

Data Source: Minnesota Department of Health

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 Table 5. Number of New Cases and Rates (per 100,000 persons) of HIV Infection, HIV (non-AIDS), and AIDS1
Hennepin County, 1982-2009
HIV Infection HIV (non-AIDS) AIDS
Year Cases Rate Cases Rate Cases Rate
1982-1992 2526 -- 2,113 -- 1,147 --
1993 221 21.2 161 15.4 213 20.4
1994 197 18.8 152 1.9 210 20.0
1995 190 18.1 139 13.2 214 20.3
1996 191 18.1 139 13.2 158 15.0
1997 175 16.6 126 11.9 124 11.8
1998 180 17.0 124 11.7 121 11.4
1999 179 16.8 131 12.3 87 8.2
2000 164 14.7 116 10.4 103 9.2
2001 180 16.0 132 11.8 86 7.7
2002 195 17.4 136 12.1 113 10.1
2003 169 15.1 128 11.4 102 9.1
2004 177 15.8 108 9.6 123 11.0
2005 170 15.2 134 12.0 99 8.8
2006 184 16.4 148 13.2 87 7.8
2007 191 16.7 149 12.3 86 6.6
2008 203 17.8 154 13.5 109 9.6
2009 191 16.5 146 12.6 85 7.4
Cumulative Total2 5,683 491.5 4,436 383.7 3,267 282.6

1
HIV Infection = New cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis) diagnosed within a given
calendar year. HIV (non-AIDS) = New cases of HIV infection (excluding AIDS at first diagnosis) diagnosed within a given
calendar year. AIDS = All new cases of AIDS diagnosed within a given calendar year.

2
The cumulative rate is calculated by dividing the cumulative number of cases by the estimated current county population and
multiplying by 100,000. Rates for individual calendar years were calculated using Series Vintage Bridged Population Estimates
(2001-2008); 2000 U.S. Census population data (2000); and U.S. Census population estimates (1993-1999).

Note: The sum of HIV (non-AIDS) cases and AIDS cases will be greater than the number of cases of HIV Infection in a given
year. The difference occurs because, unlike the HIV Infection category, the AIDS category includes both cases that are AIDS at
first diagnosis as well as those cases that progress from HIV (non-AIDS) to AIDS during the year (see above definitions).

Prepared by Hennepin County Epidemiology and Environmental Health

Data Source: Minnesota Department of Health

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 Table 6. Number of Cases and Rates (per 100,000 persons) of HIV Infection
by Residence, Age, & Gender1 -- Hennepin County, 2009
HIV Infection
Group Cases % HIV Infection Rate2
Residence
Minneapolis 119 62% 30.8
Suburban 72 38% 9.2
Total 191 100% 16.3
Age
<10 yrs 0 0% 0.0
10-14 yrs 0 0% 0.0
15-19 yrs 12 6% 16.7
20-24 yrs 38 20% 49.1
25-29 yrs 28 15% 27.3
30-34 yrs 26 14% 27.9
35-39 yrs 21 11% 26.3
40-44 yrs 22 12% 27.7
45-49 yrs 23 12% 25.7
50-54 yrs 14 7% 16.4
55-59 yrs 5 3% 6.8
60+ yrs 2 1% 1.1
Total 191 100% 16.5
Gender
Male 163 85% 28.5
Female 28 15% 4.8
Total 191 100% 16.5

1
HIV Infection includes all new cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis)
among Hennepin County residents in 2009.
2
All rates were calculated using Series Vintage 2009 Bridged Population Estimates for
Hennepin County, except for rates by
residence, which were calculated using Metropolitan Council estimates.

Prepared by Hennepin County Epidemiology and Environmental Health

Data Source: Minnesota Department of Health

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 Table 7. Number of Cases and Rates (per 100,000 persons) of HIV Infection
by Race/Ethnicity & Mode of Exposure1 -- Hennepin County, 2009
Males Females Total
Group Cases % Rate 2
Cases % Rate 2
Cases % Rate2
Race/Ethnicity
White, non-Hispanic 89 55% 20.9 6 21% 1.3 95 50% 10.9
Black, African-American3,4 43 26% 11 39% 54 28%
Black, African-born3,4 10 6% 81.1 8 29% 30.3 18 9% 56.2
Hispanic 15 9% 36.4 0 0% 0.0 15 8% 20.1
American Indian 1 1% 17.8 2 7% 31.2 3 2% 25.0
Asian/PI 3 2% 8.5 0 0% 0.0 3 2% 4.2
Otherc 2 1% x 1 4% x 3 2% x
Total 163 100% 28.5 28 100% 4.8 191 100% 16.5
Mode of Exposure5
MSM 122 75% x -- -- x 122 64% x
IDU 1 1% x 0 0% x 1 1% x
MSM/IDU 8 5% x -- -- x 8 4% x
Heterosexual (Total) 3 2% x 13 46% x 16 8% x
with IDU 1 -- x 2 -- x 3 -- x
with Bisexual Male -- -- x 2 -- x 2 -- x
with Hemophiliac/other 0 -- x 0 -- x 0 -- x
with HIV+, unknown risk 2 -- x 9 -- x 11 -- x
Perinatal 0 0% x 0 0% x 0 0% x
Other 0 0% x 0 0% x 0 0% x
Unspecified 29 18% x 15 54% x 44 23% x
Total 163 100% 28.5 28 100% 4.8 191 100% 16.5

1
HIV Infection includes all new cases of HIV infection (both HIV (non-AIDS) and AIDS at first diagnosis) among Hennepin County residents in
2009.
2
HIV/AIDS prevalence rate calculated by dividing the total number of prevalent cases in a stratum (e.g., White, non-Hispanic) by the estimated population for that stratum
and multiplying by 100,000. Series Vintage 2009 Bridged Population Estimates for Hennepin County.
African-born Blacks are reported separately from other Blacks (born in the U.S. or elsewhere).
3

An accurate population estimate for Black, African-born persons living in Hennepin County is unavailable. Rate is calculated by adding the Black, African-American and
4

Black, African-born strata and dividing by the population estimate for total Black population.

5
MSM = Men who have sex with men. IDU = Injecting drug use. Heterosexual = For males: heterosexual contact with a female known to be HIV+, an injecting drug user, or
a hemophiliac/blood product or organ transplant recipient. For females: heterosexual contact with a male known to be HIV+, bisexual, an injecting drug user, or a
hemophiliac/blood product or organ transplant recipient. Perinatal = Mother to child HIV transmission; birth may have occurred in a previous year. Unspecified = Cases
who did not acknowledge any of the risks listed above.

Prepared by Hennepin County Epidemiology and Environmental Health

Data Source: Minnesota Department of Health

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 HIV/AIDS in Hennepin County:
Number of New Cases, Prevalent Cases, and Deaths by Year, 1990-2009

HIV (non-AIDS) AIDS AIDS deaths Living w/ HIV/AIDS

300 4000

3500
250

3000
No. of New HIV/AIDS Cases & Deaths

No. of Persons Living with HIV/AIDS

200
2500

150 2000

1500
100

1000

50
500

0 0
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
Year

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